Pfizer

Patient received COVID vaccine at 1317 today. At monitor station c/o feeling lightheaded. At 1323 patient assessed to be sweaty, pale and c/o feeling hot. Yawning and looking faint. Patient seen by provider.. At 1330 patient transferred by wheel chair to an exam room to lie down. Vitals obtained. Patient began to feel better and feelings of lightheadedness began to resolve. Lungs CTA, no signs of allergic symptoms, color to skin returned At 1340 patient wanted to sit up. Orthostatic vital signs obtained. Patient had no complaints of dizziness. Patient was discharged at 1355, ambulatory, alert, NAD.

He passed out; His blood sugar was 143; This is a spontaneous report from a contactable consumer (patient's parent). A 16-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Batch/lot number: EL3247) via an unspecified route of administration on the right arm on 17Jan2021 at single dose for COVID-19 immunisation. Medical history included hypopituitarism. Concomitant medication included somatropin (NORDITROPIN) taken for hypopituitarism. He passed out (emergency room visit needed) on 17Jan2021, his blood sugar was 143 in Jan2021. Caller stated that her son received his first dose of the Pfizer COVID vaccine on 17Jan2021, stated he passed out. Caller stated they had to drive 3 hours away to get the vaccine and wanted to know that if because he experienced this after the first dose if it would be possible to find somewhere closer to home to get the second vaccine. Caller stated she is in the trial as an adult, that she reached out to her trial coordinator and they told her that they can only administer to persons in the trial. Son feels like maybe there is a drug interaction, caller stated she was not sure about this. Stated after her son passed out, they called an ambulance, states the Medic watched him for about 45 minutes, stated they ran some tests in Jan2021, he did go home that day. His blood sugar was 143 in Jan2021. Heart Rate monitor in Jan2021 she couldn't see so is unsure of the readings. The outcome of the event passed out was recovered on 17Jan2021, of other remain event was unknown.

Systemic: Fainting/Unresponsive-Medium. Additional Details: Patient fainted about 5 minutes after receiving 2nd dose of vaccine. Pt hit his head on a table on way down. EMS called. PT was alert and oriented, but was taken to the hospital for evaluation by ambulance.

Given history of anxiety around needles, visual aura, paleness after episode, and quick recovery to baseline presentation most consistent with syncope with myoclonus. Seizure less likely given that this is different than his typical semiology and he has been well controlled on his current AED regimen. Discussed with the Neurology attending of the week who was in agreement. Point of care blood glucose was found to be 111. Per neurology recommendations, Trileptal level was drawn. Patient was observed for 1hr and remained at baseline with no additional events concerning for seizure. Patient and mother were informed about vasovagal syncope and instructed on precautionary measures to take with future shots. Given return precautions.

Since receiving his second dose of COVID-19 vaccine (Pfizer) on Sunday 2/21 he has had fever (tmax 103.0 F), headache, and stomach ache. His fever started on 2/21 and had persisted through 2/24. He woke up from a nap on 2/24 in the afternoon at 1600 had onset of severe chest pain. Then reoccurring multiple times throughout the evening. He was taken to a local hospital and the transferred to another hospital for higher level of care. Pediatric cardiology was consulted and treatment was started for suspected atypical pericarditis with colchicine 0.6mg BID and ibuprofen 600mg QID w/ famotidine 40mg QDay. His chest pain resolved the day of admission, even prior to starting treatment. Patient was discharged in clinically stable condition to follow up with pediatric cardiology in 2 weeks as outpatient.

