Pfizer

Vaccine was given at 3pm. At 4:30pm patient had a tight chest so he used his inhaler. At 8:30pm he went into anaphylaxis---red from head to toe, swollen hands and feet, could not move fingers or toes, lips blue and swollen. He was transported to the ER.

Patient complain of slight headacke, dizziness, O2 sat 97, Pulse 76, Resp. 24, was assessed by nurse for10minutes, patient begins to cough with wheezing noted, states " I am feeling my throat funny, no respiratory distress noted, continued to be monitored for another 10 minutes, no changes noted, states, I am feeling a bit tight in my chest, O2 sat at 96-97%, BP 124/58 was taken to ER via EMS for evaluation at 14:35p

After getting the Vaccine he fell down when he was in the store, with his father and so the father brought him back to the pharmacy and he had hit his back of head during the fall. And because of this he was little pale in color and he had no local reaction to the vaccine on his arm and he was communicating with us. we did call the ems services and they took him to the ambulance and per father he was let go after some time in the ambulance once he felt better.

Patient received their first Pfizer Covid vaccine and while his sibling was receiving her vaccine approximately two minutes later the patient fainted and fell on the floor and hit his head.

pt received Pfizer covid 19 vaccine with mom in the room. Less than 5 minutes later, step dad reported that patient passed out and hit his head on the side. Pt was bleeding from the left forehead. A technician called 911. I wiped blood from the injury and applied a gauze and instant ice pack. pt was breathing and fully responsive. pt denied any other pain or discomfort other than the injury on the forehead and injection site pain in the arm.

PT dizzy immediately following shot. Checked out by staff. BP low. PT hypotensive positive orthostatics. Medic administrated fluids (0.9% Sodium Chloride Injection USP 1000 mL). Transfer of care to another group. Transported to Medical Center.

Woke up and said it felt like an elephant on his chest, still had heavy pressure at 11.. Went to pediatrician - spirometry and heart basics, BP and pulse ox okay. Prescribed albuterol in hopes it would help in a few days. Took first dose at 1pm and feels slightly better.

From ED Note: 12 year old male with PMH of asthma on flovent, food allergies with epi-pen (has not required this) and pre-syncope/syncope who presents with concern for loss of consciousness and possible seizure-like activity following a COVID vaccine. Mom notes that he was in his usual state of health when he presented to COVID clinic to get his first vaccine. He got the Pfizer vaccine, seconds after getting in his left arm, mom noted that he looked very "wide eyed" and distraught. She notes that he slumped forward and had lost consciousness for approximately 5 seconds. She noticed shaking movements in his right arm and bilateral lower legs. She notes that his left arm was against her and therefore cannot comment on it. She notes that his eyes were closed. No tongue biting and no incontinence. No secondary trauma. She notes that when these 5 seconds were over he then had a period for about 30 minutes where he looked pale and was breathing heavy but was alert and answering questions. She notes that he has had presyncopal episodes and episodes of feeling faint when getting flu shots in the past. However, this time she noted that he had shaking which made her nervous for possible seizure activity. Patient denies any chest pain or headache prior to the symptoms. She came via ambulance for further evaluation. On arrival, he reports that he feels 90% back to his baseline. He notes that he does not feel quite ready to run around yet however denies any pains or discomforts, headache, weakness, numbness, or tingling. He had eaten a full breakfast prior to getting the shot. He had a normal night sleep and a normal day yesterday per mom. Medical History: as above Surgical history: none Family History: Reviewed and no pertinent related family hx pertaining to this visit Social History: Lives with family Allergies: food allergies Medications: flovent, epi-pen Immunizations: Up to date Medical Decision Making 12 year old male with PMH of asthma on flovent, food allergies with epi-pen (has not required this) and pre-syncope/syncope who presents with concern for loss of consciousness and possible seizure-like activity following a COVID vaccine. On arrival, he was alert, well-appearing, in no acute distress. His vital signs were normal for age on room air. His physical exam was very reassuring as above with a normal neurologic and cardiac evaluation. Differential includes vasovagal/syncope in the setting of a known stressful trigger vs seizure given report of shaking in his extremities. We feel the latter is significantly less likely given the timeline of the events. Has no known seizure activity nor any triggers per history (fever, trauma, etc.). He also has a normal neurologic assessment. At this time we will defer neurology consults given low concern for seizure. It is possible that this represents a side effect of the vaccine however we also feel that this is less likely given the fact that his symptoms have been seconds after receiving the vaccine. Nonetheless we reported the symptoms to the pharmacist who recorded it in the database. We attained an EKG showing a known incomplete right bundle branch block (unchanged from 2013) and a slightly prolonged QTC of 477 (previously 451). I encourage patient to stay well-hydrated, well rested in the setting of his suspected syncopal episode this morning. I also suggested that for further vaccinations, that he lay down on the table and drink/eat well prior. We provided strict return to ED criteria in the setting of worsening symptoms. All questions were answered at the time of discharge. Mom verbalized her understanding and agreement of the plan. He was discharged in a stable condition with mom at side. **After patient was discharged, cardiology called the follow-up team due to the prolonged QTC to ensure that we were aware. I contacted the patient's PCP to do a follow-up EKG in 1 month's time.

Patient received the vaccination. Approximately 20 seconds after receiving the dose patient said "I'm going to faint'. Patient appeared to faint but also appeared to be having a seizure. The patients legs appeared to go rigid and he make movements with his arms. He appeared very pale. The patient "came to" within approximately a minute? Patients mother and I were able to lay Patient down on the floor. I asked his mother if she would like us to call 911 and she said yes. Prior to the incident, I discussed Patients past history of seizures with his mother. She sail he had seizures when he was younger and had been on medication, but he was no longer on any medication and had been seizure free for approximately 5 years.

Patient turned pale, felt foggy head, couldn't hear for a while. After laying down and drinking some water he felt better and gained back color.

Pt dad states that patient fainted upon receiving the vaccine. Evaluated by EMS-Refusal to transport.

Patient was administered Pfizer COVID-19 vaccine in store. Roughly five minutes later, he felt slightly lightheaded and collapsed in an aisle of the store. Pharmacist attended to the patient. He did not recall falling. He was observed to have a bruised nose and a small laceration on the lip. Patient's pulse and blood pressure were regular. Store manager provided water and an icepack. Patient continued to be monitored in store for an additional 20 minutes, after which time he stated he felt fine, and left with his mother. Patient had no history of reaction to immunizations.

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

onset of chest pain after initial injection which resolved prior to disposition home with mother. Denied any other symptoms.

After vaccine was administered, patient was asked to wait for 15 minutes, at which time Parent notices that child had passed out, looked pale and unresponsive to name calling. I (pharmacist) was alerted to the event and I and couple technicians went out to assist patient. I elevated child's feet, supported head, took blood pressure and pulse. Child regained consciousness and was able to respond to name in less than two minutes. Child stated that he was hot and agreed to drinking cold water. I also applied cold compress to child's forehead and wrists. Child took sips of water and BP was continuously monitored. Parents stated that child looked much better and had regained color to his face. Child was monitored to 30 mins by the pharmacy team with no event before parents took child home.

Pt had vasovagal reaction and emesis immediately post vaccine admin. NO ALLERGY to vaccine. Okay to receive 2nd dose. At 1:37PM, 6 min post receiving vaccine, patient told mom that he felt lightheaded and was having pain at injection site left arm. Rn assessed immediately and pt reported feeling "sick". He drank few sips of water. MD called to bedside. I assessed pt at 1:39PM, pt sitting chair, elevated his legs onto the footrests of wheelchair sitting in front of pt. +Facial and lip pallor, and complaining of nausea followed by 1 episode NBNB emesis consisting of what he ate for lunch 1 hour prior. Pt immediately reported feeling better post emesis. Lips appeared pink. Pt brought to triage area, lay supine on stretcher with legs elevated. Nausea and "lightheaded" sensation resolved prior to lying down. BP improved post emesis from 75/39 to 84/46 at 1:48 PM. Stayed lying down for 5 minutes after which time pt wanted to sit up. Upon sitting BP and HR increased 96/64 and 69, stable with no nausea or lightheadedness, only remaining sx "slightly weak". drank 12 oz apple juice and ate 2 graham crackers without any further emesis or symptoms. Observed for 15 more minutes and was ambulating without return of symptoms, discharged home with mom and brother with instructions to seek medical care if symptoms return.

Syncopal episode - fell and hit his head on door No loss of consciousness Patient was possibly dehydrated or had low blood sugar, states that he had not eaten since 11:00am and had been playing golf all day until he arrived at clinic at 5:30 pm. Patient's father was present and took him home after evaluation by medical staff and sign off by medical director.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Medium, Systemic: Weakness-Medium

12 yo male presenting with bilateral lower extremity paresthesias and confusion. Admitted to the hospital. Pending discharge to rehab facility. ED Note 5/19/21 Patient is a 12-year-old male with hypogammaglobulinemia, asthma, IBS who presents with weakness in his lower extremities. 6 days ago, patient had seafood and later that night vomited once, nonbloody, nonbilious. 4 days ago, he received the first dose of the Pfizer SARS-CoV2 vaccination. That day, he also felt some burning over the anterior parts of his bilateral ankles. Over the past 3 days, he has been sleeping a lot and had a headache. He has not had a fever or other muscle aches, no subsequent N/V, abdominal pain. Last night, he reported ankle pain to his mom. Today at school, he was playing kickball when he had the sensation that his ankles were not working/gave out and he fell to the ground. He had difficulty getting up and required a wheelchair. He did not lose consciousness, denied CP, palpitations, SOB, headache, vision change during or before that episode. He was not incontinent of urine/stool and had no abnormal movements noted at the time. Since then he has noted twitching in his thighs, calves and toes. He reports weakness throughout both lower extremities and has difficulty with intentional movements at the toes/ankles/knees, weakness in hips. He reports a burning sensation over the anterior ankles/dorsum of foot b/l. Denies fevers, chills, cough, SOB, CP, palpitations, abdominal pain, N/V/C. He endorses diarrhea 3x daily which is his baseline. He has panic attacks 3x daily w palpitations/SOB that self resolve. He has been on keflex for an ingrown toe nail for the last week. MRI performed with normal brain and spine. However, on repeat exam patient has diminished sensation in the bilateral feet and diminished ability to dorsiflex or plantarflex both ankles with very limited toe range of motion. Still with preserved reflexes in the patella and Achilles. Discussed at length with neurology and the family. Differential diagnosis at this point of functional neurological disorder versus Guillaine Barré syndrome. Neurology note 5/21/21 Patient is a 12yo M with hypogammaglobinemia, IBS, and poorly controlled anxiety, presenting with 4 days of lower extremity paresthesias and 1 day of hyperacute onset of lower extremity weakness and perhaps some mild confusion. History notable for covid vaccine three days prior to presentation and anixety surrounding covid and return to school. His general examination is notable for anxious affect with difficult to localize neurologic exam. Exam shows possible bilateral lower extremity weakness of TA and hamstring>quad/IP that is very challenging to grade due to poor effort and giveway, and decreased sensation in a bilateral stocking/glove distribution to all sensory modalities. MRI w/wo contrast brain and spinal cord normal on admission. LP perfromed in ED also normal. Given negative workup and history of anxiety with recent psychosocial stressors, most likely sudden onset weakness is secondary to a functional neurologic disorder. Plan for discharge to rehab pending PT evaluation.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Pt has history of passing out after shots. passed out brief;y after adminstration. did not fall or hit head. was given water and ice pack while mom attended to him. EMTs were called and took blood pressure did not bring to hospital

5 days prior to admission on 5/16/21, he received a first Pfizer COVID vaccination. The day after the vaccine, he had neck pain and stiffness. He subsequently developed fever, diarrhea, and vomiting. The day prior to admission, he developed a diffuse popular rash. He was seen in clinic on 5/20 and lab work was obtained, which was consistent with MIS-C findings (elevated troponin, elevated fibrinogen, elevated CRP, hyponatremia, relatively low absolute lymphocyte count).

Patient received IM vaccine, was under observation when felt dizzy and lost consciousness. Spontaneously awoke a few minutes later and was confused, and wasn't able to feel his legs. Confusion resolved after about 5 min but leg numbness/weakness remained. Was taken via EMS to the hospital, with clinical assessment showing no neurological deficit, withdrawing to pain, and patient demonstrated ability to ambulate independently about 12 hours after symptom onset. CBC, CMP, Urinalysis, UDS unremarkable.

client received vaccine, ambulated to obs room, 3-4 minutes noted to slump down in chair, caught by paramedic-transferred to strtcher, pale, diaphoretic, BP78/40, HR84, o2 sat 100.

Child experienced a nose bleed from left nostril (blood was running out of the child's nostrils) on May 24, 2021 around 4:30 a.m. Nose appeared swollen. Nose bleed lasted about 5 minutes. Parent used tissue to help stop nose bleed and sat child in an upward position. Child remained alert and normal throughout the process. Child has a history of occasional nose bleeds but has not experienced a nose bleed prior to this incident in over a year.

Approximately five minutes post vaccine administration patient complained of chest tightness/pain. Patient verbalized that he pain was a 2/10. Patient's vital signs were within normal ranges. Patient denied shortness of breathe or swelling of the tounge/throat. Doctor evaluated patient and took patient to urgent care for further observation. Patient was discharged from urgent care with instructions to report to ER if symptoms come back or worsen.

headache, weakness, tactile fever 1 day after the 1st dose of vaccine. On day 5 (today) developed left arm tingling and chest pain, so seen at ED. Symptoms subsided on ED arrival.

Patient received the vaccination at 1148. A few minutes after receiving the vaccine the patient became faint. The patient was placed in Trendelenburg, drank juice and remained laying for 20 minutes. VSS at 1103 when patient sat up. Patient did experience dizziness or blurred vision upon sitting upright. After sitting for several minutes his blood pressure was 100/59.

He developed acute chest pain 4 days after the vaccine and presented to the ED. Pain was worse in recumbent position and improved with sitting. ED physician suspected possible pericarditis and he was given ibuprofen. Symptoms resolved within 24 houtrs while taking ibuprofen.

PFIZER COVID VACCINE ADMINISTERS APPROX 4PM, 4:03PM (APPROX.) PATIENT FAINTED IN CHAIR IN WAITING AREA. MOM & PHARMACIST GENTLY LAID PATIENT DOWN ON FLOOR, PATIENT REGAINED CONSCIOUSNESS WITHIN 1 MIN & WAS ALERT, KNEW HIS NAME, WHERE HE WAS, WHAT WAS HAPPENING. GAVE PATIENT OJ, WATER, GRANOLA BAR, TRIED TO HAVE HIM SIT IN CHAIR AFTER ABOUR 5-10 MIN, BUT PATIENT STATED FEELING LIKE GOING TO PASS OUT, HAD PATIENT LAY ON FLOOR WITH FEET UP ON CHAIR. APPROX 4:30PM PATIENT VITALS: BP 72/48, HR 81, O2 SAT 99%. PATIENT FEELING DIZZY, LAID ON FLOOR WITH FEET UP ON CHAIR, CONTINUED DRINKING WATER AND OJ. APPROX. 5PM PATIENT SITTING IN CHAIR, VITALS: BP 98/62, HR 95, O2 SAT 98%. PHARMACIST CONSULTED PEDIATRICIAN WHO ADVISED IF PATIENT FEELING OKAY AND NOT DIZZY/FEELING FAINT, OKAY TO LET GO HOME BUT TO REST TONIGHT AND TAKE IT EASY. ADVISED MOM TO TAKE TO ER IF ANY FURTHER FAINTING INTO THE EVENING. APPROX. 5:10PM PATIENT LEFT PHARMACY WITH MOM AND STATED FEELING FINE. MOM ACKNOWLEDGED SHE UNDERSTOOD PLAN FOR EVENING AND TO FOLLOW UP WITH PEDIATRICIAN REGARDING GUIDELINES/HOW TO HANDLD 2ND DOSE OF VACCINE.

Chief complaint: Fainting post vaccination 1500: Sat up and briefly felt better. Needed to lay back down due to feeling lightheaded and faint again. 1515: Reports feeling "a little better". Able to sit up again. Slight headache 1522: Sitting up in chair, drinking water, reports feeling fine. Went home with his mother

Patient's blood pressure dropped while sitting in the waiting room. We immidiately helpled to get his legs elevated and checked his BP. EMS arrived and took over after that.

Called out to vehicle by Covid staff that a patient had passed out. Upon approaching vehicle, patient is in passenger side of his mothers van, with mother in driver seat, and is awake. Patient is very pale and is sipping on Powerade. Mother reports that patient passed out for about 10 seconds about 3 minutes after receiving Covid vaccine. She also reports that patient does this every time he gets any type of injection. Blood pressure at this time 118/60. Patient is becoming less pale and reports he is starting to feel better. Patient reports that he hasn't had anything to eat or drink all day. Patient and mother deny the need to call the ambulance for evaluation. Patient continues to be less pale and feeling better. Encouraged patient and mother to always and eat and drink before receiving an injection and to wait at least 15 minutes and to make sure he is feeling completely back to normal before leaving. Patient and mother report good understanding.

Patient developed acute onset of chest pain on the 3rd day after receiving Pfizer vaccine. Patient describes pain as squeezing in his chest. Pain resolved after about 20 minutes, but patient's mother brought him to emergency room where he had an abnormal ECG and was admitted for further evaluation.

My son developed a fever, brain fog, and his legs felt like they were burning. More worrisome was the heart pain he woke up with in the middle of the night and throughout the day on 5/20. He complained of a sharp stabbing pain on left side of his chest and said it was hard to take a deep breath. I gave him ibuprofen and he rested. I called his doctor and they said not to worry, these side effects were normal. I?m a bit nervous for him to get the second vaccine since he had the chest pain side effects as to why I?m reporting this. I?m surprised they give the same dose to a 80lb child, they do to a 200 lb grown man.

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

During patients 15 minute wait he had a syncopal episode and fell out of his chair. Once I got to the patient he had come to, mom said he was out for about 10-15 seconds max and patient says he did hit his head. Oxygen saturation was 99% on RA, heart rate was 62bpm. BP 110/78. Patient was alert and oriented once I was assessing him. He was able to sit up in the floor about 5 minutes after coming to. He was able to drink water and the PCT had placed cool wet paper towels on his head and neck area. We provided the patient crackers and the management team was available. The patient said he felt like his stomach was upset and did not want the crackers. I suggested he go to the ER and mom said she would drive him and asked if this was caused by the vaccine itself. I explained what could have occurred and educated them on where he hit his head he needs to go to the ER to be assessed. Mom agreed and the manager got a wheelchair from the front of the store and mom drove him to the ER. I called report to ER.

Significant chest pain started around 10 pm. He indicated it was sharp and intense and seemed to have some difficulty breathing at first. For the first 30 seconds the open mouth struggling look for breath had me thinking he was choking. Breathing improved but chest pain stayed intense for about 20 minutes. He went to sleep and the next morning said ?it kind of hurt but not much?. After the morning of May 23rd he hasn?t reported any other pain.

Patient started to develop a cough on the second day of the vaccine around 6 pm. The cough was accompanied by shortness of breath, given his asthma we assumed this was some asthma related reaction to the vaccine. Nonetheless, that evening he started to complain about chest pain every time he laid back on his bed. This symptom is not common in previous asthma attacks. Sitting up alleviated the symptom, chest pain and shortness of breath lasted for 2 nights (Sunday and Monday evening), by Tuesday he felt better. We assumed this was an asthma episode, but recent reports of Myocarditis leads us to believe the had a mild myocarditis episode, given the chest pain while lying down. He also had typical COVID vaccine symptoms such as low grade fever (100F), pain in the vaccination site, congestion, and itchy throat.

After taking the vaccine patient stated that he felt like he was going to pass out. Mother stated that this happens every time he gets a shot. Patient was walked to chair where he was given water. Patient passed out briefly and was taken to medic station.

Next day and every day thereafter he started getting more symptoms of feeling sick. The arm pain began the next day after injection. Followed by runny nose, sore throat, croup sounding cough, shortness of breath, gasping, chest pains, vomiting, back of the skull pain. He described the head pain as a square from the base of the back of his skull to the crown of his head and back down. Felt more like a pressure in the bones of his skull and less like a standard headache. The chest pains are sharp and come on sporadically. At first they were accompanied by hacking cough but then progressed to sharp chest pains at random times especially when lying down. He has difficulty sleeping and staying asleep. Also, lower abdominal pain but no vowel issues.

He got a superficial blood clot in left arm ?He's got the shot May 21 and I noticed he had two hard knots on left arm and there was probably about a half inch between them and as hard as a rock on that following Monday may 24,2021 , he said it was sore some more when you touched it we was told to keep an ion it make sure it didn't get any worse, turn red, swell, feel hot to the touch, and then to put a warm compresses on it ??

Had headache & mild fever (100 on forehead) evening of vaccine but woke up on 3rd day with chest pains. Complained of pain when taking a deep breath and would flinch in pain. By the time got to ER in the afternoon, pain had subsided. Not sure if vaccine related but never had chest pains before & considering report of myocarditis after 2nd shot for younger males. Wanted this documented in case there is a pattern.

The next morning he woke up with arm hurting him (he couldn't lift it). He felt a little warm - had a low grade fever -99.something. He had a headache all day. He was very sluggish, tired. He did online school that day. He took a nap and laid down on the couch in between classes. He was really tired. I was giving him Tylenol every four hours. The first time he felt a little better, The second time, it didn't work. I called the doctor for advice and he told me to give him Children's Motrin. That seemed to do better. I gave that to him once that day. The next morning, he felt better. I gave him a Motrin anyway because he had a light headache. He did say he felt some heart racing. And he was a little tired. He called me from school around 11:30 am and he said that his heart has been racing through the whole morning - he was gym and said he couldn't run or anything but his heart was racing. I told him to go to t he school nurse - he had a pulse of 120. I met him there and I called the pediatrician and he saw him at 03:00. His pulse was high but not as high as before. He had rested in between. My son did see a cardiologist in June 2020- they put him on a heart monitor and she couldn't find anything at that time. At the regular doctor on the 19th, the doctor checked breathing and heart but did not have the materials at that location to do an EKG but said with the lowered heart rate just to watch and if it goes up again to go to Cardiologist we saw in June 2020. He rested some more and it went away on it's own. After that he was fine and no other issues. In fact, the next day he felt better and was running around and had energy and felt great.

Pt stated feeling nausea, mother stated pt passed out for 15 seconds then gained consciousness. Pt left at 2:25 feeling better P:80 BP: 126/79 O2: 99% T: 77.5 F RR: 14

Pt stated feeling nausea, mother stated pt passed out for 15 seconds then gained consciousness. P:80 BP: 126/79 O2: 99% T: 77.5 F RR:14

Patient became light headed and lost consciousness for a few seconds. He felt better, but fainted again a few minutes later.

Pt w/ hx of allergy to Amoxicillin (anaphylaxis, lip/face swelling). Pt c/o dizziness at 1410. Pt had a syncopal episode for a few seconds and woke up when reclined. Patient is A/O x4. Patient is cooperative, and denies pain or SOB. VS taken at triage, BP 86/54, HR 60, O2 97, RR 20, Temp 97.3. CN, nurse, and onsite provider were notified. Pt reports sweating, but denies tremor, numbness, tingling, nausea or vomiting. Offered juice and cracker to pt, no new medication ordered. VS repeated at 1420, BP 111/93, HR 85, O2 97, RR 16. pt reports improvement and denies dizziness, pt left triage with steady gait with family at 1430 and have further observation. Pt left clinic with family. Pt was advised to seek for emergency service if s/s worsen. All needs met, safety maintained.

Patient had initial fatigue/ somnolence in AM day after vaccine, in PM developing fever, HA, sore throat, myalgias stomach ache and chest pain. Chest pain every 20-30 minutes, worse when supine, pain with breathing when laying down that resolved when sitting up, presented to ED for workup. Found to be tachycardia to 100s, hemodynamically stable otherwise. Pro-BNP 193, CRP 1.57, Total bilirubin 1.1, d-dimer 274, troponin initially normal then elevated to peak 3.45, CK normal, ESR normal, CBC normal, BMP normal. Chest x-ray normal. ECG normal sinus rhythm, diffuse ST changes and J-point elevation in inferolateral leads. Echo obtained read as normal, with EF 60% without pericardial effusion. Working Diagnosis pericarditis/myocarditis. Cardiology and infectious disease consulted, and started on ibuprofen, tylenol, IVIG, methylprednisolone. Labs for COVID antibodies, lyme, echovirus, HSV 6, EBV, CMV, Parvovirus B19, coxsackie, adenovirus pending. Cardiac MRI planned to be completed.

Spontaneous nose bleed, with large clotting, bleeding lasted approximately 45 minutes total, while the heavy bleeding was about 20 of the 45 minutes.

Possible Vasovagal reaction. Patient was approximatly 7-10 minutes post dose. Upon video review of event patient was sitting and stood, waivered (appearing dizzy), lost consciousness and collapsed to ground. Remained unconscious for under 30 seconds. Observed various muscle flexing/tension & uneven breathing. However patient never appeared to stop breathing. Patient did hit his head during fall & and was seen by EMS. During follow up patient was being seen in ED, but according to parents he appeared to be perfectly fine.

Patient reported feeling nauseous and vomited a few minutes after receiving his second dose of pfizer. Pt looked pale and reported feeling lightheaded. Pt did not show any signs of respiratory distress: no swelling of the throat, face or mouth observed. Vital signs were within limit: BP 125/72, HR 60, RR 12 (at 3:45pm), BP 120/74, HR 62, RR 13 (at 3:45). Patient reported feeling better after vomiting. Observation nurse took vital signs, offered water and Gatorade. Pt left our site at 3:50 (Patient's mother was driving).

Nightmare on 6/4, persistent chest pain since 6/5. Pain is 4 on the scale of 10 as indicated by the child on 6/7. Going to see doctor on 6/8. Looks fine though.

Patient collapsed to the floor and sustained a seizure <1min. patient states LOC. parent of the patient states no prior hx of seizure.

26 hours post injection, my son experienced a fever of 99.9, chills and fatigue. He then walked upstairs in our home and passed out-he was out for around 30 seconds. Afterward, his temp was still 99.9 and he began to experience vertigo. The vertigo lasted until Friday May 21.

Client received Pfizer #1. Five minutes after vaccine, client felt dizzy and lost consciousness briefly. Client became profusely diaphoretic. Transferred via wheelchair to medical cot. BP monitored over 20 minutes. Symptoms resolved and able to leave clinic independently.

Patient admitted with a diagnosis of myocarditis and encephalitis, currently still hospitalized at the time of this report. From EHR note: Patient is an otherwise healthy 12yM with recent Lyme disease (erythema migrans) transferred to hospital for hyponatremia, encephalitis, myocarditis. Initially intubated due to aspiration risk, now s/p extubation and stable on RA. Broad workup so far including consultations from neurology, cardiology, immunology, and infectious disease with unclear etiology, s/p MRI and LP with c/f covid-vaccine related myocarditis/encephalitis vs lyme carditis/meningoencephalitis vs less likely MISC vs other. Infectious testing so far negative, patient otherwise has returned to baseline behavior without any current symptoms. He is transferred to general for further workup and evaluation and close monitoring. Diagnosed with Lyme 19 days prior to admission, treated with amoxicillin; p/w headache, fever and vomiting so concern for encephalitis as above vs inflammatory process post-COVID or vaccine. Less likely meningitis given reassuring initial CSF studies. Negative COVID antibody. Resolving hyponatremia, thought to be likely SIADH. Given presentation and maternal history of albinism with immunodeficiency, broad workup sent. Also with c/f possible inflammatory response/MISC-C vs vaccine myocarditis.

fainted; This is a spontaneous report received from a contactable consumer. A 12 years old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration on 19May2021 (at age of 12 years old, Lot Number: EW0172) as a single dose for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient vaccinated after 4 minutes experienced fainted on 19May2021. The reporter asked if he qualifies for second dose or not recommended. The outcome of the event was unknown.

12-year-old male with hx of asthma presented with 7 hours of chest pain 3 days after 2nd dose of Pfizer Covid-19 mRNA vaccine now admitted for monitoring in the setting of myocarditis. # Myocarditis Admit troponin elevated to 7354 and EKG with evidence of early repolarization. ECHO performed 6/7 was normal. Cardiac MRI 6/7 was consistent with pericarditis. Patient was admitted for observation and close monitoring. EKG and troponin were trended every 8 hours and were overall down trending by the day of discharge. Chest pain was managed with ibuprofen every 6 hours. ID was following patient throughout admission and recommended COVID Ab that resulted negative and Anti SARS COv 2 Ab; Lyme Ab; CMV, EBV, Adeno PCR/Antibody; which were all pending at the time of discharge. The patient remained afebrile and hemodynamically stable throughout admission with appropriate cardiology follow-up. Adverse vaccine event was appropriately reported to the CDC via the VAERS passive reporting system

high blood pressures 170/63, 165/95; He is feeling like a choking type of feeling on the base of his chest; chest discomfort; Hard for him to swallow; This is a spontaneous report from a contactable consumer (patient's mother). A 12-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in left arm on 20May2021 18:15 (Batch/Lot Number: EW0168) as 1st dose, single for COVID-19 immunisation. The patient had no relevant medical history and no concomitant medications. No additional vaccines was administered. The first day, the patient was fine but on day second (22May2021), he was feeling like a choking type of feeling on the base of his chest, like in the lower base of his throat. He said that it was hard for him to swallow. He was breathing normally. Patient's mother took his oxygen, he had enough oxygen but he says it felt weird and then he was having high blood pressure. Patient's mother wanted to know if it was normal. The patient experienced high blood pressures and chest discomfort on 22May2021. He has had blood pressures of 170/63. Today, it was 165/95. Events did not require visit to emergency room or physician office. The chest discomfort resolved on 23May2021 however the high blood pressures continue and have remained about the same. Patient's mother stated she does not want to give her son anything because she was not sure about the vaccine. Outcome of chest discomfort was recovered on 23May2021, of high blood pressure was not recovered, of remaining events was unknown.

Complaining of chest pain/sharp pain, needle pain in his chest/ the patient reported sharp stabbing chest pain more in the right side; Sweating; Felt sick; Diarrhea; Dehydrated; Headaches; Chills; Fatigue/extreme fatigue; A fast heartbeat; The patient reported sharp stabbing chest pain more in the right side, the first time it was more like the sternum.; Vomiting; Nausea; Slept on and off for about 4 days.; His blood sugar spiked up.; Pericarditis; This is spontaneous report received from a contactable consumer (patient mother). A 12-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: unknown and Expire Date: unknown) on 22May2021 via unspecified route of administration as 1st dose, single dose for covid-19 immunisation. As medical history it was reported that, he had allergies and allergic to a lot of things, mold, feather dust and everything and dyspepsia. He had been taking Claritin for allergies (but not when he got the vaccine). She stated her son did not have any allergies to medications. Concomitant mediations were not reported. On 26May2021, 4 days after that he was complaining of chest pain. Caller wants to know if her son should get the 2nd dose of the vaccine. Caller stated, "He had other symptoms. On Tuesday the chest pain went away then complained again on Thursday. His doctor gave him an EKG and his heart rate was fine. Caller did not take him to the ER at the time because did not want a medical bill. His blood sugar spiked up. He had sweating, vomiting, diarrhea. He said he had "sharp pain in my chest and never felt that before" His blood sugar spiked up. He was dehydrated. He had ketones from it. Caller gave him extra insulin. He had chest pain from the vaccine. It was on Tuesday and happened again on Thursday but had not come back since then. It subsided. EKG was ok." No one was informed (doctors). I took him to the regular doctor. She did not know. She was not aware of the symptoms. They are not specialized in the medications they are giving. It was hard to give them any kind of referral. Both of us had vomiting, headaches and chills. He had never had chest pains from any vaccines. He had fatigue, these are symptoms form the covid shot. It was 4 days and then 6 days after the vaccine. A fast heartbeat. HCP are not going to help. If they are dosing the covid shots but they are not given the vaccines they did not want to do anything. There was no accountability. Caller having a hard time. No one can give me an answer, no one. Not from the experts, no one was telling me. The vaccine administration should have been through the doctors, they will not take your data without understanding the vaccines. All the kids 12 and up and all male and like my son and probably a lot more but they are not saying it. Caller scared. My son did not have a heart defect. Caller did not know. Heart inflammation; they need to know if it was safe or not. It was scary to know no one knows what was going on or not. Caller asked about myocarditis. The patient had heart burn before but said the chest pain was not that. With the symptoms the caller saw online, she thinks the patient had pericarditis. The patient's next dose was on 12Jun2021.The caller was reading online that people reported chest pain and ended up in the emergency room and the caller did not want that. All the events occurred on an unspecified date in May2021. The patient underwent lab tests and procedures which included blood glucose increased: spiked up on May2021, electrocardiogram: fine on 25May2021 EKG and his heart rate was fine, heart rate increased: fast on 25May2021. The outcome of event chest pain was recovered on an unspecified date in May2021. Therapeutic measures were taken as a result of dehydrated. The outcome of blood sugar spiked up, sweating, vomiting, chills, diarrhea, felt sick, extreme fatigue, and slept on and off for about 4 days, dehydration, fast heartbeat and pericarditis was unknown. Information on Lot/Batch number was available. Additional information has been requested.

Patient woke up at 5 am the morning after receiving the shot and was talking about things that weren?t there. He was asking for ammo and saying everything was moving so fast and that we were all in a line and no one would give him ice water. His heart was beating really fast. His temperature was 98.4. He was shivering and sweating. This lasted about 2 hours and then he fell asleep. Today he remembers everything that he said and that happened.

On 6/6 at 4pm, pt received 2nd dose of Pfizer COVID vaccine. He felt fine that night, but the next day (Monday) woke up with a headache, which was resolved by ibuprofen 200mg. 5 hrs later, headache returned. In total, he took 3 doses of ibuprofen 200 mg that day. On Tuesday, he went on a field trip for school, during which he walked for a total of 40 min. He also went to football practice, where he did weight training and conditioning for 1 hr. He experienced no chest trauma during practice. He tolerated exercise with no dyspnea on exertion and felt perfectly normal, but when he returned home, his mom felt that he appeared unwell and his face and eyes looked swollen. At 9 pm, headache recurred but responded to ibuprofen 200 mg. This morning (Wednesday), he woke up in the early morning complaining of difficulty breathing and orthopnea. Dyspnea was improved by propping head up on more pillows. He also had headache again and received another ibuprofen 200 mg before going to the ED. Denies fever, malaise, muscle aches, chest pain, syncope, dyspnea on exertion, palpitations, URI symptoms, sore throat, cough, diarrhea, abdominal pain, vision changes, dizziness currently or since receiving the vaccine. He still endorses orthopnea but it has been improving. No recent illnesses, sick contacts, new environmental exposures, or travel recently. Admitted to Cardiac Step down with concern for troponin leak, peak at 29. Cardiac MRI confirmation of myocarditis

One day after vaccine, patient developed chest pain and headache. Three days after vaccination, presented to PCP then ED with chest pain. Found to have elevated troponin. Transferred to PICU with persistent chest pain. Chest pain dissipated after NSAIDs.

6/7: received vaccine 6/8: new fever 6/9: chest pain worse with laying flat, mid sternal, without radiation

Patient was at immunization clinic for second pfizer immunization with his mother and older brother. His brother had his immunization and patient had his second immunization given reassurance and diversion for immunization offered to lay down for immunization but refused. Giving home instructions to family and patient stated felt funny, color pale, unresponsive for approximately 5 sec, lowered to floor turned on side, patient became nauseated and vomited x 1 small amount of brown emesis, Skin moist and warm to touch pale. EMS here to assist and taken back to observation area via wheelchair. Report given to EMS. Patient awake.

Patient fainted after receiving first pfizer covid vaccination. Fainting occurred approximately 1/2 hour after administration at the front registers of store. I did not witness the event. Patient was alert and seemed okay, although confused, when I arrived at the front of store.

Patient received vaccine and within 1 min of administration fainted. Patient also convulsed upon fainting due to quick drop in blood pressure. Patient was taken to hospital and received IV hydration only. He was able to return home after.

Patient presented to emergency room on 6/7/21 with chest pain, chills and fatigue. His troponin was noted to be elevated concerning for myocarditis. He was hemodynamically stable. He was admitted to Pediatric ICU for close monitoring and remained stable on admission. Initial echo was concerning for low normal function, however cardiac MRI showed normal function. His troponins trended down with ibuprofen therapy for anti-inflammation and he was discharged to home on 6/9/21.

Had 2nd Pfizer vaccine at 5:15pm Thursday June 3. Felt fine that evening, just complained arm was starting to hurt when he went to bed around 11pm. Threw up twice on Friday June 4 at 9:30am & 1:30 pm. Very uncomfortable, bad headache, no energy. Mostly slept from 6pm Friday June 4 to 5am Saturday June 5. Immediately threw up when he woke up Friday. Threw up again about 30 min. later and 4 more times during the day. Still having bad head pain. Started to become confused and say things that didn't make sense. Went to ER around 4:30pm Saturday June 5. Blood work showed his sodium level was dangerously low. He was immediately given sodium and transported to Hospital ICU. Had brain MRI, lumbar puncture and lots of blood work done. Brain MRI showed signs of encephalitis. Also had myocarditis. Was in hospital until Thur. June 10. Encephalitis and myocarditis seemed to resolve quickly and he was just treated with rest and fluids along with antibiotics in case there was any viral/infectious cause of symptoms. All such tests have been negative to date

Fatigue, pain at injection site and soreness under left arm starting around 11pm on 11Jun2021; fatigue and underarm soreness and still continuing today (14Jun2021); dizziness starting around 6am on 12Jun2021 and still continuing today (14Jun2021); fever and chills starting around 8am on 12Jun2021 and subsiding by around 9am on 13Jun2021; raised, red/irritated skin around injection site, in shape of band-aid that was applied after injection, observed 13Jun2021 and still persisting as of 14Jun2021; increased dizziness and racing heart beat starting morning of 14Jun2021 and still continuing.

Sore arm on 5/16 , shortness of breath - mild - on 5/17 ,- child complained , but never in distress , no fever that day . SoB mild on 5/18 . Then resolved . 5/18 through 5/20 had fever / chest pain ( with tenderness to palpation on the right costochondral junction ) . Started on Motrin on 5/17 - one dose 5/18 - added on Tylenol along with Motrin , continued through 5/20. Child was better by 5/21-5/22 . Never had any hives / wheezing . Was tachycardia in 110 range on 5/18-5/20 , but was also febrile .

Patient felt faint while standing and singing during church. Passed out for a few seconds. Skin was hot and sweaty. Removed his jacket, gave him water and fed him a donut. Patient recovered after about 10 minutes.

On 6/7/21 patient received Pfizer #2. Two days later started to complain of moderate chest pain and SOB. Seen the next day in clinic with chest pain. Troponin found to be elevated (1.740) and CRP (4.9) with a normal EKG. After discussing with Cardiology was decided to admit patient for further work up and pain control. Admitted 6/10/21. Cardiac MRI on 6/11/21 showed peri-myocarditis. Troponin trended down over 3 days stay in hospital. Pain treated with NSAIDS, symptoms improved throughout stay. Will follow up with Cardiology in 2 weeks. No strenuous activity at this time.

Patient received the 2nd dose of vaccine and he fainted 3 - 4 minutes after. His blood pressure was after 3 measurements over 15 min at an average of 98/58 with a pulse of 70. He also experienced a little dizziness, EMTs came at 2:20 pm and repeated the BP/pulse monitoring for about 20 min. Patient said that at one point felt cold and week but he was able to walk to the car with paramedics. No other symptoms mentioned during observation. Mom was counseled to monitor the patient and call MD if any new symptoms.

12 y/o male who received second dose of Pfizer mRNA COVID-19 vaccine (lot number EW0187) on 06/07/2021. Developed chest pain the morning of 6/10 /21 at 0430 and was admitted on 6/10 to Intensive Care Unit for monitoring. Lab and imaging studies were consistent with acute myocarditis. Troponin peaked at 3.32 on admission and was down to 1.33 by the time of discharge on the following day on 6/11/21. No interventions except NSAIDs (ibuprofen) were administered during the admission and he did well. He will follow up with Cardiology as an outpatient.

Per mom and patient, within the first 48 hours of the vaccination, the patient had fevers to 103 F with chills and myalgias that responded to Tylenol. Patient has remained w/o fevers since 6/14. On 6/15, patient developed L chest pain which was reported as moderate in intensity, dull in sensation, constant and non-radiating. Pain worsened with deep breaths with no interval development of SOB, no dizziness, no lightheadedness or LOC.

Nausea, fatigue, chest pain, hand tremoring started last night and this morning suddenly 3 occupancies of chest pain followed by feeling ok Was strong pain

After receiving the second dose on 6/15, my son woke up at 3:30am on 6/16 with a nose bleed that lasted as a steady light stream for about 5 minutes. He also had a slight fever of 100. By 7:30am on 6/16 his fever was slowly increasing and the nausea began. He did not throw up but it is now 10:45am on 6/16 and his fever is 102.6 and he is still nauseous. I'm not too worried since these are all common symptoms but I felt like I should should report them since he is 12 years old.

48 hours after the first dose COVID-19 vaccine, patient had congestion, cough, daily to every other day heavy nose bleeds, and loss of taste and smell. The cough and congestion lasted about 4 days, the nose bleeds lasted 4 to 5 days, and the loss of taste and smell lasted 14 days.

After the shot given by (tech), within a few minutes the patient felt dizzy, blurred vision, then stomach felt irritated and patient started to throw up. At this moment when I saw the patient, he also had nose bleeding. While sitting, then patient stood up and was then asked to stay on sitting position. Soon patient stopped throwing up and right away felt much better. Within 15 minutes of observation patient return to normal and felt fine. The patient had breakfast right before the shot.

Patient received 2nd dose of Pfizer vaccine on 6/10/2021. Initially had typical symptoms of fatigue and arm pain. On 6/13/2021, woke up with central chest pain and "fluttering" of his heart. Mother read the Agency website concerning possible myocarditis after Covid vaccinations so then took him to the ED. The chest pain lasted about an hour (resolved in triage in the ED). There he had a normal ECG and chest x-ray. He was referred to see me in clinic on 6/15/2021. He had a normal echocardiogram. Due to the parental concern for possible myocarditis, I recommended a troponin which would show if his chest pain were possibly related to that. It returned mildly elevated at 0.21 ng/mL, prompting me to enter this as a possible mild case of myocarditis after vaccination.

Patient experience a syncopal event 4 minutes after vaccine was administered. Patient reported feeling lightheaded and passed out. Mother stated that patient has frequent syncopal episodes after vaccinations and blood draws. EMT/Paramedics obtained vital signs. Vital signs 133/84, 53, 20, 100 % and BS 134. Patient alert and oriented after syncopal episode. EMT/Paramedics transferred patient to Hospital ER.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: patient received 2nd vaccination, did not sit and wait around 15 minutes as directed and fainted in the store. patient was very nervous before getting shot and stated later that he was sick last week and had not eaten anything all day (shot administered at 1230p). pt felt dizzy and lightheaded before fainting. paramedics were called and pt vitals were checked and all normal. pt went home with dad to be monitored closely for rest of day.

5 minutes from getting the vaccine, patient felt dizzy and looked very pale, there was remarkable pallor on the patient's face. skin looked pale.. initial blood pressure reading was 140/72. blood pressure upon discharge was recorded @ 128/82. Temp was 97.8 'C. Patient was given glucose tablets and few seconds after, patient felt better, skin suddenly turned pinkish.. patient recovered. Patient was monitored for 30 minutes, and stable upon discharge.