Summary: Syncopal espisodes x 2 16 yo patient received his Covid-19 vaccine and as he was going to sit down in observation, he leaned on his mom and passed out. His mother gently lowered him to the ground (@ 1804). Patient's mother stated he just passed out and that this was his first injection ever in his life. Patient was immediately assessed by multiple nurses. Patient did not fall or hit his head or injure any part of his body. Patient took less than 60 seconds to respond to verbal commands and comprehend what had happened. Patient's legs were immediately raised and vital signs were obtained. He was diaphoretic and pale but both were dissapating. Patient denied difficulty breathing, pain, discomfort. Patient was moved to a reclined chair. Patient and family at side (mother and father) agreed to be monitored. At 1828, Patient complained of feeling "a star" on the left side of his chest. Patient was unable to describe this further. I asked if he was feeling anxious and he said yes. I instructed patient to take several deep breaths in through his nose and out through his mouth. After doing this 3 times, patient stated he did not feel anything funny in his chest anymore. At 1835, while still seated in a reclined chair, patient passed out again. He was pale and diaphoretic. A few team members saw him jerk/twitch and it was questionable if he was having a seizure. The jerking did not last but a few seconds. 911 was called @ 1826. Patient was transferred to a wheelchair and put in the ambulance @ 1841. Vitals were obtained throughout and charted. Pulse ox saturation levels were not below 96%. Immediately after the patient passed out the second time, his pulse was measured at 38 bpm and his lips displayed slight cyanosis. His pulse quickly rose to 52 bpm, within less than 10 seconds. One minute later his pulse was up to 68 bpm.

Patient received vaccine and went to sit down in front of pharmacy. He then immediately started feeling lightheaded, his eyes rolled into the back of this head and he had a couple of convulsion. He did not lose consciousness and was immediately aware. He was pale, lips were blue tinged, pulse was 60, sweating and blood pressure was 98/50. Paramedics were called but he had recovered by the time they got there. They said he had a fainting episode due to the vaccination and did not have a seizure. The patient had not eaten anything the whole day and he felt that contributed. Followed up with patient's parent and he is feeling just fine now.

His heart was racing, BP 72/35, HR 48 BPM. Epi-Pen was injected at 12:02PM. EMS called to scene. BP 105/67 and HR 91BPM after Epi dose.

High blood sugars for a week now. My son is 16 year's old and was diagnosed with Type 1 Diabetes in November. He is thin and active, and an otherwise healthy teen and runner. He is in his "honeymoon phase" of diabetes and I think the vaccine may be killing off beta cells. He went from having blood sugar levels in the 80's to 90's at 12 units of Lantus to now 120's to 130's and up to 160's immediately after the shot. His mealtime insulin is also not working at the same number of units and he's going in the 200's when he was around 160's before the shot. It has lasted now for a week instead of the 48 hours I was told about and read about. As soon as we were leaving from getting his vaccine, he started experiencing extreme fatigue. That night and for 2 days he had a headache. He is still more tired than usual and having to take naps.

Pt reported lightheadedness within 15 minutes s/p vaccination. Instructed pt to lay supine in car seat with lower extremities elevated. Pt reported resolution of sx within a few minutes. Consistent with mild vasovagal reaction.

Systemic: Confusion-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient and his mother presented about 30 minutes after receiveing vaccine stating he passed out in the car for about 15 seconds and fell on his way back into the store. He lied down for a while and said he was fine. Mother said do not call an ambulance, she would take him to the emergency department.

Sore arm on 3/20/2021. No other symptoms/signs. Presented for routine heart transplant follow up visit 3/22/2021 and was found to have new decreased cardiac function by echo, new 1st degree heart block by ECG, and new gallop. Patient taken to cath lab 3/22/2021 for biopsy and hemodynamic assessment, but he had V fib arrest with anesthesia induction. After initiation of CPR, patient was placed on ECMO. Biopsy shows ACR 2R (moderate cellular rejection) and pAMR 2 (moderate antibody-mediated rejection). Labs show new donor specific, complement-fixing Antibody against the cardiac allograft. Patient is in ICU being treated for acute rejection.

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

8 days of intermittent fevers 101-106 (ongoing), rigors, chills and fatigue. Started 24 hours after COVID vaccine. This is ongoing, day 8 and fever still 101+ without ibuprofen. Seen twice at PCP's office listed above (seen by Dr. and Dr. this week but Dr. is normal pediatrician. Labs abnormal as below. No other URI, bladder, GI or infectious symptoms other than fever, rigors and fatigue. Negative COVID test 3 days into symptoms and no exposures.

Patient received 1st dose of vaccine. Minutes after, while in the observation area, pt appears to have had a vasovagal reaction with a brief loss of consciousness, pt fell to the floor, had very brief shaking activity followed by immediate arousal by patient as medical provider has seen in other vasovagal incidences. Pt was alert and oriented upon arousal and pale. EMS was called by a store patron. Upon EMS arrival, Patients blood sugar was taken and found to be 55, pt does not have a history of diabetes. Pt stated he had had a waffle that morning for breakfast and had not eaten since the morning (time of event is estimated around 11am). Vital signs within normal limits. Patient stated he felt like he was having an anxiety attack prior to event. Parents decided to take patient to the hospital for further testing. Mother stated patient was discharged from the hospital that day and tests were normal.

vasovagal syncopal episode after receiving his first COVID vaccine. Patient became nauseous and began to perspire. He was able to respond to verbal commands, and never had complete LOC. We were able to provide oral hydration and cold compresses. After 15 mins I was able to have him sit in a chair, where he stated he was feeling much better. After a total of 45 mins, he was able to walk out of clinic independently

Pt was sitting down, and mother was standing by patient. Pt fainted and fell out of chair, Did not hit head per mother. Patient was awake and aware right away and sitting up. EMS came to evaluate patient.

Eight minutes after receiving his vaccination, he developed lightheadedness and had a brief episode of syncope. He had a small laceration on his right for head.

Patient was nervous upon receipt of vaccine. It was an unscheduled (expiring) dose. Per parent, he had fallen asleep outside vaccine room and they had to wake him up to get vaccine. I gave immunization and asked him to stay for 15 minutes afterwards. His Mom ran to consult window to notify staff patient was passing out. I was sanitizing vaccine room so I immediately ran to him and his Dad and I caught him as he was slumping over. He was shaking really hard, weak, and clammy. He was coherent b/c I asked him his name but did not have clear recollection of timing of vaccine. He was very pale in color. His Mom grabbed him a Gatorade and he seemed very thirsty as he was drinking. He mentioned he felt dizzy and that both arms were hurting and the arm I gave vaccine in felt like he had sweat dripping off it. (I felt his arm and it did not). I grabbed an instant cold pack and placed on his neck to help cool him off. His color returned over the 30 minutes. I asked parents if they wanted me to call ambulance but they wanted to wait and see how he responded. He looked at his iPhone data and his heart rate had spiked. Unclear if right before vaccine or right after but I believe he mentioned it went up to 120 when Mom said his normal resting heart rate was 60. He ate some gold fish and seemed to perk up and have a few funny conversations showing his personality. I explained to him very important to let parents know if he experienced any other side effects after leaving. He was able to stand up and walk out of RX with parents.

About 5 minutes after shot he said arm is tingling then fell off chair and hit the floor. He passed out for a couple of minutes and then opened eyes and said my throat is closing up. The EMS gave Benadryl and used the Epi Pen. He was transported by ambulance to the hospital.

- Chills: Only on Apr 6 - Fever: Apr 6-7 - Elevated resting heart rate: 110-145 bpm Apr 6, 80-125 bpm Apr 7 - Fatigue: Unable to do much Apr 6

Approximately 5 minutes after receiving his first shot he passed out and seizured for approximately 15 seconds. Fire and EMT called and stabilized him then taken to hospital for tests.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Weakness-Medium, Additional Details: PT PALE AND WEAK

11:15 Patient fell out of chair and hit his head on the gym floor, he lost conscientiousness, after he work up, he stated " I have a headache." Blood pressure elevated, sweating, kicking, confused initially but quickly able provide his name, birthdate, and current location. B/P 147/85 HR: 100 Oxygen Sat: 100% 11:20 am B/P 153/78 HR: 99 Oxygen Sat: 99% 11:40 Patient states " I'm not feeling alright but I think I'm going", patient was talking on the phone to his dad, unable to complete his sentence and began to fall out of his chair, patient eye's began to twitch, legs kicking, but patient was able to state his name. Patient was sent to the Emergency Room via ambulance. Father of the child will meet them at the hospital for further evaluation.