It was a mild pain in his chest and when he was breathing; Fever; Had inflammation from the vaccine; His D-dimer was elevated; This is a spontaneous report from a contactable consumer. A 12-year-old male (same age at vaccination) patient (reporters son) received second dose of bnt162b2 (BNT162B2, Solution for injection, lot: EW0177) via unspecified route of administration on 08Jun2021 around 1 pm as single dose in upper arm for COVID-19 immunization. Medical history was not reported. concomitant medications reported was Children's Multivitamins. As per reporter, Well, it's a multivitamin, so it has a bunch in it. It's a Children's Multivitamins. The patient previously took first dose of bnt162b2 (Lot: EW0183) on 18May2021 at the age of year old in upper arm around 11:30. No prior Vaccinations (within 4 weeks) was reported. As per reported, reporter stated, I was calling I have the, I guess my son received the COVID Vaccination (captured as suspect) and I have the care sheet and it said to call if you had experienced a reaction, so I was calling to report the reaction that he had. Reporter stated, He has it wasn't (incomplete sentence) I guess it was a mild pain in his chest and when he was breathing. Reporter also stated, "You know what, he had a fever also I don't know if you wanted to add that. No, I guess I don't know if you want, the doctor at the ER said that he had inflammation from the vaccine that it was believe me I guess that was his conclusion. Reporter took him after the vaccine because the next day he was having problems we took him to the emergency room, and they did an ECG they did chest X-rays they did a CT scan and he had blood work. Result of Test included everything was normal except for his blood work, his D-dimer was elevated. Regarding weight reporter stated maybe 80 pounds. He got lab test after the vaccine. Before the vaccine he didn't get anything. Outcome of events was reported as recovering. No follow-up attempts possible. No further information expected. Information on Lot/Batch number was available. Additional information has been requested.

Patient received the Pfizer vaccine on Sunday (06/13/21) and had mild upset stomach, headache and felt achey for approximately 24 hours post vaccine that then fully resolved. At approximately 4am on 06/16/21 he developed sharp substernal chest pain that was located centrally and a bit to the left with pain worse on inspiration and with movement. No other symptoms at that time. Went to the Emergency Department where he was transferred to Hospital as his troponin was elevated at 4.02 ng/ml. His chest pain resolved with 1 dose of Ibuprofen 400 mg.

Possible myocarditis (progressive chest pain and dyspnea starting the day of the second vaccine), currently 9 days out with lab results as listed below. At the time of this submission, patient is being admitted to the hospital for further diagnostic work-up, to include echocardiogram and cardiac MRI. He

LETHARGIC, PALE, DROWSY, TREATMENT- AMMONIA INHALANT OUTCOME- FEELING FINE, DISCHARGED HOME WITH MOTHER

tachycardia 5-10 minute episode; This is a spontaneous report from a contactable consumer or other non hcp. A 12-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number: EW0187 and expiration date: unknown), via intramuscularly in arm left on 04Jun2021 14:00 (at the age of 12 years old) as a 2nd dose, single dose for COVID-19 immunisation. The patient Previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number: EW0173 and expiration date: unknown), via intramuscularly in arm left on 14May2021 14:00 (at the age of 12 years old) as a single dose for COVID-19 immunisation. Medical history included allergies to Peanuts/tree nuts. Concomitant medications included lisdexamfetamine mesilate (VYVANSE 40mg) taken for an unspecified indication. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. On 07Jun2021 at 04:15 PM, the patient experienced tachycardia 5-10 minute episode which resulted in Doctor or other healthcare professional office/clinic visit. No treatment was received for the adverse event. The reporter considered the event as non-serious. Prior to vaccination, the patient was not diagnosed with COVID-19 and has not tested for COVID-19 since the vaccination. The outcome of the event was unknown.

Hyperglycemia. Patient began experiencing blood glucose > 300mg/dL within 24 hours of receiving th vaccine. He did not develop DKA. His mother is treating him according to his hyperglycemia protocol from his Endocrinologist.

developed chest tightness and shortness of breath this AM, saw PCP, given motrin which relieved the pain

Approximately 10-15 minutes after injection, patient stated that he was feeling some discomfort in his chest. He denied shortness of breath initially, denied any tingling of lips, swelling of tongue or throat. Out of an abundance of caution, patient was immediately escorted to urgent care in adjoining building for evaluation.

Fatigue starting approx. 12 hours after second pfizer covid vaccine shot and lasting 24 hours; reduced appetite; fever from approx 24 hours after shot (maybe sooner) until approx. 36 hours after shot. Highest recorded temp was 102.2 at approx. 30 hours after shot. Fatigue interfered with daily activities from 12 hours after shot to 36 hours after shot. Mild soreness in arm where shot was given. Pulse and blood oxygen were checked each time temp was taken (approx 3 times between 24 and 36 hours after shot) and were within normal ranges each time; although pulse was on the higher end of the normal range for a 12 year old boy. Quick recover starting 36 hours after shot, when temp reduced to approx. 100. Appetite returned at this time. Fever was gone by 48 hours after shot and all other side effect seemed to have subsided by this point. No mediation was taken by the vaccine recipient. Vaccine recipient was offered usual foods and he consumed milk and water in smaller amounts than usual but also more frequently than usual to stay hydrated.

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

The day after receiving the second dose of the Pfizer mRNA SARS-CoV-2 vaccine the patient had a transient tactile fever and headache. He felt well on 6/17 and went swimming which brought on transient chills and then proceeded to develop midline chest pain. The chest pain worsened, leading to hospitalization on 6/18 with confirmation of myocarditis on cardiac MRI and with elevated troponin.

pt given shot on 6/16/21, this was his second dose of covid vaccine. that night he had some chest pain, but mild, the next day pt called mother from day camp saying he had chest pain. went to hospital ER. did ekg was wnl. still had some pain Friday, then over the weekend getting a little better. on Monday (today) pt reports he still feels the pain but not as much.

12 year old male during observation of second dose Pfizer complains of double vision and denies any other symptoms including SOB, chest pain, palpitations, or difficulty breathing. Mother onsite denies any medical history of allergies. Vital signs taken BP 126/78, HR 120, R 17, Pulse Ox 98%. Patient states only had one glass of water and had field day at school and admitted to feeling exhausted. Patient was given water and observed for 15 minutes, Vital signs take BP 124/91, HR 120, R 17 Pulse Ox 98% and states has "floaties" in vision. EMS called for no improvement of vision changes and elevated resting heart rate. Patient left site via EMS

Pt fainted a minute after pfizer vaccination witnessed by his mom, his twin, and two waiters in the vaccination room. He didn't fall, just fainted for a second and spilled some water on the floor. His mom requested no EMS. He is a fainter according to his mom. Whenever he witness any medical procedure done he became anxious and fainted per pt's mom. We gave him some water and remain him in the vaccination room for additional 30-45 minutes for observation. Pt left pharmacy in stable condition.

12 year old healthy male who presents with chest pain 2 days after receiving second dose of COVID-19 vaccine (pfizer) on 6/14. Yesterday with tactile fever and headache, resolved with tylenol. This morning woke up with substernal chest pain, described as "heaviness on chest," worse with deep breaths. No SOB or difficulty breathing. Pain does not radiate. No diaphoresis. No nausea/vomiting. No lightheadedness. No fevers/chills, cough, rhinorrhea, conjunctival injection or sore throat. No rash. Normal PO. Normal UOP. Last stool yesterday, normal. No sick contacts. No recent travel. No family hx of cardiac disease, sudden death, or coagulopathy.

Patient received 2nd dose of Pfizer vaccine on 6/6/2021. Patient started to develop symptoms on 6/20/2021. Per Mother, patient developed cough, chest pain, mucus production, throat pain. Reports feeling sleepy and tired. Symptoms seem to be worsening in the last 2 days per report from mother over the phone. Mother advised to have patient be seen by a provider. Mother drove patient to Emergency room while on the phone.

12 y.o. male patient with history of developmental delay, seizure disorder who presented to the emergency department today with acute encephalopathy, unresponsive with bradycardia, V-tach requiring defibrillation, and acute respiratory failure requiring intubation. The family had been traveling and vacationing with extended family members and recently returned Saturday night. No sick contacts during the trip and he recently received his second COVID-19 vaccine on June 5th. On Sunday, June 20th, he had cold symptoms with stuffy nose, sneezing and minimal oral intake. Mother gave him 10ml of a multi-symptom OTC cold medication that evening. Unsure what is in the medication or if it contains Benadryl. This morning, he had an 11am swim lesion and then came back and slept on the couch. Still minimal oral intake and was resting all day long but awake most of the time. This evening at 5:43pm per mother, he received another 10ml of the multi-symptom cold medication. He was given his Vimpat and Valproic Acid medications around 7:30pm. Around 8:20/8:25pm, he was asleep and had an emesis and was not responding In the ED, he was unresponsive and poor respiratory effort with episodes of apnea and was incontient of stool during the exam. He was brought to the resuscitation room, PIV placed x2. Placed on oxygen initially. Ativan given once for possible seizure. Epinephrine given for bradycardia. Noted V-tach on rhythm. Second Epi given, started Epinephrine infusion and Shock given 2J/kg. Cardiology at bedside. Rocuronium and Etomidate given for intubation. He was intubated on the second attempt with 6.0c ETT.

Had the vaccine on Saturday and on Tuesday afternoon, felt very dizzy, became very pale, had chest pain, pressure in chest and couldn't take a deep breath, vision kept moving in and out, had to sit down, felt very hot and cold at the same time and was actually sweating and feeling chills. Took it easy for the next 4-5 days and just stayed home and in bed. When it got really bad, took a dose of ibuprofen. The symptoms slowly got better and disappeared. Took about three doses of ibuprofen total over a few days. Talked to our pediatrician a week later who said we should report this.

ER 6/7/2021 Chest Pain, irregular heart beat/sinus arrhythmia. Labs showed, High, ALK Phosphatase, Low Creatinine, High CRP. Discharged.

fainted; Hit his head on the floor; pale looking; This is a spontaneous report from a contactable pharmacist. A 12-year-old male patient received first dose of bnt162b2 intramuscularly administered in right arm on 08Jun2021 at 15:00 (Batch/Lot Number: EW0187) at age of 12-year-old as single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Facility where the most recent COVID-19 vaccine was administered was pharmacy or drug store. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient wasn't diagnosed with COVID-19. Since the vaccination, the patient hadn't been tested for COVID-19. On 08Jun2021 at 15: 10, 10 minutes after the shot (also reported on 08Jun2021 at 15: 00), the patient fainted, hit his head on the floor, conscious but pale looking. Patient's weight 160 lbs, vitals normal per grand ma and emt left after having him seat on the chair. The adverse event result in Emergency room/department or urgent care. The outcome of events was recovered on Jun2021. No follow-up attempts are possible. No further information is expected.; Sender's Comments: Based on chronological connection to the vaccine a causal relationship between reported event syncope and BNT162B2 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.

Patient had syncopal episode immediately following vaccination. Patient drank some juice and felt better. He was released to home.

Patient passed out about 3 minutes after receiving the vaccine. Patient was seated and rolled forward then his whole body stiffened backwards. The eyes rolled back then he started to slowly come to.

Patient is a previously healthy fully-vaccinated 12 yo presenting with fever and chest pain. He had fevers to 101-102 6/17-6/19 that were responsive to antipyretics, then the chest pain started 6/20 and has been constant 5/10 pain since. It is burning and located substernal/between the scapula. Activity/breathing doesn't worsen the pain, but it is worst at night. He also reports a mild headache today that has since resolved. He went to his PCP today and had an EKG concerning for diffuse precordial ST elevations, so he was referred to the ED with concern for myo/pericarditis. Of note, Patient received a second dose of the Pfizer COVID vaccine on 6/11. He also travels every week and has removed ticks from himself that were unattached. No known bites and no rashes. He has not had any n/v/d, no abdominal pain, no cough/congestion/rhinorrhea, no syncope, no palpitations. In the ED, he was well-appearing but tachycardic to the 120s with otherwise normal vitals. He developed fever to Tmax 38.3 that improved with Motrin. On exam he had rash concerning for erythema migrans with multiple satellite lesions. He an EKG with ST elevations in the inferolateral leads. POC US did not show any pericardial effusion. Cardiology was consulted (see consult note) and recommended troponin, which was 1.08, and CRP, which was 7.52. CXR showed clear lungs and normal cardiac contours. Hospital Course: Patient was admitted for further workup and management of his perimyocarditis. Given his erythema migrans rash and positive history of recent multiple tick exposure, we were concerned about Lyme disease (Lyme antibody pending) and sent testing for co-infection (Anaplasma, Ehrlichiosis) with smear negative for Babesia. We treated him empirically with doxycycline (given antibiotic allergies) and his rash improved. We also considered myocarditis following COVID vaccination. He had serial EKG's done which showed low-normal function, with EF=55.2%. He had serial troponins sent and they were downtrending at the time of discharge. He had chest pain that improved with PRN ibuprofen. He did not require steroids or IVIG. Cardiac MRI was completed prior to discharge and showed normal function and an area of subepicardial LV myocardial late gadolinium enhancement. consistent with myocarditis. At the time of discharge, he had no chest pain, was eating and drinking normally, and family was in agreement with plan for close Cardiology and Infectious Disease follow-up.

First dose at pharmacy on 6/7/21 - Pfizer ER8736. After shot was administered, pt had a vasovagal response in the chair, with pseudo-seizure response less than one minute. Lowered to the ground and pt came responsive and aware, pale diaphoretic. Transferred to wheelchair to med evaluation area. Denies any pain or discomfort, resting on cot with mom at side. Cold pack given and Gatorade. Resting with no c/o, color pink and warm. Taking sips Gatorade. Vaccination site intact, sitting up for short time c/o nausea. Laying back down with cold pack. Transitioned to sitting then standing after 35 minutes. Denies any dizziness or nausea. Reviewed with mom to follow up with doctor regarding the events. Discussed hydration and rest for today, verbalized understanding. Discharged ambulatory at 1230 home with parents.

ED Physician documentation from 6/7/21 Fever, chest pain and palpitations. Patient states he had his second Covid vaccine yesterday. Tactile fever. Treated with Tylenol at 10:30 PM. Chest pain began yesterday during the afternoon but got more intense at 11 PM.. Left-sided, constant, sharp, 6/10, worse with movement. Patient also with palpitations of the same duration. Temperature measured was 38.6 C.

The patient fainted and noted pale face immediately after injection. He was positioned supine on the floor and applied cold towel on the forehead . The vitals were stable and was alert and oriented during this incident. He recovered and able to walk without a problem after 15 minutes. He was observed additional 15 minutes sitting in chair and left the clinic in stable condition.

yelled out loudly when he received the vaccine but was fine immediately after. He was sitting for about 5 minutes before his mother said that he was feeling dizzy. The doctor was going to grab an ice pop for him when he fainted. was there as he was sliding off of the chair and had him in her arms. He then began to have a tonic-clonic seizure that lasted approximately 1 minute. The mother called 911. He woke up and asked what happened. The ambulance arrived and suggested that he go the hospital. The mother was on the phone with his father and he said he did not think an ER visit was necessary. The ambulance left and after waiting another 30 minutes, mom took home.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Medium, Systemic: Nausea-Severe, Systemic: Shakiness-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Medium

Type 1 diabetes diagnosis... symptoms of hyperglycemia (excessive urination) presented the day after receiving 2nd dose.

Patient became light headed and fainted from a seated position and fell on floor within one minute of receiving vaccination. Patient checked by pharmacist on site as well as Nurse practitioner and paramedics and was deemed well and fit to go home. There was a facial injury from the fall.

Pt presented with chest pain, elevated troponin and mild ST segment elevation on EKG. Troponin normalized within 24 hours and pt was sent home.

Patient is a 12-year-old male with no significant past medical history presenting for evaluation of chest pain. Per mother, he received his second dose of Pfizer vaccine 4 days prior to presentation. He developed fever for 2 days and mild rhinorrhea. The day of presentation he started complaining of chest pain in mid sternum that was described as dull intense pain. Mother called primary care doctor via telehealth who advised to go to the ED. He was taken to hospital were EKG was abnormal troponins elevated (2.67). Rest within normal limits. He was transfered to hospital for further management. Upon arrival, he denies any pain currently. He denies rash, dysuria, hematuria, changes in urine, diarrhea, coluria, acholia. No URI symptoms, shortness of breath, tachypnea. No peripheral edema, cyanosis, diaphoresis, palpitations, syncope. No family history of cardiac problems or sudden death. VUTD. Cardiology was contacted who recommended no further work-up and to discharge with close follow-up with cardiology.

Chest tightness in the morning after with shortness of breath. Mild cough and neck spasms. Patient received prednisolone

He was ok, when he took his vaccine. He went swimming next week on Tuesday he developed a headache after swimming, I decided to take his BP and temp, his temp was normal and his blood pressure was low his heart rate was fast, it showed an irregular heart beat, I checked it with different monitor just in case it was off and it was the same. After a few days I decided to take him to the clinic and asked them to check if he is having an irregular heartbeat, he was showing low bp and a high heart rate. They sent him to ER they did an EKG, That Dr. sent him home, and the next few days I contacted his pediatrician and oncologist they told me to keep watching and monitoring his bp and heart rate. We saw a cardiologist, they found he doesn't have a consistent beat he was diagnosed Frequently Ventricular Ectopy.

chest pain with mild physical exertion. Admitted 7/7, started colchicine and ibuprofen per peds cardiology, feeling better on 7/8 and ready for discharge 7/8.

pt complained of getting dizzy and having trouble seeing when talked to him after. patient had parent with him (father) pt was nervous. got vaccine and left room. father said he looked very pale and then pt sat down and started to throw up. patient wasn't hospitalized. mild redness at injection site. left the premises after 15 to 02 minutes feeling fine.

PT REPORTS FEELING PALPITATIONS AND "HEART BURNING" 24 HOURS AFTER RECEIVING HIS FIRST COVID-19 VACCINE.

-My son had 1st dose on 15th june afternoon 12.40 pm. -on 16th june early morning 2 am , he complained of chest pain and breathing problems - in the morning around6 am on 16th june, we took him to seattle children hospital emergency ward -doctors done few testings ekg, blood test, xray -meanwhile doctors gave Ibuprofen tablet to my son. -after 1 hours my son told pain was reduced. -again doctors gave ibuprofen tablet -around 11-12 pm afternoon on 16th june, my son told, almost chest pain and breathing problem gone. -we discharged from hispital

full generalized tonic clonic seizure; fever; troponins checked and they were elevated; 70-80 systolic on 06Jun2021; heart rate 160s on; This is a spontaneous report from a non-contactable consumer (patient). A 12-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0175), via an unspecified route of administration, in left arm on 05Jun2021 12:00 as dose 2, single for covid-19 immunisation. Medical history included history of autism, controlled seizures. The patient's concomitant medications were not reported. patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection Batch/Lot Number: EW0175), via an unspecified route of administration, in left arm on 15May2021 as dose 1, single for covid-19 immunisation. The patient underwent lab tests and procedures which included blood pressure measurement: 70-80 systolic on 06Jun2021, cardiac monitoring: unknown results on 06Jun2021, echocardiogram: unknown results on 06Jun2021, heart rate: 160s on 06Jun2021, neuropathy peripheral: unknown results on 06Jun2021, body temperature: 103.6 on 06Jun2021, troponin: elevated on 06Jun2021. On 06Jun2021 08:00. After shot done at 12 PM, next morning at 8 AM patient had full generalized tonic clonic seizure lasting 20-25 minutes, fever of 103.6. EMS was called, went to ER, fever eventually went down and got IV fluids due to HR in 160s and BP 70-80 systolic. After 2 hours, troponins checked, and they were elevated. Transferred to hospital for overnight observation and monitoring of troponins (peaked at midnight, then trended down). Echo was okay. Will follow up with neurology and cardiology. The outcome of the events was resolved on unknow date in 2021. No follow-up attempts are possible. No further information is expected.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Seizure-Mild, Systemic: Shakiness-Mild, Additional Details: Patient began feeling light-headed and dizzy about 1-2 minutes after receiving vaccine while sitting in obs. area. Was given water which helped for a little and then shortly after that patient began lightly shaking- looked almost like a seizure and his eyes rolled back for 3 seconds. Came back to consciousness after 5 seconds- stayed on chair whole time never hurt himself just a vagal reaction to vaccine. Paramedics were called to examine him and brought him to hospital for monitoring with mom.

within about 30seconds to 1min after administering Pfizer covid vaccine, 12 year old patient passed out....went from talking, laughing to sagging off his chair, I grabbed him and slowly lowered him to the floor....he was having difficulty breathing, focusing , etc.....talked to him, focus him on breathing, gave him water to drink, wet cloth to forehead, face and neck...he came out of it and said he felt ok....he got up and walked to the waiting area with his mom...appeared to be fine, was talking and laughing again, when all of a sudden he was just sitting there, eyes wide open, but not aware. Another customer was there and she noticed him and immediately got him to focus, breathe, popped an ammonia inhalant, applied instant ice pack to his back and neck which brought him out of it.....asked mom and we called 911, EMT's responded and transported Patient to the hospital to be checked.

Myocarditis; This is a spontaneous report from a contactable consumer (patient). A 12-years-old male patient received bnt162b2 (BNT162B2, PFIZER), dose 1 via an unspecified route of administration on 07Jun2021 (Batch/Lot number was not reported) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included known_allergies: BEES. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient's concomitant medication was none. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine, did not receive within 2 weeks of vaccination. The patient experienced myocarditis on 10Jun2021 with outcome of recovering. The patient was hospitalized for myocarditis from 2021 to 2021 for 6 days. Reported Event: Myocarditis, patient was life flight out of Withheld and a week stay in ICU and hospital. AE treatment included IVIG. Since the vaccination, the patient underwent lab tests and procedures which included Nasal Swab: negative on 10Jun2021. The second dose was administration in Jun2021 at 17:30 PM in pharmacy or Drug Store. Information about Batch/Lot number has been requested.

PT HAD SYNCOPAL EPISODE SECONDARY TO RECEIVING VACCINATION TO LEFT DELTOID. SYCOPAL EPISODE LASTED 3-5MIN. PT WAS LAID IN SUPINE POSTITION WITH LOWER EXTEMITIES RAISED. EMS CAME TO CHECK ON THE PT. PT WAS NOT TRANSFERRED BY EMS. PT HAD FULL RECOVERY AND BECAME AAOX4. GCS 15.

12 Y 4 M old male with a history of chest pain that started two days ago on Monday. On 7/11 night, he didn't feel well felt nauseous. He was able to sleep but had chest pain the following morning that improved after he vomited. The chest pain is midsternal and feels pressure-like. It lasted a few hours. He swam on 7/12 without problems (at a swim club) for an hour. He had his second dose of COVID-19 vaccine on Saturday 7/10/21. There has not been any fevers. Elevated troponin and CRP with recent COVID-19 vaccine, suspicious for post-vaccine myocarditis. He is hemodynamically stable with normal vitals and no evidence of ventricular ectopy or depressed left ventricular function. His troponin peaked at 11.05 and trended down, but his most recent value is slightly up at 8.2 from 7.6. Recommended continuing to trend the troponins for now (if they show a downward trend then twice daily is adequate, unless he develops chest pain). At this time, IVIG is held unless he becomes unstable or the troponins trend upward .

Nose bleed 45 minutes after administration and then 8 more subsequent nose bleeds over the last 3 weeks.

After administering vaccines patient stated he felt dizzy and started to become pale. Applied a cool compress to back of neck and laid patient down. Patient never lost consciousness. Gave him some water and notified provider. VS taken and WNL Gave him some trail mix and had him sip on water. He stated he started to feel better. Had patient wait in office for 15min and patient was able to stand up and color came back and stated he felt better.

Chest pain developed a couple days after getting first dose and occured multiple times after that over a course of a few days

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Medium, Additional Details: Patient became lightheaded about 10 minutes after immunization. He presented as pale, shaky, and almost ready to faint. Patient was given pedialyte, ice, and chocolate after vomiting one time. EMS was contacted, they arrived and assessed the patient. He was cognizant and able to stand on his own. Mother refused transport to the hospital and the family left about 45 min after immunization was given.

Severe chest pain; difficulty in breathing; EKG changes; elevated troponin level; This is a spontaneous report from a contactable consumer or other non hcp. A 12-years-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number was not reported), via an unspecified route of administration, administered in Arm Left at the age of 12-year-old on 30Jun2021 as single dose for covid-19 immunization. Medical history was reported as none. The patient's concomitant medications were not reported. Patient had no relevant past drug history and known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient did not receive any other medications within 2 weeks of vaccination. On 03Jul2021 05:30 the patient experienced severe chest pain, difficulty in breathing, ekg changes, elevated troponin level. The patient was hospitalized for the events. The patient underwent lab tests and procedures which included electrocardiogram: unknown, troponin increased: elevated. The adverse event resulted in Emergency room/department or urgent care. The patient received treatment for the adverse event with Pain medication. The clinical outcome of events was recovering. Information about batch/Lot number has been requested.

He had fever of 104, headache, chills, body aches. The reason we went to ER started having chest pain they did Chest X-ray, EKG monitored few hours and then he was discharged,

? At approximately 6:50PM vaccine was administered. ? Within 10 minutes of the dose being administered, patient began vomiting. ? At approximately 7:03PM, RN attempted to assess patients pulse. RN determined pulse to be approximately 100 BPM but was difficult to be confident as the pulse was indistinct. Another RN also attempted to collect a pulse and was not confident in a reading. Oxygenation and heart rate was attempted to be collected using a pulse oximeter. A reading could not be determined. Additionally, a temperature could not be collected using an infrared thermometer. Upon observation, the patient appeared pale and diaphoretic. He did not present or report difficulty breathing at any time. Patients skin was cool to the touch. Patient reported to his parents that he felt nauseous and cold. ? At approximately 7:08PM patient was offered juice. ? At approximately 7:10PM RN observed that nail bed began to become discolored, slightly blue. RN requested call 911. ? EMS onsite by 7:15PM. EMS vitals included, o BP 131/88 o HR 103 o Resp. 24 o O2 Sat 98% o Temp 98.4 ? Family declined glucose screen and transport to emergency department as patietn began to report feeling better. Patients color improved. ? EMS, family, and staff left scene at approximately 7:50PM. ? RN connected with patients father on 7/16/21. Father reported that patient was doing much better, slept through the night with no issues. Patient was still sleep when father left for work that morning, however, father looked in on him. Per fathher, his color appeared good and he was sleeping well. Father wondered what gauge needle was used for the procedure. He stated he thought is was long and perhaps a 1 ½ ? size. RN assured it was a 1? needle as the type of set-up used was a complete set-up with a standard 1? needle.

developed symptoms of intermittent chills, headache, jaw pain, and chest pain 2 days after receiving the shot. The next day went to an emergency room, was transferred to hospital. treated with one dose of IVIG and tylenol which led to resolution of symptoms.

He received the second dose of the vaccine on 6/4. 6/6 he developed neck pain that developed into chest pain as well. He additionally had some shortness of breath. He was seen on 6/7 by his pediatrician. An electrocardiogram was obtained which showed ST elevation in the lateral precordial leads(image below). Additionally a chest x-ray was obtained demonstrating clear lungs and no notable findings. A troponin T was obtained and measured 232 ng/L(normal range 0-22). CRP 39 mg/L(normal 0-7). His chest pain resolved within 3 days of developing. He has not noted any palpitations. He has not had any syncope. He has been doing light activities without having any issues.

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

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Abdominal Pain-Mild, Systemic: chest pain-Mild, Systemic: Headache-Mild

12 year old male had a vasovagal syncope from a pfizer covid 19 shot that lasted a few second. I laid him on the floor and elevated his leg. His skin became very pale but eventually return back to normal after 30 min of monitor. His blood pressure was low at first, but eventually return back to normal.

Developed fever, fatigue, shaking, and tachycardia. Required admission to the hospital for observation due to persistent tachycardia and concern of myopericarditis. He did not develop myopericarditis or end organ dysfunction of (Privacy). He was discharge in approximately 48 hours and is continuing to improve.

pt received 1st pfizer covid vaccination and within 5 min had passed out. pt was passed out for about 4 seconds. i placed pt on the floor from the bench and elevated his legs and rubbed his sternum gently until the pt regained color and consciousness. i asked for a wet towel and bottle of water for the pt to help him feel better. watched the pt for an extended period of time (>30min) to make sure he was feeling ok before letting him go. told the mother to make sure to watch him closely the rest of the night.

PATIENT FAINTED A FEW MINUTES AFTER INJECTION. GAVE WATER TO PATIENT. SPOKE TO MOM LATER THAT DAY AND SHE SAID HE WAS FINE.

Patient pre-screened and reported cough but stated it could be caused from seasonal allergies because otherwise feels well. 1st dose of Pfizer vaccine administered and well tolerated. Patient transferred independently to post vaccination waiting area with mother. Almost immediately upon sitting, mom called for help. Upon arrival of documenting RN patient noted to be unresponsive to deep stimuli. Patient noted to have rapid, involuntary fluttering of bilateral eyes, and involuntary jerking of head, neck, and shoulders. This RN requested for clerk to call 911 and lowered patient to floor in supine position with assist from the mother. Mother instructed to keep feet elevated. 2nd RN, arrived and assisted with placement of blood pressure cuff and SpO2 monitor. Immediately after being placed supine with feet elevated all involuntary movements ceased and patient began responding to verbal stimuli. Patient answering question appropriately indicating orientation to person, place, time. Vitals as follows: HR68-72, Bp110/70, SpO2 96-100%. Patient without generalize redness, rash, hives or other signs or symptoms of allergic reaction. Breath sounds clear bilaterally. Pulse strong but irregular initially, but became regular as patient stopped crying stated to calm. Mother denies history of anxiety or inappropriate hydration patterns. Mother updated/informed that we are unable to diagnose, but to be on the safe side we would recommend being evaluated at the Emergency Room. EMS arrived at this time and report given by documenting RN. EMS verbalized/suggested ER evaluation and mom agreed with POC. Patient transported to the ER via EMS with moms approval.

Systemic: Dizziness / Lightheadedness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Additional Details: Pt felt lighted & turned pale shortly after administration. Clinic had pt lay flat for a while & he recovered thereafter.

Patient was vaccinated with first dose of Pfizer vaccine within the pharmacy lobby of clinic then fainted seconds later. He was caught by staff member and transferred to a chair with the assistance of father and staff member; the patient was noted to have involuntary shaking of extremities. Rapid response was alerted. Patient regained consciousness within a minute and informed staff that he started feeling lightheaded immediately after receiving shot. Episode was witnessed by father and two pharmacy staff members. Patient was transfered to clinic, then discharged with an appointment set up with a cardiovascular doctor at the hospital to follow up on previously known heart murmur.

Patient fainted on bathroom floor at 10:30am, his head hitting the floor. He then regained consciousness, and has since been resting in bed.

he had his vaccination at 2:18, sat down in observation and after one minute, he lost consciousness, caught by father, and began having tremors. Woke up after 30 seconds - 1 minute. Helped to wheelchair. Skin was pale, but pt. was alert and oriented x 3, he reported blurry vision prior to incident. Observed on cot for 30 minutes. Given water, vital signs checked, wnl. Pt. left with father, escorted in wheelchair.

I administered the Pfizer COVID vaccine to the patient at about 2pm. I completed the vaccine, put the used syringe into the sharps container, grabbed the bandage, and turned back toward the patient. As I did this, he started slumping over in the chair, and his eyes rolled back into his head. I immediately put my arms around him so he wouldn't fall out of the chair. The patient's father was in the room as well and knelt down in from of him. The patient's body spasmed for a few seconds, then he came to but was breathing heavily and starting to sweat. I called to technician in the pharmacy and asked him to call 911 at 2:03pm. I brought the patient a cool cloth and asked a technician to bring some water. The patient's breathing started to slow, but he was nauseous and dizzy. He dry-heaved once, and I put the garbage can in front of him. He slumped over the garbage can for a few minutes. Then he asked to lie on the floor. He seemed to do better lying on the floor. When the EMTs arrived, they attempted to have him sit in the chair again, but his dizziness returned, and he complained of being cold. The EMTs moved the patient to the gurney and transported him to the Hospital for further medical attention.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium, Additional Details: PATIENT PASSED OUT, HAD SYNCOPE, EMT WAS CALLED AND CAME TO EVALUATE. BP DROPPED BUT CAME BACK. MOM WAS WORRIED.

Patient fainted for a few seconds and regained consciousness quickly. We gave him some water and he was fine.

Patient received the vaccine and was completely fine immediately following. We walked around the store, conversed, and 10-12 minutes after injection he had syncope and generalized tonic clonic seizure for minutes. We were transported 911 to Hospital ED where he had normal labs, normal brain MRI, and consultation with Peds Neuro. He was post-ictal for 30+ minutes to follow the incident. He has secondary trauma to his R temporal and occipital bones and likely a mild concussion resulting from the fall.

pt had just received vaccine and found by ems crew with father at check out station. pt was seated with head in hands with complaints of light headedness and dizziness. pt was pale. pt was brough to evaluation area. pt suffered brief vomiting event. initial vitals were bp 85/50 hr 69 spo2 100% ra rr 18. pt was believed to ave been suffering from vaso vagal event.pt apperaed to recover quickly. pt second vital set were 90/60 hr 69 spo2 100%RA RR 18. pt skin color returned to a pink color. pt began to "feel much better" pts father gave consent to all evaluation and treatment. pt was believed to be stable. pt care was released. pt father was informed to contact emergency services if any symptoms returned and/or worsened.

Pt was feeling faint and lost color for a minute. We gave him juice, water and he ate a snickers bar. After 15 minutes he was feeling better and left with his mom.

Intern administered dose 1 of vaccine in patient's left arm. at 6:45pm. Within 2 minutes patient's eyes started rolling in the back of his head,his face turned pale, started clenching his teeth and making guttural noises. Mother supported patient's head and neck and RPh was called to the immunization room. Patient was placed in supine position. At this time patient had come to but was still looking pale and confused. Offer to call 911 was declined at 6:50pm. Patient's blood pressure was checked-94/58 at 6:50pm. A cold compress was applied to patient and water was offered. Blood pressure was retaken and was 97/68 6:55pm. EpiPen and offer to call 911 was again denied by mother. The color started returning to his face, atient was monitored and blood pressure was taken again-100/68 at 7:08pm. At this time he was able to sit up in a chair. He was then able to walk to our waiting room with assistance and was offered snacks. At 7:20pm blood pressure was rechecked 100/68 and patient and mother were escorted out of our pharmacy.

Patient became very pale eyes rolled behind head and was unable to keep head up. Fainted for a few seconds before waking up again.

Pt was pale and light headed. Syncopal event- caught by staff (did not fall). Hx of syncopal events with other vaccinations. Pt did not eat breakfast. BP 98/49, HR 65, RR 18 -- > 94/48, 83, 18 -- > 93/58 -- > 106/60. Pt laid down with feet elevated. Pt given crackers and juice. Pt improved, stable, and released from the vaccination site. Recommended patient eat and drink prior to next dose.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Visual Changes/Disturbances-Medium

Systemic: Confusion-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Visual Changes/Disturbances-Medium

Patient began feeling lightheaded, describes fuzzy vision and feeling tired about 2mins after vaccination. He requested to lie down. Appeared pale. Assisted to cot by medical staff. Vital signs checked within normal limits. He began to feel better after 5mins. Accompanied by mother who drove him home after 30mins observation.

Received Vaccine, immediately became pale, clammy, diaphoretic, had near syncope episode, brought to mat to lie down, elevated feet on chair, AAO, no loc, no sob, ice pack to neck, front, back, and stomach, MD assessed surmised vaso vagal reaction occurred, patient came from a baseball game, Patients mom at the side, Vitals: 110/80, HR-60, regular and strong, respirations 12, regular nonlabored, 02 Sat 98%, After 10 minutes sat up and had water for hydration and snack for nourishment. Monitored for 30 minutes, provided reassurance, okay to exit with Mom after 30 minutes, provided education to mother regarding reaction

At 1:03 pm, patient went over to father shortly after being vaccinated and stated "I do not feel well." He sat down and briefly for <1 second became unresponsive. Upon arousing, he was pale in color and clammy to touch. RN (school nurse was at pt. side). Dad and pt. stated he was worked up and nervous before vaccine. Dr. also at pt. side. 1:15pm: Pt. drank 2 juice boxes and color improved to pink, and conversing without problem. Dr. suggested to pt. and father to have pt. lie down when he returns for his 2nd dose in 3 weeks.

Pale, Nausea, lightheaded. B.P=84/60 history of vasovagal response after previous vaccination Vital signs returned to normal after approximately 40 minutes. Recorded by RN

Patient had convulsive seizure, became unresponsive and was cyanotic, sternal rub, patient opened eyes. Heart rate was thready. Patient felt nauseous. Patient was disoriented for 1min and quickly regained orientation. Patient was given water, patient laid on the floor. Discharged to ER Past Medical Hx Hx of seizure at age 4

Vasovagal syncope a few minutes after receiving shot. Waiting to check in to observation area and fainted. LOC but immediately awake, A&O. LEs elevated, cool compress to neck. HR, BP checked, stable. Rested and resolved. Home with dad.

Patient received dose of vaccine. While standing patient experienced syncope and fell to floor. Bumped head against wall while falling but was caught by father before hitting floor. He quickly regained consciousness and had a strong pulse. He remained on the floor with feet elevated for 10 minutes. He then sat in chair IN front of pharmacy for an additional 15 minutes. At that point he felt fine and left the pharmacy with his father.

Patient had a syncopal reaction: skin became hot and clammy, patient was dizzy, upon asking him to repeat a command or do a simple action (like wiggling fingers, lifting arm) he was not responding and his eyes were rolling to the back of his head and would not vocalize (when asked if ok, or what his symptoms were, or if he was having trouble breathing) at which time we called 911 since he was not responding verbally or physically. Had him sit, take off his mask, gave him water to sip, took BP (102/60), within 5 minutes he started to come back around, was able to follow command (wiggle fingers) vocalize that he could breathe fine, and felt that there was water behind his ears. His temperature to touch seemed to start to go back down, and once paramedics arrived they evaluated him and released him as "ok" within 10 minutes.

A few minutes after receiving the vaccine, the patient fainted. The mother caught her son in her arms and we were both able to lay him on the floor safely without hitting his head. He came to within a few seconds. He remained in the pharmacy area for approximately 20 more minutes for observation. He was feeling back to normal before leaving.

BP 102/60, P 70, O2Sat 98%. As client walking to the observation room he passed out for a few seconds. Complained of dizziness. Assisted with ENT to observation. Stabilized after few minutes.

Roughly 7-10 mins after the patient received the vaccine he complains of black out and cant see anything for a couple minutes and feeling weak and nausea. I measured the patient blood pressure and it seems lower than normal. After the patient rest for a while I reassess the patient blood pressure and he seemed to feel a lot better. I asked the family to stay for additional 15 mins or 20 mins to observe him but they insist on leaving . I instructed the parents to observe him and if he gets worst get medical help. I have a staff member at the facility to call the family after 30 mins later and the parents stated he is moving around and feel a lot better. The parents also called back a few hours later and stated he is doing good.

Presented 3 days after Covid vaccination with ongoing chest pain since then. He was found to have elevated troponin and elevated ST segments consistent with pericarditis. He was also found to have be Covid positive by PCR. No medications initiated. ECHO normal.

Nosebleedx2 - pressure with a tissue in his nose, nosebleed stopped in less than 15 minutes headache - tylenol, Aleve, improved

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Hypotension-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: The pt felt lightheaded and passed out for a few seconds. His father was with him and caught him and laid him on the ground. I contacted my nurses who stayed with the pt and monitored him for more than 30 mins. The pt was awake but felt light headed, had low blood pressure and blood sugar. The pt was given water and crackers. My DM was also here and called the paramedics who took him to the hospital.

after administering vaccine patient started to vomit and drop in his pulse, dizzy and bit shakier. after observation called 911 and paramedic came and after checking everything falls within normal limits and patient went home.

Post vaccination patient lost consciousness, had involuntary muscle movements. mother was worried same reaction patient had during anaphylactic reaction to tree nut allergy and insisted to use the epipen patient had on hands and rph administered epipen and contacted paramedics

Patient gained out after a COVID 19 vacaine . Pt regained concious briefly after. 911 crew arrived a the scene Patient BP & vital sign normal.

Patient developed SVT (supraventricular tachycardia) approximately 29 hours after receiving the COVID vaccine. Patient has no prior history of SVT or any other cardiac related events. Patient was engaged in a basketball game when the SVT occurred. Patient has been involved in multiple competitive sports since the age of four without any prior incident related to exercise. He felt like he could not breathe, his heart was racing, he became dizzy, began to lose his vision and I took him to the local fire station for evaluation.

Pt fainted shortly after the vaccine, regained consciousness immediately. Patient was given an ice pack and water. There was no harm to patient.

Fatigue, pain around injection side on the day after vaccine during the day. Nothing concerning but right before he went to bed he didn't feel good. My son thought he had to vomit but couldn't. He said his HEARTBEAT WAS SO MUCH FASTER than normal. I got so concerned that I slept next to him which I never did before. He fell asleep after 1 h and woke up the next morning and felt fine. I did not go to the doctor because he was feeling well the next day.

My son woke up the day following his vaccine and had mild complaints of headache and ?feels like I have a touch of the flu?. He hydrated with water that day very well and I gave him 500 mg of Tylenol. On Sunday (2 days after vaccine) we were at church celebrating outdoor Mass. about 20 minutes into church my son said he didn?t feel well and needed water. He was standing at the time he said this. He had been standing under and umbrella the entire time to shade him from the sun. About 1 minute later he fainted. He visually looked very pale at the time. We treated him with by having sit down, moved him to air conditioning. It took about an hour before he felt back to baseline.

sycope, pt started experiencing fainting symptoms such as sweating, paleness, hearing disturbances, weakness, dizziness, coldness of extremities after about 3 minutes of the vaccine, symptoms resolves in about 20 minutes.

Approximately 5 minutes after receiving first dose of Pfizer, patient became disoriented, eyes began rolling back in the head, loss of skin color, hands tingling, and altered hearing. We administered 25 mg of benadryl and patient began to feel better within 5 minutes. Patient stayed an additional 30 minutes and continued to improve to normal per parents.

About 7 minutes after receiving vaccine, pt was out in waiting area and told mother wasn't feeling well. Slumped over and she caught him and gently brought him to the ground. Mother called out for provider who then came to patient who was laying down on the floor. Patient was able to speak coherently and had no pallor or sweating. He was able to sit up after a couple minutes but stayed sitting as directed on the floor until full 15 minutes had passed. Mother stayed with patient and they were able to leave without any residual side effects from vasovagal response.

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

Patient (13 years old) fainted at the vaccination table after receiving his first dose of the Pfizer vaccine, while waiting for his mother as she was getting vaccinated. Patient saw his mother bleed after the vaccine and fainted in the chair, as he began to fall, the vaccinator was able to catch him and assist him to the floor. Patient was turned on his side. EMS was called at 0912 and arrived at 0919. Patient was assessed by paramedics and found to be stable. Patient?s mother reported no PMH and the he doesn?t usually faint after injections. Patient left accompanied by his mother.

13year old hispanic male who collapsed 5-10 minutes following first dose of Pfizer injection. Patient caught by MRC volunteer and sat on a chair.Patient able to verbal ID name,calm ,dusky.Pulse ox 60% ,Heart Rate 100.Patient laid down with lower extremity upward.BP 100/74 pulse ox increased to 96%.Heart rate down to 70's.Calm ,pale .

Patient became nauseous 15 minutes after receiving vaccine,then vomited,then fainted. We lowered him to floor with legs raised. He regained consciousness after a few seconds,but was still not clear-headed. He was very anxious and shaking and pale. 911 was called . He was taken to ER.,but was clear headed,with heartrate slightly elevated.

Pt was feeling lightheaded approximately 3 minutes post vaccination (1st dose of Pfizer). Pt then had syncopal episode while remaining in chair. EMS on site and was immediately alerted. EMS put pt on stretched and brought to ambulance for further assessment. Pt observed by EMS for 15 minutes and then went home with Dad. Per Dad pt has history of syncopal episodes post vaccination.

Pt. has history of Lymphangioma. Pt. presented with lump on chest that became inflamed and red after 9 days of receiving Covid-19 vaccine. Pt. presented with itchiness, swelling, bruising, redness, fever, hot to touch and headache. Pt. used ice packs and Ibuprofen for treatment.

Patient had a syncopal episode with complete LOC and question of seizure activity. Was found to be tachycardic, BP within normal range.

Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Weakness-Severe, Additional Details: pt was mostly unresposive and turning white and motionless; throat closing up; no other choice but to give the epi-jr shot; after administering the shot the patient started to feel better but we decided to still call 911 to be on the safe side

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

pt seen on floor in prone position per staff pt lost consciouness for 9 secs. staff who witness the accident said pt slid down on chair and fell face forward. vitals: 86/60 p-60 R-16 o2 98% offered food and fluids denied nausea vs bp 106/65 P-75 R 18 o2 98% RA t-98.1 at 337 pt verbalized no dizziness no headache able to move all extremetites without discomfort no vleedign on gums/mouth no change loc 347 BP104/63 P77 R18 o2 99% pt parents will accompany pt to visit primary doc. clininc for further eval.

C/O "not feeling well today" became unresponsive for less than 1 second, became pale was given juice, color improved and he stated he was 'stressed out prior to vaccine

Pt became pale, diaphoretic, and nauseous. Vomited undigested food once and complained of dizziness. Pt was laid down on the floor with his feet up on a chair. His color immediately came back, and he felt better and went home.

Complained of sob and chest pain on the same day of his shot, but resolved on its own, later that night started with new-onset fever/chills, headaches, myalgias, and a new onset rash spreading from face to trunk, early lesions described as red papules and eventually dry up, no dermatomal distribution, spread throughout, not itchy, refers some tenderness/burning feeling upon palpation. Only treatment received is Tylenol.

A copious amount of blood started pouring from his nose for an unknown reason. He never gets nosebleeds so this was unusual.

13 year old patient became diaphoretic and lost consciousness. He immediately woke up and vitals were normal. Parent denies any previous health conditions or syncopal episodes.

5/15 vaccination 5/25 He got up and go dressed, ate breakfast, was ready to do work out in yard. Went to walk across the room to his brother, turned to look out the window, and all of a sudden fell straight back. Came to 10 seconds later, didn't know where he was, felt like he had had a bunch of dreams, 'everything turned white', doesn't remember much, didn't know where he was (thought he was in bed). He had hit his head on the wood floor, back of head (standing to smacking head). We live on an island, had to take ferry to town. Possible concussion. We went to Hospital in town. We worked with Dr. They gave us the verbal instructions if HA gets worse, anti nausea meds, rest, ibuprofen; concussion.

Sudden chest pain radiating toward armpit; Dizzy; Sweaty; Rapid pulse rate; Nausea; This is a spontaneous report received from a contactable consumer (patient). A 13-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), via an unspecified route of administered in left arm on 21May2021 13:30 as single dose for COVID-19 immunisation at School or Student Health Clinic. 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 did not diagnose with COVID-19. Since the vaccination, patient had not been tested for COVID-19. The patient did not receive other medications within 2 weeks of vaccination. The patient's concomitant medications were not reported. Patient had no allergies. On 21May2021 22:30, the patient experienced Sudden chest pain radiating toward armpit, dizzy, sweaty, rapid pulse rate, nausea. The symptoms resolved after about 10-15 minutes. This repeated a second time on Saturday 22May around 4 pm. Repeated a third time on Sunday 23May around 3 pm but was less in severity. Lot number on card not clear but appears to be EN0185 or EW0185. The events assessed as non-serious. No treatment was received for the events. The outcome of the events was reported as unknown. Information on the lot/batch number has been requested.

he says he was feeling like a heart burn/heart pain; pain in his upper chest/He says this primarily now this is like in his upper chest and throat and he is pointing to upper chest now.; he actually vomited yesterday. He feels like all day today.; he is in bed; This is a spontaneous report from a contactable consumer (parent) or other non-HCP. A 13-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot number: EW0168, Expiration date: unknown) via an intramuscular route of administration in left arm on 17May2021 (age at vaccination 13-year-old) as first dose, 0.3 ml single for covid-19 immunisation. The patient medical history included ongoing depression and ongoing attention deficit hyperactivity disorder (ADHD). The patient's concomitant medications included escitalopram oxalate (LEXAPRO) 15mg daily, methylphenidate hydrochloride (CONCERTA) 36mg daily, escitalopram 15mg daily and vitamins nos. Consumer reported that she has been reading about reports that young men have been having myocarditis after getting the Pfizer covid vaccine and her son, who received his first dose on 17May2021 began having symptoms like heartburn and pain in his upper chest on 23May2021, and now the pain was below his neck and he was hurting all day before the date of event reported and on the day of report . Patient also threw up. On unspecified date patient was in bed. Patient said primarily now this was like in his upper chest and throat and he was pointing to upper chest now. consumer was watching a news with her husband on day of report (tonight), the story on a news about some heart information and young vaccine recipient and patient was 13 years old and consumer was trying to work out whether there was something the consumer need to go emergency room over. Consumer just did not know if this related to patient's never ever complained chest pain, so consumer was just worried about. Consumer was asking if patient's symptoms were due to heart inflammation. She asked if this was due to heart inflammation and asked if she should take him to the emergency room. Consumer reported that she just spoke with DSU to file a report, no reference number for that encounter. Reporter stated that she was working on prescription and there was NDC. Treatment included consumer just gave patient some pills same and omeprazole 20 milligram and set it on other to. She gave on the night before event reported (tonight) and on the day of report. The outcome of all events was unknown Follow up #01 (24May2021): ):This is a follow up spontaneous report from a female consumer (patients mother) new information included suspect product detail, event detail, medical history, concomitant medication.

SVT, supraventricular tachycardia, occurred 29.5 hours after vaccine given. pt was transferred to hospital. The arrhythmia spontaneously resolved while he was receiving care in the ED. He had a cardiology evaluation subsequently. He has had no symptoms since that time.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Mom reports that patient has a history of fainting after vaccine administration. Patient complained of feeling dizzy and lightheaded after receiving Covid vaccine. Patient fell from standing position and hit his forehead against store aisle. NP was called by Pharmacist, to assist/evaluate. Patient alert and oriented upon NP arrival. BP 116/60, pulse 76, O2 sat 99% on room air. Patient with normal neuro exam. Patient returned to baseline.

Within 24 hours of the vaccine started to develop episodes of tachycardia (mom who is a physician measure heart rates as high as 130-140) with minimal activity. He noticed a couple of episodes of heart racing (was not noticing other episodes) but no HR obtained. He developed more pluetitic chest pain at the site of his rib pain and persistent fatigue. Seen in my office three times over the next 7-10 days. and symptoms persisted. Testing included CXR and ECG which were normal. COVID PCR NP swab was negative and blood work was normal (cbc, ebv/cmv titers, thyroid). He was evaluated by cardiology on 5/24/21 and diagnosed with POTS. Currently (early June) he continues to have fatigue significant enough that he can't get through an entire school day (very atypical for him) and has intermittent pleuritic chest pain (which had mostly resolved about 10 days after the vaccine) The tachycardia has resolved for the most part (within 2 weeks of the vaccine)

VS 121/64, HR 73, OxSat 98%. Vaccine received and pt. States he blacked out. No loss of consciousness, but foggy. Alert x 3. VS obtained when pt. Placed on cot and monitored by Fire fighter.

Client received the 2nd COVID vaccine of Pfizer (Lot# EW0182, expiration 06/28/2021). At 1729, Client reports nausea and wants to vomit. RN, RN, RN, RN, and RN respond to this event. The registered nurses placed Client in an anti-gravity chair and provided an emesis bag. RN responded to this event at 1730. Client appears pale, diaphoretic, states being nausea, wants to vomit, and dizzy. At 1730, vital signs are heart rate 89, oxygen saturation 99%. At 1733, vital signs are blood pressure 110/82, heart rate 62, oxygen saturation 99%. Client is offered supplemental nutrition and fluids. Client accepted both. At 1735, heart rate is 61 and oxygen saturation is 99%. At 1735, PHN responds and speaks to mother to educate her about ED precautions and common adverse effects. Client's mother reports Client has a history of ADHD, takes medications as needed, no known allergies, had a long day, as not ate much today, and was nervous prior to vaccination. At 1736, vital signs are blood pressure 110/78, heart rate 66, oxygen saturation 99%. Client reports no chest pain, no blurred vision, no headache, no shortness of breath, nausea is improving, and skin tone is returning to appropriate coloration of ethnicity. At 1742, vital signs are blood pressure 117/82, heart rate 82, oxygen saturation 99%. Client reports no new symptoms and improvement of nauseousness. At 1753 vital signs are blood pressure 112/68, heart rate 86, oxygen saturation 99%. Client reports all symptoms has resolved and is now hungry. Client stood up with no complaints at 1754. At 1754, Client walked out of facility with a steady gait accompanied by his mother.

After second dose of Pfizer Covid-19 vaccine he received two days ago on Wednesday June 2nd around 5pm. Felt tired that night and into the next day with some local swelling and pain to the right arm at site of injection, and also into right armpit. Thursday evening, he was resting sitting on the couch and developed some mild chest pain. Can't really describe the location or severity very well. Did seem to be worse with inspiration. Hasn't reoccurred since that time. Still feels somewhat tired today with mildly sore right arm. No fevers. No chest pain today. IR showed second dose of Pfizer Covid-19 vaccine was given to the left arm but confirmed with CVS that it was given to the right arm.

After getting vaccinated , pt sat in the waiting room for 15 minutes. While sitting he fainted and another customer caught a hold of him. I was called out and I see the boy on the floor . I told him to sit still and rest and not to do anything. I went back in pharmacy to call manager to see if we can get some water for him. I also had someone page mom because mom went shopping. When I went back out to see the boy, his mom was there and he was drinking some water. I came out to talk to mom. while I was there, the boy started to shake and complained of chill. He look pale, so, I went and called 911. They transfer me to the fire department. They said to have him stay where he is and not have anything to eat or drink just incase her may throw up.I told mom. After that , I went about doing my things . Then emergency came . Then they all left. About 7 pm that day I called mom for follow up and she said he was doing ok.

Patient had syncopal episode within a couple of minutes of vaccination. Felt better after resting and drinking juice; was released to home.

Pt c/o dizziness immediately after receiving 2nd dose of Pfizer. Pt had one episode of syncope. Father was present and assisted pt to the ground. No falls. Pt reports feeling nervous. A&Ox3. pt speaks in full complete sentences. No facial/mandible/tongue swelling. No stridor. Pt ambulatory to med bay, refusing to sit in w/c, w/ steady gait. Pt refusing pulse oximeter. Resp regular/deep. BP stable 149/50, HR 88, RR 16. Pt tol PO. Pt stable and released from the vaccination site. Recommended that the patient follow up w/ their healthcare provider.

8 hrs post vaccine- 6/3 -Site pain and fatigue 24 hrs post vaccine-6/4- stiff neck 48hrs post- 6/5 severe chest pain- went to ER, 6/5 20:00 Admitted to Hospital

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Weakness-Medium, Additional Details: patient was given 2nd dose of phizer covid 19 vaccine. patient was fine intially and became lifeless and pale after 5 minutes. Patient was disoriented , pale, and complained of blackened vision and huge sound in his ears. paramedics were contacted and patient was arousable. after 15 min patient was ok and documented color restored to complexion. paramedic deducted anxiety due to needles and patient was taken home by parents

Immediately following the vaccine, my son felt totally fine. The pharmacist told us to walk around the store for 15 minutes. 8 minutes after the vaccine, my son said his arm felt tingly. He immediately began sweating profusely and said that he felt dizzy. I made him sit down and he then said that he felt nauseous. Within 5 minutes of the onset of symptoms, he vomited. He was pale and his forehead was cold/clammy. The pharmacist said it was anxiety and nothing to be concerned about. However, my son said that he did not feel worried, anxious, etc. prior to or immediately following the vaccine.

Fever, tiredness (expected) Chest pain. Variation in heart rate. Pain when breathing and only when taking deep breaths.

13 year old male presents with chest pain. Pt describes pain as achy. Pt feeling dizzy "seeing stars" and has headache as well. Aches located on both arms and neck. Chest pain worsens with deep breathing. Neck pain worsens with neck movement. Pt had second dose of Pfizer 2 days ago; parents are concerned because a relative contracted myocarditis 5 days after receiving vaccine. No recent chest trauma. NBNB Vomit 1 month ago. Taking ibuprofen at home. No fever. Differential Diagnosis: flu like illness, post vaccine syndrome, myocarditis, doubt meningitis, myositis. Cardiology consulted, Agrees with workup and add CMV and EBV antibodies as well as enterovirus if elevated troponin. Troponin = 6.84. Will be admitted to CVICU.

Patient described chest pain (pain scale of 6.5, from 0-10 with 10 being the highest) located centrally near the heart, extreme headache and sore arm. The chest pain lasted about 24hrs until patient took acetaminophen.

acute myopericarditis with severe chest pain, diffuse st elevations, significantly elevated troponin levels indicating significant heart muscle injusry, and reduced ejection fraction of the heart to 42% as well as severe chest pain. Required treatment with high dose steroids and milrinone. patient currently admitted to the pediatric ICU for care. Condition currently improving ejection fraction increasing towards baseline, however overall prognosis unknown at this time.

Patient fainted about 10 minutes after vaccine administered. He came around almost immediately and we monitored him for about 45 mins before he left with his dad

3 days after the vaccine, the patient woke up at 530 in the morning with sharp chest pain that lasted about 1 hour. He was also short of breath and the pain was worse when lying down. The day after the vaccine, he had fever and emesis, but that resolved within 24 hours. He was taken to hospital where he was noted to have a troponin of 6.611, and CRP of 1.8. He was transferred to another Hospital for further care. He was treated with IV Toradol. He was seen by cardiology and infectious disease. He showed improvement with nothing more than NSAIDs, and since his MRI was normal, he was not given IVIG.

Next day, started with nausea in the M (8:00), then fever (12:00 PM), then chest pain (3:00 PM). Went to the ER to be monitored. On Sunday, said pain moved from injection site to under arm (small lump).

While giving a Pfizer Covid vaccine today, a patient appeared to be fine but after a few minutes suddenly passed out and had a short 3-4 second seizure on the ground. He did hit his head and appeared to be hypoxic. We called 911 immediately and informed store management. The paramedics asked him to walk off on his own power, but they did offer to escort the family to Hospital which I believe was accepted. His mother and sister were present too.

Mother told me he sometimes passes out with shots - gave vaccine and after about five seconds patients head shook like a seizure with lasted less than 5 seconds then he went unconscious - the mother and I laid him on the floor and he become conscious after 15 to 20 seconds but was confused and didn't remember what happened - we helped him back to chair and he said felt a little shaky and warm - we had him sit for 5 to 10 minutes - he felt better so we moved him to a chair outside counseling room - They waited an additional 15 minutes and said felt fine - mother said had never had the seizure symptom before - advised her to call Dr and make him aware and to ask Dr about second dose - she said would get his second dose with the Dr present.

Vasovagal syncope - While seated in chair, patient became dizzy and glass-eyed approx 10 minutes after vaccination. Before he could fall, he was lowered to the ground and positioned with legs raised. Cool, wet cloth applied to patient's forehead and ice pack applied to back of patient's neck. He was also give cold water and orange juice to sip on. Remained supine for 15 minutes, then sat in chair for another 10 to 15 minutes before going home with Mom (a nurse). Followed up with patient's mother @ 7:45 pm - patient was fine.

Pt started with mild cold sxs the day after the vaccine. Then 2 days after the vaccine in the evening developed chest pain - mid sternal - when going to bad. Vomited x1 and pain resolved and fell asleep. Next day also with an episode of chest pain in the pm but more severe and also with n/v; took to ER but left before evaluation done bc pain resolved. The following day 2 more episodes of chest pain less severe. 5 days later sought care for follow up- EKG and labs abnormal so sent to ER for further evaluation.

Chest pain, SOB 3 days after vaccine. Myopericarditis with elevated troponin, abnormal ECG. Recovered without intervention

Patient presents to the ED with myocarditis s/p dose #2 of Pfizer COVID-19 vaccine. From note: Patient is 13 yo M who was in his usual state of health prior to getting his Pzifer COVID-19 vaccine #2 on Saturday morning (6/5). Saturday night he began to feel fatigued with fevers as high as 102.8 F. These symptoms continued through the night and into Sunday morning when he had episodes of NBNB emesis. Sunday night he was actually feeling somewhat better and was able to sleep through the night. He stayed home from school on Monday due to fatigue. At 3 am this morning (6/8), he woke up with aching parasternal non-radiating chest pain that he describes as an 8/10 and worse while lying down. Denies SOB and heart palpitations. His parents took him to a hospital where he was found to have an elevated troponin (reported 5.84 - unknown scale) and Hct 28.8. There was also question of an abnormal EKG (?p wave inversion). He got a bedside echo which showed no pericardial effusion. Additional labs included: WBC nml, plt nml, MBCK 16. In the ED, his vital signs have been stable. EKG was normal sinus. Trop elevated to 0.43 and echo was normal. Reassuringly his echo was normal, he has had no arrhythmias (after nearly 24hrs of continuous monitoring), his chest pain has largely resolved and his troponin has remained stable.

Patient developed chest pain 2 days after vaccination. EKG consistent with pericarditis. He had chest pain 2 days after vaccination and briefly on the 3rd day.

patient received 2nd pfizer covid vaccine and immediately passed out. Patient would not come around, called 911 and gave 0.3mg of epi. patient came around after epi. fire and paramedics showed up. patient was evaluated and it was decided between paramedics and father not to transport to hospital

13-year-old male, received intramuscular Pfizer vaccination (Lot# EW0191) in right deltoid on June 9th 2021 at 10:31 AM. At approximately 10:36 AM the client went limp, pale, and complained of vision changes to his guardian. The RN at observation went over to assess the patient with other onsite staff. Patient appeared pale and was alert and oriented x 3. Extremities appeared flaccid. The patient denied difficulty breathing, lungs were clear bilaterally. Client reported vision changes and stated "everything looks dark and blurry". Vital Signs were taken at approximately 10:37 am- Temperature was 99.1; Pulse 58; RR: 12; B/P: 104/59; O2: 99%. Second B/P was taken at 10:44 and was 111/63. Client denied eating breakfast or drinking water today. No medication was given. Denied having difficulty swallowing. Water was provided. EMS was called. EMS assessed client- B/P 98/66; Pulse 86; RR 14; O2 98% . At time of EMS assessment, the client reported feeling "normal" and denied having any signs or symptoms. After assessment, EMS reported that the client does not require an ambulance. Patients guardian, decided to opt out of ambulance transportation and opted to take the client to his health provider. The client and his guardian left at 11:01 am to be evaluated at pcp.

My son told me several days later that he had some chest pains described as shooting pains the day after vaccine dose #2

Morning after vaccine the patient developed fever, myalgias and then developed abdominal pain and vomiting. Presented to emergency department where he was noted to have elevated inflammatory markers, gallbladder thickening, and decreased EF in the 40s. Patient met criteria for MIS-C and was treated with IVIG and steroids. Case was reported to a federal agency.

Pt received dose 2 of Pfizer covid vaccine. Pt moved to recovery area and sat down. Pt lost consciousness and fell from chair onto floor, landing on right side of face/head. Vitals BP 84/49, HR 59, SaO2 100% RA, resp 16. Pt regained conscious and his feet were elevated on a chair by staff. EMS arrived and pt's mom transported him to ER.

Unspecified intracranial injury with loss of consciousness of unspecified duration, initial encounter Fall while sleeping two days after receiving vaccine injured finger and head

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Shakiness-Mild, Additional Details: Patient felt dizzy, unstable upon standing, skin became pale, sweaty, cool and clammy. Hospital treated for potential shock - moved from sitting in chair to reclining position with legs elevated, cold compress applied to back of neck. BP was low upon initial reading, but improved to within normal limits after 10 minutes. Patient remained under observation for additional 30 minutes. Follow-up phone call to patient's mother (patient is minor) by hospital, mother reported no additional problems

Patient states that he has a headache and " isnt feeling well". Patient was assessed by RN, vitals are : BP 117/71, HR 72, Spo2 98 %. Patient is oriented X3. Patient appears to be pale. Patient was given oranges and crackers. RN stayed with patient and reassessed within 5 minutes, patient states the he feels much better. Patient stayed an extra 30 minutes and RN continued to monitor.

Shortness of breath, coughing on inhalation, tightness /pressure in chest, pressure/tightness in chest worse when leaning forward

chest pain occured 4.5 hrs post second dose vaccine. next day, he felt fine, but fatigued. On the second day, chest pain occurs again upon inspiration and expiration, no shortness of breath. Only upon deep breathing, not shallow. On third day, pain is still an issue, he gets taken to urgent care. All test are normal (chest xray, EKG, lab, cbc, chem) lung sounds are normal. Chest pain continues for 3 more days. He rests and takes ibuprofen as directed. Is never is respiratory distress.

Upper substernal chest pain with exertion and deep inspiration and when lying down. Began approximately 36 hours after the 2nd dose of the Pfizer COVID 19 vaccine. No fever, shortness of breath, palpitations, cough, sick contacts. Pain is described as dull and does not radiate. No medications were given by mother for the pain. Patient came to ED with mother 4 days after the onset of the chest pain since the severity of the pain had not changed.

Was unable to move hands, wrists, feet; Faint; Temp dropped to 95; This is a spontaneous report from a contactable consumer (patient). A 13-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number and expiration date were not reported) on 22May2021 (14:00) as a 1st dose, single dose, with route of administration unspecified, for COVID-19 immunization at the pharmacy/drug store. The patient had no relevant medical history and concomitant medications. On 22May2021 (14:00), the patient was unable to move hands, wrists and feet; fainted; and temperature dropped to 95. The events were assessed as serious (medically significant). The events had resulted into emergency room/department or urgent care). The patient did not receive any treatment for the events. The outcome of the events was recovered in May2021. 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.

reported upper chest irritation, like he had breathed in dirt, on the 17th. On the morning of the 18th, he reported that pain had gone down to his heart. In the afternoon of the 18th, upon returning from school, he reported feeling better.

Patient's mother called explaining that within 24 hours of receiving the vaccine, the patient had bright/flashing light in both eyes, numbness in his fingers and toes, chest pain, and stomachache. These events did resolve by June 9th when she called me however he still had a stomachache. I told her that these events would not be expected and that she needed to follow up with his primary care doctor. He received his first shot from us as well with no complaints

Patient was examined by his pediatrician and cleared for physical exercise on 06/01/2021; 4 days before receiving his 1st COVID19 shot on 06/05/2021. On 06/07/2021 we dropped patient off at Soccer Camp. At 10am he started basic soccer ball control drills, which did not include rigorous exercise. At 10:30am we received a call from him, asking for us to pick him up as he had almost blacked out a few times. We arrived at the sports field at 10:40am. I found patient to be red faced, sweaty, but cohesive. He described the following symptoms occurred during mild exercise: difficulty breathing, thirsty, fast heartbeat, "black things" over eyes, preventing clear vision, difficulty focusing, difficulty hearing, feeling faint He took a water break and used his pro-air inhaler, as he thought he might have been having his 1st asthma attack (he's only ever presented with slight wheezing or night time cough). After a short break, his symptoms subsided, so he re-joined the group. After one more soccer drill, the symptoms came back again, but this time he experienced very hard palpitations and the feeling that his shoes were squeezing his feet. At that point he asked for permission to call to us and have us collect him. We took him home and monitored him for a while. He seemed calm and symptom free. I had him shower and he was fine for the rest of the day. The following day I had him jog on our treadmill for a period. He was symptom free. I increased inclination on the treadmill and he handled it ok without any of the previous symptoms. However, now realizing that he was within the 3 day window of his COVID shot, I decided not take him back to the soccer camp. As of 06/13/2021 he has not complained of any symptoms returning. That said, he also has not performed any significant outdoor exercise since then either, besides walking.

Chest pain and shortness of breath. Patient had a follow up visit with pediatric cardiologist on 6/11/21 and was diagnosed with possible pericarditis.

Patient received the vaccine 6/7 during the day, that evening into the next night he developed subjective fevers and chills. Overnight, he had several episodes of NBNB emesis and had some chest pain. By 6/9, his fevers, chills, and chest pain resolved. However on 6/10, he began having chest pain again; this pain was in the middle of his chest, without radiation. It was worse with laying flat and walking around. He went to his pediatrician, who obtained an EKG and checked some labs. Patient had an elevated troponin of 2.04, CKMB of 12, ESR of 31, and BNP of 39. His EKG was normal but he was directed t come to the emergency room for further workup. Repeat troponin that evening showed up trending troponin of 4.77 and patient was admitted for further workup and monitoring. His chest pain resolved and his troponin levels downtrended through the next day (4.77 -> 2.3 -> 0.4). Patient was monitored on telemetry and had no events of arrhythmia. Echocardiogram obtain did not show any evidence of decreased cardiac function. Patient was scheduled to under cardiac MRI (at this time, results of MRI are pending)

Acute onset of chest pain. Seen in ER : ECG with mild diffuse ST elevation, elevated Troponin-I ( >2) PICU admission: supportive care with ibuprofen nd aspirin. Normal cardiac function on echo, normal NT-proBNP. Troponin-I peaked at 2.240, after 1 day Troponin trend downwards. Chest pain resolved. COVID-19 PCR not detected, Myocarditis panel/viral Ab titers sent- pending, RSV/flu- NEGATIVE. Discharged home on ibuprofen with outpatient follow up.

Myocarditis, Chest pain, ST elevation and mildly depressed EF on echo. Troponin peaked, has leveled at 1000 3 days after presentation, drawing infection labs and administering IVIG.

Felt faint, was brought over to adverse reaction area, sat in a wheel chair, vitals taken. Initially, elevated heart rate, 118, bp of 92/58. By the time of discharge from clinic, vital signs were 100/54 and heart rate of 96. Patient was released from school to mother.

13 year old previously healthy male presenting on 6/13/2021 with petechiae and ecchymosis. Found to have thrombocytopenia (platelet count 2). Diagnosed with ITP. Currently admitted and receiving IVIG. No adverse sequelae of ITP thus far.

Patient had syncopal episode immediately after vaccination. Patient felt better after resting and was released to home.

My son had sharp chest pain, difficulty breathing & lost consciousness briefly.; My son had sharp chest pain, difficulty breathing & lost consciousness briefly.; My son had sharp chest pain, difficulty breathing & lost consciousness briefly.; This is a spontaneous report from contactable consumer (parent). A 13-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Left on 20May2021 13:30 (Lot Number: EW0179, at age of 13 years old) as single dose for COVID-19 immunisation. Medical history included asthma. Concomitant medications included cetirizine hydrochloride (ZYRTEC ALLERGY); montelukast sodium (SINGULAIR). The patient previously took azithromycin and experienced allergy. The patient experienced had sharp chest pain, difficulty breathing & lost consciousness briefly on 23May2021 11:30. The event result in Doctor or other healthcare professional office/clinic visit. Events were reported as non-serious. The patient received treatment for events and visit pediatrician & EKG. Had been referred to a cardiologist. The outcome of events was recovered in May2021. Further information has been requested.

Patient was admitted from PCP for extreme tachycardia and tachypnea and developed multi organ involvement with tachycardia (HR to 140-150s), slight elevation in BNP (H of 490), Troponin (H of 0.244), mild proteinuria (50-70 proteins), respiratory distress with tachypnea (RR 50s) and hypoxia requiring escalation in O2 supplementation. Also with daily fevers until starting steroids. Laboratory findings concerning for slight hypertriglyceridemia, normal Ferritin, worsening thrombocytopenia, lymphopenia, hyponatremia, and hypoalbuminemia. CT with bibasilar atelectasis vs. consolidation, but no evidence of PE. Extensive ID and rheumatological evaluation performed and unremarkable so far. Received 2 days of Doxycycline. Was started on pulse dose steroids and began to show improvement in all markers.

Pt passed out and was very nauseous. He had just finished playing 18 holes of golf walking in extreme heat (90+ degrees F). Before passing out his face did go white and just looked like he wanted to vomit. He felt fine after laying down and drinking water and getting some sugar in him. Whole event lasted about 15 minutes but pt was passed out for less than 10 seconds.

Patient does not remember any thing about passing out. He had his eyes open, and hit his head on a cabinet, and hit the floor hard. His eyes never closed, but he did not know what happened. Called 911, We live in the country. By the time they got here, his fever went down from 101.4 to 99. His vitals were good. I decided to keep an eye on him, and not send him to hospital. It is now 10:55 on 06-15-2021. Patient has ate, drank water and feels better.

Patient has a history of adverse reactions to vaccines. He fainted briefly post-vaccination but revived quickly. EMS gave him water and a cold compress. 6/1/21: 11:50am - TC to number listed - recording that said this is the . No other contact number listed. will defer call. - RN

Patient is a 13 y.o. 10 m.o. male with no significant previous medical history. He presented to the ED due to chest pain. He received the second dose of COVID vaccine on Friday 6/11/2021. The next day he had chest pain in the anterior left upper area throughout the day. The chest pain got worse when laying completely flat or if standing up. He also had fever up to 100.4 and shortness of breath. The symptoms persisted on day of admission and he was brought to an Urgent care where ECG showed diffuse ST elevation. He was transferred to our emergency department for further evaluation. In the emergency department he had intermittent tachypnea and complained of chest pain. ECG confirmed diffuse ST elevation concerning for myopericarditis. Troponin was also elevated with elevated inflammatory markers. Echocardiogram with mildly decreased LV systolic function.

Note - Patient estimated date of vaccination, not sure exact date. 4 days after vaccine, he got chest pain and difficulty breathing. this went on for a week and gradually improved. seen in the office on 6/11/21, EKG showed ST segment elevations. Troponin level was normal. Vital signs normal.

Had chest pains on 06/05 he was admitted into the hospital on 06/06. His heart enzymes were elevated and was diagnosed with myocarditis which was directly linked to the vaccine. He was given IVIG treatment to bring down his enzyme levels.

Sore arm started on same day as vaccines, mild left sided chest pain and mild shortness of breath that started the next day.

On the night of the vaccine, patient developed fever (Tmax 104), chills, and myalgias. He had an outbreak of herpes on his shoulder. Continued to feel very fatigued. Three days after the vaccine, he started having chest pain and shortness of breath with exertion. He continued to be fatigued. Chest pain was intermittent. Saw pediatric cardiologist at outpatient appointment on 6/15/21 where he had a normal EKG and ECHO. High sensitivity troponin on 6/15/21 was 0.08. He had a Holter monitor placed. He was asked to do activity while wearing Holter monitor and self-limit based on symptoms. He played basketball that night and had to press the Holter button 8 times while playing when he was experiencing chest pain. When he got home from practice, he felt weak and dizzy with associated chest pain. Mom notes his nails were blue/purple, and he was "lethargic" . Symptoms improved with ibuprofen. Patient did not want to do usual activity, mom called cardiology who recommended going to ED. Patient has not had chest pain since coming home from practice on 6/15/21. He was admitted to hospital on 6/16/21. Repeat high sensitivity troponin was 0.82 on 6/16/21 and repeated on 6/17/21 was 0.41. Cardiology consulted. Cardiac MRI performed with normal results. He was dizzy on 6/17/21 when he got up to use the restroom, self-resolved. Cardiology evaluated him and cleared him for discharge with outpatient follow-up and self-limitation with activity.

Nose bleeding; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient's mother) reported that a 13-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on 28May2021 (at the age of 13-year-old) (Batch/Lot Number: EW0168) as 1ST DOSE, SINGLE DOSE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On 28May2021, the patient experienced nose bleeding. The mother asked if nose bleeding was common with age 13-year-old. The mother further stated, "You tell whether it is normal or not. It was right after the shot." The outcome of the event was unknown.

Patient is a 13 yo male, otherwise healthy, who received his second covid vaccine on Saturday. He did well until Tuesday morning when he started to have emesis and "chest pressure". He was brought to the ER where work up included a troponin level that was elevated at 20.43. Due to concern for myocarditis, he was transferred and admitted to the hospital for further work up and management. -Echo results note that the cardiac function and coronaries are normal. Very trace pericardial effusion -EKG at Good Patient consistent with pericarditis -Repeat troponin 15 Discharged 6/17

This is a dangerous shot. My son woke up early in the morning in terrible pain and in a cold sweat. This has NEVER happened before! Then he fainted. The next day he was still sick, fainted again and hit his head, needed stitches next to his eye and had a mild concussion from it. He could have been blinded in that eye. This website was a goose chase to get to! There are probably tons of parents who can?t report the adverse reactions their kids are suffering because of how complicated it is to even figure out where to report it. You should be ashamed of this process which lends itself to the under reporting of adverse reactions to COVID-19 vaccinations!

Patient developed febrile illness the next day following the day of receiving dose#2 of the vaccine. On the following day, he developed chest pain and shortness of breath so he was transferred to emergency room and admitted. He was diagnosed with mycarditis based in clinical symptoms and very elevated troponin

On 6/11, he developed chest pain which began upon awakening. During his evaluation in the ER that day, he was noted to have an elevated troponin level of 7.524, slightly elevated CRP level, normal D-dimer level, and otherwise, relatively unremarkable CBC and comprehensive metabolic panel. A chest x-ray was described to be unremarkable. Echocardiogram revealed normal structure and function. He was admitted and troponins were trended until 6/15. Therapy was initiated with Ketorolac every 6 hours. Repeat troponin on 6/12 increased to 8.4, echo continued to be normal. Repeat troponin on 6/13 was 10.878. Troponin on 6/14 was 0.670 with continued normal EKG and Echo. On day of discharge, troponin had decreased to 0.110. Throughout admission, patient was monitored on telemetry and he remained in sinus rhythm without ectopy. The day prior to discharge he was switched to Naproxen BID and will continued to be monitored closely for normalization of his troponin.

3 days after receiving Pfizer mRNA COVID-19 vaccine the patient acutely developed new abdominal pain followed by chest pain. The chest pain worsened in severity to the point that he presented to an Emergency Department and was found to have an elevated troponin, resulting in hospitalizaiton.

Patient experienced chest pain with shortness of breath 3 days after 2nd covid vaccine. He also noted "teeth hurting" during episode. Phys exam - (+) for midsternal pain. Stable VS. Chest pain/dyspnea resolved at time of 1st visit. TRoponin 2.4 (resulted 2d later) thus went to ER for further w/u & repeat troponin on 6/9/21 Troponin 0.23 & ESR 16. Plt 555K. EKG nl except possible in III, AVF. Seen by cardiologist 6/10 -> echo normal, EKG normal (unchanged from 6/9). Myocarditis workup ordered. Holter monitor placed. Activity restrictions x 6 mos F/u cardiology 6-8 wks 6/14 - Follow up in office - normal. TRoponin <0.01

chest pain, started 1 day after the vaccine and persisted for 3 days until presentation in the ED. chest pain was substernal, constant and non-radiating. No associated SOB

13 yo previously healthy x ADD, takes Trileptal, Welbutrin, Concerta and Latuda, received second Pfizer Covid vaccine 2 days ago. This morning, began with atraumatic mid-sternal chest pain. Pain is constant, not affected by position - ie no change with sitting/supine/standing. + fever to 100.5 tonight. + emesis x 1. Also had jaw pain that resolved after motrin. No cough, rash, diarrhea. CHEST PAIN - MYOCARDITIS secondary to rare complication of Covid Vaccine vs MIS-C Transport PICU nurse - spoke with Peds ED physician - they recommend IV and labs to evaluate for possible MIS-C.

Acute-onset pressure-like 3-5/10 mid-sternal non-radiating chest pain worth with inspiration associated with palpitations and light-headedness

passed out when outside. This is the same day his sister passed out. His twin was admitted with myocarditis.

A little fever, muscle pain, tiredness. (All of the above expected); A little fever, muscle pain, tiredness. (All of the above expected); A little fever, muscle pain, tiredness. (All of the above expected); Chest pain and sudden changes in heart rate (totally unexpected); Chest pain and sudden changes in heart rate (totally unexpected); This is a spontaneous report from a contactable consumer (patient). A 13-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 2 via an unspecified route of administration, in Arm Left on 04Jun2021 12:30 (Batch/Lot Number: EW0191) as single dose for covid-19 immunisation. There was no relevant medical history reported. The patient's concomitant medications were not reported. On 05Jun2021 13:00, patient experienced a little fever, muscle pain, tiredness. (all of the above expected), chest pain and sudden changes in heart rate (totally unexpected). The patient reported that events resulted in visit to a doctor's office, Emergency or urgent care department/room, Hospitalization, Disability or permanent impairment. Outcome of the events was recovering. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient underwent nasal swab on 28May2021 and on 05Jun2021 pending result. Information on Lot/Batch number was available. Additional information has been requested.

Patient received 2nd Pfzier COVID vaccine on 6/2/21. On 6/21/21 while exerting himself at sports practice, he developed chest pain and shortness of breath that resolved with rest. He had no recurrence of chest pain or shortness of breath but presented to ER for evaluation.

PATIENT'S MOTHER DESCRIBES THAT THE PATIENT DEVELOPED A FEVER WITH HIS 2ND PFIZER DOSE WITHIN 24 HOURS OF RECEIVING. WITHIN 24 HOURS, HE ALSO DEVELOPED CHEST PAINS SPECIFICALLY WHEN BREATHING (INHALING). THE CHEST PAIN HAS GRADUALLY GOTTEN A LITTLE BETTER BUT THE PATIENT STILL DESCRIBES HIS BREATHING AS 'UNUSUAL' AND 'DOESN'T FEEL LIKE IT USUALLY DOSE'. PATIENT'S MOTHER TOOK HIS PULSE AND REPORTS A PULSE RATE OF 60 WHICH IS LOW FOR THE PATIENT. TODAY IS DAY 4 AFTER VACCINATION AND PATIENT STILL REPORTS NOT FEELING EXACTLY RIGHT.

Perimyocarditis- chest pain, worse lying, better sitting, worse with deep inspiration. Troponin elevation to 13.2. diffuse ST elevation in ECG. Normal BNP, ECHO. no arrhythmias. Admitted overnight and discharged the next day.

After patient received COVID Pfizer shot patient went to sit on stool in waiting room. Patient didn't sit on regular chair to sit closer to sister and mom. After a few minutes patient got lightheaded and fainted falling back and to the right, hitting head against wall and blood pressure machine and floor. Mom and sister tried to catch patient during fall. Patient had light shaking for a few seconds before becoming conscious again. I went out and called 911 for paramedics, lifted patient legs up to improve blood flow to head. After a few minutes and after finishing call with 911 had other employees help lift child onto regular chair to sit. Patient got a small bottle of water to drink. Paramedics soon arrived after and evaluated patient. Paramedics determined child fine and mom decided to take child home. Called mom for follow up a few hours later and child doing fine per mom.

13 YOM fainted shortly after vaccination was given. He had a past history with AE (fainted with last flu shot). His father was present and aided in supporting the patient. He was given water and recovered shortly. No other AE were observed and pt reported feeling fine after that time.

Pt. started having unexplained chest pains, shortness of breath, and abdominal issues 3 days after the first dose of the vaccine. They got so bad that he was taken to the ER twice, one of those times was after we had to call 911 because we were very concerned he was having a heart attack

Patient had the vaccine Friday morning (6/4/21). He had typical side effects that afternoon (tired, achy arm). He woke up the next morning, 6/5/21, complaining that his chest hurt (with a stinging. constant pain), his heart was beating rapidly, 102.5 degree fever, and he said it was hard to breathe. I gave him 200mg Ibuprofen and he rested. Symptoms resolved in about 2-3 hours and did not return. I contacted the advice line at, and they set up a video appointment for mid afternoon on that same day, Saturday 6/5. By the time of the visit, symptoms were completely gone. PA recommended he have a Covid test as it was possible those symptoms were from having Covid ( coincidentally and simultaneously). The test was negative.

Day 1 no symptoms Day 2 fever, aches Day 3 headaches Day 4 severe chest pain only - hospitalized until day 6 Diagnosed with Pericarditis

Brief heart pain that he has never complained about before (and it was clear he had not heard about the potential myocarditis side effects). It was, however, very brief and the pain has not returned.

Patient presented with palor to face and lips while waiting in recovery. Jacket was removed with sleeves pulled up. A&O times 3. Patient was placed on floor for safety and air. V/S obtained BP 110/70, HR 93, O2 98% room air. Patient was given cold water with gatorade to drink. Patient finished drink and stated he felt better after 10 mins. Mother and father at child side. No acute distress noted. Extended monitoring done in recovery. Patient ambulated from facility with parents without any difficulty noted.

Patient fainted and fell out of his chair. He hit is head against the wall on his way down. His sister called us over. The patient I was counselling at the register happened to be a nurse. She reached him first and assessed him for breathing and heart rate. He was not bleeding. We placed him in the recovery position. The nurse noticed some firemen in the store and called them over. They did a basic assessment, but not a full write up. After 10-15 minutes, he felt well enough to sit up. He remained seated for another 10-15 minutes. He said his head hurt and was a 4 on a scale of 1-10. I told the patient's father to monitor his headache and if it gets very bad to seek medical attention.

Tightness of chest; Severe headaches; Rashes on skin; Feverish ness; This is a spontaneous report from contactable consumer (patient). A 13-years-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EW0176), via an unspecified route on 04Jun2021 (at the age of 13-years) as dose number unknown, single in the left arm for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient had known allergic to Aspirin and Ibuprofen. 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 05Jun2021 at 13:15, the patient experienced tightness of chest for about 15 minutes. Happened again on 06Jun2021 for 5mins and on 07Jun2021 for about 3 minutes. Also experienced severe headaches, rashes on skin and feverish ness. The patient did not received treatment for events. The events was assessed as serious Life threatening illness. The outcome of the events was recovering. Information on the lot/batch was available, further information has been requested.

After seeing reports of pericarditis/myocarditis, we contacted pediatrician and were advised that it sounded like a textbook reaction; After seeing reports of pericarditis/myocarditis, we contacted pediatrician and were advised that it sounded like a textbook reaction; Patient started complaining of chest pain on 4th day following 2nd vaccination. Pain made worse by certain movements. (like leaning forward to pick something up.) It didn't bother him enough to seek; This is a spontaneous report from a contactable consumer (patient). A 13-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), solution for injection: Lot/Batch number: EW0178,) via an unspecified route of administration on 03Jun2021 at 03:30 pm (age at vaccination: 13 years) on the right arm as single dose for COVID-19 immunisation at Pharmacy or Drug Store. Medical history and concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), solution for injection: Lot/Batch number: EW0185) via an unspecified route of administration on 13May2021 at 12:00 pm on the right arm as single dose for COVID-19 immunisation. On 4th day following the 2nd vaccination on 07Jun2021, the patient started complaining of chest pain. The patient stated that the Pain was made worse by certain movements (like leaning forward to pick something up). The patient stated that the chest pain didn't bother him enough to seek medical care and gradually resolved without treatment by 8th day. After seeing reports of pericarditis/myocarditis, the patient contacted pediatrician and was advised that it sounded like a textbook reaction and that we should report it here. The patient stated that he will have a checkup next week. Device Date was reported as 11Jun2021. The case was considered as serious (medically significant). The patient did not receive any treatment for the events. The outcome of the events was resolved Follow up needed, further information has been requested.