4/9/2021 Patient was observed post Covid-19 immunization for 15 minutes . During the observation period, he experienced an adverse reaction with the following symptoms: diaphorectic, light headed..pale. Assessment : Time of assessment 1105, pale, diaphoretic, light headed. Sitting on floor, transferred to wheelchair Actions taken: Vitals sign taken VAERS form completed 1105- BP - 79/33, P- 51, O2- 100%, 1110: BP- 84/44, P- 52, O2- 100%, Jiuce and granola bar given, at 1118- Bp- 97/60, P- 57, O2-97%, 1141: BP-97/60 , P- 56, O2- 99% Medications administered: No medication administered. Disposition: Reports no further symptoms of adverse reaction after observation for 30 minutes. Discharged home. The Patient was provided with Vaccine Information Sheet and instruction to access the system. Immunizations Administered Name Date Dose VIS Date Route Pfizer COVID-19 Vaccine 4/9/2021 11:00 AM

Patient fainted during post vaccination time. He was conscious. Pharmacist raised his Feet for few minutes, Patient's symptoms started improving in 15 minutes.

Systemic: Fainting / Unresponsive-Mild, Additional Details: pt fainted but regained his consiousness shortly after, he was observed for 1 hour after the incident, I called the parent on 4/9/21 and father said that he is doing well and back to normal

Post vaccine, patient vomited, felt dizzy & was pale. Empress EMS checked out. PT transported to Medical Center.

16 yo previously healthy male who presented with dad for his second vaccination today, after a couple of minutes later the patient without any prior hx of fainting, experienced a syncopal episode, patient had loss of consciousness for about 30 seconds, patient was held by the dad, never hit the floor, patient denies any prior episode, denies any use of ETOH, neither drugs, states that was hydrating over the last couple of days prior with gatorade for prevention of dehydration, denies any prior symptoms such as headaches. The patient was seen by EMS and Dr , he was assisted in the medical tent , vitals signs were consistent with HR; 56 BP: 112/48 O2 sats of 98% , patient was placed on a strecher and legs we were elevated to 90 degrees with a chair, No head trauma, Patient was stable, AAOx3 , PERRLA, EOMI, Lungs CTA B/L and regular pulse was noted. hydration with water 16 oz was provided, father at side, patient was observed for 30 mins and another set of vitals was taken which revealed BP: 119/72 HR: 75 O2 sats: 99%. Patient was dispose to home, father was advised to take son for his regular check up, also to make any further medical provider that he had an episode of syncope after second dose of Pfizer vaccine.

Patient felt warmth in his arm and became faint. He had his eyes open and remained sitting, but became pale and not responding appropriately. He was reclined with his feet up, cold cloth and returned to normal rather quickly. His vitals were withing normal limits, drank water, was observed x 30 minutes. His mother, who was present the entire episode, stated he has had a sililar reaction to a previous routine vaccine. Instructed to contact Primary Care MD to discuss further immunizations. Patient walked out with his mother feeling fine.

complained of chest pain similar to heartburn he had in the past. Also complained of pain in teeth and jaw.. Pain was mostly constant for 16 hrs. Took tums, pepcid, then pepto-bismuth. Also took Tylenol. BP was WNL. HR WNL.

at 9 pm night of vaccine he had a short lasted bloody nose, it lasted a few minutes, came out of blue and he doesn't have them normally, took to pediatrician next day, she didn't seem concerned

Syncope and dizziness, BP 125/75, HR73, RR16. Patient experienced syncope and fell to floor from chair. Regained consciousness after ~3 seconds. Vital signs stable, released in stable condition

Mother reported to nurse son wasn't feeling good. Client had put head down on table. When nurse got to him he was pale with thready pulse. Lowered client to floor with feet elevated and ice pack placed on back of neck. Client stated throat "hurt." Blood pressure was 80/52. Client remained alert and oriented. EMS was called. Client then complained of hands and legs tingling as well as his bottom teeth. Encouraged client to take breaths. EMS arrived at 4:17pm. Blood pressure 100/68. EMS took over care at that time. 4:40pm Client feeling better. Wasn't transported to hospital for follow up. Client walked out with the assistance of mother.