Chest pain (achy, severe) with radiation to the left arm, chills, sweating, subjective fever, cough. Patient is a 13 year old male with a history of a neck dislocation who currently presents with 2 days of chest pain after receiving the second COVID-19 vaccine. His first vaccine was on June 2, 2021. He tolerated that vaccine well except for some mild left arm pain where he received the vaccine. The second dose was on 6/24/2021 around 3 pm. He felt well that first day, but on 6/25/2021 he started to have achy chest pain when trying to go to sleep. The pain radiated to the left arm and severe. It was worse when lying flat. It prevented him from falling asleep at night. The following day he did okay and went about his normal day. He even was able to play basketball (mostly shooting) and had to play with only his right arm because of pain in the left arm. Last night he again started to feel the achy chest pain with radiation to the left arm thus came to the hospital for evaluation. He states that the pain is associated with chills/sweating, subjective fever, and a cough. Denies any shortness of breath, headache, lightheadedness, dizziness, changes in appetite, nausea, vomiting, diarrhea, muscle aches, or swelling of extremities/face.

My son received his second shot on June 26 10 AM, 8:45 AM the next morning fainted in his bedroom. Pediatrician recommended hospital visit. He was fine but dehydrated. Almost fainted a second time at the hospital. After IV fluids he was much better. Monitoring things now.

Received vaccine in clinic room. Eight minutes after receiving COVID-PFE vaccine, patient complained he was ready to go and felt drowsy. The temperature did seem warm in the clinic room, so I escorted them 30 feet to the lobby. As the patient passed through the door to the lobby, his gait, he seemed to lose his ability to remain upright and started to collapse. I was able to catch him prior to hitting the floor. He never lost consciousness, but we moved him into a clinic room to evaluate and further monitor him. His blood pressure was a little low initially at 110/50, but came up to 112/60 (closer to his normal) after five to ten minutes. His pulse was strong and regular. We gave him a cool, wet compress to the forehead, cool water to drink, and chocolate candy. He was able to answer questions appropriately. We monitored him for another 30 minutes before releasing him. His mother was present with him and is a nurse practitioner. I called the Mom on 6/22/21 (the day after the event). She (Mom) reports the patient went home, laid down for about 45 minutes, then played video games. I recommend she considers getting the second dose at either Hospital, so that a higher level of care is available if needed.

Date of Admission: 6/19/2021 Date of Death: 6/20/2021 Primary Care Physician: No primary care provider on file. REASON FOR ADMISSION: Patient is a 13-year-old previously healthy male who was admitted after out-of-hospital cardiac arrest with ROSC after CPR for 15 minutes in the field, found to be in the context of large cerebellar hemorrhage secondary to brain lesion (AVM vs tumor). BRIEF SUMMARY OF HOSPITALIZATION: Patient was intubated prior to arrival to the ED. Upon arrival he was started on epinephrine and norepinephrine drips to maintain perfusion and was administered bicarbonate x2. Head CTA was obtained and was notable for midbrain hemorrhage and tonsillar herniation, and no contrast enhanced blood flow in the brain. Brain death exams were completed at 09:59 and 14:20. APNEA test was performed at 13:30, which is the official time of brain death. Official cause of death was brainstem herniation from intracranial hemorrhage. Mechanical ventilation was continued to allow family time to grieve and perform last rites. Time of cardiac death after mechanical ventilation withdrawal was 18:36. HOSPITAL COURSE BY PROBLEM: FEN/Renal/Endo: #Central DI He received 1.5 L of normal saline bolus in the ED and an additional 3 L of ringers lactate bolus overnight in the ICU to maintain perfusion and decrease heart rate. His sodium was 141 upon presentation but reached a maximum of 160 due to central diabetes insipidus. He was started on 0.45% normal saline at 100 mL/hr to improve hypernatremia, which was monitored Q1h until normonatremic. He additionally required vasopressin drip to be started due to central DI, which was increased to a maximum of 20 mU/kg/hr. CV: At time of admission, epinephrine was running at 0.1 mcg/kg/min and norepinephrine was 0.1 mcg/kg/hr. Norepinephrine was increased shortly thereafter to 0.12 mcg/kg/min. In the morning after admission, he had tachycardia to the 190s, which appeared to be narrow complex. Epinephrine and norepinephrine were discontinued. Two doses of adenosine were administered (6 mg first dose, 12 mg second dose) due to suspected SVT. The rate decreased for ~4 seconds after the second dose however returned to ~180. EKG arrived which showed sinus tachycardia so no further medications or cardiac interventions were done. Fluid rates were increased to 2x MIVF rate and additional 500 mL bolus of LR was administered. Norepinephrine and epinephrine were restarted and escalated due to low blood pressures in the early afternoon.to allow family time with patient. Both titrated to effect. Pulm: Patient was mechanically ventilated to achieve normal pH, normocarbia, and high arterial oxygen tension per brain death protocol. He had no primary pulmonary disease during this admission. Neuro: #Intraparenchymal hemorrhage #Tonsillar herniation Neurosurgery was consulted. Mannitol x1 and hypertonic saline 23% x1 were administered to decrease intracranial pressures. Keppra 2g was administered for seizure prophylaxis. No sedation was needed during patient's hospitalization. PERTINENT STUDIES & CONSULTS: Pediatric neurology Neurosurgery PENDING TESTS RESULTS: None RECOMMENDATIONS AND FOLLOWUP: None No future appointments. PHYSICAL EXAMINATION: BP 108/78 | Pulse (!) 144 | Temp 36.5 °C (97.7 °F) | Resp (!) 15 | Ht 1.65 m (5' 4.96") | Wt 46.5 kg (102 lb 8.2 oz) | SpO2 99% | BMI 17.08 kg/m² Estimated body mass index is 17.08 kg/m² as calculated from the following: Height as of this encounter: 1.65 m (5' 4.96"). Weight as of this encounter: 46.5 kg (102 lb 8.2 oz). ALLERGIES No Known Drug Allergies

Patient experienced syncope symptoms after co-administration of Pfizer covid-19 vaccine and Boostrix. It took about 25 minutes for patient to recovered.

10 days after second dose, developed illness which has included cough, shortness of breath, and chest pain, followed by polyarthritis (knees, elbow) and polyarthralgias (multiple joints).

blood pressure 127/90; heart rate of 111; Felt weird; headache; his arm had swelling and redness/Right arm, swelling, redness, rash, bump, at injection site, after second vaccine; his arm had swelling and redness/Right arm, swelling, redness, rash, bump, at injection site, after second vaccine; his arm had swelling and redness/Right arm, swelling, redness, rash, bump, at injection site, after second vaccine; This is a spontaneous report received from a contactable consumer (patient's mother). A 13-years-old male patient received BNT162B2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number and Expiration date and NDC number was unknown), via an unspecified route of administration, administered in right arm on 09Jun2021 around 18:00 hours as dose 2, single (at the age of 13-years-old) for covid-19 immunisation. Medical history included ongoing attention deficit disorder (was in fourth grade, around 4 years ago) and patient's sister also has autism spectrum and attention deficit hyperactivity disorder (ADHD) and patient had seasonal allergy from an unknown date and unknown if ongoing. Patient had no prior vaccinations (within 4 weeks). Patient received no additional vaccines administered on same date of the Pfizer suspect. Concomitant medication(s) included atomoxetine hydrochloride (HCl) (was in fourth grade, around 4 years ago) taken for attention deficit disorder from an unspecified start date and ongoing; guanfacine HCl extended release (was around 3 years ago) taken for an unknown indication, from an unspecified start date and ongoing; montelukast (about 4 and a half years ago) taken for preventing seasonal allergies, from an unspecified start date and ongoing. The patient received first dose of BNT162B2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number and Expiration date and NDC number was unknown), via an unspecified route of administration, administered in left arm on 18May2021 (in the afternoon) as dose 1, single (at the age of 13-years-old) for covid-19 immunisation and was good after that. Mother stated that doctor, did not want patient to get the Covid vaccine. On 09Jun2021around 18:00 hours, patient had the second dose, and he was good for a few hours, but around 21:30 or 22:00 hours, patient started having a headache that night and headache was on and off. On 10Jun2021 (the next day), when patient woke up, he felt alright, but in the middle of the day around 15:00 hours, his blood pressure was 127/90 and his heart rate was 111 and he was feeling weird and needed to lay down and on the same day around 23:00 hours, events resolved completely. On Jun2021 (5 days after the vaccine), patient had local redness, where the vaccine was injected and also had a little bump/right arm, swelling, redness, rash, bump, at injection site and after he went out in the sun and went outside, the redness was circling his arm. Mother stated that patient did not tell her and then by Friday (11Jun2021), patient had a red rash, and she gave him antihistamine pills and pills helped a somewhat. Mother was not sure if the rash was from the heat or the sun. On 14Jun2021 in the morning, around 10:00 or 11:00 hours, patient had a big red circle, on his arm and it was persisting. Patient had no emergency room and physician office visit. No relevant tests were performed. The patient had not recovered from his arm had swelling and redness/Right arm, swelling, redness, rash, bump, at injection site, after second vaccine and recovered from other events. Information on Lot/Batch number has been requested.

Myocarditis; Heart enzymes were elevated; Chest pains; This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A 13-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EW0180) via an unspecified route of administration administered in left arm on 04Jun2021 at 09:45 am (at the age of 13-years-old) as dose 2, single for COVID-19 immunization. The patient medical history was none, had no known allergies and had no concomitant medications received within 2 weeks of vaccination. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EW0179) on 14May2021 at 09:45 am as dose 1 single for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 05Jun2021, the patient experienced chest pains that started Saturday night and admitted to hospital on 06Jun2021. Patient was diagnosed with Myocarditis which was a directly linked to the vaccine and heart enzymes were elevated. The patient underwent lab tests and procedures which included myocardial necrosis marker elevated on 06Jun2021, sars-cov-2 test: negative on 06Jun2021 Nasal Swab post vaccination. The reporter considered the events as serious with seriousness criteria resulted in emergency room/department or urgent care and 4 days in Hospitalization. Therapeutic measures were taken as a result of events with IVIG (Intravenous immunoglobulin). The outcome of events was recovering. No follow-up attempts are needed. No further information is expected

Patient became light headed and nearly passed out. Patient also vomitted twice. Patient was weak and feeling warm and clammy for about 15 minutes.

Intermittent chest pain and right trunk/axillary pain. Was seen by primary doctor and presents to the ER for chest pain to r/o cardiomyopathy. EKG, labs, cxr ordered

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: pt passed out for less than 1 min after administration. mother was advised to report to md office for follow up and to recieve 2nd dose

While on vacation my son experienced fever, mucus discharge developed a lot of allergies, felt sick on or around 06-16-2021. He also experienced sore throat, mucus discharge and cough and phlegm which lasted about three days. Then on 06-29-2021 he started again with fever, chills, sore throat. He also got tested for covid but was negative on 07-01-2021 with a different doctor. His heart palpitations were high, his heart palpitations were 120bpm. Today he feels better, and his heart palpitations were 105bpm yesterday. As far of today, he still has a cough that comes and goes today and mucus discharge. His doctor also said he does not have any infection. His heart palpitations today are 103bpm.

Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe

Pt has developed severe myocarditis and heart failure requiring ECMO. Reported by parents to have gotten the pfizer COVID vaccine ~2 weeks prior. Card not available at the time of this filling but will ask them to get it if possible, given critical illness. We are looking into other etiologies of myocarditis as well. Has only received 1 dose of the vaccine and 2 weeks following seems to be a bit out of the range of usual but no other reported illness

After vaccine administration, patient sat back and fainted. He was out for under one minute but had multiple tremors.

He was awakened at 4 AM with what he described as ?stabbing and burning chest pains.? They were intermittent.

15:08 - Attendee received second dose Pfizer vaccine in the left arm. Lot# ER8734. Attendee was directed to observation area. 15:10 – Attendee voiced complaints of dizziness and darkened vision. Attendee's skin was pale and clammy. Attendee denied that anything like this had ever happened to him before. Attendee assisted to the cot to lie down. 911 called. HR: 96 BP: 100/59 RR: 24 O2Sat%: 96 15:15 – EMS arrived. Attendee's brother who had come with him, called their mother. 15:22 - Attendee symptoms had not changed. EMS caring for attendee. HR: 92 BP: 108/70 RR: 24 O2Sat%: 98

heart beat little bit fast/at this point he is on 119 and he is on he is been risking all day; This is a spontaneous report received from a contactable consumer (patient's parent). A 13-year-old adolescent male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported), Solution for injection, via an unspecified route of administration on 19Jun2021 (at the age of 13-year-old) as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient's historic vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported) received on 28May2021 (at the age of 12-year-old) for covid-19 immunisation. On 20Jun2021, the patient experienced heart beat little bit fast/at this point he was on 119 and he had been risking all day. It was reported that patient was 13 years old just yesterday, he had the second dose of Pfizer for COVID and today he had been feeling the little bit like a with a heartbeat little bit fast. Heartbeat rate was checked and on the day of this report (reported as this afternoon) with 109 and then just checked again increased to 116, so for somebody on his age the range should be in between the 60 and 100 and at this point he was on 119 and he had been risking all day. The patient underwent laboratory tests and procedures which included heart rate: 109 on 20Jun2021 and heart rate: 116 on 20Jun2021. The outcome of event was reported as not re-solved. Information on the lot/batch number had been requested.

Developed dizziness and fever the morning following vaccination followed by chest pain around 48 hours after vaccination. Presented to outside urgent care where pt noted to have elevated troponin >10, prompting transfer to ED. and admission for myocarditis. Symptoms improved over next several days and chest pain was well controlled with ibuprofen and tylenol.

myocarditis; fever; ache; lethargy; This is a spontaneous report from a contactable consumer (patient's grandfather). A 13-year-old male patient received bnt162b2 (BNT162B2), first single dose and second single dose, both via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) for covid-19 immunisation at age of 13-year-old. Medical history concomitant medications were none. Caller stated that he was inquiring for his 13 years old grandson who was very healthy, active, athletic, on no medications, and with no medical problems. He went on to report that when he received the first dose of the vaccine he had a very strong response to it that included; fever, ache, lethargy, and more. When he had the second dose he had a very similar reaction but worse. He stated that the doctors were thinking that his symptoms could be related to possible myocarditis. The caller explained he was encouraged to call by the pediatrician. The caller reported that his grandson just had his second dose of the Pfizer vaccine and with both doses he had, not a terrible one, but a reaction after both doses. His grandson was not on other medications or had any chronic conditions or acute conditions, he was healthy. Outcome of the events was unknown. Information about batch/ lot number has been requested.

13 year old who received his second Pfizer COVID vaccine on July 3, 2021 (3 days ago). He describes a low grade fever on the day after the vaccine which did not initially concern him. He presented to the ER yesterday with complaints of midsternal chest pain and shortness of breath and a vague history of palpitations that started yesterday morning and continued to progress over the day. The chest pain did not vary with position and was not aggravated with respiratory effort. He had an elevated troponin and CRP and was admitted for management/observation. His chest pain has resolved since starting Ibuprofen (600 mg q 6 hours). Serial troponins peaked at 22.9, now trending downward. Notable changes on serial EKG's with resolving ST segment elevation and T wave inversion. The echocardiogram showed low normal LV function but was otherwise normal. PT presentation is consistent with the newly recognized post Covid vaccine myocarditis in adolescent males. Timing of the chest pain in relation to the vaccine, EKG and echo findings and elevated troponins all support the presumed diagnosis of myocarditis. He met the criteria for a cardiac MRI to be obtained prior to discharge- results pending.

Chest pain which stared a few days after receiving 2nd dose vaccine and has persisted with activity. EKG was normal without any ST segment changes. Echocardiogram is normal. Will consider exercise stress test in 3 months

5 minutes after administration pt returned to clinic with a nose bleed. states he has had nose bleeds before but none in past 6 mos. he did say he had been having some nasal congestion recently so unsure if related. no other medications he has been taking. no intervention wad needed. pts nose stopped bleeding by the time he returned to the clinic to be evaluated

Myocarditis; This is a spontaneous report from a contactable physician. A 13-year-old male patient received second dose of bnt162b2 ((PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, lot number: EW0185, Expiration date: Unknown), via an unspecified route of administration in an unspecified anatomical location on 18Jun2021 (at the age of 13-year-old), as single dose for COVID-19 immunisation. Medical history reported as none. The patient had no known allergies. The patient had no COVID prior vaccination. The patient's concomitant medications were not reported. The patient previously received the first dose of bnt162b2 ((PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, lot number: EW0185, Expiration date: Unknown), via an unspecified route of administration in an unspecified anatomical location on 27May2021 (at the age of 13-year-old), as single dose for COVID-19 immunisation. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and did not receive other medications within 2 weeks of vaccination. Patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination the patient was tested for COVID-19 with PCR with nasal swab: negative on 20Jun2021. On 20Jun2021, the patient experienced myocarditis. The patient was hospitalized for 3 days and hospitalization was prolonged as a result of the event. The patient underwent lab tests and procedures which included PCR with nasal swab: negative on 20Jun2021. Patient received treatment for event with IVIG and pulse of corticosteroids. The outcome of event was resolved on an unspecified date in Jun2021.; Sender's Comments: As there is temporal relationship in the case provided, the causal association between the event Myocarditis and the suspect drug 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 RAs, Ethics Committees, and Investigators, as appropriate.

Patient fainted after shot. patient was alert and back to normal after a couple minutes. we call for ems and patient was checked out. the mother opted out of further treatment

5-10 minutes following administration of Pfizer Covid vaccine, patient ( 13 year old) complained of light headedness and the inability to hear with ringing in his ears and diaphoretic. Patient did not have any complaints of difficulty breathing. Patient became pale and lowered to floor with feet elevated. Blood pressure taken by RN at that 9:30 was 89/60 with HR at 60. Nurse was initiated and arrived at the clinic for assessment. Observation was continued with the ER team present. Blood pressure at 9:36 was 108/60 and then again at 9/40 was 100/68. Patient did state his symptoms improved and was transported to the ER via the ER team for continued monitoring with mother and his sister. Report given to ER Nurse.

1009: appeared diaphoretic pale and faint, vomited. 1012 B/P 98/60 02 sat 97, assisted to floor, elevated lower extremities 1015 102/74, pulse 85, sitting up, states feeling better, father at side. 1030 117/73, pulse 85, sitting up in chair, no c/o AO x3 no n/v. 1036 left with father, declined further medical attention. Advised to f/u with pediatrician.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: CALLED EMS PATIENT WAS ATTENDED TO BY EMS

Systemic: Dizziness / Lightheadness-Mild, Systemic: Hypotension-Mild, Systemic: Weakness-Mild, Additional Details: Occurred about 2 minutes post injection. Patient felt dizzy and couldn't walk. Paramedics were called, but mother did not feel patient needed emergency service and will be monitoring her son at home. Called 2 hours afterwards, and mother reported son is feeling much better.

Immediately after receiving this vaccine the patient felt weak and lethargic. They lost balance and fell on floor and lost consciousness for a few minutes. After a couple of minutes they gained consciousness and recovered.

Systemic: Chills-Medium, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Additional Details: The patient felt dizzy about 3 minutes after receiving vaccine (after walking and sitting in observation area). Pharmacist ran out and caught patient as he lost consciousness and the patient was not injured. Patient regained consciousness after ~10 seconds. Pharmacist and Technician helped patient to lay on the floor and elevated feet. Vitals taken every 5 minutes. Lowest BP reading was 98/60. Patient offered water and drank some. Patient laid down for ~25 minutes, BP came up to 116/84.

On Friday he stayed in bed all day with body aches, joints pains, fever 102. Then on Saturday he got up out of bed with complaints of chest discomfort (felt as if someone had punched him in the chest). On Sunday around 12:30 am he was still exp chest pain he was taken to Hospital. He got EKG around 1:45 am by that time he wasn't exp chest pains. Since early Sunday morning he hasn't had any chest pains starting to gradually feel better. On Monday he was able to do he normal routine.

He woke up with chest pain in the upper right quadrant at midnight and then it intensified when he was breathing deep breaths. They woke him up when he was sleeping and did not go away. Then, it continued through the next day and we asked our doctor if we needed to keep an eye on him because of all the reporting and stuff about the heart problems. They did a triage consult visit to see if it could be an adverse event from the vaccine. The course of action was to take 2 ibuprofen every 4 hours and use ice and heat to see if the pain improved to rule out musculoskeletal situations because that was what they thought it was. We did that for 2 days and then the pain moved to his back upper right quadrant and we noticed a rash all over his abdomen and we were not sure where he got that. Based on the fact that the pain moved the doctor was more confident that it was not an adverse event.

Client received HPV & Pfizer vaccine during immunization clinic @ 0830. Client was in observation area when he started c/o nausea. He had one vomiting episode, per RN. He was given an ice pack, blue emesis bag, water, and fan for supportive measures. He was in the observation area w/ his grandmother & sister. At approximately 0900, he reported feeling better and walked out of the clinic with his grandmother. EMS was not called. Client had vasovagal reaction.

shortly after receiving his second Pfizer shot in the left arm, he was sitting outside the pharmacy waiting the required 15 minutes with his mother and said that he felt like he was "trying harder to breathe" and said his heart started beating faster. We asked about any other symptoms he was having and said he felt like his chest was heavier. I gave him a dose of Benadryl and told him he could take his mask off so it would be easier to breathe and told him to stay here for longer until he started to feel better and to let us know if he feels any different. after another 20 minutes he said he was feeling better and didn't have either of those symptoms anymore. We counseled on other symptoms to look out for and to let us know if anything else happens and to contact urgent care or his md if anything else happens. especially breathing issues. He left a few minutes later saying he was feeling better.

Mid sternal chest pain on 7/13/21 after the 2nd dose of COVID vaccine ( 7/9/21), symptom last for 1 hr, spontaneous resolved. hx of shortness of breath at night on 7/10, completely resolved the next morning. headache and muscle aching after vaccination on 7/9/21, last for 3 days. no palpitation. he is seen in office on 7/13/21 due to hx of chest pain in the morning, no current chest pain/symptoms, normal CVS exam, normal EKG. Elevated troponin I/ESR/CRP and normal CBC Troponin I 1.92 ( 0.00-0.04) , ESR 20 ( <15), CRP 3.3 ( <0.9) he again seen in ER the same day for abnormal troponin I results, recheck EKG normal., troponin down to 1.73 he was seen in pediatric cardiology clinic on 7/14/21, troponin 0.68, normal EKG and normal echocardiogram. his symptoms self resolves without medical intervention.

1707- Patient in observation area and vomited on floor. Emesis white. Mask removed. Patient's lips appeared pale. Communicare team called for assistance. BP 128/88, HR 111, O2 sat 97%. Patient denies headache or dizziness. Denies further nausea. Reports feeling 'anxious'. Patient offered juice. 1711- HR 104,O2 sat 99%, RR 18. denies nausea, continues to report anxiety, patient sipping juice. 1718- Lips and skin pink and dry, denies further nausea. BP 118/82 HR 100, O2 sat 98%. Patient reports feeling better. 1720- HR 100, O2 sat 99%. Denies dizziness. Communicare provider discussed with family that reaction likely from being nervous and that he would 'do fine with his next shot". 1728- HR 100, ambulated to private vehicle with parent and this provider. HR after ambulation 104, no dizziness, O2 sat 99%. ER precautions reviewed via interpreter. Father stated understanding.

History of Present Illness: 13y/o male with no significant past medical history or allergies reports nausea following receipt of first dose Pfizer vaccine today. He reports associated pre-syncopal sensation, palpitations and minimal difficulty with swallowing. He denies shortness of breath, chest pain, swelling/numbness of the lips and tongue, vomiting, injection site pain/redness or rash. Physical Exam: VS- HR ~110 VS #2: taken by paramedic reportedly within normal limits and normal sinus rhythm Inspection: no redness, swelling or pain at injection site; no rashes. No tongue/lip swelling. Heart: increased rate, regular rhythm; radial pulse strong with increased rate Lungs: clear to auscultation bilaterally without adventitious sounds Plan: Patient was also evaluated by paramedics. After ~30min, the patient reported cessation of symptoms and was feeling much better. Paramedic informed patient and mother that he can be transported by ambulance to hospital or decline services. The mother and patient elected to decline transportation via ambulance to hospital as he was feeling much better. Patient and family left the site after his symptoms resolved.

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

sweaty; heart rate became rapid; not to feel well; his arms and legs got tingly; This is a spontaneous report from a contactable consumer. This consumer (patients Grandmother) reported for a 13-year-old male patient (reporters Grandson) that he received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot number: EW0181 and Expiry date was not reported) via an unspecified route of administration in the right arm on 30Jun2021 (age at vaccination was 13-year-old) as a single dose for COVID-19 immunisation. Medical history was not reported. Concomitant medications were not reported. On 30Jun2021 reporter stated on behalf of her 13-year-old grandson who received the Pfizer COVID-19 vaccine yesterday and did not experience any side effects until 7 pm that night when he went to an exercise class. She states that he started not to feel well, and his arms and legs got tingly, he became sweaty and rapid heartbeat for a short period of time. She states that by the time he got home he was feeling better. The patient took couple of tylenol and went to sleep and seem to be fine. Unspecified treatment received for the events. The outcome of the events was recovered on an unspecified date in 2021. Follow up information has been requested.

A family of three came to get the COVID vaccination on 07/18/2021 at 3.30pm. Pt , the 13 year old boy, had the vaccine at about 3.55pm. After the vaccine he was advised to sit for 15 minutes after the IMZ for observation. While I was administering a vaccine to another patient, his dad came running and said his son had a reaction and is having a hard time breathing. Right away I went out to check his condition and found that he was pale and was struggling to breathe lying on the floor. I told my technicians to call 911 and notify the store management . I knew it was time to administer the Epipen and I told his father I will administer it. I administered one Epipen at 4.08 pm, recorded the time and waited for the emergency personnel to show up . After the Epipen was administered Pt's situation became better . The emergency personnel took him out to monitor his vitals.

We had a preventative EKG completed on 6/26/21 for a baseline before the vaccine as a precaution and I am happy to make these available to you. Vaccine was 7/3/21. Patient started having body chills within 24-48 hours after the shot. He still has daily chills as of 7/20/21. Starting 7/13/21 Patient complained of chest tightness and "pain", localized around the center of his chest and a little below. He has seasonal allergies, including a cough that started acting up 7/11/21. The location of pain and description is significantly different than his normal allergy symptoms. Pain and tightness occurred with stationary activities and would come/go, regardless of whether he just coughed. He still has chest pain and occasional tightness as of 7/20/21. No breathing issues, fever, or other symptoms.

Pfizer COVID-19 Vaccine EUA: Myopericarditis Patient reported receiving 2nd Pfizer COVID vaccine on 7/16/21. On 7/17/21 patient started experiencing chest pain and presented to the Medical Center on 7/19/2021. Patient was then transferred to another hospital.

Patient's symptoms were very painful chest pains. He felt like his chest was on fire, especially around his heart.

Presented with pressure-like chest pain, elevated troponins and diffuse ST elevations on EKG consistent with perimyocarditis. Troponins continue to up-trend during first day of admission (highest ~15). Started on scheduled ibuprofen for pain and inflammation. Pain resolved by day 2 of admission and troponins were down-trending. Echo with normal biventricular function. Discharged home on ibuprofen PRN and cardiology follow-up.

Patient received his second dose of covid vaccine on 07/12/21. He seemed fine and left our immunization area. Approximately 5 minutes later, his brother came back to the pharmacy to inform us that the patient was sitting down near the restrooms and not feeling well. I, along with another pharmacist, went to assess him. He said he was lightheaded and was feeling nauseous. We sat with him for approximately 10 minutes and checked his blood pressure twice. His blood pressure was high the first time we took it, but it returned to normal after a few minutes when we took it the second time. We subsequently found out from his mother that he fell/fainted in the restroom due to his dizziness. He was unhurt from the fall. After approximately 10 minutes he said he was feeling fine and was able to continue shopping with his mother.

Following vaccination, patient experienced syncope episode and fell to floor. He regained consciousness very quickly but felt dizzy and nauseous for a little longer. Observed patient and he was feeling better prior to leaving pharmacy.

it was a vasovagal response, pt was caught by his sister in the counseling room. Grad intern was giving the shot under rph supervision after he received the shot he stood up and was waiting, then his sister caught him and grad intern made him lie down on the floor with his feet up for a few minutes until it passed while his mother was in the room. The pt stayed in the waiting area for 20 minutes and he was able to walk up on his own and said he was feeling better.

idiopatic syncope, patient fainted immediately after injections awoke in about 15 seconds was weak and a little unstable we called 911 at moms request, paramedic concurred with a diagnosis of ipiopathic syncope

fainted a few seconds after injection. mother stayed with him. recovered after a few seconds was nausous. gave water. ems came. said his pressure was low . they took him away for precaution. was alert and coherent when he left.

About 1-2 minutes after giving vaccination the patient fainted while sitting in the chair. We laid him on the floor. He was feeling light-headed, hot, and achy all over. He felt better after several minutes with a cold pack and had some water to drink. The paramedics were called to check him out. He was able to sit and stand and left after about another 15 minutes.

Patient became very faint and nauseous 5-10 minutes after receiving the Pfizer COVID vaccine along with his brother. When supplied with a bucket, paper towels, and a cold compress pack, patient's brother began to vomit . Patient may have also passed out during this time period. The store manager was contacted and emergency medical services were also contacted due to severity of the reaction. the patient was taken to a local medical facility as of the writing of this report.

Patient lost consciousness for a few seconds, turned pale, and was put in a wheel chair. Patient offered ambulance. Moved to private room and laid down on crash pad. (13:25)HR - 86 / R-14 / BP - 118/74. (13:26) more alert talking, oriented, pale, color improved. (13:29) - HR-94 Psox - 98% - BP-115/75. (13:43) - patient sat up and vital signs measured - HR - 92 / BP - 127/86. (13:53) vitals BP -128/82 - HR-90 / Psox- 98% (14:01) Standing BP - 109/86 - HR-92 / O2 Sat- 99%. Dad went to pick up car. Patient standing and walking without problem . Parents declined EMS, stating patient had had similar episode in the past.

Rapid fast rate for about 7 hours starting at 1:00am the day after vaccine dose 7/23/21. . has been experiencing milder episodes of fast heart racing about 2-3 times a day on 7/23,7/24/,7/25, and once today 7/26 Shortness of breath (started at 1:00am, felt better around 10:00am) has experienced once more on 7/24 shortness of breath Chest pain left side started at 6:00am on 7/23/21 and lasted for one day Nausea (zofran was given at emergency to treat his nausea) Tiredness still until today 7/26/21

Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Chills-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Medium, Additional Details: Patient fainted shortly after receiving dose one of Pfizer vaccine. Parmedics came, and monitored vitals. They felt his faining was the result of a Vagal nerve response. His mom later explained he often is nervous about needles, receiving shots. I spoke with mom and dad, and let them know I'd be reaching out later in day to check on Patient and submitting the VARES,

He woke up with a lot of chest pain; It was a burning sensation and he did not feel okay; He feels weak; He's got a sore throat; This is a spontaneous report from a contactable consumer (patient's parent). A 13-year-old adolescent male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 20May2021(at the age of 13 years old) as Dose number Unknown, Single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On a unspecified date in May2021, reported as, four days ago my son received the Pfizer Covid 19 vaccine. This morning he woke up with a lot of chest pain, he said it was a burning sensation and he did not feel okay. He feels weak, he's got a sore throat and chest pain. It was also reported his chest started hurting. Outcome of the events were Unknown. Information on the lot/batch number has been requested.

Patient was a 13 y/o who presented at center with his mother at 9:15 am for vaccination. Mom confirmed pt has several food allergies which include nuts and shellfish. Pt received the covid-19 Pfizer vaccine on the right arm . The patient leaned back on the chair shaking, pale. Mother administered EpiPen @0923, 0.3mg. Pt opened his eyes talking, HR 80-86, RR 24. Patient was encouraged to drink cold water. 911 call ambulance on the way.0930 ambulance arrived patient pink/pale 02 sats. 80s, sats. rechecked on thumb 02 sats. 98.Squard arrived. reports given to them, pediatric 02 monitors applied 02 was 98%, oxygen applied, BP within normal limits. About 9:38 patient was put on the stretcher in the company of mother to Emergency Department.

Systemic: Fainting / Unresponsive-Medium, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Pt informed to sit after receiving vaccine mom walked away then pt got up and started walking and passed out in aisle walking to mom and scraped his elbow. pt seated and had something to drink, felt dizzy and felt vision was blurry upon awake. Informed mom we could call paramedics but mom felt he was okay. Observed for 30 min after fainting incident, felt much better, vision no longer was a problem and no longer light headed. Mom told to call Dr. in case pt hit head, said to observe him

3 days after1st dose of Pfizer vaccine patient had sudden onset of sharp chest pain with strength of 6/10 along with sensation of something pressing on chest. Parent called office and was instructed by the medical assistant on duty to go to ER immediately. Parent verbalized understanding. The next day the office heard that patient did not go to ER but that pain had fully resolved after 24 hours. No remaining chest pain or discomfort reported. I as the medical provider was not aware of incident until patient came into the office 7/29/21 for acute viral pharyngitis unrelated to the vaccine. Heart sounds were regular with no concerning sounds or rhythm noted. Patient has had no recurrence of chest pain since 6/13/21 reportedly. Denies any shortness of breath at time of episode or since. Patient no-showed 2nd Pfizer vaccine appointment and has only received 1 dose of the Pfizer COVID vaccine.

Following Covid vaccine on 6/30, Patient has significant fatigue. This has continued for the last month and continues today. Pt has some days that are better with less fatigue, however notable fatigue with falling asleep for extended periods of time is noted. Pt at one point slept 21/24 hours in the day. Pt is pale with no other symptoms or findings.

Patient was vaccinated at 1:02 and within 5 minutes of been vaccinated, patient started complaining of headache and thirst but denies palpitation or difficulty breathing. O2 sat 98% on room air, HR 128. Although patient was alert and oriented to person, place and event, his speech was slightly slurred and he was pale, Vital signs O2 sat 98% on room air, HR 76, BP 132/70. Patient was injected with 0.15 mg of Epi at 1:10 Pm on the right thigh and again at 1:15 pm on the left thigh. At 1:20 pm patient was still oriented to person, place and event and was able to do serial math. Patient was still pale when the ambulance arrived, O2 sat remained at 98% on room air and patient was taken to the ER for observation.

Near syncope. Monitored in clinic. Vitals stable. Self-resolved after 5 minutes. Monitored for 30 minutes

Fainting, patient fainted after administration and was being monitored for 30 minutes sitting down in our pharmacy.

14 year old male pt presented with syncope episode upon walking from vaccination room to the observation area, LOC for 2-4 seconds, pt placed in supine position with elevated feet, woke up immediately. Pt did not hit head and was assisted to into wheelchair and place on cot. 2:25pm vitals: BP 66/48 P 92 SpO2 98 on RA. Pt history obtained from father, no history of allergies but does have needle related anxiety. Pt supine with feet elevated, ate bag of chips, juice box and water. VS at 2:33 BP 98/65 P 65 when sitting. Pt ambulated, alert and oriented x3, and final VS at 2:38 at BP 94/62 P 76.

PATIENT FAINTED . He has an history of fainting according to grandmother. he was sweaty and pale. paramedic came and his blood pressure was 120/70 heart rate 70. no problem now

Patient verbalized dizziness and tunnel hearing. RN noted patient diaphoretic w/face pallor. Safely placed patient on the floor and elevated legs on a chair. O2 97-99%RA and HR 70-80. Patient A/Ox4. RN provided and encouraged small sips of juice and snack (cracker); continued to observe the patient for additional 15minutes. Patient back to baseline/normal. The patient left the observation site accompanied by his mother in stable condition.

Adverse event: RN called to vehicle by father who was yelling for help. Once RN arrived at vehicle opened passenger door to find patient fluttering eyes after father stated he had just passed out. Patient was clammy, pale, and diaphoretic. RN advised patient to take slow deep breaths. Patient followed instructions, stated his name and said he felt 'funny'. Pulse taken and was HR 58. Then vehicle was moved to the side and vital signs were taken at 1301. BP 82/42, HR 80, RR 13. Patient was alert, oriented and answered questions appropriately. Treatments: RN and Charge RN present and spoke to both Father and patient about potential contributing factors to episode. Patient given water and gatorade. Able to finish bottle of gatorade and stated his symptoms had improved. Second set of vitals taken at 1324. BP 116/72, HR 82, RR 16. Patient also stated he had a banana for breakfast. Advised patient to stay hydrated, eat lunch, and rest. Advised father to reach out to pediatrician if any further events or questions about today event

After the shot was given, patient blacked out a for a few seconds and then became alert again. Pt just sat in the pharmacy for another 15 minutes or so before leaving and making sure he was fine before he left. Pt's mother was with him during in the vaccination room and kept the patient company during the whole recovery period.

Patient is a 14 YO male with no previous medical history that received the Pfizer vaccine administered into his left Deltoid at 1406. He was sent to the observation area where the nurse noted him looking pale at 1410. His mother was present during this whole event. He was taken over to the medical tent for privacy and further evaluation. He was complaining of being light headed. He was given apple juice and crackers as he had stated that he had not eaten or drank anything all day. At 1430 his VS read BP 132/80, HR 145, O2 99%. At this time he was lying down and feet elevated, shaking, pale, and cold. Lung sounds clear. Nausea but not needing to throw up he was covered up to try and keep him warm. At 1440 his blood pressure was 130/82, HR 130, 02 98% At this time he was lying flat with feet elevated, shaking, pale, and cold. His lung sounds clear. Nausea, but not needing to throw up. At 1450 BP 138/74, HR 120-135, 02 98%. Symptoms had not changed at this point except he mentioned his ears felt cold, although they were warm to touch. He was laid on his left side at this point to try and lower his HR, which did come down to 115-125 when on his L side. We did not take a BP at this point as we wanted him to be on his back when taking them. At 1515 he was laid back on his back to see how his HR would do and how his BP was. BP 138/60, HR 135, 02 98%. Again symptoms were the same except he was complaining of colors being more ?dull?, and his teeth being numb. At this point his pupils were noted to be +8, equal and reactive. 1521 VS read 138/50, HR 135, 02 98%. Vision still dull and pupils unchanged from 1515. He was laid on his R side to see if this would lower his HR. It was brought down to 120-130 on his R side. We gave him a cookie to snack on to see if that would help with any of the paleness, shakiness, and light headiness. He was able to take a few small bites. Hands pale and washed, with +1 bilateral radial pulses. 1529 he was sat up slowly to try to get him to hydrate, as it was apparent he needed fluids onboard. His BP read 142/80, HR 124, 02 98%. He was still complaining of lightheadedness. After sitting up and drinking half a bottle of water and some cookie, he stated that colors were becoming more vibrant. He noticed my eyes were very blue, which previously he had stated they were grey. He stated his lightheadedness had improved and that he was feeling better. We had him sit up for a while and his color started to come back, although his L arm was still pale, of note this was the Vaccinated arm. At 1546 his VS read 150/82, HR 117, O2 99% while sitting. His only complaint was feeling like the air he was breathing ?was cold?. At 1607 he was stood up and when doing so his HR went to 140. After standing for about 4 minutes his BP read 120/82, HR 114, O2 98%. His pupils +6 , equal, round, and reactive. He was feeling way better and his color in his L hand was back equal to his right. He was slowly walked around a chair just to see how he would do with activity. His HR was anywhere from 94-120 when walking around the chair, he complained of no dizziness, or other symptoms. At this point he had finished 2 apple juices, crackers, a cookie, and a bottle of water for a total of 1.5 L of fluid. He was sat back down in the chair to rest and see how things went for a while. His HR was anywhere from 109-120 when in the chair, although he did appear very anxious through this whole process. When he was given a task it appeared that his HR was a few points lower. His final HR was 109, BP 130/82, O2 98%. Of note he did complain of his feet and fingers feeling tingly a few times during this process. Sometimes his feet would be tingly when elevated and then when the garbage can holding them up was readjusted it resolved. These were intermittent complaints. At this point it is 1630. He has responded to fluids and is stable to go home with his mom. It was recommended for him to increase his fluids tonight, and to eat something. He was sent with a bottle of water. It was also recommended to get a pulse ox machine from a pharmacy so that his HR could be monitored and if it does not come down under 100 by tomorrow to make an appointment with his MD to follow up. If any of these symptoms were to come back or if his mom had any concern at all it was recommended to take him to the ED for observation. It was also recommended to follow up with his primary even though he left stable. Throughout this process, I considered administering Epinephrine. The problem was his BP was not low and we could not get his HR to come down. I did not want to increase his HR any more than it already was unless I was absolutely necessary. Given that he responded to fluids, it was decided not to administer it. Given that it took him 2.5 hours to recover from this vaccine, I strongly recommend that he does not get his second dose. I consider this to be an adverse reaction, and his mom was in agreement.

Within minutes of getting 1st Pfizer vaccine he had a presyncopal episode. Stable vitals but felt dizzy/lightheaded, no LOC. Felt clammy and sweating on his forehead. Mom thought his color was draining from his face. Returned to baseline after 10 minutes of lying flat with feet elevated, cold water to drink, cold rag on face, and some fruits snacks.

Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Mild, Additional Details: Patient received injection and got up from chair. After standing for a few minutes he fainted and lost conciousness. His mom and I got him to the floor and he regained conciousness within a minute. He said he felt thirsty and nauseated. His mom gave him water. He laid on the floor for 20 minutes and then sat up for a few minutes. Then he walked out of the dressing room and left the store.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted 5 minutes after administration during 15 minute post-vaccine observation period. Per witnesses he slumped over to his left side and fell onto the floor to his left side loosing consciousness briefly. He was assessed by immunizing pharmacist and nurse practitioner and was found to have normal regular pulse & was pale in color. He regained consciousness shortly after a few seconds, EMS came over and assessed him later and was deemed ok to go home after 30mins.

About 5 min after receiving shot, his head went to the side, lost consciousness. His legs, arms, hands went stiff and he started shaking. His eyes rolled back in his head, textbook seizure. Lasted a little less than a minute. When came to he said he couldn?t see anything. After about 30 seconds he could start to see. He turned pale, felt like he was going to throw up. But never did. A few minutes later he started to get a little color back in his face. He is tired but was better.

Client received Pfizer # 1 @ 09:26 Hx of fainting w/ blood draws and injections in past but did not inform staff Mother present at all times Client had vasovagal episode with syncope within seconds of receiving vaccine Was unresponsive for < 15 seconds. Did not fall or slide off chair at vaccinator's table Taken to EMS area for observation via W/C BP/P 100/60, 60 lying, sitting and standing Client felt back to normal within minutes of episode EMS advised transport to hospital. Mother declined. Observed for 30 minutes in EMS area Client and mother left EMS area independently @ 10:00

14 year old male reported not being able to see after receiving vaccine. writer noted the boy's skin pale in color. The boy is able to follow command but has unclear speech. Paramedic on site. Per paramedic the boy has body weakness, mild headache, and blurred vision. Per paramedic vital signs are BP 107/63, R 16, PR 66. The boy recovered under the care of the paramedic.

Nausea and tightness in chest next day. Tightness is felt when relaxing and worsens when breathing deeper.

Patient passed out immediately following administration of the vaccine to the left deltoid. His head fell backwards and limp. The Rph administering the vaccine moved in front of the patient and gently moved his head into an upright position. The patient had mild muscle spasms and twitches while passed out but when he regained consciousness he immediately began talking saying he was ok. Father came into the consultation room at that point and Rph explained what had occurred. Patient looked a little pale and eyes were having a hard time staying open so with the help of his dad Rph helped him down to the ground in the corner of the room so he could have back and head support from the wall. Patient was given a glucose tablet and water, and later orange juice. Patient stayed in the consultation room for about 20 minutes before leaving on his own and saying he was feeling much almost back to normal.

59kg 14 yo M with NKDA and PMH of headaches had a syncopal episode after receiving first Covid19 vaccination in left deltoid at 1458 5/14/21 (lot # EW0179) . Patient described feeling light headed and does not recall losing consciousness. Fell face side down and had trauma of right knee and nose and above the left eye. Bruising on his nose. Reportedly hit the metal base of the curtain that separated the vaccination area from the observation area. EMS called for concern of facial fractures. BG 98/48 and HR 75 with O2 sats 99% post event. EKG negative. BG within normal limits. Patient did have sustained loss of consciousness. Followup BP 101/69 with HR 77. Event attributed to vasovagal reaction.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Mom said patient lost conciousness for less then 10 seconds after injection for about 5 minutes, while sitting in observation area for 15 minutes, then patient started to feel better. Patient felt fine after sitting for 30 minutes

Syncopal episode & pt pale. Sitting BP 119/54, HR 55, RR 18; Standing BP 113/64, HR 63, RR 18. Water, saltine crackers & apple juice given. Immediately felt better. Refused wheelchair & ambulated to recovery area. Hx of vasovagal 2 months prior. Pt stable & released with recommendation to f/u w/PCP

Immediately after receiving vaccine, pt had a syncopal event with brief LOC. Caught by medical staff and lowered to the ground - placed supine with legs elevated. Pt quickly regained consciousness and was alert and oriented x3. Has a history of syncope with vaccines and medical procedures. Dad present. Vital signs obtained and noted to be WNL HR 84 NSR Spo2 98% on room air B/P 123/61 laying down 118/62 sitting Pt hydrated with juice and was able to sit up and ambulate freely. Stayed for an additional 15 minute of observation without incident and left for home with dad.

HX ANXIOUS/NEEDLEPHOBIA, FAINT WITH SIGHT OF BLOOD. DURING OBSERVATION, PT STARTED TO WOBBLE AND COLLAPSED ON THE FLOOR, WOKE UP RIGHT AFTER, PROVIDED GATORADE, VSS, NO TRANSPORT

Throat felt tight, hx of allergy to shellfish-has epi-pen at home. This feels similar to his prior anaphylaxis. Pt. and mom agreed to epi and EMS transport. R. thigh epi administered and care was turned over to onsite EMS. Blood sugar was 210. Pt. has type 1 diabetes and uses insulin pump.

Patient received the 1st COVID vaccine (Pfizer Lot #EW0185 expiration 05/22/2021) at 1426. Patient alerted EMT at 1503 that his palms were feeling sweaty, and he was feeling a discomfort in the right side of his chest on inspiration. PHN responded. Patient?s skin was appropriate to skin tone, and warm to the touch. Patient was alert and oriented and was breathing and speaking with an even tone. Vital signs were taken at 1505 (oxygen 99% heart rate 73 blood pressure 156/102). Patient stated that he was feeling anxious about the vaccine prior to receiving it. Vital signs taken at 1510 (Oxygen 98% heartrate 67 blood pressure 138/78). Patient stated that his palms were not sweaty anymore. At 1514 patient stated that the discomfort was a ?little better.? Blood pressure taken at 1516 (136/78). Patient offered water. At 1523 patient stated that he took a sip of the water and the discomfort came back more intense and was a ?burning? feeling traveling up his right lung. Patient pointed to his right collar bone area when asked to point to where the pain was coming from. At no time did the patient complain of difficulty breathing or shortness of breath. Vital signs taken at 1526 (oxygen 97% heartrate 68 blood pressure 150/90). Patient stated that the feeling would come and go. His stepsister who was accompanying him went to grab his mother from outside at 1530. EMS was called at 1537 by PHN. EMS arrived at 1539. Patient and mother refused transport to hospital and signed AMA at 1551. Patient and mother advised to follow up with primary care provider. Mother stated that they were taking him to the hospital as soon as they left. Patient and mother advised that if life threatening symptoms accrue on the way to the hospital to call emergency services. At 1553 the patient stated that the pain was ?gone for now.? Patient left at 1553 with mother and stepsister unassisted with a steady gait. Patient has no medical conditions, is not taking and medications and does not have any allergies.

Child received first dose of pfizer vaccine after a minute he turned pale and dizzy. He also said he could not see. His blood pressure was 94/71. He stayed for a half an hour and was feeling better after a half an hour. His color returned to normal and was able to function.

Client complained of palpitations 20mins after receiving vaccine. First vitals at 1637: pulse 147, blood pressure 124/78, oxygen 99%. Alert and oriented x4. Client denied chest pain, shortness of breath, headache, or blurry vision. Per Father client had asthma that resolved years ago, no current medications or allergies. Pulse at 1638: 127. Vitals at 1640: blood pressure 118/70, pulse 124, oxygen 100%. Per client palpitations improving. Alert and oriented. 1644: client hands shaking, client stated only had breakfast. RN brought client juice and snack. Client began to eat. Father denied client having diabetes. 1648 vitals: blood pressure 122/80, pulse fluctuating from 110-low 120s, oxygen 97%. Symptoms the same with new onset o blurry vision, per client could not focus image. PHN offered Father to call paramedics for further assessment and he declined. PHN advised for client to follow up with provider. Per Father client's sugar lowers when he skips meals. PHN asked Father is he has followed up with provider or checks client's sugar at home, Father denied. Per Father he knows his son and "he needs to eat or sugar goes low". At 1656 client stated he wanted to vomit, emesis bag given. 1658 client pale, PHN asked client how to was feeling. Per client feeling like he "was going to pass out". At 1700 client stated he could not feel legs, RN assessed for sensory and motor. Per client felt like legs "were asleep". PHN assessed for level of consciousness, client unable to answer, client lethargic. 1701 client lost consciousness. PHN and RN lowered client to floor from chair. EMT called 911 at 1703. RN did sternal rub, client unresponsive, breathing normal, pupils reactive. 1704 client woke up with urge to vomit. PHN and RN turned client on side. EMT able to place emesis bag near. Client had 1 small vomit episode. Client's eyes open, blank stare, not answering questions. At 1707 client went unresponsive again. Paramedics arrived at 1709 and assumed care. Client transported to hospital at 1717

Pt receive the vaccination at 1147, immediately after administration pt has syncopal episode where patient was able to regain consciousness within 30 seconds. Pt able to answer questions appropriately. Vital signs were taken - WNL, STAT RN was called, ice pack applied behind neck, apple juice and granola bar given to pt. Pt assessed and was a&0x4. Pt states he was very anxious about vaccine. Pt transferred to gurney and taken to treatment room for further observation due to pt sweating perfusely a few minutes after syncopal episode. Report given to RN in treatment room at 1210. Pt's mother at bedside and even at all times:

Patient vomited and fainted. We already had EMS here for his sibling. He was also fine after resting and calming down.

Five minutes after administration, patient's father approached pharmacist and stated pt wasn't feeling well. Upon approaching pt, patient threw up. Nurse was called and patient had low blood pressure. Patient was told to sit longer and then patient drank water and felt fine after 25-30 minutes.

Dizziness, sweaty, blurred vision approx 2 mins after getting vaccine. Brought over to medical. Patient was alert, pale and diaphoretic. Patient was given water, crackers, alert and talkative, feeling much better. Patient sent home Past Medical Hx Had presyncope episodes with vaccine/blood draws in the past No recent illness and ate today

Client received 1st COVID vaccine of Pfizer (Lot# EW0185 expiration 05/22/2021). Client has been sitting in vaccination chair for 5 minutes. RN provided supplemental nutrition and fluids. Client accepted fluids, but refused nutrition, states "I'm not hungry". At 1455, RN and PHN observed Client leaning forward with hand on his head. Client appeared to be pale. At 1456, RN and PHN assisted Client to gravity chair. Vital signs at this time are blood pressure 106/60, heart rate 78, oxygen saturation 97%. Client reports dizziness and blurred vision. Client continues to sit in gravity chair drinking fluids. Client is accompanied by his mother. Per Client's mother, there is no past medical history, no known allergies, but history of dizziness with vaccines. At 1459, Client reports no blurred vision. At 1503 vital signs are blood pressure 112/62, heart rate 77, oxygen saturation 98. Client reports no blurred vision, no dizziness, no headache, no nausea, no chest pain. RN educated Client and mother about ED precautions and common adverse effects of COVID vaccine. AT 1503, vital signs are blood pressure 110/62, heart rate 75, oxygen saturation 99%. Client reports no blurred vision, no dizziness, no shortness of breath, no nausea, no chest pain, skin tone returns to appropriate coloration to ethnicity. At 1507, Client is able to stand up without complaints. Client left vaccination facility at 1508 with a steady gait accompanied by mother

The patient briefly fainted about 7 minutes after getting the vaccine. EMS were called into the scene and the patient was fine.

PATIENT PASSED OUT WHILE STANDING AND HIT HEAD. ELEVATED FEET AND PARAMEDICS CAME AND CHECKED ON HIM, BUT HE FELT FINE AND WENT HOME

Pfizer vaccine given 5/20/2021 Per mom/ pt the shot was given at 11:02 around 11:07 he leaned forward and became unresponsive. He was slightly drooling from the mouth. Mom says that his body was tight and that he was shaking a little. His eyes were closed and did not appear to be rolling back in his head. This episode lasted for less than 1 minute. He did not remember what happened and thought he wet himself after; which he did not. About 1-2 min after that episode mom states that he appeared to " passed out" for less than a minute. The ambulance was called and he was taken to hospital. He was evaluated and appeared well at that time. No fever. EKG was done and per pt it was normal. No EEG was done. He was discharged without admit That evening he has multiple episodes of vomiting > 10 times. No diarrhea or fever. Seen today at medical office for follow up. Vaccine not given at our clinic

As per father the pt had 3 convulsions, became very disoriented. Upon my arrival he was extremely pale and somewhat disoriented. His heart rate was 47 as per the pulse ox and he had no palpable radial pulse. His initial blood pressure was 101/60. During our interaction his pulse increased to 60 and became palpable at the radial. His pulse was irregular. His color improved as did his mentation. Pt was transported to hospital

Immediately after administration, patient became pale diaphoretic, lost consciousness, had jerking body movements, maintained pulse and airway. Once regained consciousness, vomited 3 times. Pt was given pepcid with fathers consent. After about 10 minutes started to complain of tightness of chest, short of breath. With consent from father administered 25 mg of benadryl. Monitored for 30 minutes. Patient status returned to baseline at the end of the 30 minutes observation. encouraged to follow up with pc prior to next vaccination to weigh the risk and benefits. Afterwards, dad said patient had reactions like this in past with vaccination. Asked multiple times if wanted EMS called or transport to medical facility. Declined by father.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Flushed / Sweating-Severe, Additional Details: patient developed sweating, pale lips, fatigue/lethargy, eyes closing and hard to remain concious. pharmacist called 911 and paramedics came, evaluated patient and blood pressure / heart rate normalized. patient able to sit down. after 30min post vaccination. patient and patient's father agreed to go home and refused ER service from paramedic.

Patient has a history of fainting at needles, and he lost consciousness briefly immediately after injection. When he aroused, the patient said he felt "weird." EMT evaluated patient and administered a cold compress, water, and juice. Patient's uncle drove him home. completed the following: 5/14/21: 12:43pm - TC to mom who reports her son is doing fine. No problems or concerns.

10 minutes after his vaccination, the patient was sitting with his mother and sister in our waiting room per protocol after a vaccine. I heard a mom scream while I was giving another patient a vaccine. I ran out with an epipen but he was awake, alert, and breathing normally. I asked what happened and she said he fainted for a second and seized or twitched a little. I did not give him any epinephrine because he was not having any issues breathing and was able to tell me he felt fine. We did call 911 per moms request and they came and checked him out.

PATIENT FAINTED WITHIN 20 SECONDS OF RECEIVING PFIZER COVID-19 VACCINATION. PATIENT'S FATHER AND STORE MANAGEMENT CALLED 911. FATHER AND ADMINISTERING PHARMACIST MONITORED PATIENT; PATIENT REGAINED CONSCIOUSNESS SHORTLY AFTER FAINTING. PARAMEDICS ARRIVED APPROXIMATELY 10 MINUTES LATER AND FURTHER ATTENDED TO PATIENT. PARAMEDIC DIAGNOSED VASOVAGAL SYNCOPE. PATIENT AND FATHER WENT WITH AMBULANCE TO HOSPITAL FOR FURTHER EVALUATION.

Within 30 secs to 1 minute following vaccination patient started to seize. He came out of the seizure quickly (approx 20-30 sec). EMS was called and on site in minutes. Patient was breathing on his own but breathing was rapid. He lost color in his face/lips. When EMS arrived they noted that he was hypotensive and bradycardic. He began to regain color while EMS was on site. They opted to take him in for further evaluation. No history of seizures.

Patient with a syncopal event while taking a hot shower- LOC estimated approx 3 minutes- recovered quickly.

Pt had a syncopal episode by vaccinator table. Pt brought to triage and move to bed unassisted. Pt A&Ox3 BP 86/50, HR 68, RR 17 -- > 94/48, 85, 16 -- > 89/50. Pt able to move around unassisted with no symptoms. Pt stable and released from the vaccination site.

Patient appeared to be fainting, shook back and forth in a repeated manner after sitting down for observation following the COVID vaccination. Did not have any blurred vision, was responsive. To be safe, an ambulance was called. This occurred minutes after being vaccinated, the ambulance arrived about 30 minutes afterwards and picked the patient up.

Pt received first shot of Pfizer vaccine on 5/14 - 12:30 PM EST. On 05/17 around 7:45 AM, Pt passed out/fainted. He woke up few minutes prior to the event and this event started after he passed urine. As soon as he finished Urination, he felt nauseated, dizzy and then lost consciousness thereafter. He fell backwards as a result and hurt his back as well as back side of the head. During his unconsciousness his body was completely stiff and his eyes were rolled back. For few seconds then he became completely still (it felt he was not breathing). I gave him physical stimulus (slight slaps on the face) post which he started reviving. During this time we called 911. I gave him few sips of water forcibly and he started reviving thereafter. on 5/15 and 5/16 (post vaccination on 5/14) he was feeling tired and seemed bit dull. This was unusual as Pt is a competitive soccer player and highly active.

After 3 minutes of observation in a chair, he got up to move to the observation area in clinic and then fainted. He fell backward against a closed door and slid down. He quickly regained consciousness and his vitals were stable. within 10 minutes he was no longer dizzy or hot. He was able to sit up right without issues. Per dad, this is the same reaction he had to the flu vaccine in fall of 2020.

The client was accompanied by his mother. Staff vaccinated the client. When filling out the consent form, the client started looking pale and was about to pass out. Staff caught the client before falling off the chair. They laid him down and put a cool pack on his neck. Called 911 to scene at 1731. EMT arrived at the scene at 1740. The client passed out for a minute but was still breathing. Vitals BP, 124/66, HR 56, Pulse Ox, 98%. Vaccinated lot num Pfizer EW0179 exp. 08/2021. EMT Transported client at 06:05pm

Heart Palpitations - Friday afternoon 5/21/21 about 72 hours after vaccination. Patient complained of heart palpitations after school Friday. he said he felt them after PE class. He also experienced them on Saturday, 5/22 about 96 hours post-vaccination. I didn't make the connection to his vaccine dose until his mom sent me a news report about it on 5/23.

Pt received vaccine and felt light headed and nauseated. He vomited and felt warm. BP 108/68, hr 98. pulse ox 96-99% Placed cool rags at neck and head, and given water, within minutes pt felt better. Was accompanied by mother.

Patient felt dizzy and passed out, did not hit head, was lowered to the ground. All vital signs were normal throughout experience. Patient was transported with a wheelchair, ate some crackers and drank some juice. No concerns noted, patient left clinic site, self ambulated.

Patient (14 years old) fainted in the observation area receiving the first dose of the Pfizer vaccine. Patient fell from chair and had some scratches to right temporal region. Patient was accompanied by his mother. Patient was assisted to chair and appeared very pale and disoriented to time and place. EMS was called at 1138. Patient also stated his vision was blurred, reported nausea (emesis x1), and reported feeling very weak and ?really weird?. Patient also reported he was very sleepy and wanted to go to sleep. Patient was kept awake. Mother stated patient had history of ADHD and anxiety but no other past medical history. Paramedics arrived at 1145 and assessed patient. Blood glucose and VS were normal. Patient continued to report feeling unwell and wanted to go to the hospital but also wanted to ?stop for food?. Patient?s mother reported that patient was starting to sound like his normal self and that his color was returning. Patient?s mother agreed for the paramedics to transfer patient to ED for further evaluation. Patient left in ambulance at 1157.

Pt had a vasovagal episode right after the vaccine was administered. Pt c/o Flushing/sweating and dizziness. Initial BP 88/31 -- > 124/66, 76, 16 -- > 135/68, 67, 18. Pt recovered and was stable. Released from the vaccination site.

Patient developed maculopapular uticarial rash day of vaccine that started on his lower extremities and progressed over a few days to include part of his trunk and his proximal upper extremities. Parents gave benadryl at home. It began to self resolve 5 days after vaccine, with complete resolution on day 6 after vaccine. Additionally, on day 5 following vaccine, the patient had one, isolated, episode of chest pain and SOB that lasted 2-3 minutes. Patient believed he was having a panic attack. Patient's mother took BP during event which was 190/95. Patient subsequently brought to ED where all his vitals were diffusely within normal limits including BP. No persistent chest pain and physical exam unremarkable. Troponin was obtained in ED and found to be elevated at 1951. Patient was admitted, troponins were trended, and patient remained in stable condition without further adverse events, and was subsequently discharge home with diagnosis of suspected myocarditis.

Patient is a 14 yo male c/o intermittent upper left chest pain for >20 min after Pfzier vaccine. Reported pain 3/10, described as sharp and non-radiating. Denied previous episode w/ similar symptoms. Reported feeling some anxiety but denied being diagnosed or treated with anxiety. Upon assessment no acute distress noted. Alert and orientedx4, verbal and able to make needs known. Respiration even and unlabored. Skin pink, warm, dry and intact. No sx of allergic reaction. Chest non-tender, heart rate WNL, noted irregular rhythm, no murmur or extra sounds noted. No loss or altered level of consciousness noted. Mother present with patient and reports having HX of elevated BP which physician recommended increased activity and weight loss, denied medication treatment. No HX of allergies per mother. Past medical HX obtained from patient and physical assessment completed simultaneously. Pt assessed while sitting in chair. VS 160/81, HR 62, O2 97% RR 20, sponataneous resolution on symptoms after 2-3 minutes, patient observed additional 30 minutes, no acute distress noted, pt denied pain or symptoms. Advised mother to have patient evaluated by PCP for irregular heart rhythm ASAP. Advised mother to take patient immediately to ER if symptoms return or develop new symptoms. Advised mother to call 911 if patient develops chest pain, SOB, altered or loss of consciousness. Mother verbalized understanding of all advice and education. Patient went home with mother

Patients mom stated her son got the vaccine on Tuesday 5/18/21 and about 4 days later he ate seafood and then started to get an allergic reaction about 2 hours later. Patient started to feel that his lips swelled up along with a rash all around chin, neck and around mouth, on forehead between eyes. He took Benadryl which helped symptoms subside. He also complained of a little chest pain that lasted less than an hour but no shortness of breath. As of Monday 5/24/21 he feels fine no other symptoms. No c/o fever, fatigue, nor headache, body aches. Pain at injection site from vaccine was also reported but that subsided.

Myocarditis. Patient presented with chest pain and was found to have a troponin of 9.75. Pain resolved and troponin down-trended after treatment with IVIG and Solu-medrol. Patient's brother has history of MIS-C after Covid. Patient had documented Covid in 10/2020.

05/17/21; Patient attended school, orthodontist, baseball training and practice. Mother picked patient up from baseball practice at approximately 07:30pm and both of patients legs were a pale pink color and developed into a deep red over the next hour. Patient started developing hives that were itchy, red, and uncomfortable, "all over body" per Mother. Mother states hives were mostly on his trunk, both legs down to calf/shin area, thighs, both arms (notably more irritated on the same arm where patient received injection). Mother took patient to the Emergency Room between 9:30-10pm. Patient was seen by ER Physician, who stated rash did not appear to be poison ivy, mother denied any recent changes in laundry detergent, soap, lotion, etc. ER Physician informed mother and patient that he thought the reaction was to the COVID-19 vaccine and advised against receiving the 2nd dose. Patient was prescribed 40mg Prednisone for 8 days, and mother is giving patient Benadryl as needed.

Pt had syncopal episode after vaccination (BP 132/68; RR 20). Pt had not eaten all day (vaccination @15000. Self resolved w/observation, given juie/crackers. Pt stable & released from vaccination site.

Patient had midsternal chest pain stabbing for 5mins. Patient took ibuprofen and pain resolved after 10mins. Headache and tired on 05/24/21 and 05/25/21. Provider encouraged rest and fluids and referred to see cardiology specialist.

5/25/21 @ Approximately 12:03 pm, 14 year old Patient fainted while waiting in vaccination waiting area after his first COVID-19 vaccination (Pfizer). Patient stated that he started to have ringing in the ears and some blurred vision. Patient's father instructed patient to lay down on the three chairs in vaccination waiting area. At this time store employee came out to assist patient and patient's father. I (employee) came out to assist moments later when I saw what was happening (I had just finished a consultation with another patient). We elevated patient's legs, put and ice pack under his neck, and called 911. Patient was awake but not very talkative. Patient was very alert and talkative in Clinical Service room at the time of immunization, which was a big change from how he was immediately after fainting. Patient appeared sweaty and pale in color. Patient's blood pressure was taken at 12:09 pm and was 88/51 pulse 53 (patient was still laying down at this time). Respiration rate was 20 breaths per minute. At 12:12 pm blood pressure was taken again as patient appeared more responsive and talking more. His BP was 101/63 and pulse 63. Immediately after second blood pressure reading, EMS arrived and they took over. Patient was responsive and drink water and sitting up at this point. EMS checked patient out and was cleared shortly after. EMS stated that this will not defer patient from getting his second COVID vaccination. Before patient left he was continuing to drink water and was eating some crackers.

Vasovagal reaction 7mins after vaccine administration Patient laid on the floor and water was provided At 4;47pm, patient felt much better, symptoms resolved Discharged to home

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Severe, Systemic: Vomiting-Severe, Additional Details: AFTER SHOT ADMINISTERED,PATIENT WAS WALKING TO WAITING AREA FOR OBSERVATION, WE FAINTED AND HAD 2 SEIZURES ABOUR 40 SECONDS LONG. NO PULS OR BREATHING. GAVE 10 CHEST COMPRESSIONS AND 2 BREATHS. EMERGENCY WORKER SHOPPING IN STORE HELPED ROLL TO RESCUE POSITION AFER FEEELING PULSE IN THE WRIST. HE SPIT UP A SMALL AMOUNT OF SPIT. HE SHORTLY CAME AORUND IN ABOUT ANOTHER MINUTE. NO EPINEPHRINE WAS ADMINISTERED.

patient fainted within 1 minute of getting vaccine. Came around very quickly, about 10 seconds. We got him to lay down, rest with legs on chair, felt better in 30 minutes with water and cookies. this is a known issue with patient and vaccinations

passed out in aisle of store 5 min after receiving vaccine. mother and sister have history of passing out (vaso-vagel rxn). mother, neighbor and pharmacist sat him up in chair in aisle while 911 was called. all stayed with patient until emt arrived and patient left with them.

Patient presented to ER with severe unrelenting chest pain beginning abruptly 4 days after receiving first dose of Pfizer COVID19 vaccine. He was diagnosed at the ER with pericarditis and discharged with ibuprofen. Chest pain has gradually improved over past 6 days though is still intermittently present.

Received COVID vaccine on 5/17/21 5/25/21 around 0100 patient collapsed with acute onset right sided weakness and expressive aphasia. Brought to an ED where CTA found an occlusion of the L MCA which was confirmed as a ischemic stroke. He received TPA and underwent a IR guided thrombectomy. Patient continues to be admitted to the PICU with intermittent expressive aphasia and mild right sided weakness.

Fainted 20 min after vaccine, after the waiting period waiting to check out. Vitals were taken and odserved for another 20 min. Has been ok since. No additional symptoms.

patient received vaccine and immediately passed out and hit the floor. he woke up soon after and we gave him some water and crackers and he felt better. we called the ambulance and they came and checked him out and he was fine so he and his mom went home. he walked out on his own and was fine. no issue at the injection site, etc. i think he just passed out from nerves and not eating all day.

Mother states her son had palpitations, after 3 hours of his vaccine at about 4:30pm. She also states he also experienced SOB and he explained he missed a beat to his heart". The days after he had same symptoms, two times a day for the next three days. Mother states he experienced his symptoms about ten times a day for about 15 seconds. On the second day I called the doctor, nurse told her to take his pulse after he had an episode, difference was very slight during the 15 second pule taken, normal was 20bpm in 15 seconds and then it changed to 22bpm in 15 seconds. On Monday while talking to other classmates in school, another kid said he experienced the same thing like him. On Tuesday 05-25-2021, his mother states her son told her her felt some palpitations but as of today he has not had any more palpitations.

AE: patient passed out post vaccine administration, however; the patient did not hit head on the hard surface or become unresponsive.

Patient received 1st dose Pfizer COVID vaccine at a store/pharmacy on 5/25/21. Presented to ED with chest pain on 5/28. Diagnosed with myocarditis and admitted to the hospital. ED attending note: Patient presents with acute onset of chest discomfort in the sternal area 2 days after the first dose of Covid vaccine. Patient's not had any fevers. No respiratory symptoms. No difficulty with respirations or any pleuritic chest pain. Denies any cough. No chest wall trauma. No back pain. No palpitations or syncope. No orthostasis. No peripheral edema. On physical exam he was mildly tachycardic in the 80s to low 90s with no murmur and no gallop. No JVD. Clear lungs. No rub. Bedside ultrasound performed by HCP had bilateral lung sliding and normal gross function based on 2 views. No pericardial effusion. EKG had ST changes. Chest x-ray was obtained without any effusions or pulmonary infiltrates. Normal cardiac silhouette. Troponin sent elevated. Cardiology consulted for possible postvaccination myocarditis. Child remained stable. Resting heart rates in the 70s and low 80s. Cardiology came to see the patient. Plan to admit to cardiology service. Presumed diagnosis of myocarditis. Cardiology admitting note: Pt. is an otherwise healthy 14yM who presents with acute onset atraumatic chest pain i/s/o recent covid vaccine, found to have mildly elevated inflammatory markers and troponin with borderline ST changes on EKG most consistent with mild peri/myocarditis at this time given overall well appearance on exam without hemodynamic or respiratory compromise and grossly normal function on POCUS, though plan for formal echo in AM. EKG w/ non-specific ST-T wave changes in precordial leads, no evidence of strain or block. Admitted to the cardiology service for serial troponins, ECHO, and close monitoring. HPI per cardiology consult note: "Patient is a healthy 14 year old with a history of alopecia who presented to the ED with mild chest pain 4 days following his first Covid vaccine (Pfizer). He had no symptoms in the days immediately following vaccine, and played basketball the day following with no symptoms, but after waking up today began having dull mid sternal chest pain. It was a 4/10, worse with lying down, non pleuritic, not sharp, and not radiating pain and not associated with any other symptoms including SOB, numbness, GI pain, cough, or anything else. Has not taken any meds for the pain. Has not exercised today. Felt "warm" this AM, but didn't check temperature and felt better throughout the day. No palpitations, dizziness. Denies ever having chest pain before and no recent illnesses or sick contacts. No notable fhx of cardiac disease. In the ED, troponin mildly elevated to 0.12 ng/mL and CRP 5 with low ESR and BNP. Bedside point-of-care US reportedly showed no clear effusion with grossly normal function. HR mainly in 70s in ED and normotensive. EKG with borderline nonspecific ST elevation in V3-V6."

Pt with presyncope event. Pt complained of sudden onset of nausea and feeling ?weird.? Clinician immediately at chair side. Initial vitals 102/58, HR 49, RR 18, O2 sat 98%. Pt assisted with receptacle for emesis-none. EMS medic 153 on scene and present. 4:25p BP 102/64, HR 62. 428p transferred to avail cot to lay supine. Aox3 and verbal entire time. Ice pack to neck. Water to drink without difficulty. Orthostatic vitals assessed ,WNL. Parent present throughout event. Mom refused transport. 446p EMS called verbal report to hospital MD as part of release for transport refusal. Permission granted to refuse transport . Pt up, walking around. States he now feels fine at 452p

patient fainted after 10 minutes of receiving the Pfizer vaccine. He revived really quickly. Did not require paramedic help. Patient was confused for a very short period. Bumped his right knee but no head injury.

Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient has long history of fainting whenever getting vaccines. No history of seizures, per mom.

Presented to the ED 6 days after receiving Pfizer vaccine with chest pain; pressure and burning with nausea and vomiting.

Systemic: Chills-Mild, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild, Additional Details: Pt felt nauseated and had to the urge to vomit within 2-3 minutes of vaccination but never ended up vomiting. He also felt a slight headache and his temperature dropped from 98.7 F to 95.3 F within 10 minutes of vaccination. However, his temperature returned to 97.6 F approximately 9 minutes later and was monitored for total of 30 minutes with his temperature being 98 F when leaving the pharmacy. He felt normal with no symptoms upon leaving.

Patient had worsening of underlying chest pain with episodes lasting longer, but still intermittent in nature. Happened throughout the weekend until patient came to the ED on 5/24/2021.

My son experienced after the Pfizer vaccine and by the next day he had extremely left sore arm, by the evening he developed a fever of 101.F. The next day he still had with the fever of 101F getting some fatigue, then his fever was going up to 102.4F, on Tuesday, Wednesday and Thursday of that week. He also got chills, with the fever and then on one on the nights, Wednesday he had extreme sweat profusion, his clothes were drenched. We saw his doctor on Wednesday of that week, cheek his vitals, lab work, his WBC was low and platelets were low. On Friday 05-21-2021, his fever was 99.0F and then by the afternoon then he was fever free and started to feel better. His doctors did a second lab work, WBC, was normal and his platelets went form 1129 to 373. His due for his second vaccine on 06-05-2021.

Ten minutes after receiving vaccine patient had syncopal event. He was unconscious approximately 5-10 seconds. After event patient was extremely diaphoretic, pale and slightly confused for <5 minutes. He complained of feeling very tired. Patients systolic bp unable to be detected, HR 57, O2 97%. Patient was laid in modified Trendelenburg position. BP rechecked after 5 minutes and was in the 90s systolic. Mother said he had a history of a heart murmur that nothing needed to be done about until he was an adult. Advised to go to ER for EKG d/t unknown cardiac condition.

Patient received the Pfizer COVID-19 vaccine 3 days prior to admission, and felt weak with complaints of headache the following day, and the symptoms have since resolved. Mother mentioned that he has been complaining of intermittent midsternal chest pain that worsened after eating since the day prior to admission. She had been giving him peptobismol, thinking it was gas related pain. However, due to him persistently complaining of the pain after eating, she brought him to. She denied any fever, shortness of breath, weakness/fatigue. Of note, mother had COVID in march 2020 and she believed he might have been sick around that time as well. Patient is still in the hospital and continues to receive pain medication and treatment for myocarditis (NSAIDS and opioids)

Acute myocarditis presenting with chest pain and elevated troponin I. Admitted toi the PICU at Hospital on 6/2/21 (previously had been in the ER on 6/1/21 at the start of chest pain).

The patient was seen for well visit on 28May2021 and noted to have significant hypertension above normal limits for age (151/95). This was repeated and confirmed on manual reading. The patient was asymptomatic, and record review was noted to have had normal BPs for his entire life prior to this. Over the following week the family monitored home BPs and continued to be in hypertensive range (SBP 140s-130s) but slowly trending down over the next week.

Client received his 1st Pfizer vaccination (Lot# EW0187, EXP 08/31/21) in his left arm at 19:15 from RN. Client?s parents and sister were with him. Client?s parents only spoke Spanish and an interpreter was present. After receiving his shot, client sat in a chair next to his sister while RN administered a shot to her. Five minutes later client stated he felt nauseous. RN immediately called out to Vaccine Runner RN and Check-in Nurse who were in the hallway to get an EMT. Check-in Nurse radioed for an EMT to come to station 3 while Vaccine Runner RN rushed to the EMT room to ensure an EMT got the call. Check-in Nurse stayed with the client and placed a trash can next to him in case he vomited. RN stated the client looked pale and clammy. At 19:26 EMT1 arrived at station 3 and collected the client?s medical history. Interpreter was also translating the EMT?s questions and statements to the client?s parents. Client stated he had no known allergies, no underlying conditions, and is not currently taking any medications. Client also stated he was not experiencing shortness of breath, chest pain, or having trouble breathing. EMT2 arrived at station 3 at 19:27 and brought the client a vomit bag. The client had not vomited, but still felt nauseous. EMT1 gave the client a bottle of water and juice, and took client?s vitals at 19:28 (HR: 64, BP: 120/70). Client stated he felt a lot better. While walking out of station 5 Lead RN saw individuals grouped together at station 3 with the EMT and arrived at station 3 at 19:28. Lead RN was updated on client?s status. Lead RN observed that the client was mildly pale and clammy and asked client?s mother if his current coloring was normal for the client. Interpreter translated to both parents and client?s mother stated that the client did look a little pale. Client stated he felt better and was just nervous about getting the shot. At 19:30 Lead RN asked client to try and stand up. Once client was standing, Lead RN asked client if he felt dizzy and client stated no. Client stated he felt just fine. Lead RN and EMT?s directed the client to the observation room to sit in a zero-gravity chair for additional monitoring of 30 minutes. EMTs walked the client and his family to the observation room and sat him in the zero-gravity chair. Client stated he felt much better and at 19:47 EMT1 took client?s vitals (HR: 66, BP: 100/70, SpO2: 98). EMT1 stated client?s color was returning. EMT1 took client?s vitals again at 20:04 (HR: 67, BP: 104/78, SpO2: 99). Lead RN arrived in observation room at 20:10 with Lead Ancillary to check on client who stood up and stated he felt good. Lead RN observed that client was no longer pale or clammy. Lead RN educated parents and client on potential side effects vs adverse effects of the vaccine. Lead RN further instructed client and parents to see the client?s HCP or visit urgent care if client started to experience additional common side effects for more than 24-48 hours and to call 911 if the client began to experience trouble breathing, shortness of breath, or chest pain. Lead Ancillary translated all the information to the client in Spanish. Lead RN observed the client leaving with his family at 20:15. Client left walking with a steady gate.

Patient was administered the vaccine. After administration we stood talking to his mother who had questions. After about 2 minutes they turned to walk away and he lost consciousness and hit his head on a counter. I unfortunately did not witness him falling. He regained consciousness almost immediately and I told him he needed to stay laying down for a few minutes first. After a few minutes he said he felt fine and we moved him to a chair. Within a few minutes, he became ill again so we had him lay down again in the consultation room. He then laid there for about 15 minutes before we moved him to a chair. He stated that before he lost consciousness his heart was racing. His mother states he's never had any problems with vaccinations in the past. After sitting for the second time he said he felt fine except where he hit his head which was a little sore. We contacted the father later that night and he said that he too had a similar episode with a needle stick a few years prior. The patient felt better later night per his father.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Tinnitus-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Patient recovered and mom says she was taking him to the doctors office for follow-up

pt mom yelled for help. other employee dialed 911. mom reporting that patient keeps fainting/feeling nausea. used smelling salt x 2. then had patient have small sips of orange juice. patient began feeling nausea again and threw up. pt started breathing heavy/flushed/wheezing administered epi-pen (1st dose incomplete- bent needle) 2nd dose successful in muscle of right thigh. patient reported feeling better. took bp 94/54 pulse 88. ems arrived and took over. patient left with ems

The patient complained about feeling lightheaded, sweaty, and blurred vision. Spo2 99 HR 96, BP 124/98 T 95.1 The patient?s mother stated that he always gets that way when he receives a vaccine or donates blood. The clinical staff attended to him. He stated that he felt fine after about 5 minutes.

Pt did well before and after vaccination. A few minutes later in the waiting area he started feeling ill and his mom had him sit down and she called 911. He complained of weakness, diminished sight and hearing and lightheadedness. He was very pale and sweaty. With his mom's permission I activated an ammonia inhalant near his nose. He said he felt better after the 2nd sniff. After a couple minutes he said his symptoms were greatly diminished and he was ok. The paramedics arrived and pt was able to walk to the ambulance for further evaluation. A paramedic came back and said the patient is feeling much better and declined to go to the hospital. I talked to the mom a couple hours later and she said he is all better.

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

Patient fainted approximately 5 minutes after receiving the vaccine. He fell to the ground hitting his head on some shelving while falling. He was quickly revived by his father, but still felt dizzy and complained of blurred vision. Patient was given a bottle of water and comforted by his father and brother. When I checked on him about 20-30 minutes later, he said he felt fine. He looked a lot better too.

High fever developed 2-3 days after shot (104.7). Now 12 days with a fever in range 102-104.7 degrees. Rapid COVID test day 1 of fever - negative Doctor visit day 3 - (5/27) Rapid COVID test - negative Antibiotics prescribed 5/27 Back to doctor 6/1 (day 8 of fever - antibiotics not helping) PCR COVID test sent out (result - negative) High protein in urine - sent to ER at CHOP ER at CHOP: Performed EKG, chest x-ray, full blood workup, tested for Mono, Epstein Barr, etc. Results normal, other than elevated glucose, asparatame aminotransferase, and carbon dioxide in blood. Sent home to return for repeat testing and full body scan/imaging if fever still present after 14 days.

after dose was administered by began to shake and then lost consciousness, patient was laid on floor were he immediately regained consciousness, when he felt up to it he was sat in his chair, given energy drink and water and instructed to place his head between his knees if he felt light headed, he was then monitored for the next 30 mins without further incident

He was given the shot standing up. After the shot he pulled down his sleeve started walking to the doorway hit the wall and fell to the floor. He was immediately wiped down with a wet cloth and a fan was placed beside him. I was wiping his face and stomach with the cloth.

CLIENTS MOTHER REPORTS CHILD HAD HEART PALPITATIONS AFTER RECEIVING SECOND DOSE. EXACT TIME AND HOW LONG PALPITATIONS STARTED AND LASTED UNKNOWN. CLIENTS MOTHER INFORMED STAFF CHILD WOULD RECEIVE SECOND DOSE AT HIS DOCTORS OFFICE.

Began having intermittent chest pain approximately 5 days after covid 19 vaccine. Also chest pain with deep breath. Slight fatigue. No other symptoms. Resolved after 4-5 days. Was seen by Pediatrician on 05/25. Vitals and assessment normal. Chest pain had resolved at that time.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadedness-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Shakiness-Mild, Additional Details: Patient received the shot in the left arm. After he passed out his left wrist bent and twisted.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Severe, Systemic: Seizure-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Medium, Additional Details: Patient fainted, seized for less than a minute and then vomited. 911 was called. Patient was examined and felt normal after medics left the store.

Patient came in really anxious before receiving his vaccination and was really tense when attempting to receive his vaccine. After getting the patient to relax, the vaccine was able to be administered. However, patient then became pale, lethargic, and had ringing ears. The patient was sat down and given water while being observed. The pharmacist tried to check his heart rate but without success. EMS was then called for more advanced observation. Patient was recuperating while the EMS was on their way. EMS determined patient might have had an anxiety attack and cleared him after finishing their observations.

Patient experienced nausea, faint, and slightly vision loss after 10 mins of administering the second dose of COVID shot. Heart rate was reported as 101/68 and pulse was reported as 79. Emergency service was declined by patient's mom ( claim herself as a MD).

Flu-like symptoms consisting of myalgias and malaise started on 6/4/21 at 1300. Overnight into 6/6 around 0230, he began having chest pain that felt like severe heart burn and shortness of breath. Tried to sleep through it but was unable and sought care. Found to have elevated troponin level and transferred to our facility pediatric ICU for higher level of care. Currently hospitalized in Pediatric ICU.

After patient's second dose of Pfizer vaccine, he developed chest pain, consistent with myocarditis. Got his second vaccine on 6/2 and then developed symptoms on 6/3 and 6/4 which prompted ER visit on 6/5. He has been on Ibuprofen ATC.

Patient presented to hospital 2 days after 2nd dose of Pfizer COVID19 vaccine due to chest pain found to have elevated troponin undergoing evaluation for myocarditis. Currently admitted to the hospital for further management.

Patient in lobby for covid flu observation Father present Called by staff to child Patient observed altered consciousness Diaphoretic Near syncope episode Vitals: 06/08/21 1450 06/08/21 1452 06/08/21 1503 06/08/21 1509 BP: (!) 80/27 96/41 109/54 107/54 BP Patient Position: SITTING LYING LYING SITTING BP Location: RA-RIGHT ARM RA-RIGHT ARM RA-RIGHT ARM RA-RIGHT ARM Cuff Size: Standard Adult Standard Adult Standard Adult Standard Adult Pulse: (!) 44 (!) 40 (!) 48 (!) 49 Resp: 32 SpO2: 99% 100% 100% Assisted child to wheelchair, 2 person assist Initial blood pressure while sitting And then layed patient on gurney Legs elevated Past Medical History reviewed, Rechecked vitals Continuously monitored patient Patient at 1503 alert, no longer diaphoretic Denies nausea or shortness of breath Heart rate remains brady cardia reivew of previous vitals 1/12/20 105/65Hr 60 Lung sounds clear no wheezing Per father he has not needed his inhaler for asthma recently He does play basketball and baseball Call to urgent care to discuss patient status Verbal order for 911 related to bradycardia 911 called at 1521 Father agreed to plan of action for son to be assessed by physician Paramedics on scene, verbal report provided 114/54 hr 47 upon arrival

Patient presented to ED on 6/8/2021 with sub-sternal chest pain 9/10 with mild radiation down his left arm which was worse with breathing nd moving. Per patient he had 2 less severe episodes of chest pain on 6/7 which were short in duration and resolved on their own. ED evaluation was significant for mildly elevated troponin at 1.88, EKG with diffuse ST elevation, elevated CRP of 1.9, mild hyperglycemia. He had a normal chest xray. Echocardiogram demonstrated normal biventricular function with no obvious pericarditis. ***

2nd dose was on Saturday at 10a. Felt body aches and headache that evening and the next day. Arm was sore at the injection site. Treated with ibuprofen (400 mg). Was able to go to school on Monday. Tuesday morning at 3a woke up not feeling well with chest pain and headache. Treated with ibuprofen. Still felt a little unwell in the morning, but by afternoon was feeling normal.