Patient reports feeling "ringing in ears, head spinning, and vision going dark" on vaccine floor. Upon arrival to observation area at 1632, patient appeared pale, alert and oriented. Vitals 1635 HR-65, RR-18, BP- 101/39, Pulse ox- 99%, 1641 HR-72, RR-18, BP- 100/53, Pulse ox- 99%, 1645- HR-65, RR-18, BP- 100/58, Pulse ox- 100%, 1648 (while standing)- HR-64, RR-18, BP- 104/51, Pulse ox- 100%. Patient stated he felt better. His mother stated she felt comfortable taking him home. Patient left accompanied by mother.

I was informed the customer who I gave the Pfizer-Biontech vaccine had reaction. His mother told me that his head tilted back while he was sitting he felt dizzy . he looked pale. Pharmacy called EMS and they came after 10 minutes . The vital was good EMS

Patient had syncopal episode. Continued lightheadedness, abdominal discomfort, nausea. Patient with hypotension and bradycardia. Transferred via EMS to hospital.

Vasovagal. Legs elevated then proceeded to med bay. VS stable. BP 125/59; 114/60, HR 85; 77, RR 12 x2, SpO2 100% RA x2

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient has not eating anything for 20 hours and that was the possible cause of syncopy

Patient had two events that our pediatrician encouraged us to notify about. First, on 4/15/2021 around 13:30, Patient stretched in class and fainted. He was unconscious about 30 seconds. Second, beginning 4/15/2021 around 2100 he noticed a rash across his chest and down both arms. The rash is spreading to his abdomen and back today (4/16/2021). We saw a physician at his pediatric clinic this afternoon for evaluation.

pt was getting his first covid vaccine with his mom. pt was vaccinated first then mom was vaccinated. After mom was vaccinated I had my bad to the patient and his mom throwing away supplies, Pt passed out and was not responsive to mom or to myself the pharmacist. I thought the patient needed an EpiPen and went to get the EpiPen out of the pharmacy and while my back was turned mom stated that the patient convulsed a few times. By the time I returned with the EpiPen pt was not convulsing and had passed out and started to recover and become responsive. Pt was pale but was aware of his name, birthday, date, and current president. A tech called EMS. Pt was talking when EMS arrived and color had started to return to normal. pt was able to walk out to the ambalance to be checked out. Mom stated she wanted to take pt to ER for more evaluation.

Recipient experienced brief loss of consciousness (few seconds per report) / vasovagal syncope from a standing position. He fell and hit his right frontal bone of skull upon fainting. Patient awoke after a few moments per report and was AAOx4 within moments of this reporting clinician's arrival to scene. Vital signs stable. Patient's frontal bone with minor red abrasion / erythema and scant swelling. He did not complain of changes in vision/ nausea / emesis. Neurological and Musculoskeletal exam intact without issues.

Patient received Pfizer vaccine and was standing with parents during his suggested 15 minute wait time. During this time, parents noted that he "passed out" but they caught him. He then gained consciousness immediately and sat down to be monitored by pharmacists on duty. His vitals were checked immediately. O2 saturation was 97-99. Blood pressure 138/83mmHg with HR of 81. Patient had trouble breathing for 2 minutes. O2 saturation did not change. After 2 minutes, he breathing improved and patient was calm.

vasovagal response, pt fell and hit his head, pt was okay, ambulance came but he did not leave with them

Syncope, Flushing/sweating Pt felt light headed, assisted to ground by RN. Placed in wheelchair and moved to med bay. VSS on arrival. Pt eating and drinking w/ no issues. Feeling normal. Ovbserved patient to stand. Stron/steady gait. BP 130/85, HR 93, RR 22 -- > 130/80, 81, 18. Patient stable and released from vaccination site. Grass allergy

Patient fainted in chair and regained consciousness and transferred to med bay. Patient states vision and hearing went fuzzy, nausea, lightheadedness. Pt given juice, decreased ____, A&Ox4. Mild HypoTN and Brady at baseline. BP 103/58, HR 50, RR 16 -- > 114/66,52, 16 Pt able to stand and walk. Released from vaccination site.