On the 4th - woke up weak; light headed; and a lot of discomfort - his arm really hurt. General body achiness. After a little while, he got up and was able to take some Tylenol and attend his video school day with frequent breaks. In afternoon, he started to feel worse. 102. 6 fever - we called Tele-doc appt. His throat was sore and he had some chest pain. The doctor recommended that we go to ER to have him fully evaluated. Pain and fever got better with the Tylenol. He took another couple of dose. Next morning, he had a lot better but continued to have a low fever 100.2 - on and off that day. His lymph nodes under his left arm were quite swollen and painful. The fever did not continue yesterday but the swelling has and the pain has. He was very light-headed and brain fogged on Sunday and Monday. Seems to be better today - the lymph nodes have gone down a lot but are still swollen today. He is in process of recovering.

a point of hyperventilation; Breathing started to get rapid; Hands and stomach muscles cramped up as the heart continued to race; Hands and stomach muscles cramped up as the heart continued to race; suddenly both hands started shaking; heart rate increasing, reaching higher than 166; This is a spontaneous report from a contactable consumer (patient). A 14-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EW0179), via an unspecified route of administration, administered in left arm on 12May2021 at 17:00 (at the age of 14-year-old) at single dose for COVID-19 immunization. Medical history and concomitant medications were reported as no. Prior to vaccination, patient was not diagnosed with COVID-19. No known allergy. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. It was reported that 24 hours after the vaccine on 13May2021 at 17:00, while seate, suddenly both hands started shaking followed by heart rate increasing, reaching higher than 166 bpm. Breathing started to get rapid to a point of hyperventilation on 13May2021 at 18:00. Hands and stomach muscles cramped up as the heart continued to race on 13May2021 at 18:00. Called 911 and they were able to decrease the hyperventilation through slowed box breathing. They stayed for about 30 minutes as the heat rate slowly decreased to just over 100 bmp on 13May2021. Two other incidents of increased heat rate have happened since in May2021. Events were resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. Since the vaccination, patient had not been tested for COVID-19. Therapeutic measures were taken as a result of all events included hydroxyzine prescribed to induce calming effect as. The outcome of events heart rate increasing, hyperventilation and breathing started to get rapid was recovering; outcome of the other events was unknown. This report was reported as non-serious by reporter, with seriousness criteria-Results in death: No; Life threatening: No; Caused/prolonged hospitalization: No; Disabling/Incapacitating: No; Congenital anomaly/birth defect: No. No follow-up attempts are needed. No further information is expected.

Patient developed sudden onset of chest pain which was diagnosed as myocarditis. Feeling a little bad on 6/2/2021 with some mild chest pain on that date. Took ibuprofen. Woke up suddenly on 6/3/2021 with severe chest pain. Called pediatrician and was going to wait for them to open; however, it was so severe that they took him to the Emergency Department.

In first two days following second dose of Pfizer vaccine, patient had "normal" side effects of fatigue, low grade fever, chills, etc. On evening of day 3 patient developed headache, nausea, and severe chest pain. Emergency Room visit showed normal EKG an X-Ray but bloodowork showed troponin levels of 18,300 at 10:30 pm and 19,905 overnight. Patient was diagnosed with myocarditis and admitted to pediatric ICU at Hospital.

Rapid onset of warmth feeling followed quickly by "visual changes" and dizziness. Brief syncope sitting without falling occurred with rapid recovery. Little to no diaphoresis or nausea. Low normal range BP's recorded in the range of 90-100 sys and 50-60 diastolic. Pulse 70-80. 02 sat -98% No orthostasis. Typical vasovagal reaction. Discussed with father & patient.

Patient was seated post-vaccination and fainted while in his chair. He recovered within seconds and was lucid shortly after. No difficulty breathing or apparent allergic reaction

Patient developed fever the day following vaccine, then developed some neck stiffness, then severe chest pain two days after vaccine and was found to have myopericarditis and currently hospitalized.

Chest pain started on the day of the 2nd dose along with chills, myalgias and 'tactile temp'. The other symptoms resolved but the chest pain persisted. Worse with exertion, and also worse with leaning forward and also lying flat. Went to PCP who drew troponin, which was elevated, sent the pt to the ER. Troponin was elevated in the ER, ECG was normal, echo also normal. Admitted for trending of labs, work up for infectious causes of myocarditis sent. cMRI showed LGE in small area of the inferolateral wall of the LV. Symptoms resolved with Tylenol prior to arrival at the ER, discharged after ~24 hours observation on ibuprofen RTC with close follow-up planned. Restricted from strenuous activity.

According to the patient's parent, he received Pfizer dose 2 on Sunday afternoon 6/6/21 around 12-12:30pm and woke up Monday morning 6/7/21 w/ redness, hives, facial swelling, hand swelling, and then the patient became pale and fainted. No vomiting or diarrhea. He was taken by ambulance to the Emergency room where he received epinephrine x1 and Benadryl PO after which he improved.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Tachycardia-Mild, Additional Details: Five minutes after the 1st shot, patient passed out. we laid him down on floor, he came back but very tired, pale, sweating and shortness of breath. we gave him water to drink, one dose of Epipen Jr and called 911. The Epidemics arrived, he did feel better then, can sit on chair for them to check up. His vital signs came up normal, he was observed for 15 more minutes before allow to go home

Coughing, fever, chills, sweating, lethargy, decreased appetite, SEVERE nose bleeds lasting 20+ minutes, increased blood pressure and heart rate. Induced an asthmatic flare which required increased breathing treatments, steroids, and antibiotics. **Maternal grandmother had severe reaction. VAERS NUMBER 1182545

Patient reported chest tightness about 13 minutes after vaccination. No breathing issues, no shortness of breath. EMS was called vitals were normal mom elected to have him taken to hospital just to make sure. Was later reported by a family member to us that patient was released and doctors believed it to be a panic attack.

Myocarditis s/p 2nd COVID shot. Presented with chest pain, elevated troponin with ST elevations in multiple leads. Normal Echocardiogram. Treated with Methylprednisolone and Toradol. Downtrending troponin with clinical improvement at time of report. Currently still hospitalized in PICU during the time report was made.

Dizzy, low blood pressure, tingling in hands and feet. Patient was placed in supine position, legs elevated. Oxygen was administered. BP slowly returned to normal, he was slowly transitioned from supine to sitting then standing and was able to walk out of office on his own. Event lasted about 1 hour.

Patient developed vomiting and fever s/p 2nd vaccine. On day 3 s/p 2nd covid19 vaccine, developed chest pain.

Patient received vaccine at 11:14 and had an episode of syncope of at approximately 11:20. Patient received a laceration on his chin approximately 2 cm in length. He was rolled on his back and left supine, direct pressure was placed on the laceration until EMT arrived. Patient's mother denied EMT transport and did transport the patient to the Emergency Department for assessment.

Heart inflammation that wakes me up, difficult but able to breathe, lasts for about 10-20 minutes, tight feeling in chest, feels like food is stuck in my chest

Fever, Chest pain, presented to the ER and now admitted to the cardiac stepdown unit with myocarditis

has had cough, chills, fever, fatigue, body aches since vaccination, 6/11/2021 woke with chest pain into L arm and back. EKG changes were consistent with STEMI, this was ruled out by ECHO.

Patient received the Covid-19 vaccine. He fainted immediately after receiving the vaccine. Pt regained consciousness within a few seconds. Pt looked clammy and pale but denied any dizziness. VS as follows: At 1435: BP 98/39, HR 50, O2: 100 1440: BP 105/48, HR 48, O2: 99% 1450: BP 100/58, HR 54, O2: 100% Pt discharged home at 1450 in stable condition accompanied by mother

June 8th- received vaccine. Fatigue, arm soreness. June 9th- headache, decreased appetite June 10th- pain of both upper arms, substernal chest pain. One episode of emesis. Was admitted to our hospital for presumed COVID-19 vaccine related myocarditis.

1258 Called to lobby. Pt pale, diaphoretic, and having tremors of extremities. Per mom he does this with vaccines. She did not say anything thinking it was psychological and if she did not mention it he would be OK. C/O dizzy. Transferred by parents to wheelchair then to treatment room. Two person standby assist to treatment table and lying in supine position. Verbalizes had not eaten and feels better lying down. 1300 VS 117-67 HR 76, Resp 14, O2 sat 97% room air. 1314 Skin color improving. Skin dry. Assisted to sitting position. 1315 VS 116/71 HR 71 R 14 O2 sat 98% room air. Dad assisted with ambulating to lobby waiting area. Instructed to sit for 20 min and will reassess. If dizziness returns to not stand up and let parent know. Verbalizes understanding

14yo male that was admitted to our hospital's cardiology service prior to after an episode of acute onset tachycardia (possible atrial tachycardia), dizziness, headache at school. He had his first covid vaccine 8 days prior to the event at school. He has a coincidental diagnosis of an anomalous left coronary off the right aortic valve cusps, but his coronary course is unusual where he would be very unlikely to be at risk for sudden cardiac arrest. He had an ECHO in the ED that showed a mild left ventricular dysfunction (EF 45%). He underwent a cardiac MRI on 5/28/2021 was done that was normal without myocardial edema or scarring. His ejection fraction on that study (24 hours later) was 54%. He was discharged home and had a stress test the following week (6/1/2021) that showed blocked PACs at peak exercise (a very usual finding for an otherwise healthy kid) and possible slow atrial tachycardia at baseline. His laboratory evaluation including CRP and ESR was normal. 72 hour Holter monitor showed blocked PACs and no supraventricular or ventricular tachycardia. Mother reports that he is "back to baseline" May 31st. Of note, his father was covid positive with headache in October 2020. The patient also had a headache for 1 week without fever. It was presumed that he had covid as well, but was not tested per PCP recommendation.

felt mild chest tightness and shortness of breath for 2 days post vaccine (1st dose) that self resolved

Chest pain (tightness of chest ) middle of chest around 11:15pm June 12, 2021. Pt didn't eat or drink anything rested on the couch

About 3-5 min after vaccination patient felt unwell, hot, dizzy, feeling of passing out, had his head down between hands. Pharmacist and patients mom got patient down on the ground flat with legs elevated on chair, a cold pack and water. Pharmacist did not witness loss of conscientious. Patient was nervous about getting vaccine. We called 911, emergency services came, did a work up. It appeared to be a vagal response, possibly from fear of needles. When emergency services got patient up he seemed a little nauseous. They took him to hospital.

Patient presented with "crushing" substernal chest pain. Initially with negative troponin and normal ECHO. Admitted for observation. Later in day had recurrence of chest pain, along with elevated troponin and EKG changes consistent with pericarditis.

Sudden chest pain, about 30 hours after the 1st dose of the Pfizer-BioNTech vaccine. Described as an intense, clawing sensation inside the chess. Diminished upon calm, deep breathing, but persisted on-and-off for about an hour, until patient fell asleep. A few hours later, at night, woke up with a sensation of an electrical streak across his chest and back. It diminished/disappeared quickly. Some remnants in the morning. No problems reported afterwards.

5 minutes after injection: reported feeling hot + dizzy, then passed out momentarily. Recovered to normal within seconds. Approx 90 minutes after injection: rapid onset of extreme headache (outward pressure), difficulty breathing, chills, shaking, extreme fatigue, feeling of racing heart, mildly impaired vision, mildly impaired thought. These symptoms continued in waves over the subsequent 2-3 hours. Between waves, reported feeling fine.

This patient received their second Pfizer COVID-19 vaccine on 6/4/2021. The patient began experiencing arm pain which migrated to his chest on 6/6/2021. The pain resolved but returned with increased severity on 6/7/2021, prompting medical evaluation. The pain was described as a pressure sensation in the center of the chest and in bilateral arms. Upon initial evaluation, he was found to have an abnormal EKG with ST segment changes. Troponin was significantly elevated. He was transferred to the hospital. A transthoracic echo was obtained and was normal. He was hospitalized on the pediatric cardiology service, admitted on 6/8/2021. Troponin trended down during his stay. He was started on lisinopril. He was discharged home on 6/9/2021 with plan for outpatient pediatric cardiology follow up. Given the proximity of his second Pfizer COVID-19 vaccine to onset of his symptoms, and given similar reported events, the chief concern is whether his episode of myocarditis is related to administration of the Pfizer COVID-19 vaccine. I was on call as attending physician when this patient was admitted. Physician cared for this patient as the pediatric cardiology inpatient attending during his hospital course.

Immediately following vaccination on 6/11 the patient developed left arm pain which became bilateral and a headache. These symptoms resolved with Advil. On 6/13 he developed self-limited epigastric pain and later that evening he developed acute midline inferior sternal pain, which prompted ED evaluation.

Patient developed left sided chest pain with mild T wave changes on ECG as well as mildly elevated (and rising troponin).

On June 12,2021 patient woke up (10am) and felt chest pain, nausea and loss of appetite (poor oral ingestion. He was brought to Health Center after evaluation patient was transferred to Hospital. On June 12, he was admitted to the Pediatric Intesive Care Unit with elevated troponins levels. Patient continue hospitalized chest pain and other symptoms has been resolved. Inpatient medications: Toradol 30mg IV q6hrs PRN for severe pain (7-10) Ibuprofen 40mg PO q8hr PRN Famotidine 20mg Iv q12hr Zofran 6mg IV q8hr PRN for nausea

a 14 year old male with no significant past medical history who was in his usual state of health until he after his 2nd dose of Pfizer COVID-19 vaccination on Friday afternoon 6/11. On Saturday 6/12 he had headache, fever in the AM and had poor oral intake during the day and in the afternoon had developed mid sternal chest pain that Described as thumping and wrapped around his chest under his arms. He felt that it was worse with inspiration and continued to worsen despite tylenol. He went to a medical center where his workup on Saturday evening 6/12 was normal (including EKG and blood work). He also had some dizziness at that time but no syncope. He was changed from as needed tylenol to as needed motrin and instructed to take famotidine. On Sunday his chest pain persisted but was stable and he continued on motrin. On Monday 6/14 he had chest pain that felt like pounding this AM, headache, body aches, and pain in his bilateral arms, mouth and throat. He had some nausea but no vomiting or diarrhea. He represented to a medical center where his troponin was 0.25 ng/ml (normal 0-0.03 ng/ml) pro-BNP 324 (normal 0-125 pg/ml); ESR 9; CK 359; CK-MB 20.3; WBC 3.9; Hgb 14.1; plts 181. And he was noted to have ST elevations on EKG. He received toradol at 2:30pm with some improvement in his pain. His pain level has been variable 5-10/10; currently reporting that his chest pain is resolved. He has had no shortness of breath, palpitations, sick contacts, URI symptoms including cough, congestion, runny nose; no travel.

Chest pain two days after receiving vaccine. Labs obtained were troponin elevated to 21.8 BNP 230, diagnosis of myocarditis. Troponin levels are down trending. Echocardiogram obtained and plan for cardiac MRI. EKG obtained overall unremarkable.

6/12 vaccine at 3pm, 10pm started shivering 6/13: headache, sore throat, nausea and fever by the evening 6/14 symptoms continued with the addition of chest pain, brought to the ER. Troponin 10, transferred to hospital.

Patient is a 14 year old male with no past medical history who was transferred from an outside hospital ED for new onset chest pain that started 2 days after he received his second dose of the COVID vaccine, with ST elevation EKG changes concerning for pericarditis. EKG upon admission at another facility also demonstrated diffuse ST elevation. Echocardiogram was normal. Troponin values at the outside hospital and at other facility were both normal. During his admission he was started on ibuprofen TID and famotidine BID. His chest pain resolved and he was discharged home with specific return precaution and follow-up appointments with cardiology in 2 weeks and his PMD in 1 week.

Symptoms: 2 days post second dose of Pfizer Vaccine Chest pain, nausea, tachycardia, and myocardial inflammation with elevated troponin and inflammatory markers Treatment: Started ibuprofen 600mg Q6H and Colchicine loading dose followed by 0.6mg QD

He received the second dose of his covid vaccine on 6/7, began to experience sharp chest pain with exertion on 6/11. Pain is central, to the right of the sternum, without radiation. The pain then became more dull, aching, and has been interfering with his sleep. It does seem to be worse when he is thinking about it, better when he is distracted. He went to basketball tryouts 6/15 and the pain has been more frequent since that episode of strenuous exercise. He has not taken anything for the pain. He also notes more frequent fatigue. He denies any prior covid infection. No recent illness or sick contacts. Denies cough, fever, GI upset, diarrhea. He is going to school in-person, they all wear masks.

Patient developed chest tightness and pain after exercising for the first time in a while on 6/7/2021. This worsened over the next several days and he presented to the hospital with these symptoms on 6/13/2021. Lab work revealed elevated troponins, EKG showed elevated ST segment elevation and he was diagnosed with an acute perimyocarditis.

Assistance request in lobby due to patient blood pressure dropping and patient feeling weak, pale in color

Fever up to 102, on 6/13 and & 6/14 ; fever resolved and on 6/15 AM - chest pain and shortness of breath. Went to ED - EKG with ST elevation, Troponin > 3. Transferred to hospital

received his first dose of the Pfizer vaccine for 12-16 year olds on May 14. On May 19th, he fainted. He has never fainted before. On June 10th, he received his second dose and on June 15th he fainted again. Both times he fainted 5 days after receiving the vaccine.

Developed chest pain, shortness of breath, and palpitations 8 days after second COVID vaccine, prompting PCP evaluation and ultimately hospital admission for concern for post-vaccine myocarditis

Chest pain developed about 24 hours after the vaccine was delivered and increased in intensity over the next 8 hours. Patient was taken to the ER for further evaluation.

discomfort chest pain; rapid heart rate; fever; chills; This is a spontaneous report from a contactable consumer (patient). This 14-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EW0180), via an unspecified route of administration on 04Jun2021 into left arm as a 2nd dose, single dose for covid-19 immunization. The medical history and concomitant medications were not reported. Historical vaccine includes first dose of BNT162B2 (lot number: EW0182) on 14May2021 in to left arm for covid-19 immunization and experienced discomfort chest pain on 08Jun2021. The patient reported, he had fever and chills, but those went away. He has experienced not severe chest pain, but discomfort chest pain. And for the past few days, he had a rapid heart rate. The first day he got his second dose, he took some Ibuprofen but that's really about it. He states well he's sitting down so he's not having it anymore but when he stands up or is in a weird position, it kind of comes back. States it's about the same, caller confirms its persisting. Prior to vaccination (within 4 weeks), the patient was not diagnosed with COVID-19. The outcome of the events was not recovered for discomfort chest pain, unknown for rapid heart rate and recovered for rest all the events. Information on Lot/Batch number was available. Additional information has been requested.

6/15/2021 started with chest pain after second Pfizer COVID vaccine (given 6/12/2021), elevated troponin. resolution of symptoms. treated for suspected myocarditis. received toradol at outside hospital and then motrin q6h. No ECG changes, normal echo

Chest pain; heart pounding; chills; fever; tiredness; headache; This is a spontaneous report from a contactable consumer or other non hcp. A 14-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Batch/Lot number: EW0196), via an unspecified route of administration, administered in Arm Left on 10Jun2021 16:45 (at the age of 14-years-old) as 2nd dose, single dose for covid-19 immunisation. Patient did not administer any other vaccine prior to 4 weeks of vaccination. The patient medical history and concomitant medications were not reported. Patient received first dose of bnt162b2(PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Batch/Lot number: EW0178) dose 1 via unspecified route of administration, administered in Arm Left on 20May2021 18:45 (at the age of 14-years-old) as single dose for covid-19 immunisation. On 11Jun2021 12:00 the patient experienced chest pain, heart pounding, chills, fever, tiredness and headache. The patient received Tylenol (acetaminophen) 1000mg as treatment drug. The outcome of the events was recovering. Follow-up attempts are completed. No further information is expected.

14-year-old male presents to the emergency department 4 days after his second Covid vaccine. Initially after the vaccine he had some generalized fatigue and nausea but yesterday started experiencing some chest tightness lasting up to 4 minutes. He also feels an irregular heart rate or like his heart is bounding. He also had some generalized bilateral neck stiffness. This is all resolved currently. He did vomit 1 to 2 hours ago. No fevers or chills. No cough or cold symptoms. ECG shows normal sinus rhythm with ST 1 box upsloping elevation V3 through V6. Initial troponin is elevated at 2.6. Attempted to consult cardiologist and they recommended pediatric cardiology consultation. Spoke with Dr. . She recommended admission with trending troponins and Motrin. She says they typically do echocardiogram and if normal then cardiac MRI. Spoke with Dr. in the ER and they graciously accept patient in transfer.

myocarditis; pericarditis; SOB; Chest pain; troponins as high as 25; BNP of 150s; This is a spontaneous report from a contactable pharmacist. A 14-year-old male patient received bnt162b2 (BNT162B2), dose 1 intramuscular on 26May2021 (Lot Number: EW0197) at the age of 14-year-old as 1st dose, single dose for covid-19 immunisation. Medical history included Autism, asthma and COVID-19 which was diagnosed prior to vaccination. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced pericarditis/myocarditis with "SOB" and Chest pain and troponins as high as 25 and BNP of 150s. All the events occurred on 27May2021 with outcome of not recovered. The patient underwent lab tests and procedures which included COVID-19 IgM (Nasal Swab): negative on 29May2021, COVID-19 IgG (Blood test) positive on 29May2021. The patient received NSAIDS and Opioids as treatment.; Sender's Comments: Based on the available information and known product profile, the causal relationship between the reported events and the use of BNT162B2 cannot be fully excluded. There is limited information available, which precludes a more meaningful assessment. The case will be assessed further upon receipt of additional information. The impact of this report on the benefit/risk profile of the Pfizer drug is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate

Received 2nd COVID-19 vaccine on 6/14 and developed headache and myalgia that evening. On 6/15, continued to have these symptoms then developed abdominal pain and vomited once. Symptoms persisted on 6/16; then developed chest pain at 11:00PM and reported that pain seemed worse when inhaling and was sharp, shooting pain. Presented to ED at 12:00 AM on 6/17 and subsequently transferred to Pediatric ICU due to elevated troponin and d-dimer. Initial EKG showed tachycardia. Cardiologist consulted. He had an echocardiogram on 6/17 AM that showed mildly depressed LV systolic function with EF ~58%. Troponin was elevated from 2.9 to 16.9. Due to echo and elevation in troponin patient received 100 gm IVIG (max dose based on IBW). Has required one dose of 15 mg ketorolac IV and 650 mg acetaminophen PO x1 for chest pain. At 1:00 PM on 6/17, troponin increased to 54.6 and aspirin 81 mg started. Chest x-ray showed borderline cardiomegaly. On 6/18 repeat echocardiogram with normalized LVEF and considered a normal echocardiogram per cardiologist.

He had soreness at the site, he is extremely tired and fainted upon standing. He additionally has a headache and is clammy/sweaty.

fever to 101 F on 6/17/2021 at 8am which persisted. Chest pain started 6/18/2021 at 3am and has been constant. sharp chest pain lower chest midline, worse with laying, better with sitting or walking. Shortness of breath with laying also. Also has palpitations, light headedness, dizziness, nausea, feels clammy. Chest pain worse on 6/19/2021 at 1:30 am and came to the ED for further evaluation and treatment. Just got admitted and full evaluation in progress.

Admitted to hospital with one day of chest pain in the setting of elevated troponin T level. Chest pain started three days after receiving second COVID-19 vaccine (Pfizer).

Systemic: Nausea-Medium, Systemic: Seizure-Severe, Additional Details: Patient received vaccine and within 2 minutes complained of nausea& lightheadedness to his mother then passed out. Upon putting him on the ground he began to seize. Paramedics called & came & took vitals. All within normal limits. Patient was alert & talking & stated he felt fine. Upon being sat up in a chair his eyes rolled back & he began to seize again, more violently. He was then placed on strecher & taking to ER.

Approximately 1-2 weeks after the first dose, pt began having intermittent brief episodes of his heart "pounding." Not tachycardia, just pounding, at most for 3 beats. NO associated symptoms. No lightheadedness, syncope, SOB, CP, or other Sx. Normal exercise tolerance; no other illness. EKG showed intermittent right bundle branch block. The pt's symptoms have improved spontaneously & are not related to the intermittent RBBB. All other labs & testing were normal (see below); no Tx.

Patient was given doe1 of the Pfizer COVID-19 vaccination. Shortly upon standing, the patient experienced an episode of syncope and fell to the floor hitting his head on the counter. The staff immediately called 911 and the pharmacist provided supportive measures until First responders arrived. First responders examined the patient and cleared him to go home with his parents.

Mother of adolescent PT came back to the pharmacy with her daughter to receive daughters 2nd dose and reported her son had chest pain the day after receiving the pfizer vaccine. PT received the Pfizer vaccine on 5/30/21. The mom reported taking PT to ER on 5/31/21 where he was then referred to the PCP who then referred them to a cardiologist. At the ER PT was reported to have elevated blood pressure. Mom reported the physicians told her the chest pain was most likely due to administration of the Pfizer vaccine. Mom was advised to monitor PT's BP. Since seeing the cardiologist he no longer has chest pain. They have also been monitoring his BP since ER visit at home and reported today 6/20/21 he no longer has elevated BP.

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

Developed headaches the morning after receiving the vaccine (6/16) The evening after the vaccine developed substernal chest pressure and dyspnea Symptoms continued intermittently for 4 das, then presented to emergency department Had a dry cough as well, did not have any fevers, chills, or myalgias On 6/19 chest pain and shortness of breath worsened, pediatrician advised to go to ED Admitted on 6/19 Labs showed elevated CRP, elevated troponin; repeat troponin elevated so patient received chest MRI and echo, both negative (6/20) Patient received IVIG on 6/20 Currently admitted (6/20); clinically improved with improving chest pain, no shortness of breath

Patient is a 14 year old male without significant past medical history presenting with chest pain and elevated troponin consistent with myocarditis after second COVID vaccine administration. His troponin level peaked at 4.0 mg/mL. Chest pain resolved prior to discharge. ECG and Echocardiogram results below, both overall unremarkable.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Medium

Fever and chills onset 12 hours after shot. Then chest pain radiating to axilla worsening with exertion with associated orthopnea onset 6/18, aprx two days after shot. Admitted on 6/20/21 with elevated troponin to 16, with suspected covid vaccine related myocarditis. He is getting IVIG and ketorolac. Pt is stable now without any EKG interval changes, EKG sinus tachy with left axis deviation.

Patient presented with parent for Pfizer Covid shot. Mother advised that the patient has a history of fainting after vaccines. Vaccine was administered, and approximately 1 minute later the patient did briefly faint. After regaining consciousness, we elevated his feet and gave him a cool rag and water to sip. Patient stayed in our vaccine room for about 15 minutes, reported he felt fine, and left.

2 days after vaccine, reported to have fever (unsure what temp). 3 days post vaccine, chest pain worse when lying down and dry cough. On that day, seen in ER with abnormal ECG (ST segment elevation) and elevated troponin level. Transferred and admitted to my hospital. Given ibuprofen for chest pain which improved quickly. Reassuring cardiac findings and improved troponin and ECG and discharged to home on hospital day 3. See below for labs

His troponin peaked at 7.8, and waxed and waned over his stay. On day three, it steadily decreased to 1.2. CRP was also elevated with a max at 5.3, but was <1 on discharge. He remained on telemetry throughout his stay, and had occasional pvcs but no true ectopy. Two echos and multiple EKGs were normal. His chest pain resolved by HD 2 and he felt well after that. He was started on high dose ibuprofen and pepsid, which he should remain on for a total of 7 days.

14 y/ male, admitted from the ED for further evaluation and management of chest pain, acute onset. Patient was well until 6/21/21 at ~ 6 AM when patient was woken up by sharp pain in his chest, he describes as intense for about 30 minutes. He was brought to the ED where chest pain was more bearable "heaviness". By 10 AM patient states that the pain is gone. EKG showed ST segment changes. Troponin 3.87 ng/mL. Due to concerns for myocarditis, patient was admitted to the ICU. Cardiology consulted. Echocardiogram obtained 6/21/21 was normal. LR started for maintenance fluids to ensure adequate hydration. Patient had no further episodes of chest pain. No pain medications administered in ED or PICU. Repeat EKG on 6/22 with Normal Sinus Rhythm with sinus arrhythmia. Pt discharged on 6/22/21 AM.

Patient is a 14 y.o. male with no significant PMHx who presented on 6/7 with substernal chest pain, SOB, and diaphoresis. Chest pain while he was in class and progressively worsened, was substernal and was not affected by position. Rated pain as 7/10. He also had associated diaphoresis and SOB. He reported to his school nurse who sent him to the ED. Denies palpitations, no syncope or LOC. No trauma to his chest. No palpitations. No family history of cardiac disease. Denies fever. He plays basketball, football and bassbal but reports he had not participated in any sports after he got the second dose of the vaccine. No similar history of chest pain in the past. No history of syncope. Of note, he received the second dose of the Pfizer COVID vaccine on 6/4. He had received the first dose 3 weeks earlier. In the ED he was noted to be afebrile, PR of 64, RR of 18 and BP of 117/71. His SpO2 was 98% on room air. His Troponin T was 0.04 and BNP was <50. CRP was 10.3, Ferritin, 64 and had a reassuring CBC. Chest XR with no evidence of a cardiopulmonary process. His EKG showed borderline ST elevation in lead II. Pedi ID consulted for acute myocarditis in the setting of completed Pfizer-BioNTech COVID-19 vaccine. Echo on 6/8 showed normal cardiac anatomy and normal biventricular function. Repeat EKG on 6/8 was normal. Troponin T on 6/8 increased to 0.16. His CRP today is down to 7.3. His COVID-19 nasopharyngeal PCR is negative but SARS-CoV-2 nucleocapsid antibody and SARS-CoV-2 spike protein antibody were both positive. No known history of COVID-19 infection in patient or family members. RVP is negative. CMV serology is negative but other infectious diseases work up are pending. UA without pyuria. He has received IVIG and now on steroid.

Pt reported lightheadedness after injection. Pt moved to floor then relocated to different medical floor 1. VSS. Water and crackers administered. Pt reported lack of symptoms but after standing symptoms returned and pt positive for orthostatic hypotension. After multiple attempts at standing and no improvement over an hour's time, CVC clinician recommended further medical follow up. Mother decided to take pt to Emergency room/urgent care. Pt released to parent's car via wheelchair.

About 18 minutes after receiving the vaccine, the patient collapsed on the elevator and was unresponsive for a couple minutes. He reported feeling dizzy and nauseated, and he appeared pale. His blood pressure was 103/69, and his heart rate was 52. Of note, he had not eaten breakfast, nor had any water to drink on the morning of the event. He was given apple juice and some crackers, and his symptoms resolved within about 20 minutes.

2 days following vaccine, noted petechiae so platelets drawn and 2,000. Received 5 day course of Prednisone x2, then developed a nosebleed unresponsive to a third round of steroids requiring admission for IVIG. There is a possibility that he has some prolonged mucosal bleeding 2 days prior to the dose when he lost a tooth.

Patients fainted 3 times after the 2nd dose administration; This is a spontaneous report from a contactable consumer. A 14-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 2 intramuscular, administered in Arm Left on 05Jun2021 10:30 (Batch/Lot Number: EW0189) age at vaccination of 14-years-old, as single dose, for covid-19 immunisation. Medical history included was none. The patient had no allergy. The patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 1 intramuscular, administered in Arm Left on 15May2021 9:45 (Batch/Lot Number: EW0182) age at vaccination of 14-years-old, as single dose, for covid-19 immunisation. There were no concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patients fainted 3 times after the 2nd dose administration on 06Jun2021, at 1:30 am, 7:00am and then at 10:00am. The event result in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. He went to an urgent care and EKG, complete blood work, head cat scan and all result were OK. No treatment was given for the event. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient underwent lab tests which included sars-cov-2 test negative on 06Jun2021. The patient recovered in Jun2021.

Pericarditis: severe chest pain worse with being supine, lethargy, fatigue, starting day after vaccine, peaked in pain 3 days post-vaccine, lingering chest pain for at least 2 weeks (still present over 2 weeks later) after vaccine.

Patient experienced near syncopal episode following his vaccine: Within 3-4 minutes following administration of Pfizer Covid-19 vaccine patient reported feeling lightheaded and dizzy. Patient was found to be pale and slightly diaphoretic. Patient was helped to supine position with legs elevated and rested while symptoms fully subsided. Pt was able to answer questions about himself and his symptoms throughout duration of event and did not lose consciousness. Patient was monitored closely for an additional 45 minutes, VS monitored and provided with a light snack and water. After full resolution of symptoms patient was escorted to his car with parent. Mom was provided with education regarding the event and signs and symptoms to monitor.

Exactly one week after the 2nd shot, patient was at a track meet and suddenly had a sharp pain in his chest. It hurt when he inhaled, and he didn't compete. He has never experienced this kind of chest pain before. We thought it was an allergic reaction (hayfever?) because it seemed harder to breathe, so we gave him a benadryl and later went home. He was tired and took a long nap. Later he felt better. But it was scary. I think he underreported how he felt, to not alarm us parents. He admits this now. There's not logical cause other than the vaccine ( no new foods, medications, experiences). However, he didn't have any other notable side effects from the 1st or 2nd dose, except tiredness and arm soreness the first days.

Patient was given vaccine with no initial side effects and was asked to wait for 15 minutes before leaving facility. During that wait time patient started to develop blurred vision, and the pharmacist was alerted that the patient fell on the way to the bathroom. Patient was then guided into the immunization room when he briefly lost consciousness. While patient was seated, pharmacist assessed for anaphylaxis reaction and contacted emergency services. Blood pressure was taken and noted to be elevated, other symptoms included blurred vision and sweating. Patient denied itching, swelling, or trouble breathing. Patient did not receive epi-pen and was assessed by emergency services. Patient recovered shortly after emergency services arrived, no further services were needed

Woke with chest pain and trouble breathing at 6:00am on 6/12/21 (two days after seconod shot). Doctor in emergency room diagnosed acute pericarditis. Need to follow up with Pediatrician and recommended Cardiology. Tests were blood work, x-ray and CT scan. CT Angiogram Chest for PE with IV Contrast 6/12/21 ECG performed 2x 6/12/21 X Ray Chest 2 views PA/Lat 6/12/21 will be seeing Pediatrician on 6/28/21 - 773-522-6100

Patient was diagnosed with myocarditis on 6/24/2021 after 4 days of fever, malaise, fatigue, and an episode of chest discomfort. His evaluation revealed elevated inflammatory markers, CRP and ESR, and elevated troponin levels. His EKG and echocardiogram were normal. He has been started on colchicine.

Patient is a previously healthy 15 year-old presenting with chest pain and elevated troponin in the setting of recently receiving his second COVID vaccine. He was in his USOH and received his second COVID vaccine 6/17. He subsequently experienced tactile fevers, headache, and malaise for two days that resolved. Then 6/21 he developed congestion and chest pain. It is in the center of his chest, not pleuritic but worsened with sneezing/coughing. Tylenol/Motrin help, but given persistence of the pain he presented to the hospital ED. Lyme titers were sent, troponin at 1814 was 2.12, then at 1646 2.49 (normal <0.06), chem was normal, CBC had wbc 11.5 with 66% neut and Hgb 12.3. EKG and CXR were reportedly normal. He received Tylenol and Ativan and was transferred for further management. In the ED, he was afebrile with normal VS. Repeat troponin was 0.25. EKG was normal. Given elevated troponin, he is being admitted for further workup and serial cardiac enzymes and EKG. Hospital Course: Patient was admitted to the cardiology floor for troponin and chest pain monitoring. His troponin levels were trended x4 and showed return to normal. Just prior to discharge, troponin level was 0.04 (normal < 0.09). His EKG was normal throughout, and at discharge showed normal sinus rhythm. He did not have any chest pain prior to leaving the hospital. On discharge, he was tolerating a normal diet. Plan for return was discussed with family for cardiac MR on 6/25. Return precautions were discussed and family expressed understanding.

Patient received the vaccine. He stated he felt fine-not dizzy/etc He stood up and I walked him to the vaccination waiting area. Myself as well as 2 of my technicians checked in on him for a total of 3 checks. He was waiting for another person to get their vaccination. Upon checking in on the other person (he was still sitting in the waiting area) I asked him how he was feeling. Approximately 25 min had elapsed. He said his throat felt weird like closing. I had him remove his mask immediately. I assisted him to the immunization booth. He was able to walk on his own. I observed him. He said it felt the same maybe a little worse. No other signs of allergic reaction. Technician called 911. He said he was not dizzy and his color was normal. His blood pressure was slightly elevated. He said he had to keep yawning and felt tired and his throat seemed to be getting worse. I administered an epipen and immediately afterwards the paramedics were there. He walked to the stretcher and they took him to the hospital for further evaluation.

The patient received the vaccine and 4-5 minutes later he fell out of his chair, facedown. He appeared to be convulsing. He was pale, diaphoretic, and disoriented. His blood pressure was 76/36 and his pulse was 84. Radial pulse was 2+. EMT was called. His EKG appeared to have a slight elevation in his inferior leads. He and his guardian deny any significant history. Upon discharge with EMT, the patient was alert and tolerating liquids well. The patient's guardian states that he has had a similar reaction prior when he was the age of 6. She states that he also felt slightly lightheaded from the first Pfizer vaccination.

Patient received second dose of covid vaccine on 6/22/21, then developed SOB and CP on 6/25/21. He was seen in the outpatient clinic and had an EKG which did not show significant ST elevation or LVH. His troponin could not be drawn at that time d/t difficult access- he had labs done on 6/27/21 which were signficant for troponin of 2.1ng./mL. He had a repeat EKG on 6/27/21 which did show subtle ST elevation in the inferior leads. He was diagnosed with myocarditis- Cardiology was consulted. He is being admitted to the hospital for observation overnight- will get an echocardiogram and serial troponins- results not yet known at the time of this report. He is currently en route to the hospital.

Patient c/o dry mouth, difficulty swallowing, chest felt heavy and fogginess. Spoke to Mother of pt she stated pt is fine, she gave him claritan and the symtoms resolved. I advised he shoud wait 30 minutes when recieving dose #2

Developed shortness of breath, chest tightness on exertion while training cross country (run about 2 miles) - 3 days post second dose mRNA COVID-19 vaccine (Pfizer). He had to stop, rest for the rest of training. No palpitations, dizziness, or syncope. He was seen by PCP 06/7/21, seen by Cardiology 06/08/21.

Reported that he experienced chest pain, irregular heart beat, difficulty breathing and fatigue staring the night he got the 1st dose of the vaccine 6/5/21. Chest pain lasted approx. 7 days (more at night). Palpitations lasted for about 2 weeks (intermittent). Difficulty breathing was only at night when he tried to lay down (lasted about 10 days). When last seen in clinic 6/29/21 reports all symptoms resolved.

6/27/21 Developed left chest pain at 5 p.m. Took ibuprofen that did not really help. Slept fine. Chest pain returned at 11 a.m. on 6/28/21 while playing tennis. Chest pain increases with deep breath. He needs to take deep inhalation at times to feel comfortable breathing. No symptoms increased with laying flat. He had 1 Diarrhea episode after vaccine which he blames on food he ate. Next bowel movement was normal. No fever.

My son experienced severe bruising about one week later after receiving his Pfizer vaccine. My son right arm was very sore as well. He also had little bumps, petichae all over his body. He still has the bruising and he had a sore, scab where he fell down before the vaccine and he could not stop the bleeding at the site. I took him to ER, performed a complete blood work and platelet count. On 06-22-2021, his platelet count had dropped to 15,000. The ER did not admit him and we had to go back to the ER last Thursday 06-24-2021 and his platelet count 13,000.

14 yo male presented with a 3 day history of chest pain after COVID-19 vaccine, found to have elevated Troponin level. Dx most likely myocarditis in the setting of recent COVID-19 vaccine. Patient was started on Ibuprofen 600 mg q6 hr scheduled. Troponin trended q6 hours with subsequent downtrending of Troponins. (Highest troponin 5.03; most recent troponin 0.87 prior to discharge)

Patient had fevers and malaise the day after the vaccine, recovered, but then developed chest pain with exertion and fatigue apprx 4-5 days after the vaccine. Symptoms persisted with worsening shortness of breath and he then presented to the ED on 6/28/21. He was found to have mildly elevated troponin and ST segment elevation. He was admitted, monitored, and had normalization of troponin levels over the next 24 hours as well as resolution of symptoms. Echocardiogram was normal. He was discharged on 6/29/21 with a Holter monitor and outpatient Cardiology follow up.

My son experience after the vaccine around 03:40pm, he felt dizzy, started to black out and passed out. I gave him fluids and called his PCP. I made him eat since he did not eat earlier that day. He states he felt off, I gave him some Tylenol medication. He also had a headaches and started with diarrhea. The next day he stayed in bed, continued with flushed bright red cheeks, diarrhea and the headaches. The day after that he started to feel bit better, I think his symptoms lasted between 36-48 hours. His glucose level was 90.

Pt developed rash within a few hours of receiving the vaccine; it has spread over his body and persists after 20 days; it is pruritic but not painful, it is blanchable and no systemic symptoms

fever of 102.5F the morning after covid vaccine #2 given. Also had chest pain and shortness of breath. Tylenol given which helped with symptoms. The following day, all symptoms had resolved.

Pfizer COVID vaccine (6/23 dose 2). That evening he developed chills. . He developed body aches, decreased energy level, and decreased appetite. He woke up with extreme chest pain that radiated to the lower portion of his neck. He felt his heart racing and found it hard to take deep breaths secondary to pain. Brought to ED for further evaluation. He was afebrile, 99.4. Cardiologist on-call, was contacted and recommended transfer to another facility. In the hospital ED

Symptoms started on 6/24 at 2:00am: chest pain difficulty breathing horrible cough Per doctor request to take IB profrin and plenty of rest and asthma pump for lungs. As of today, he states the chest pain is minimum and his breathing is better. However the cough is still around mainly in the mornings.

myocarditis; inflammation around the muscle; it showed some irregular heartbeats; My son had a reaction; This is spontaneous report from contactable consumer (patient's mother). This consumer reported for a 14-year-old male patient (reporter's son) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiration date were not reported), dose 2 via an unspecified route of administration, administered in arm right on 04Jun2021 18:00 (at the age of 14-year-old) as dose 2, single for COVID-19 immunisation. The vaccine was not administered in a military facility. No medical history and concomitant medications not reported. The patient never required a medication or had hospitalized before. The patient did not receive any additional vaccines administered on same date of the suspect drug. Family medical history relevant to events was reported as none. Historical vaccine included bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, on an unspecified date (Batch/Lot Number: unknown) as single for COVID-19 immunisation. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to the vaccination, the patient had no adverse event. The reporter reported that her son received his 2nd Pfizer vaccination shot on 04Jun2021 and was subsequently rushed to the hospital via ambulance from school on 07Jun2021. The patient remained inpatient in the hospital in ICU (intensive care unit) unit for (three days and two overnights) until discharge on 09Jun2021. It was confirmed that he developed myocarditis on 07Jun2021 at 13:00 and was linked to the second vaccination shot. The patient was on medications with a serious of appointments. On an unknown date Jun2021, the patient lab test included MRI (magnetic resonance imaging), EKG (electrocardiogram), and they drew blood from him several times. All pointed to inflammation around the muscle. Reporter stated they said for the MRI, the inflammation had increased but not surprising, it was what they had saw with this situation. For the EKG, reporter said unknown results, in terms. It was told it showed some irregular heartbeats. Patient was wearing a cardiac heart monitor. Started wearing on it on 09Jun2021, they discharged him with it. The doctor at the hospital gave the patient prednisone, which he was still on for eight weeks he said, Motrin and Pepcid, which he was still on. Prednisone did changes to wean him off, 30mg. Six tablets twice a day, 08:00 and 20:00. Eventually would go to three tablets twice a day and keep going down. Right known it was six tablets. The pepcid she knew he takes once a day, and motrin 600mg three times a day. The patient visited (emergency room and physician office). The pediatrician required him to follow up with her as well for the event myocarditis. On an unknown date Jun2021, reporter stated that my son had reaction because of vaccination. The reporter clarified that her son was on medicines now with a series of appointments over the next several months, he had a series of appointments. The outcome of the events was myocarditis not resolved and the outcome for other events were unknown. Information on Lot/Batch number has been requested.

Client reported acute, sharp chest pain the moment the needle entered his arm. Chest pain was temporarily relieved by pressure, accompanied by diaphoresis, tachypnea and hypertension. EMS was called and initial EKG showed abnormal T waves. Client was transported to hospital for further care.

After receiving COVID-19 Pfizer vaccine at noon, patient returned home and began mowing lawn. Shortly after, while mowing, felt lightheaded then passed out - was unconscious for < one minute. Had water that morning and food, but may not have had adequate water? Has history of being nervous with vaccines but had never passed out before

He blacked out; This is a spontaneous report from a contactable consumer reporting for her grandson (patient). A 14-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number and Expiry Date are unknown) via an unspecified route of administration on 14Jun2021 15:00 at the age of 14-years-old as dose 1, single for COVID-19 immunisation. The Patients Medical History including any illness at time of vaccination were none. The Patients concomitant medications were none. Family Medical History Relevant to AE(s) were none. Relevant Tests were none. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available) were none. Additional vaccines administered on same date of the Pfizer suspect if applicable, list all vaccines administered on same date with the Pfizer vaccine considered as suspect were none. Prior Vaccinations within 4 weeks were none. AE(s) following prior vaccinations were none. On 14Jun2021 at 10 PM, 7 hours later, when he got out of his chair, he blacked out stated this morning, she checked on him. The patient underwent lab tests and procedures which included 'vitals (investigation): ok on an unspecified date in 2021, breathing (investigation): ok on an unspecified date in 2021, pulse (heart rate): ok on an unspecified date in 2021. The outcome of event was unknown. Follow-up attempts are needed. Information on Batch/Lot number has been requested. Follow up attempts are needed. Additional information has been requested.

14 year old male with autism who has chest pain and ECG showing diffuse ST elevation (normal troponin) consistent with pericarditis. He also received his second dose of the Pfizer vaccine 5 days prior to onset of chest pain. Although it is difficult to know for sure if this is vaccine mediated, the timing makes it suspicious. Now hospitalized with observation and pending ECHO results. Symptomatic management with NSAIDS.

The morning after the second dose, Patient complained that his "heart hurt." He was okay after taking one Advil. The following morning, he woke up at 5am in tears complaining of extreme heart and chest pain. His breathing was ok. He had a fever (range of 99-101.3) for 2-3 days after each of the doses. I made an appointment with his pediatrician. Dr. exam didn't find irregularities but he ordered tests to be certain and to rule out the myocarditis being reported. Chest X-Ray and EKG were normal. The Echocardiogram showed mild TR but no other diagnoses. This was patients first echocardiogram, so there was no baseline to compare to.

Patient was feeling dizzy when walking in the parking lot to the car with his father about 15 minutes after his first Pfizer Covid19 vaccine. He sat down for a few seconds and felt ok but when he went to stand up to continue walking he passed out. They did not re-enter the store. He regained consciousness and went home. His father was with him and is observing him at home.

myocarditis with troponin elevation and arrhythmias diagnosed 7/1/21 after episode of chest pain and nausea

post vaccination pericarditis and myocarditis from chest pain that developed within minutes of vaccination.

Chest pain onset 3 days post second dose of pfizer vaccine resulting in 2 day hospitalization, cardiac workup and serial lab draws.

1 week after receiving vaccine #2, PT complained of fatigue and. Started getting lightheaded with standing and walking. Day 11 after the vaccine he complained of chest pain, so I took in to the ED at Hospital. His EKG, CXR, tropinin, CK,BNP were normal but he was orthostatic by heart rate. He followed up with Dr. and he recommended push fluids, more salt/Gatorade. He has continued to have orthostatic tachycardia and when he walks household distances his HR goes up to 120-140. He is lightheaded with minimal exertion. Climbing one flight of stairs makes him short of breath. He has an appointment with Dr. tomorrow, 7-5 and I will request more labs and cardiology referral. PT was in good shape and played basketball before the vaccine.

Developed acute onset chest pain, and found to have elevate troponin. His acute chest pain resolved almost immediately upon admission to the hospital, and his troponin started to downtrend over 48h.

Patient developed sudden onset shortness of breath and chest pain 1.5 days after his second COVID vaccine. He has had persistent shortness of breath and chest pain since then for 1 month despite ibuprofen.

Presented to Emergency Dept with acute chest pain, somewhat positional, on 03 July -- two days after reported receipt of 2nd dose Pfizer vaccine.

Systemic: Fainting / Unresponsive-Medium, Additional Details: Pharmacy administered vaccine & followed normal routine, including keeping a hand on pt the whole time until finished pt slumped over & rolled to his left & rolled out of chair onto the ground, on his stomach. He didnt hit the wall or the chair. Father & I both knelt to ground to roll him to his side and he immediately came to & sat up against wall. Dad said he had not had anything to eat any time recently, unconcerned & proceded to move to the next child, who was too scared to do it.

Pt mother called and stated that pt is vomiting and has a fever of 101.9 pt mother state that pt received the second dose of COVID vaccine on 6/29/21 and now he is having these symptoms. Pt mother state that pt had these symptoms before with the first dose however they resolved on there own. Pt is now complaining of chest pain is unable to take a deep breath because it causes him pain. Patient Has not attempted treatment at home. CHIEF COMPLAINT: VOMITING (one episode of vomiting this morning) and FEVER (fever started on Wednesday) Assessment/Plan DIAGNOSIS at time of disposition: 1. Acute myocarditis, unspecified myocarditis type 2. Acute chest pain 3. COVID-19 virus not detected Patient presents with chest pain 2 days after 2nd COVID-19 vaccine. Labs were obtained and his troponin is elevated to 122 and his CRP is also elevated. I discussed case with ID, recommended admitting to Cardiology for workup for myocarditis. 14 y/o previously healthy male who presented to hospital after onset of chest pain, fever, chills, and vomiting this morning. Found to have elevated troponin and mild ST changes on EKG. Patient recently received 2nd Pfizer-BioNTech COVID vaccine on 6/29. Admitted for close monitoring and further work up of suspected myopericarditis following COVID vaccination.

Patient received dose 1 of Pfizer Covid vaccine on 7/7/21 at 1115AM. After two or three minutes, patient lost consciousness and fell off the chair in the waiting area and recovered a few seconds later. Patient felt very hot and vision became blurry. No airway restriction observed. 911 was called and paramedics transported patient (completely awake and coherent) to local hospital for further evaluation

The patient presented on 6/22/2021 with bruising to the lower extremities and longer than usual bleeding from a cut he had on his right leg. The patient had a CBC done and showed he had thrombocytopenia with a platelet count of 15,000. He was evaluated by hematology and the CBC repeated and showed platelet count was indeed very low at 13,000. He was diagnosed with immune thrombocytopenic purpura. No treatment was given, observation only. Patient had Covid antibodies performed and on 7/1/2021 he had a positive IgM antibody to COVID-19 and a negative IgG antibody to COVID-19. He was ANA negative. His platelet antibodies were positive confirming the diagnosis of autoimmune thrombocytopenia.

On and off headaches every day for the past two weeks. On 7/6/2021 and 7/7/2021 had severe nose bleeds. Had headache on 7/8/2021

After receiving his first dose of Pfizer Covid vaccine was standing while mother was asking a few questions and as they were about to walk over to the observation area, he passed out and fell. He hit his head on the corner of a metal plate. Pt may have been "out" for ~30 sec and came to immediately and was A+Ox3. All his vital signs were stable (BP 118/66, HR 86, O2 100). Mother was present and the ambulance was called at 10:23. Mother denies past history of fainting with IZs, denies remarkable mhx. Paramedics arrived by 10:28 and per mom's request was taken to ED.

Patients eyes rolled back, turned very red, and his arms became rigid for about 30 seconds, then he passed out. He came to about 30 seconds later. We called 911 - paramedics assessed the patient and concluded that he was feeling ok.

Myocarditis; Her son still has some inflammation; This is a spontaneous report from a contactable other hcp (Patients mother). A 14-years-old male patient received bnt162b2 (BNT162B2, Batch/Lot Number: EW0180 and Expiry Date: 19Jun2021), dose 2 via an unspecified route of administration, administered in Arm Left on 19Jun2021 as single dose for covid-19 immunisation. Patient previously received dose 1 of bnt162b2 (BNT162B2, Lot number: EW0178 and Expiration Date : Unknown to caller ) via an unspecified route of administration on 29May2021 as single dose for covid-19 immunization. The patient's medical history was not reported. There were no concomitant medications. On 21Jun2021, The patient experienced myocarditis, About 2 days later, he was taken by ambulance to the ER, diagnosed with Myocarditis and admitted to the hospital, discharged on 23Jun2021. Caller states that she believes her son still has some inflammation, it is better but still ongoing, as he is still unable to exert himself at all. The claims are not in yet but it looks like they will be spending 5000 to 6000 dollar out of pocket. She is looking for some type of compensation for their expenses. Patient had no other vaccines on the same day as the suspect product. Myocarditis lead to Emergency Room. The outcome of the event myocarditis was recovering and inflammation was not recovered.; Sender's Comments: As per the information provided in the narrative, the causal association between the suspect drug and the event 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.

Patient felt as though he was going to pass out. Became diaphoretic, pale, nausea. Patient was given juice, cold pack applied to neck and forehead. Placed on his back. He felt better about 5 mins after treated.

Patient experienced a few seconds of syncope while sitting down a few minutes after receiving first dose of pfizer vaccine. He regained consciousness quickly and was directed to lay down flat on his back with his legs in the air. Patient immediately felt better, remained in this position for 25 minutes and left the pharmacy after 35 minutes feeling well.

Pt. reports that a few hours after the vaccine, he felt that his throat and chest were tight and uncomfortable and then he developed fever, chills, myalgias after vaccination that resolved after about 48 hours. Last documented fever was Tuesday (7/6) morning. In general, he has been feeling tired with decreased appetite but maintained adequate hydration and has had normal urine output. Over the past 24 hours, he has developed chest discomfort that has progressed to chest pain; it peaked this morning (7/8) when he woke up and he woke his parents up because the pain was so bad. Due to chest pain, he presented to the ED for evaluation where he was found to have non-specific ST segment changes on his EKG, elevated troponin to 5.69. He was admitted to the hospital and treated with NSAIDs where he has been improving.

Patient reports onset of chest pain three days after his second Pfizer COVID vaccine. In the following three days after his vaccine, he had headache, decreased appetite, and mild nausea. However was still taking in fluids, decreased solid food intake. He also experienced insomnia and generalized malaise. At midnight on 07/02 he began to experience 9/10 substernal chest pain that was sharp, burning in sensation and located in the middle of the chest, non-radiating, pleuritic which lasted for several hours. Patient has had no fevers, vomiting, diarrhea, congestion, sore throat or cough. Denies any SOB, dizziness, syncope, palpitations, edema, orthopnea. There has been no trauma to the chest. No recent URIs. He was seen at a hospital where he was found to have a trop of 1251 ng/L (converting to ~1.5 in our system) then one hour later up to 1500mg/L. His EKG at the hospital demonstrated lateral ST elevations. Had a normal CXR. He was given Maalox which was not helpful. He was transferred to another medical facility after 3 hours at the hospital. Upon presentation to the emergency department, his vitals were stable. He had elevated CRP to 7.69, troponin was 1.0. CBC and Chem were normal. BNP normal at 15. Bedside ultrasound showed no pericardial effusion. Cardiology was consulted and ECHO showed mild left ventricular dysfunction with EF 47%. Repeat EKG here showed ongoing ST elevations in lateral leads, though mild. His pain has since improved to a 2/10. He has not required any medication for his pain. He is COVID/flu/RSV negative. On arrival to the floor, his chest pain had completely resolved. Patient reports the pain was pleuritic, worse with exertion and improving on rest. PMH: idiopathic urticaria Allergies: NKDA Family history: none reported, no cardiac disease or sudden cardiac death Hospital Course: Patient was admitted to the cardiology floor for continued monitoring of his troponin levels and EKG. He was then treated with IVIG 2g/kg and started on methylprednisolone IV x 2 doses. He initially had some very mild chest discomfort that improved by day 2 of admission. An echocardiogram was performed which showed improvement in his EF to 54%. Given his dysfunction, he was started on Enalapril 2.5mg twice daily. He was transitioned over to PO steroids which he tolerated well. On day of discharge, his troponin levels were trending down, and EKG was WNL. Cardiac MRI was performed and showed late gadolinium enhancement in the left ventricle. He had occasional PVCs but no arrhythmias. Viral myocarditis studies were sent and all negative. By time of discharge, patient was well-appearing, vitals stable, demonstrating good PO intake. Prescriptions sent to preferred pharmacy. Follow up with cardiology in place. Discharge instructions and return precautions reviewed with patient and parent, who expressed good understanding and agreement with plan. Patient will follow up in cardiology clinic next week with a repeat MRI 3-6 months.

6/29: usual state of health until Saturday 6/26/21 when he began to experience chest pain. Due to the pain persisting for 2 days, parents brought him to the ED. He describes the pain as "pounding" and lasting for up to "half an hour". He reports no recent illnesses or fevers, but does note that he received the second dose of the Pfizer vaccine 4 days ago (6/25/2021). In the ED he had a CXR, EKG and screening labs which showed elevated troponin. Secondary to this the decision was made to admit patient for continued evaluation and management of possible myocarditis. troponin up to 0.6 at 2100. SARS-CoV-2 PCR is negative. 6/30: IVIG administered overnight due to increasing troponin. troponin now 0.36. chest pain resolved. 7/1: troponin trending down to 0.06. No complaints of chest pain. discharged home.

Chest pain, Myocarditis, seen in ED on 7/2/21 (2 days after vaccine) with diagnosis confirmed. no EKG changes, treated with toradol and ibuprofen 600mg TID x 5 days, symptoms resolved by 7/9/21

The day of the 7/8 vaccination the patient developed chills. On 7/9 the patient then developed a retro-orbital headache with fevers, chills, and myalgias. These symptoms persisted and on 7/10 the patient then developed chest pain, prompting presentation to the ED with subsequent admission.

Patient received the vaccination at approximately 7pm 07/08/2021. He had a prolonged blood glucose from 6am-9:18am and consumed 75 grams of Carbohydrates and had a bg reading of 64 and steady on his continuous glucose monitor. Patient lost consciousness and had a seizure at approximately 9:20 am 07/09/2021. The seizure lasted approximately 3 minutes. Glugagon was administered due to the thought that it was Diabetic hypoglycemic. He was taken to medical facility and released. He was taken to another medical facility on Sunday July 11 to be evaluated for neurological issues. He is continuing to have symptoms of fatigue and overall lethargy, body aches and runny nose and his ability to focus is impaired.

PATIENT RECEIVED SHOT. FEW SECONDS LATER HE FAINTED. PHARMACY CALLED 911. PHARMACIST CHECKED PULSE AND PT WAS DOING OK. NO EPIPEN WAS GIVEN. EMS TOOK PATIENT TO THE HOPSITAL TO GEIT IT CHECKED OUT.

Approximately 22 hours after receiving Pfizer vaccine #1, he became febrile to 100 degrees fahrenheit, and desaturated down to mid 80% on RA requiring O2 via NC at 2l. Was taken and admitted with impending respiratory failure.

Felt faint, hand numbness/tingling, turned pale in color, nausea 15 minutes after receiving 1st dose of Pfizer COVID vaccine. Patient put head between legs and a cold compress on neck. Took blood pressure 20 minutes, 30 minutes, and 35 minutes after vaccination. Blood pressure range 93-102/62-68. Pulse range 76-104.

Approximately 5 minutes after receiving vaccine, patient got lightheaded and started to pass out. He did lose consciousness. He was helped to the floor and we elevated his feet. We also gave him a cool compress for his forehead. After about 3 minutes, he moved to a chair.

Prior to administration of the vaccine, I discussed with mom and patient about previous immunizations and the YES response to previously fainting or felt dizzy post immunization. Mom proceeded to state that he has a strong vaso-vagal response to needles/immunizations and he has fainted multiple times during and after immunizations. The patient appeared calm, so I did some breathing exercises with him and when I determined that he was calm, I administered the vaccine. Patient was still sitting upright, I asked him to continue to breathe slowly and deeply. I asked if he would like a water, and so I went to grab it from the pharmacy lab. Patient then stated he was dizzy and was going to pass out. He did not pass out, and I asked him if he would like to lay down. I put down a towel for him and then he started to throw up. I got a cold washcloth for his neck. He started sweating profusely (essentially a marked cholinergic response). I got him to lay down after some more vomiting . He stated that his vision was blurry, but he was laying down calmly. after 25 minutes of reclining, he stated he was starting to feel a bit better. I offered a 25mg diphenhydramine tablet to help with residual nausea. He stated he was better and go shop with his family. They did not return to the pharmacy, so as of my last interaction, he was fully recovered from the event.

Pt began complaining of dizziness after receiving Pfizer vaccine, while sitting in recovery area. Pt was pale and clammy to touch. Pt's father stated that Pt did not eat anything today prior to coming in for vaccination. Pt was evaluated by staff, and given a bottle of water and a granola bar. Pt ate and drank what was provided, stated he felt better, and left clinic in care of his parents without further incident.

Client reported "burning" in his arm around the vaccination site immediately after receiving the COVID vaccine. The client reported "numbness" around the deltoid where he received the COVID vaccine. No noted redness or swelling around the site. At 1:35PM the client reported a headache, stomachache, and left arm pain from his elbow to shoulder. The client described the arm pain similar to sore muscle pain. The client denied any s/s of anaphylaxis. The client stated "I feel the food in my stomach." Vitals obtained at 1:38 PM were as follows BP 141/84, HR 95, and O2 98%. The client stated he went to bed at 2:00AM last night and did drink water this morning. At 1:40PM the client requested, was provided, and began consuming a snack and juice. At 1:48PM the client said, "I feel good." Vitals obtained at 1:49PM were as follows: automatic BP 172/73, HR 95, and O2 98%. Noted the automatic BP cuff was placed incorrectly. Repeat automatic BP obtained at 1:532PM was 151/82. At 2:03 the client reported that his arm was still sore but his headache was improving. The client denied any dizziness, nausea, or chest pressure. Vitals obtained at 2:03PM were as follows: automatic BP 162/83, HR 90, O2 97%. At 2:07PM education was provided to client and his mother regarding elevated BP, s/s of anaphylaxis, when to seek EMS. The client and his mother voiced understanding of this. The client stated that he felt nervous. Recommended the client and his mother follow up with PCP regarding elevated BP. Client's mother voiced understanding of this education. Assessed upper extremity strength, which was equal bilaterally. Assessed facial nerve function which was equal bilaterally. The client denied any shortness of breath, dizziness, or itching. Examined the vaccination site, and noted no redness or swelling. Manual BP obtained at 2:09PM was 150/86. Vitals obtained at 2:24PM were as follows: manual BP: 150/78, HR 86, and O2 96%. Offered to call EMS to evaluate the client. The client's mother declined EMS at 2:29PM.

Dizzy; Heart palpitations; Difficulty breathing/ he couldn't breathe/his throat started closing up; Allergic reaction; Swollen throat and tongue/ his throat was swollen; Swollen throat and tongue/ his tongue was swollen; Hives all over his body; This is a spontaneous report from a contactable consumer (parent). A 14-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EW0187), via an unspecified route of administration on 29Jun2021 at 09:40 (at the age of 14-year- old), as dose 1, single in left arm for COVID-19 immunisation at pharmacy. The patient's medical history was reported as none and concomitant medications were not reported. The patient did not receive any other vaccine on the same date of the Pfizer vaccine and no other vaccines were taken within 4 weeks of COVID vaccine. On 29Jun2021 at 09:40, right after the first dose of vaccine, the patient experienced allergic reaction and had swollen throat and tongue/his throat was swollen, difficulty breathing/he couldn't breathe/his throat started closing up, hives all over his body, and heart palpitations; all for a duration of 1 day 14 hours and 20 minutes. On 30Jun2021, 14 hours and 20 minutes after the administration of first dose of vaccine, the patient was dizzy, for a duration of 2 days. Later, the patient felt better. Treatment received included Epi Pen. Reporter stated that the pharmacist called the ambulance and took him to the Emergency Room for Pediatrics where he received Benadryl and something else for his breathing. Adverse event resulted in visit to emergency room on 29Jun2021 and physician office for allergic reaction. The clinical outcome of the event dizzy was resolved on 02Jul2021 and clinical outcome of all other events was resolved on 01Jul2021. Follow-up attempts are completed. No further information is expected.

AFTER PATIENT WAS ADMINISTTERD THE VACCINE. HE WAS WAITING IN THE LOBBY AND HIS FATHER NOTIFIED THE PHARMACIST THAT HIS SON WAS COMPLAINING OF INCREASE HEART RATE AND CHEST PAIN ON THE LEFT SIDE OF CHEST. PATIENT WAS TAKEN BACK TO THE IMMUNIZATION ROOM TO CHECK HIS VITALS. HIS BP WAS 121/76 WITH HEART RATE 0F 102. THE DAD SO HE WAS TAKING HIM TO THE HOSPITAL AND THE PHARMACSIT OPTED TO CALL EMS. THE PATIENT DID WANT THAT. HE SAID HE FELT BETTER , BUT BEFORE EMS ARRIVED HE STARTED EXPERIENCING CHEST PAIN AGAIN. ONCE EMS ARRIVED AND CHECKED HIS VITALS AGAIN. HE STATED " HE FELT BETTER AND HIS VITALS WERE NORMAL . EMS LEFT AND THE PATIENT DID TOO.

Patient received the vaccine in left arm by Pharmacist. Patient stated a phobia of needles. Shot administration was normal. Patient walked out of the vaccine room and told his mom he felt light headed and dizzy. She had him sit down to which he fainted and was unresponsive for 45 seconds or so. Mother was present and got pharmacy attention. The reaction was at 10:39 am and by 10:43am patient was talking and answering questions but was still very pale. EMS 911 was called and patient was given water. EMS arrived on seen and patients blood pressure was 83/49 and oxygen was 97. EMS decided to transport patient to emergency services.

Patient fainted temporarily after injection for approx 1 minute or less. With help from mom, we were able to lower him to lay on the floor. He laid on the floor for approx 2 minutes, then sat on the floor and drank water for approx 1 min. He then was able to get himself up into a chair. He remained in the pharmacy area for longer than his observation period and was able to leave without further incident. Mom reported that he has a history of fainting with previous vaccinations.

after vaccine was administered, patient was told to wait in the store for 15 minutes. Within 2 minutes, patient told their mom, he felt "woozy". Patient dropped to his knees. Pharmacist was alerted by immunizing technician. Pharmacist went to the lobby to assist. Patient was alert but stated he did not feel good. Pharmacist helped patient to a chair. within another minute, patient stiffened and would not answer to his name. 911 was called. ambulance arrived within 5 minutes. Patient was alert, but pale, said felt sweaty, and dizzy. paramedics took blood pressure and place the patient on the gurney. blood pressure was normal. paramedics stated they would run a few tests in the ambulance, and mom agreed to going to hospital after. patient left the store with paramedics.

Patient was vaccinated with his first dose of Covid Pfizer vaccine and approximately 10-11 minutes later his mother stated that he no longer felt like sitting. He went to stand by her and 3-4 minutes later patient had a syncopal episode, fell back, and hit his head on a wall. The patient had recovered consciousness by the time staff reached him. Our staff came to his aid and had him sit up, assessed for any signs of bleeding, which there were not, and checked vitals (results below). Patient had no complaints of headache, no dizziness, was alert and oriented (was able to repeat name, DOB, address, and where he was), no nausea, no neck or back pain, just mentioned that he was standing then everything went dark. He mentioned that his left arm was tingling and sore but nothing he would be alarmed about. At the time, we suggested we monitor him an additional 15 minutes and for him to inform us if he felt any additional side effects. At approximately 3:55pm, patient mentioned that his hands felt cold, but otherwise he had feeling and no numbness. Patient mom was concerned and agreed to call emergency services. Ambulance arrived and took patient to hospital at approximately 4:09pm.

Patient had sharp chest pain while running long distance after vaccine more than once. During his doctor?s exam they noticed something with his breathing that led to an EKG, which came back abnormal. They ran additional X-rays and lab work to confirm he needed to be referred to a cardiologist. Patient has past health issues and has never had Covid. He is extremely healthy and doesn?t take any medications. His weight is healthy. He is physically fit and exercises on a regular basis. Doctor suspects pericarditis related to vaccine.

Mom called today 7-22-21 to report that pt. was diagnosed yesterday with pericarditis. Said doctor thinks possibly related to the Pfizer covid vaccinations. Doctor thinks onset was approx 4 weeks ago.

Massive nose bleeds; Headache almost every day; This is a spontaneous report from a contactable consumer (mother reporting for son). A 14-year-old male received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- EWO177) via an unspecified route of administration in left arm on 22Jun2021 as dose 2, single (at the age of 14-years-old) for COVID-19 immunization. Patient medical history included known allergies. The concomitant medications included cetirizine hydrochloride tablet (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) at a dose and frequency of 10 mg, 1 tablet as needed for allergies, vitamins NOS (FLINTSTONES) at a dose and frequency of 1x/day (2 gummies once a day). Mother stated he takes ZYRTEC the generic kind. He had been taking it since he was six about, on and off with allergies. He started taking flintstone vitamins last year for health. Historical vaccine included BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number-EWO177) via an unspecified route of administration in right arm on 01Jun2021 as dose 1, single for COVID-19 immunization. Mother was calling about the Pfizer Covid-19 Vaccine and wanted to report a side-effect her son had after second dose. She added they just got back from doctor office. This all happened after the second vaccination, ever since he got the second one on 22Jun2021. He has had headache almost every day since then. He had massive nose bleeds this week on Tuesday and Wednesday. After the first vaccine he had a headache for a few days also but it was not bad at all. After the second, it was constant. It did not last all day, it came and went. She was unable to answer if symptoms were still going on and stated they come and go. The nose bleeds he has not had any today so far. They took some blood they are checking, including his clotting platelets or whatever that is, and they are checking to see if he has been bit by a tick. Just for precautionary reasons. She does not know results yet as he just got the blood today and they just got back from the doctor. When the headaches got bad, he would take Tylenol the first few days and then he took Motrin. She corrected and stated he took Ibuprofen, not Motrin. The adverse events did not result in emergency room visit but resulted in physician office visit. The outcome of the events was unknown.

Pt received vaccine at 1600 today, pt returned home with mother without incident. At approx 2330 later that night pt mother removed bandage from vaccination site, pt then reported to mother that "he had blurred vision and so I had him sit down. Once he was sitting down he got really pale and his eyes closed. He stopped responding for a few seconds and then he came to."

Myocarditis. Patient presented with chest pain and SOB 5-6 days after receiving vaccine #1. Found to have myocarditis with depressed LV function

Patient received Covid 19 Pfizer vaccine. Approximately 5 minutes later father came and got pharmacist stating that patient was not doing well. Pharmacist immediately went out to check on him. Mother was giving him puffs of albuterol inhaler when pharmacist arrived. Patient was awake but lethargic. Dad was on phone with 911. Pharmacist asked patient if they would like some water, patient agreed. Pharmacist went and got water out of fridge. Once pharmacist returned patient lost consciousness again. Pharmacist checked pulse which was there. Patient quickly regained consciousness. 911 phone dispatcher recommended using epi-pen due to past allergies to bee stings. Dad had his Auvi-Q with him. Which was administered by the pharmacist. Firefighters arrived and checked pulse and BP. Paramedics arrived and took him to the hospital for further evaluation.

a few seconds after client reported to RN feeling dizzy at 1715. RN set up anti-gravity chair and client was able to transfer without assistance. RN then informed PHN client was not feeling well and prior to vaccine had stated he had a headache. Mother had told RN client's headache was minor and to still administer vaccine. PHN arrived at 1717, client alert and oriented x4, sitting in Fowler's position, pale. Vitals at 1717: pulse 95, oxygen sat 99%. Per client new onset of nausea and stomachache, RN gave client emesis bag and water. Blood pressure at 1719: 118/76, pulse 75. Per client's Mother, client has medical history of migraines, no current medications and no known allergies. Per client had ate earlier today, but spent all day out in the sun. Client stated his migraines are often accompanied with nausea and vomiting. Client informed he would be kept 30 mins in observation. Vitals at 1724: blood pressure 120/72, pulse 75, oxygen sat 99%. Per client dizziness same, headache slightly improving 5/10. At 1726 client reported needing to use restroom. EMT guided client to restroom. Client able to transfer self again back to anti-gravity chair. Vitals at 1735: blood pressure 125/76, pulse 78, oxygen 99%. Client reported feeling "slightly dizzy", headache improving and nausea had resolved. Client stayed with EMT remainder of observation. Vitals at 1741: blood pressure 120/78, pulse 70, oxygen sat 99%. Per client headache 3/10, dizziness and nausea resolved. At 1746 client reported mild headache. Vitals at 1810: blood pressure 120/78, pulse 72, oxygen sat 99%. Per client headache same. EMT educated client and Mother to follow up with medical provider and gave ER precautions. Client left facility with steady gait at 1812

PT c/o headache, pain 6/10, and dizziness. vitals temp 98.5, pulse 66, BP 125/66, resp 17, pO2 98, glucose 94 seen earler in day for headache but no c/o headache on assessment,, apparent change in mental state, health care provider decided to transfer child, transported via EMS to Hospital- dx bradycardia, treated and realeased back to EIS

Patient presented w/ fever x 1d. S/p COVID #1. Tm 99.6F; defervesce w/ antipyretics. Assoc w/ chest pain w/ breathing; denied resp distress, shortness of breath, palpitations, LOC, MS change. or other neuro/cardio/pulm difficulties. Denied cough, rhinorrhea, vomit, diarrhea, rash, or lethargy. Normal PO and UOP. Provider referred patient to visit ER on 07/12/21. On 07/13/21, nurse reached patient to follow ER visit. Patient stated that symptoms resolved after 07/12/21 visit. Patient did not went to ER.

After 12 hours of the vaccine on 7/23 he started exp chest discomfort, heavy breathing and felt feverish. The next day on 7/24 he had aches and pain took Melatonin to sleep. As of today he is feeling better a little anxiety.

Patient lost consciousness for a second and collapsed on the floor. He was conscious and aware of his surrounding just a few seconds after the incident

Concern for a possible post-vaccine MIS-C-like inflammatory reaction Symptoms at presentation included intermittent fever and hives-like rash x 5 days, conjunctivitis x 1 day, and lip erythema x 1 day.

patient got pfizer 1st dose, about 10-15 minutes later he passed out, came back to alert state right away. no problems with breathing, no epi-pen was required

Patient was alert but disoriented, difficulty breathing, speaking in between breathes, chest tightness, dizziness, and nausea 5 minutes after receiving the Pfizer Covid 19 Vaccine. 911 was called & paramedics arrived at the scene about 10 minutes from onset of patients symptoms. Patient was taken into Paramedics care and transported to the hospital.

Symptoms for 14 year old male were chest pains on left side, with difficulty taking deep breath?s. Symptoms worse when lying down. Symptoms began at 3:00 AM and Continued until the morning when mother took son to local emergency room. Bloodwork and diagnostic x-ray showed no abnormalities, patient was discharged at 11:49 AM with recommendation of rest, ibuprofen or Tylenol as needed for chest discomfort. Advice to return to ED for worsening pain.

Very heavy nose bleed; Got another very heavy nose bleed; Very tired; Not feeling well; This is a spontaneous report from a contactable consumer or other non-health care professional (parent- mother). A 14-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0182), via an unspecified route of administration (at the age of 14-years), on 09Jul2021 as dose 2, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0182), via an unspecified route of administration on 18Jun2021 as dose 1, single for COVID-19 immunization. On 12Jul2021, the patient experienced very heavy nose bleed, got another very heavy nose bleed. On Jul2021, experienced very tired and not feeling well. Reporter stated that I am calling about my son, he was 14 years old and he had his second vaccine this past Friday and two nights in a row, he has had very heavy nose bleed but he does not get these bloody noses ever but it started last night and then he just got another very heavy nose bleed. I just do not know if we need to watch for this or worry about this just because as I said he just had his second and he has never ever had nose bleeds. She stated that her 14 year old son received his second dose of the Pfizer COIVD-19 vaccine on 09July2021 and the past two nights has been having nose bleeds and is looking for any information on this, has this been reported, what to look for? She stated that her sons first and second doses were the same LOT number, EW0182, and they did not provide NDC/EXP for either dose on the vaccine card. She clarified that it was after he had the second dose, now he is having bloody noses and she would like to know if she should worry or is this normal and others have reported experiencing this. Is there a product complaint to report?-Yes, Description of complaint: This is a follow up report. Report Reference: Unknown, caller says this was not provided during the call she made yesterday. Pfizer COVID-19 vaccine: Caller says that her son's first and second doses were the same LOT number, EW0182, and they did not provide NDC/EXP for either dose on the vaccine card. Product strength and count size dispensed: not provided, second dose. Additional lot numbers: N/A. Is a sample of the product available to be returned, if requested (Y/N): not provided. Packaging sealed and intact? not provided. Is there a medical information request?-Yes. Please describe the medical information request she would like to know if she should worry or is this normal and others have reported experiencing bloody noses after second dose of Pfizer COVID-19 vaccine? Information on the lot/batch number has been requested.

On May 16 (day after vaccination), developed a bad cold, cough. We expected this. We gave him motrin to help with the symptoms. Then on May 19 at 1400 the school nurse called me to say that he had developed a nose bleed. No injury/no inciting event. They had been putting pressure, ice, etc on it for about 2 hours. We picked him up. No more nose bleeding after the initial pressure/rhinorocket and he did not go to the Emergency Room. The congestion, cough improved. No problems with the second dose of the vaccine on June 5. Since then, he has complained about things tasting funny/bad and not being able to smell as well. He did not mention this to his primary care doctor during his physical this summer nor did his father let her know (he was at the visit with our son). has complained of this fairly regularly and he relates it back to the nose bleed.

Two weeks after the first Pfizer COVID vaccine shot, developed severe neutropenia (ANC = 0.62 and WBC = 3.24). Follow up with hematologist four weeks after first shot and neutropenia were worsened (ANC = 0.49 and WBC = 2.65). No treatment was admitted and follow fever protocol and visit the hematologist after 6 more weeks. Hematologist also called off second Pfizer shot.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Vomiting-Mild, Additional Details: Patient had fading consciousness 5 minutes after vaccine administration. When patient became unresponsive to questions and care, Epipen was administered. Patient recovered quickly, ambulance was called. Patient went with ambulance.

pt found by ems crew incomapny of mother in vaccine booth after having recieved vaccine. pt appeared to have suffered a syncapo episode due to a vaso vagal response. pt mother had consented to all ems evaluation and treatment. pt was assessed on scene and pt wa then transfered to hall way for further evaluation. original vitals at vaccine booth was bp63/42 hr 46 rr 18 spo2 99 ra. pt had perspiration on forehead and pale skin and mild visual disturbances. pt improved once in hallw ay. vitals bp 87/59 hr 52 rr 18 spo2 99 RA. pt began to "feel better" PTs mother denied any allergies or pmhx. pt care was released and pt was escorted out of center by staff with mother

Approximately 20 minutes after the vaccine the patient was the passenger in his mother's car when he started feeling confused, experienced blurred vision and reportedly lost consciousness. Upon regaining consciousness, the patient vomited.

Patient received his first dose of the Pfizer covid 19 vaccine and after a few minutes passed out briefly whiles waiting with his mom in the pharmacy lobby. He complained of nausea. He was able to walk out of the pharmacy and left home with no other issues after the paramedics checked him out.

Pt fainted shortly after receiving vaccine, 911 called immediately, BP fluctuating rapidly, pt was mostly awake but not alert. Paramedics took out in ambulance with Dad

PATIENT RECEIVED PFIZER COVID VACCINE AND WENT TO WAITING AREA. PATIENT COMPLAINED THAT HE FELT FAINT. PATIENT DIAPHORETIC AND SHAKING. CLOSED EYES. APPEARED TO LOSE CONSCIOUSNESS FOR ABOU A MINUTE. GAVE PATIENT COLD WATER. PATIENT REVIVED QUICKLY. MOVED HIM FROM CHAIR TO WAITING AREA TO LAY FLAT. HE WANTED TO RISE TO HIS FEET WITHIN MINUTES. PATIENT'S MOTHER IS PHYSICIAN AND WAS ON PHONE WITH FATHER ACCOMPANYING HIM.

pt received first dose of Pfizer COVID vaccine. 2-3 minutes after the shot was completed, I was alerted that someone has "passed out" in the designated waiting area. upon arriving at the scene, I saw his mother holding him and helping him to the floor. she states he had fainted---she states he did not lose consciousness, did not fall, and did not hit his head. I called 911 and stayed with him the whole time until the rescue squad arrived. parent states pt has never had a reaction to a vaccine previously, has no health conditions, no allergies to food or drugs. upon arrival, rescue squad gathered information. a mutual decision was made between parent and rescue squad not to take patient to hospital; they walked him to the vehicle

Pt was at 2nd dose scheduling & had syncopal episode. Assisted fall to the floor by mother. EMS C-spine negative; VS stable (BP 126/78; HR 87; RR 18). Pt felt better after juice & water.

Systemic: Fainting / Unresponsive-Severe, Additional Details: while patient was waiting out in the waiting area for their 15 minute monitoring session the patient passed out and fell to the floor. The patient did not injure himself with falling to the floor and woke up immediately after he passed out. We immediately put ice packs on him and had him drink a bottle of water while sitting on the floor and made him stay in the waiting area until his color came back in his face and felt fine to go home. He was extremely nervous about getting the vaccine.

Patient become light headed, lost consciousness and struck head. He rest under observation, ice pack and drunk juice. He recovered and discharged home Pulse : 67 SPO2 : 99% BP: 110/58

Administered Pfizer COVID vaccine #1 to 15 year old patient. During his 15 minute wait time, patient's eyes began to flutter and he slumped over. Pharmacist responded and lowered patient to floor and elevated legs. He regained consciousness and was able to repeat his name and his location. First BP was 108/68. Pt was able to sit in chair and drank an orange juice, but began to shake and tremble and stated his extremities were numb. Repeat BP was 80/48 and EMS was called. Upon EMS arrival, his pulse and BP had returned to normal. EMS evaluated and advised that he was ok to return home.

Patient brought to medical tent after collapsing after he got vaccinated. Nursing reports he has been unconscious for 2 minutes after standing up and was caught by nurse. Pt was sweaty which got better when supine. Pt felt weak, headache, dizziness and pale. no difficulty swallowing. attempted to sit up and dizziness worsened. Pt's symptoms did not improve so EMS initiated.

Pt had just received vaccine, was walking to waiting area and experienced a syncopal episode, head stuck floor. Pt appeared to posture, skin was cool, pale, and diaphoretic. C collar applied by ems, PT TF to stretcher from floor and TF to EMS room. Vitals obtained, BP 150/90, HR 76, RR 20, SpO2 98% RA, pupils PEARL. Pt complaint of head pain and nausea. Pt's father advised that Pt needs to be TP to hospital by Rescue and father agreed. PT care TF to Rescue crew.

Patient felt dizzy, hot, nauseous and subsequently fainted approximately five to ten minutes after vaccine administration. He regained consciousness within a few seconds. They had him lay on the floor with feet elevated. Dizziness and lightheadedness resolved. He remained under observation for 30 more minutes.

Patient lost consciousness and fell on the floor 5 mins after receiving the shot. He had no response to any physical contact. His pulse was weak and pupils were dilated. One dose of 0.3mg Epipen was then given to the left thigh of patient. He regained consciousness in about 5 mins after the Epipen shot. His pulse and pupils turned back to normal as well. He was able to stand and answer questions to the EMS team when they arrived to the scene in another 5 mins. Patient was then taken to the ambulance.

AFTER RETURNING TO WAITING AREA, PATIENT BEGAN TO FAINT. IMMEDIATELY REGAINED CONSCIOUSNESS AND STAYED IN AREA. PATIENT WAS VERY PALE AND HAD BRIEF NAUSEA. BOTH HAD SUBSIDED WITHIN ABOUT 5 MINUTS. PATIENT CONTINUED TO STAY IN THE AREA FOR 20-25 ADDITIONAL MINUTES AND SINCE HAS ONLY A SORE ARM. PATIENT WAS VERY NERVOUS AND ARM WAS VERY TENSE UPON ADMINISTRATION.

Patient fainted post vaccine and was out for about 10 seconds, and then came to. After waiting 15 minutes, drinking some water, and eating a light snack, patient was fine.

PATIENT WAS GIVEN THE COVID-19 PFIZER VACCINE @11:18AM. THEY WERE ASKED TO STAY 15 MINUTES AT THE WAITING AREA AND AROUND 11:21AM, HE FAINTED. I RAN TO THE PATIENT, HE WAS ALREADY CONSCIOUS BUT STILL CALLED 911. PARAMEDICS CAME 15 MINUTES LATER, HE WAS ALMOST RELEASED TO GO HOME BUT UPON STANDING UP, HE FAINTED AGAIN. HE WAS TAKEN TO HOSPITAL AND WAS DISCHARGED SAME DAY.

client signaled to EMT for assistance. Client was a 15 year-old male found sitting upright, alert and tracking and stating he was dizzy. Client had a chief complaint of dizziness. Client stated that he began to feel dizzy approximately "2-3 minutes" after his vaccination. Client denied falling and denied any injury. Client denied any allergies or past medical history. Assessment revealed no swelling, discoloration, hives, shortness of breath or other signs of anaphylaxis. Client stated that he felt dizzy but denied any pain throughout his body. Client appeared mildly pale but was alert and oriented to person, place, date and event. Client's airway, breathing and circulation were intact. Vital signs: pulse 78, O2 99%, Respirations 12, Blood pressure 118/82, Eyes equal and reactive to light, lung sounds clear bilaterally. Temperature 97.8. Client and his mother consented to an additional 30 minute observation. Client had a granola bar and juice while waiting and his color pallor subsided. After lying down for five minutes, client stated that he felt better. Remaining vitals were: 0945 - 99% O2, pulse 76, respirations 18, blood pressure 118/78, 1000 - 116/78, Pulse 70, respirations 16 99% O2, 1010 - 118/78, Pulse 76, Respirations 16, 99% O2. Client's mother was provided with all relevant information and instructed to seek medical care or the emergency room if signs of a severe allergic reaction occur later. No medications were administered.

Vaccine given to patient and had a reaction to the vaccine. Patient appeared to have a vaso-vagal reaction color drained from his face and broke out in a sweat and then became unresponsive, then woke up. Moved to stretcher and vital signs monitored, heart rate to 40,appeared to have a seizure and post ictal. Mom present, instructed to call pediatrician and ask about second dose administration. Patient given OJ and banana, monitored for over an hour, color and VS improved, discharged with Mom.

EMS reports pt had syncopal episode after vaccinated while waiting in observation area. No LOC. Refused transport to ER.

Patient had a brief syncopal event about 1 minute after receiving the vaccine. About 20-25 minutes after the vaccine he had 2 episodes of vomiting. He felt normal within an hour of the vaccine.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Severe, Additional Details: sweating profusely, EMS called and came to pharmacy, checked on pt and all clear for him to leave, parents had no problem and said they didnt need anything before they leave

Pt was given vaccine and began telling his brother he felt lightheaded. Pt's brother began to inform his mother. Pt then slumped in chair and began to fall to the floor. Mother tried to brace pt's fall. Pt still hit the floor and lightly hit his head. LPN's stated pt had a 5 second episode of convulsions that appeared to be a seizure. Pt did lose LOC for about 15 seconds and came to. Pt did not realize what had happened. Pt was placed on a cot. Pt stated he felt warm and lightheaded. Pt's VS were taken at 1640 - BP 136/70, HR 61, RR 18, 99% O2. EMS were called and in route. Pt began feeling better. Another set of VS were taken at 1645 - BP 127/76, HR 80, RR 16, 99% O2. Pt had ice packs placed on his neck and forehead. Pt sat up on cot after another 5 minutes and another set of VS were taken at 1650 - BP 123/82, HR 89, RR 16, 99% O2. Pt stated he was feeling better but still had a minor headache. EMS arrived and advised pt to be checked out. Mother agreed to take her son to the hospital herself not via EMS. Refusal form was signed by mother from EMS. Pt, mother, and brother left to go get checked out.

Within 3 minutes of vaccination, pt fainted. Immediately came to. Monitored for 20 minutes and then released pt as mom was comfortable with pt being ok. Pt experienced similar episode 2 years prior during x-rays.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: pt hypotensive after vaccination bp 52/36 hr 57-Medium, Systemic: Hypotension-Medium, Additional Details: blood pressure normal upon departure 103/77

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Systemic: Shakiness-Mild, Systemic: Visual Changes/Disturbances-Severe, Additional Details: Patient became very pale after receiving the vaccine as well

Was sitting in observation room, felt dizzy and put his hands on his head, then passed out. Hit head on carpeted surface. LOC less than 10 seconds.

patient had the vaccination and waited for 15 minutes, then when he was walking out the store then he felt dizzy and fainted for seconds, Dad was there to catch him when he was falling. he came back to conscious as I was there, we called 911 and paramedics came and checked on pt. then he went home with parents after he was done with the checkup with the paramedics.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient received vaccine and passed out. Father reported after event that patient has passed out from needles and previous vaccines and did not notify the pharmacist prior to administration. Patient recovered quickly and remained in store for 20 minutes post event with no reported issues. Father denied need to call 911 and patient was responsive within 5-10 seconds.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hyperventilation-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Shakiness-Mild, Systemic: Tachycardia-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Patient started experiencing numbness, tingling, and hand cramps minutes after receiving his pfizer vaccine. We sat him down in the chair and had him relax. I called EMS shortly after and they arrived quickly. They worked him up and concluded that he was having a panic attack related to being give the vaccine. Patient states that he wasnt anxious about it previous to administration nor did he seem anxious as well. He was calmed down by the EMS personnel and then was able to walk out of the store

Developed itching of scalp 2 hours post injection, spread to arms the next day. 3 days later developed hives over her wrist and knees. On day 4 hives worsened, and experienced brief (~1hr) period of chest heaviness that self resolved. Treated with Zyrtec which helped itch for a day. Benadryl not helpful. Day 5 woke with morbilliform rash over trunk and fever to 101.9, lasted a few hours, all symptoms resolved over the course of day 5.

After receiving vaccine, we were told to sit and wait 10 minutes before leaving. About 7 minutes into waiting, my son said he was thirsty and not feeling that good. we started to walk to get a water and he totally blacked out and exhibited mild like seizure activity. After he "came too", he complained of blurry vision and still didn't feel good as we waited for ambulance. Once ambulance came he was feeling a little better. Vitals all checked out good and were declined going to hospital. He doesn't remember anything that happened in Pharmacy, except that he thought he was going to die.

near syncope, got dizzy and pale BP: 107/58 @ 9:23am HR 66 provided water. within a few minutes patient felt fine. BP rechecked @9:36am was 117/68 HR: 90 patient recovered and ready to go home.

Dad present for vaccine, after a few minutes post vaccine, pt ws unresponsive and had a syncopal reaction, sterna rub, unresponsive to name, pale, diaphoretic., weak pulse of 40, legs raised 0947 81/43-41-12- then 107/56-77-18 responded to voice comands, oriented times 3 and transfered to cot and observation area. Parent instructed to call pediatrician and have him seen for a work up. Parent advised to have him laydown for immunization when he returns. 1015 home to the care of parent.

Patient received first dose of Pfizer vaccine. Instantly became nauseous and Faint/pale. Assisted him to the floor elevated legs. No LOC. Pulse was 80, BP 138/80

Client felt clammy, almost faint. Tingle in legs and felt nauseous. Evaluated by EMS. BP 100/60 P 72 Felt better and went home with mom.

Patient got shot on 05/20/21, waited in the pharmacy for 15 mins and felt fine. Patients mom called after about an hour and said patient fainted but recovered soon. He was not hurt, mom was advised to keep an eye on patient and call 911/ or urgent care visit. Per mom will wait. Called patient after some hrs per patient he is fine and has no adverse symptoms anymore.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: possibly seizure related. patient fainted and hit head on wall upon fall. came to and went in and out a couple times. stable until EMS arrival

Syncopal episode with Loss of Consciousness for several seconds . Radial pulse was weak Heart rate was 48 / min and BP 85/60 . Heart rate and BP improved 112/80 Struck back of head during fall

Patient and Patient Mother denied that patient had any history of fainting or dizziness with needle puncture. Patient was administered First dose of Pfizer vaccine 11:23am. Patient was seated in observation area with mother and sibling at 11:24am. At 11:25 am patient began to verbalize that vision was disturbed and mother notified staff who informed me. When I approached patient the patients eyes were closed and patient was unconscious and unresponsive. I administered a sternal rub and patient opened eyes and tried to speak but sounded slurred. Patient was unconscious for less than ten seconds. At 11:27am patient was able to answer all LOC questions appropriately and community health worker was instructed to get Wheel chair. Patient was able to help with transfer and patient was placed in wheel chair with minimal effort. At 11:28 Patient was taken to room 8 with recliner chair. Patient was placed in recliner with minimal assistance with legs raised and patient was given water which patient sipped. Pt was encouraged to rest and patient closed eyes and laid head back. At 11:32 am Vital signs machine was unable to be used due to power outage so E-cart had to be opened to remove stethoscope and BP cuff. At 11:34 am Vitals signs were taken: BP-92/57 HR: 65 RR: 16 and patient denied any lightheadedness, dizziness, or fainting feeling. Pt requested to have mask off during observation. Patient and patient mother were instructed that a thirty minute wait time would be recommended and both verbalized understanding. MD was not notified since patient was talking appropriately and vision disturbance was resolving. Mother agreed that because patient condition was improving, that there was no need to involve MD. Patient continued to sip water and rest. Patient continued to close eyes periodically but began to keep eyes opened longer. At 11:46 am patient stated ?I feel a little tired, but I feel better.? Vital signs were taken: BP- 96/59 HR:65 RR:16 and patient denied any symptoms. At 11:53 a Patient stated felt well enough to leave. Patient was instructed to stand up and stay standing for a few seconds to ensure patient did not become dizzy. Patient was able to walk around the room with no gait or stability issues. Patient and patient mother were instructed to relay this occurrence to RN for second Dose of Pfizer COVID-19 Vaccine to ensure that staff can take the proper safety precautions. Patient and patient mother verbalized understanding. Patient left with mother and sibling awake and oriented x4 with no issues.

About 3 min after giving vaccine, pt was seen potentially having a seizure. Unconscious for about 5 seconds. Came to. Hot, sweating, dizzy. Dizziness continued for approximately 45 minutes.

Patient experienced as 15- 20 second syncopy spell when he sat up frpm a sitting position after receiving the covid vaccine initial vitals 102/60 pulse 40 after regaining conciousness BP was 111/60 pulse at 60 patient prior to fainting appeared diapharatic, pale and cool to the touch there were no signs of llegeric reaction including flushing of the face lack of hives or angiodema no wheezibg, no strider or labored breathing patient complained of dizzness upopn standind equal to 30 mins.. EMS was notrified when arrived patient was up and alert without dicculties EMS recommended patient be released to his gaurdian BP at release 112/57 pulse 62 father advised to call physician if any concerns arise or go to nearest hospital in an emergent situation

(Vasovagal Response) Fainted when standing up after getting vaccine. Hit shoulder on table. C/o of mild pain to shoulder, but no additional complaints. Laid down and no additional treatment needed.

dizziness, lightheaded, black out, cold/clammy skin, profuse sweating, ringing in the ears 911 was called and responded to by both fire and medical paramedics vitals were taken and patient was observed for an additional 20 minutes before leaving when he had returned to a stable condition

one minute after injection, pt started to fall forward in the chair. father caught him and I was immediately called into the immunization room. pt was laid onto the floor and his legs were elevated onto a chair. father stated pt had never had a reaction to a vaccine before. no health conditions. 911 was called..... but then parent decided he didn't want them. pt states his vision started to go black before he briefly passed out... probable vasovagal syncope. we waited for 911 to come since they were already alerted. pt sat in chair but then started to get lightheaded again, so he returned to a position where his feet were elevated in the chair. EMS arrived and monitored him. father and EMS made decision to return pt to home.

Patient became pale, nauseous, blurred vision and lowered blood pressure. Ambulance called and patient was ok and sent home with parents. Next morning at 1030 Am patient was called and was fine.

Pt walking and c/o unable to see, pale, diaphoretic and lightheaded. W/C to med eval station for further evaluation. Vision returned after 2 minutes, Gatorade and water offered. EMS evaluated with VS 90/60, HR 70, Sat's 98%. Lying on cot with parents at side. No further visual impairment. Able to see without any blurring or peripheral impairment. EMS continue to monitor, taking fluids, no s/s neuro deficit present with assessment. Able to stand with no c/o's dizziness. BP 110/70 HR 88 Sat 98 RA. Continued recover, parents decline any hospital transportation. Ambulatory discharge with parents and contact pediatrician for any further symptoms. Reviewed with parents well hydrated today and s/s anaphylactic reaction. Pt to be vaccinated 2nd dose in med eval area when he returns for 2nd dose, parents verbalized understanding.

Patient fainted 5 minutes after the vaccination. He regained his conscious but complained severe headache. Patient also had some jerky motion after fainting. Paramedics was called. Patient's vital signs were normal. He was taken to facility for further follow-up.

Approximately 8 days after first shot I started to feel strange feelings in chest after spending multiple hours outdoors. It was a pressure like feeling. Occasionally when I swallow it will feel uncomfortable, but not every time.

Patient received the COVID vaccine. Patient stood up to allow the next person to sit for vaccination. Within a minute, client loses consciousness and falls, hitting his head on the wooden floor. Client was evaluated by our emergency medical technician, vital signs within normal limits. Client presented with palor, coloring resolved prior to leaving the site. Client was transferred to the cot. Client alert and oriented on all spheres but states he is tired and wants to sleep. Medic unit called for further evaluation.

Pt experienced a lightheaded feeling and dizziness after receiving his first dose of the Pfizer vaccine. Pt was then assisted in ambulating to the treatment area where he was placed in a supine position on a the medical cot. Pt never completely lost consciousness. Vitals were obtained every 5 minutes while in recovery. After approximately 2 minutes, the Pt began to feel better and was able to sit up with no negative symptoms. Pt remained in observation for another 15 minutes and was then released with no complications or incidents.

Pt reported to briefly lose consciousness and stated that his vision changed. Pt did not fall completely from chair. Pt was gently lowered to the ground. Pt was alert and oriented x 3 and vision restored while lying on the ground. Patient was given water but then when he sat up, he soon became unconscious again and again was gently lowered to the floor. Regurgitated/ spit out the water. After initial confusion, was alert and oriented again.

Approximately 1 minute after receiving vaccine, patient experienced what appeared to be a generalized tonic-clonic seizure, lasting 4-4.5 minutes. The patient regained consciousness and was awake, alert and oriented x3. Patient and father refused transport by EMS to ED for evaluation. The patient's father reported prior history of seizures after needlestick.

Became sweaty and pale after injection. Stated felt like he couldn't hear correctly. BP 84/58, HR 61-70, PulseOX 98%. Given 2 bottles of water, feet propped up, and he pinked up and able to converse appropriately with staff. Advised to stay for 30 minutes to monitor.

Pt dad thinks pt has vasovagal syncope. Pt passed out immediately after getting vaccinated and vomited when regained consciousness. Pt turned white in the face and fell forward in chair when he fainted and after vomiting pt continued to go in and out of consciousness. Took about 10-15 minutes of placing feet on another chair and raising hands over head but pt color returned and he felt much better.

Patient reported feeling "nauseous" about 5 minutes after having received vaccine. Patient had an episode of syncope in the restroom. Assisted patient to sitting position was A&O x4, no signs of active bleeding or cuts. O2 saturation was 99% with HR of 83. Patient was able to swallow and answer basic commands.

5/19/2021: Fever, Chills, headache, cough. 5/20/2001: Chills persist, fever & headache resolve 5/21 /2021 at 0300: Severe Chest pain, fever recurs, admitted to hospital where ST elevation seen on EKG, Echocardiogram shows pericardial enhancement, normal function , no abnormalities. troponin high at 832, proBNP high at 308, CKMB 54.6

he received the first dose of vaccine and fell to the floor almost immediately, paramedics responded, BP was low but no other issues, he was released without further medical attention

Patient began to have chest pain 12-24 hours after administration of vaccine. Chest pain worsened over 48 hours. Pain described as constant pressing sternal chest pain. He also had associated fatigue. Initial work up consistent with peri/ myocarditis. Chest pain has no longer been persistent during admission. No chest pain at rest any longer. Patient describing some ?throbbing? heart pressure with walking.

Patient exhibited signs and symptoms of syncope. Felt dizzy, clammy skin, nauseous. Had him lie down for 15 minutes with legs elevated and used an ice pack on the neck to help improve blood flow. Patient recovered.

current_age: 15; Headache; chest pain; fatigue; This is a spontaneous report received from a non-contactable consumer. A 15-year-old male patient reported for himself that he received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection), via an unspecified route of administration, administered in Left Arm on 13May2021 16:00 (at the age of 15-year-old) as single dose for COVID-19 immunization. The patient medical history was not reported. 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 have any known allergies. The patient did not receive any other medications within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 14May2021 at 16:30 the patient experienced Headache, chest pain, and fatigue. The patient received Tylenol as treatment for the events. The reporter stated that events as non-serious. The outcome of the events was reported as recovered on an unspecified date. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Syncopal episode 10 min after vaccination which lasted 1-2 min. Regained consciousness when laid flat on the floor without any complications. VS 10:12 122/70, HR 88, RR 16, Temp 98.6, O2 sat 99% RA, BG 100, PERRL, EOMI. Recheck at 10:38 110/66, HR 86, RR 16, Temp 98.2, O2sat 98% RA Denied any complications.

After receiving patients first Pfizer Covid shot patient passed out twice. EMS was contacted at this time. Patient regained consciousness each time. He then passed out a third time after EMS arrived at the seen. Due to this he was transported to nearest hospital ER for further testing

Patient developed a short lived near syncope spell x 30 mins after receiving Pfizer vaccine while getting up from exam bed no injury to report he reported feeling warm and appeared pale and clampy and diaphoretic vitals: B/P 126/90 pulse 77 oxy 99%. He showed no symptoms of allergic reaction no rash no angioedema, lungs were clear with obstruction reporting no tingling or swelling of the tongue he was observed for 30 mins walking around normally before being transitioned back to his guardian he did not lose conscience discharge vitals B/P 123/85 sat 100% pulse 82.

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

Syncope, Vomiting, flushing/sweating. BP 122/47, HR 51, RR 16 -- > 125/71, 54, 16. Pt fell to the floor but recovered after resting. Pt stable and released from the vaccination site.

Patient developed racing heart rate ~18 hours after his vaccine at 5 am the next morning. The racing heart rate was associated with L sided jaw pain. His family gave him 81 mg aspirin x 2 but later that day his heart racing was continuing and he developed mild chest pain, prompting him to go to ED.

muscle spasms and weakness to the arm in which the injection was administered, shortness of breath and chest discomfort

Patient had syncope and dizziness after 1st pfizer vaccine dose at another facility. Patient has previous history of syncope approximately 2 months ago after blood donation was seen and evaluated by cardiologist. Initially skin on face slightly pale, sweaty arms -improved after lying down on bed. Oriented X3, BP 95/57 O2 sat 99% HR 61, was offered apple juice and peanut butter crackers, left ambulatory with his mom, asymptomatic at time of discharge.

Temporary blindness (lasted about 30 secs to a min), pale skin, sweating, feeling cold, dizziness. Gave water, apple juice and Gatorade to patient and called 911. EMT came in to take he's BP, blood glucose level and both were normal. Stayed at pharmacy for about 45 minutes and patient got better but was still feeling cold. They've decided not to go to hospital but followed up with dad around at 6:30 - 7 pm ish, and confirmed he is doing okay.

Client received the 1st dose of Pfizer COVID vaccine lot #EW0185 and expiration date 6/24/21 at 5:52PM. Per vaccinator, reports that client was saying, "Wow that was aniclimactic" after getting vaccine. Per vaccinator, she notices within 1-2 minutes client got quiet and then reported "I am not feeling well." Client received vaccine in left deltoid. RN requested PHN 1 to get gravity chair. PHN grabbed gravity chair and asked RN to get BP cuff and pulse ox. PHN arrive to assess client and found client alert and oriented x 4 in chair at 5:53PM. Client was already drinking water given by vaccinator when PHN arrived. Client reports he was experiencing "dizziness and slight shortness of breath." PHN ask client if he thought he was steady enough to switch to gravity chair. Client stood up slowly and sat in the gravity chair. RN 1 asked client if his throat felt tight-client responds-"No" and coached client to take deep, slow breaths. At 5:55PM vitals are: blood pressure: 130/90, pulse: 55 and oxygen: 98%. At 5:57pm client reports no longer feeling shortness of breath. Client is speaking in full sentences and able to answer all PHN questions about chest pain and headache and client reports having neither. At 6pm vitals: blood pressure:125/90, pulse:75, and oxygen:100%. PHN instruct RN to get Lead PHN or Co-Lead. Client reports he has slight dizziness and feels lightheaded and reports that earlier he had blurred vision but now is seeing clearly. At 6:03PM vitals are: blood pressure:160/100, client appears pale and heart rate:140, and oxygen: 100%. Lead PHN arrives to take over assessment and PHN starts calling 9-1-1 at 6:04PM as blood pressure is repeated by co-lead :180/90, oxygen100% and pulse 129 and upon auscultation hears clear lungs and heart palpitations. Client is then reports shortness of breath and dizziness, no headache and no blurred vision. Parent reports that client has a history of asthma but rarely needs inhaler so she does not have it on her and that client recently had been on antibiotics for Gastrointestinal history and a bad cough (not COVID)-all symptoms had been resolved before receiving vaccine. At 6:07pm Vitals: blood pressure: 170/90, pulse:100%; no change in symptoms. At 6:08pm vitals: blood pressure:170/90, pulse: 94, and oxygen: 100%, client reports experiencing tightness in chest and unable to complete breath. Client reports no chest pain. Vitals taken again by RN due to new symptom, blood pressure: 122/70, pulse:93 and oxygen: 100%. RN auscultate again and hears palpitations have slowed and lungs clear. At 6:10PM, vitals are blood pressure:124/74 and pulse: 96. Client reports feeling "shaky, tightness on chest" and could not take full breaths. Paramedics assumed care at 6:12pm. Client and parent left on stretcher with paramedics to be transported to Hospital. Tell security that mother is leaving blue pathfinder in parking lot. Security assures he will not tow vehicle.

pt received 1st Covid vaccine while in car with Mom. He fainted right after. paramedics right there. came to in about 1minute. Declined urgent care/hospital. Didn't eat lunch prior history of near fainting while donatingblood. Fully recovered.

Hypotensive. Dizzy and sweating. pulse 52 hr @ 12:46, BP 110/40. 12:51 BP 90/50. 12:54 BP 96/60. 1:00pm BP 108/68.

Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: PATIENT RECIEVED VACCINE AT 2P. Sat in waiting area for about 10 minutes. Our observer noticed that the patient was sliding in his seat and looked dizzy. Patient starting to flutter his eyes and lost consciousness for about 5 secs. He complained about blurry vision, feeling hot, sweating, but with chills. Patient was given water. After he drank the bottle of water patient felt fine. The ambulance was called and arrived, patient reported he felt fine. Patient did not eat/nor drink water today.

He received the Pfitzer BioNTech vaccine (Lot Number: EW0177, Exp.: 8/31/2021). During a routine doctor's visit on May 17, Patient's pediatrician noticed an elevated heart rate. A cardiologist diagnosed him with asymptomatic supraventricular tachycardia (SVT) (abnormal ECG, heart rate around 150) on May 20. Patient has no other cardiorespiratory symptoms (dizziness, shortness of breath etc.).

Nausea and faintness with vaccination Vitals: BP 125/70 HR 95 Resp 18 O2Sat 97 Skin Signs: Warm and dry, Other - pale Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally Initial Treatment: Supine on cot, feet elevated. Feeling better already. 7:00 PM Vitals: BP 118/60 HR 66 Resp 18 O2Sat 99 Skin Signs: Warm and dry Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally Follow up Treatment: Nausea disappeared. Ready to leave. Home with mother.

On 5/23 two days after vaccine he was irritable, tired, fatigued, not sleeping well. He could not complete his track meet . He had abdominal pain, felt bloated, and he felt this nausea & discomfort. He thought he might be constipated, so he took MiraLAX and then he had diarrhea all day yesterday. on 5/26 he had a temperature of 99.2, he had acute chest pain retrosternal and feeling of compression on the chest, head fullness as if he is going to explode. He had nausea, insomnia. Ibuprofen was given to him by his mother and this helped a lot But he woke up on morning of 5/27 , but the chest pain returned with increased pressure, very nauseous, agitated, unable to be comfortable. No fever,, the pain was a sharp pressure. He had no syncope or chest shortness of breath He was seen at Hospital ER where a chest x-ray was normal. Echocardiogram was done, ,noted to have EKG changes. Troponin was elevated. He had a cardiac catheterization done emergently at hospital through the right radial artery and was noted to have normal coronaries. He also had a chest x-ray done which was negative for pulmonary lesions, and his abdominal pain he says was relieved after the MiraLAX and the diarrhea. His twin sister who received the vaccine 15 minutes after him is completely asymptomatic.

Myocarditis; This is a spontaneous report from a contactable pharmacist. A 15-year-old male patient received the first dose of BNT162B2 (PFIZER COVID-19 VACCINE, lot number: EW1077), at the age of 15 years old, intramuscularly on 17May2021 at single dose for covid-19 immunisation. The patient medical history was reported as none. The patient had no known allergies. The patient was not diagnosed with covid-19 prior to vaccination. The patient did not receive any other vaccines within 4 weeks prior to vaccination. The patient experienced myocarditis on 21May2021. The event resulted in hospitalization for 2 days. The patient was currently still in hospital. The patient had been tested for covid-19 since the vaccination. The patient underwent lab tests and procedures, which included covid-19 test: negative on 22May2021 by nasal swab. Therapeutic measures were taken as a result of myocarditis and included treatment with analgesic. The outcome of event was not recovered. No follow-up attempts are possible. No further information is expected.; Sender's Comments: As an individual case report there is not enough evidence to establish a causal relationship with the suspect vaccine. Currently there is no clear biological plausibility between the vaccine use and the even onset. More information such as complete medical history and concomitant medications are needed for fully medical assessment. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Shortly after vaccine my son had extreme pain in his chest and heart area. It expanded to his shoulder and part of his neck and could not stand up. We took him to the local hospital and after examination they said the blood work and ekg was fine so they released him. We are at home now and he feels the pain still if he pauses his breath, and he just showed me you can hear a very strange sound coming from his heart as it beats. I can hear it sitting near him a loud pumping or squirting sound in there as his heart pumps! Never heard anything like that before coming from someone?s chest!

Six days (evening of 5/20) after the first dose of the COVID vaccine (Pfizer), Patient started to experience severe dizziness and nausea. Since that evening he has experienced the following: - Significant increase in heart rate when transitioning from laying down to sitting and/or standing. - Severe dizziness - Excessive fatigue - Headaches - Gastrointestinal issues (constant nausea. Nausea increases in severity when standing. Diarrhea.) - Muscle pain in his upper arms and upper legs The above symptoms have continued 24/7 since their onset.

Immediately following vaccine, client reported visual disturbance, couldn't see, pale, clammy, dilated pupils. Resolved after one minute.

5/30/21 - Patient woke up feeling chest pain that was localized to the left side of his chest, pleuritic in nature. The problems persistent despite trying medications like tums for heartburn. Pain improved at night but never fully resolved. 5/31/21: Patient continued to have chest pain and mother became worried and brought the patient to the urgent care

Mostly nonverbal pt developed temp 100-102 evening following vaccine through following day, and on day 3 had significant chest pain warranting 911 call and ED visit. Labs were significant for leukocytosis (WBC 19.8) and CXR w R hilar pneumonia. Troponin level was normal. He has improved on ABX.

Per parent, patient experienced chest and back pain along with shortness of breath and fever (did not take actual temp with thermometer but felt warm) for 2 days starting one day after his first dose of Pfizer vaccine. They did not take the patient to the ER, just self monitored at home. Symptoms have resolved.

My son was evaluated by ER after experiencing 2 fainting episodes within an hour. ER report stated reason for visit as Loss of Consciousness with diagnoses of Syncope (Vasovagal) and Concussion.

Patient and his Mother were in the vaccination room. appox 30 sec to 1 min following Vaccination patient stated he feels like he is going to pass out and before his mother or administering pharmacist could respond the patient fainted/ lost consciousness for approximately 30seconds

Presyncopal - laid down on stretcher. Father states that child does this after every injection. Child had played tennis in am and come without eating or drinking. Given snack and juice. Felt better and improved quickly.

patient received vaccine on 5/19/21. Did not report what happened to pharmacist until 06/02/21. Patient states he had " heart burn" after vaccine. He states, " chest was hurting, felt really tired". I asked if he had palpitations, pt responded " yes" . patient states symptoms happened day after vaccination and lasted one day and was over after 24 hours. Mother gave him tums for heart and it helped. patient is feeling well and not reporting any symptoms. advised pt to contact MD for follow up and have md clear pt for second covid vaccine if any concerns.

Tips of my fingers will suddenly feel like I'm touching a low-voltage battery receiving an electric shock; then turns into numbness in my hands and arms, and sometimes face; Sometimes continued numbness accompanied by light sensations of electrical shock; my heart-rate often goes up before the ''electrical'' feeling onset.; This is a spontaneous report from a contactable consumer or other non hcp. A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in right arm on 04Apr2001 15:45 (Batch/Lot Number: ER8737) as 1st dose, single, dose 2 via an unspecified route of administration, administered in right arm on 04Apr2021 (Batch/Lot Number: EW0171) as 2nd dose, single for covid-19 immunisation. Medical history were none. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient's concomitant medications were none. No other vaccines within 4 weeks prior to the COVID vaccine. No other medications the patient received within 2 weeks of vaccination. Patient stated "The tips of my fingers will suddenly feel like I'm touching a low-voltage battery receiving an electric shock, which then turns to pins and needles, which then turns into numbness in my hands and arms, and sometimes face. Sometimes continued numbness accompanied by light sensations of electrical shock. This lasts from 20mins-4+ hours, and happens at least once almost every day since receiving 1st dose (3 weeks past 2nd dose now) I have noticed recently that my heart-rate often goes up before the ''electrical'' feeling onset." Adverse event start date was on 05Apr2021, 06:00 AM. Events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care, disability or permanent damage. Treatment received as blood test, physical examination, blood pressure. Outcome was not recovered. No follow up attempts are needed. No further information expected.

AFTER PT RECEIVED THE PFIZER COVID VACCINE THE PT SAT DOWN AND SHORTLY AFTER FAINTED. THE PT WOKE UP AND WE GAVE HIM COLD WATER AND AN ICE PACK. PER PARENTS, PT HAS NO PREVIOUS HISTORY OF FAINTING OR ANY OTHER HEALTH CONDITIONS. PT LOOKED DEHYDRATED. SPOKE WITH PTS PARENTS AND TOLD THEM THEY NEED TO GO TO THE EMERGENCY ROOM AND THAT WE CAN CALL AN AMBULANCE. PARENTS REFUSED AMBULANCE AND INSTEAD TOOK THE CHILD TO THE EMERGENCY ROOM ACROSS THE STREET. SPOKE TO THE MOTHER AFTERWARDS. SHE STATES THAT HER SON WAS SENT HOME. THE DRS BELIEVE HE FAINTED DUE TO A LACK OF FOOD AND WATER (DEHYDRATION). THEY SENT HIM HOME AND TOLD THE PARENTS IT WAS OK FOR HIM TO RECEIVE A 2ND COVID VACCINE 21 DAYS LATER.

Reports ate a few peanut butter pretzels today. Reported lightheadedness that resolved within about 1 minute, followed by seeing spots for about 2 minutes resolved, momentary tightness on inspiration that resolved, and ringing in ears for about 3 minutes resolved. Later reported nausea on ambulation post vaccination to seat in observation area that resolved upon sitting down. Also, reported has history of similar s/sx with flu vaccination. Denies chest pain and other s/sx. Nurses responded with emergency cart. 01:47pm LUE 96/70 pulse regular R20, lungs clear, lips noted to be dusky/purplish. Benadryl 50mg PO x1 administered. Lips color reassessed and after few minutes returned to usual pink color. Reports nausea, lightheadedness, visual spots, and ringing in ears resolved, all s/sx resolved, stated "I feel normal". Counseled follow up with pediatrician, urgent care or emergency department for any return s/sx, Mom verbalized understanding. Observed for 30 minutes. Ambulated with steady gait off floor with his parent and sibling.

had a light fever and sore arm after vaccine, started complaining of chest pain the night after vaccine , a few days later started complaining about not being able to breath and face was swollen, mom rushed to hospital and they said his oxygen level was low and he was having a asthma attack which he hasn't had since he was a baby. hospital had to give him 8 treatments of albuterol. my son is still not completely back to his normal self

it looked like the blood vessels or veins in the bend of elbow, inside of the elbow that looked like possibly a blood vessels that burst there.; feels sick; his body didn't feel right and he felt that way again yesterday when he felt so bad.; numbness and tingling right arm; tingling/numbness and tingling right arm; rash on the right arm; he has pain and a rash on his right arm; feeling like passing out; dizziness/lightheadedness; nausea; chest tightness/ chest was so tight and pulling.; pain in the arm at the injection site; headache; This is a spontaneous report from a contactable consumer (patient's mother). A 15-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 14May2021 11:15 (Batch/Lot Number: EW0173; Expiration Date: Aug2021) as 1ST DOSE, SINGLE for covid-19 immunisation (Age at vaccination: 15 years). Medical history included asthma, allergy, acne, pain, Gastroparesis, eczema, red blotches /bright red dots on his whole body and anaphylaxis. Concomitant medications included cetirizine (CETIRIZINE) taken for allergy; beclometasone dipropionate (QVAR) taken for asthma; mometasone furoate (MOMETASONE FUROATE) taken for allergy; isotretinoin (ZENATANE) taken for acne; paracetamol (TYLENOL) taken for pain; sodium chloride (AYR SALINE, both nasal spray and nasal gel) taken for allergy; herbal extract nos, homeopathics nos (SIMILASAN) taken for allergy, all are ongoing. The patient previously took advil [ibuprofen] and experienced anaphylactic reaction (when he was about 4 years old in about 2009 or 2010.). The reporter who is mother of patient calling regarding the Pfizer Covid 19 vaccine. States she wanted to call and report some side effects from the vaccine for her son. Reports he received the first dose of the Pfizer Covid 19 vaccine 14May2021 at 11 15 AM in the upper left arm. He stayed extra minutes after the shot because he had anaphylaxis before and had red blotches before in the past. Reports after receiving the first dose of the Pfizer Covid 19 vaccine, when they got to the car he said his chest was so tight and pulling. That lasted 1 to 2 minutes only on that day (on 14May2021, 12:00). Since then and even on the very first day he has had dizziness; lightheadedness; and felt like passing out (on 14May2021, 12:00). Adds he has been having to go to the nurse's office for headaches for the last two days (occurred on 14May2021). The reporter states her son has been very disappointed and mad at her for making him have the vaccine. Nausea - she adds her son also had some nausea (on 14May2021, 12:00). Right arm - he has pain and a rash on his right arm, the opposite arm from the shot, with numbness and tingling right arm (occurred on 17May2021); tingling. When he went to the nurse someone in that office mentioned that it looked like the blood vessels or veins in the bend of elbow, inside of the elbow that looked like possibly a blood vessels that burst there on an unspecified date. Pain in the arm at the injection site (occurred on 14May2021, 12:00) from the first day that is improved. The patient's body didn't feel right - when they started walking to the car his body didn't feel right and he felt that way again yesterday when he felt so bad. The first day and yesterday he felt his body didn't feel right (occurred on 17May2021, 11:45). Dizziness - is mostly when standing up and is lasting a lesser amount of time and getting better. Feels the sensation of like passing out with the dizziness on standing. Headaches - he has every day but yesterday was terribly bad and today were the worst. The reporter mentions that the patient stated the he feels sick on an unspecified date. Outcome of the events loss of consciousness, dizziness and vaccination site pain was recovering. Outcome of the event chest tightness was recovered on 14May2021 while outcome of the events numbness and tingling right arm was recovered on 18May2021. Outcome of the events pain in arm, vascular injury and malaise was unknown. Outcome of the remaining events was not recovered.

15 year old male with a passed medical history significant for Marfan syndrome, aortic root dilation, and ADHS transferred to our facility for further evaluation and management of chest pain with elevated troponin. Father reports patient recieved the first dose of the COVID-19 Pfizer vaccine on 5/21/2021. On 5/22 patient developed a mild headache as per father that self resolved with rest. On 5/23 as per patient he was feeling back to baseline with some mild body aches. On the night of 5/23 patient felt some mild chest pain prior to going to bed that had self resolved. This morning patient refused to eat breakfast, and complained of stomach pain. Patient took Tylenol, however began to complain of severe chest pain and asked father to take him to the hospital. Patient was taken to his Doctor where his labs were significant for a WBC of 6.6, creatinine of 0.62, normal LFTs, troponin of 7.26, CPK of 312, D-dimer less than 0.19. EKG at Doctor was significant for normal sinus rhythm with an ST elevation, and chest x-ray was negative for cardiopulmonary disease. Patient had an episode of emesis at Doctor. A troponin was repeated prior to transferring to our facility and it had increased to 11.8. Father/patient denies chills, fever, diarrhea, sore throat, nasal congestion, and cough. ID consulted for further recommendations on management of myocarditis in the setting of recent Pfizer COVID-19 vaccination. Troponin repeated upon arrival to our facility, and has improved with no interventions. Interval History 5/27/21 No acute events overnight. Denies chest pain, SOB, cough, or palpitations. Cardiac MRI yesterday describing inflammation related to possible myocarditis, along with stable findings of MVP and aortic root dilation. Troponin this morning dowtrending to 0.28. No fever. He received a Mg Sulfate bolus yesterday due to low Mag on BMP

This information was reported to this writer. Immediately after receiving the second dose of the Pfizer vaccine, the patient reported a "weird sensation" in his chest. The patient became pale, and reported nausea and lightheadedness. According to the vaccinator it seemed as though the patient went into a syncopal episode. A nurse attempted to do a sternal rub to wake the patient up but was unsuccessful. The patient was then laid onto the ground and woke up; attempted to sit patient up and then went into another syncopal like episode. EMTs were notified and were on their way to attend to the patient. Patient's feet were elevated. No history of vaccine reaction. Patient had eaten and had fluids 2 hours prior to the vaccine. Patient was sat up again with assistance but immediately felt lightheaded and had another syncopal like episode. He was again placed in a supine position with feet elevated. Immediately reported improvement of symptoms. Patient had several sips of juice and was placed on a stretcher and taken to a back room. Patient had mom and sister at his side. As the patient remained in supine position, he denied nausea and lightheadedness; no chest pain, no dizziness. Patient was alert and oriented. Remained pale in color according to his father who just arrived. Per the advice of the EMTs, patient was transferred to hospital per ambulance.

patient had dose 2 of the Pfizer vaccine. he had a seizure, after the seizure he immediately woke up. after 5 minutes he had a second seizure and he remained unconscious until EMS took him to the ER.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Additional Details: Patient fainted once, then almost again. Called 911 to have evaluated before leaving. Was feeling ok upon departure

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

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted, but was still awake and responsive, just lightheaded. Patient left on own accord after interaction with paramedics

chest pain elevated troponin, trended down within 24 hours of inpatient hospitalization and discharged 1 day after being admitted. normal biventricular function on echocardiogram

Myocarditis as evidence by elevated troponins. Normal EKG and Echo. Treated with NSAIDS and troponins downtrended.

Chest pain, was found to have perimyocarditis based on EKG and troponin and was transferred to Hospital for higher level of care on 6/7/21.

Patient received Pfizer COVID-19 Vaccine on 5/14/21 and 6/4/21. On 6/6/21, patient presented to Emergency department due to a "bad chest pain" that started 30-40 minutes ago. Patient found to have troponin level of 4,904.25, EKG showed some abnormalities with ST depressions in the inferior leads, and ultrasound showed grossly normal LVEF without pericardial effusion or septal bowing. CMP and CBC unremarkable. Ibuprofen 400mg PO given and patient was transferred out for further evaluation.

Initially had headache and chills after vaccine, on day 3 after vaccine developed chest pain (midsternal and worse with inspiration), had one episode of emesis. On admission to hospital had elevated troponin, pro-BNP, Crp, normal EKG but echo consistent with Low normal left ventricular systolic function (biplane EF = 58.9 % and 3D EF = 55.37 %).

Chest pain, headache, shortness of breath. Now with convulsive movements and periods of unresponsiveness. Work up for seizures and encephalopathy in progress. Dx studies: troponin, BNP, EKG, chest CT, head CT (all negative), CRP (elevated). Currently in Pediatric ICU and work up in progress (6/7)

One day after vaccine (6/6) patient had fever, chills, vomiting and developed hemoptysis and shortness of breath. He was found to have pulmonary hemorrhage and was intubated on 6/6.

Patient describes feeling dizzy, having visual trouble immediately receiving the vaccine, then slid onto the floor from the chair he was sitting on. Presents with mother who denies him hitting his head. LOC lasted 1-2 minutes before he was able to be roused. Upon regaining consciousness, he was pale, diaphoretic, weak. Reports feeling nervous with "needles". Observed for 30 minutes with mother. Escorted to car afterward and permitted to go home. Advised to seek medical attention if symptoms persist.

"15 yo male with no hx of allergy, PMH, or problem with the Pfizer vaccine dose #1. Today, 1 min right after vaccination with the Pfizer, he passed out for few seconds. He had pallor, sweaty with his eyes closed. He was supported by the nursing staff. Pt stabilized and released from the vaccination site w/ father."

Situation: Patient, 15M had an appointment for 2nd dose Pfizer (Lot#: EW0187) today. Shortly after receiving the vaccine, the patient became dizzy and pale. Background: Patient is allergic to antibiotics. Pt has history of appendectomy, absent sz and childhood epilepsy. He Was brought in to room via wheelchair after receiving second vaccine, Pfizer. Mother with pt. Pt already had 2 juice boxes. Pt complaining of increased dizziness and starting to get pale Assessment ( RN): @0753 68/48 (54) 113 97.1F 100%RA. Placed on supine position. Pt felt better when he was laid flat. @0800 90/51 (64) 73 18 100%RA @0803 88/61 (70) 58 18 100%RA @0807 91/62 (68) 55 18 100%RA @0815 104/58 (76) 55 18 99%RA, slightly dizziness @0820 109/55 (82) 57 16 99%RA, increased HOB to semi fowlers @0825 104/66 (80) 57 18 99% RA @0830 100/65 (80) 58 16 100%RA ? Pt intermittently gets dizzy and pale. Encourage increase intake. Pt drank another juice and cup of water. @0835 108/77 (89) 61 18 100%RA ? Increased HOB. Denies dizziness with position change. Color is baseline @0840 109/69 (83) 74 16 99%RA @0845 120/74 (91) 62 16 99%RA ? sat pt up in bed. Able to reposition self well. Mild dizziness upon sitting. @0848 113/69 71 18 99% - Denies dizziness. Able to drink another juice box and ate crackers. Conversing well with staff and mother. @0850 ? sat on the edge of the bed with nurse assist. Tol well. Denies dizziness or difficulty @0857 ? slight dizziness when standing up. Assisted back on sitting on the edge of the bed. VS117/77 (84) 66 16 99%RA @0904 ? 111/72 (85) 16 90 95%RA @0909 ? Assisted patient on standing up. Able to stand well. Denies any dizziness with position change. Able to take a couple of steps around. Pt stated that he feels back to baseline. Pt and mother felt confident that pt can go home. Assisted pt to wheelchair. Instructions discussed with pt and mother to hydrate and rest. Both verbalized understanding @0913 ? Wheeled patient out to car with mother. Recommendation: Increase hydration and rest. Patient and mom verbalized understanding. Patient able to go home.

Chest pain that started the evening after he received his second dose of the COVID-19 vaccine (5/3) and persisted for 36 hours. Went to the ER (5/4) where EKG demonstrated ST segment elevation, concerning for pericarditis. He was transferred to our facility and admitted (5/5). Symptoms and EKG consistent with pericarditis, unclear etiology however presumed to be related to COVID vaccine. He was started on treatment for pericarditis with ibuprofen 600mg by mouth three times per day. Chest pain resolved on day of discharge.

AS MY CERTIFIED IMMUNIZING TECH WAS ADMINISTERING THE VACCINE, THE PATIENT'S HEAD LOLLED TO THE SIDE (SYNCOPE). IMMUNIZING TECH STUCK HER ARM OUT TO KEEP PT FROM FALLING FROM CHAIR AND HE REGAINED CONSCIOUSNESS ALMOST IMMEDIATELY (LESS THAN 1 SECOND). PT SAID HE FELT DIZZY AND WE HAD HIM STAY IN CHAIR WITH HIS HEAD BETWEEN HIS KNEES, TAKING DEEP BREATHS. HE WAS WITH HIS MOTHER, WHO SAID HE HAD DONE THIS BEFORE AND SHE DID NOT SEEM ALARMED.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Vomiting-Mild, Additional Details: Patient briefly fainted post Covid vaccination, then vommited, stated that his head felt hot. Spoke to mother later in the evening. Patient felt much better.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Shakiness-Severe, Additional Details: PATIENT FAINTED ROUGHLY 30 SECONDS AFTER RECEIVING COVID VACCINATION

Admitted to the hospital because of chest pain and persistent sinus tachycardia and diagnosed with mild Myocarditis. Visit ER earlier that morning because of severe chest pain.

Patient developed chest pain and was found to have elevated troponins with ST changes on EKG, concerning for perimyocarditis. Currently in the cardiac ICU at hospital with improving values at this time.