On 4/16/21, the day after receipt of the second SARS-CoV-2 vaccine the patient developed new headache, fever, malaise, and myalagias. on 4/17/21 the patient then developed chest pain which worsened over time and lead to diagnosis of myocarditis with decreased left ventricle function of 44-47% and with troponin I of 1.58 ng/mL.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Additional Details: After getting the vaccine, patient was feeling lightheaded while he was sitting down. He tripped over the chair and fell over when he tried to get up too quickly. Patient fainted briefly as we were trying to get him to a chair and was pale initially. 911 was called. After he was given water and the paramedics arrived patient got better. paramedics tested vitals and everything was in normal range. patient reported being nervous about getting the vaccine. paramedics left after collecting info

Patient passed out in observation area, another patient called out for assistance. Patient appeared diaphoretic, bp 85/50. I have patient water and observed him for an additional 15 mins afterward. Retook blood pressure, 110/78. patient awake, talking to father. States he "feels much better".

Patient went to observation area and was sitting with his mother after receiving vaccine at 03:41 PM on RA. Patient told nurses at 03:45 PM he felt lightheaded, was seeing blurry vision, and his stomach hurt. Patient was pale, diaphoretic, and had unstable vitals. First set of vitals was taken on the RA at 03:46 PM with BP 80/40 mmHg, HR 90 bpm, RR 18 bpm, and oxygen at 98%. Patient was told to take slow deep breaths, was given an ice pack for the neck, water to drink, and some pretzels. At 03:48 a second set of vitals was taken on the LA with BP 120/60 mmHg, HR 56 bpm, RR 18 bpm, and oxygen at 100%. Patient claimed vision was no longer blurry, he was no longer lightheaded, and stomach no longer hurt. Patient was no longer diaphoretic and was no longer pale. Last set of vitals was taken on the LA at 03:50 with BP 122/78 mmHg, HR 56 bpm, RR 17 bpm, and oxygen 100%. Patient stayed for an additional 15 minutes and left at 04:16pm with his mother. He claimed to feel back to normal. Both patient and his mother, father, and sister were educated on what to do if he starts to feel these symptoms again.

Patient fainted and fell on the floor. Patient was awake and oriented on the floor. Vitals taken, BP 100/52,pulse 72, respiration 12. EMS called. Patient transported to hospital for further evaluation.

Pt vaccinated, 5 minutes later pt was standing with his mom and brother at the register. At this time, the pt lost consciousness briefly and fell to the floor. Pt complained his nose hurt(probably from hitting it on something on the way down, lip slightly broken open and shaky). 911 was called, pt refused transport and said would drive themselves. Pt left on their own.

Patient had a syncopal/near syncopal episode shortly after vaccine given, becoming very lightheaded/dizzy. Had a very short period of unresponsiveness, approximately 5 seconds. He does report having a similar situation after flu vaccine in the past. He was placed in supine position, cool compress applied to forehead. After several minutes was able to consume water and lollipop. He was made to remain in the treatment area for 30 minutes post vaccination, at which time he recovered without any further treatment and was able to leave with his mother, ambulating steadily without assistance.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient fainted and hit his head and scratched his right arm

3 days after receiving Pfizer COVID-19 vaccine patient experienced a syncopal episode while at school.

Patient received Covid-19 vaccine (first dose) at our store today at 9:40 am. Patient was advised to stay in the area for 15 minutes for observation. Patient was sitting in the waiting area. At around 10:00 am, patient's mom knock on the door saying that her son might have an adverse effect. Patient stated he was feeling dizzy and was about to lose consciousness. He also stated he lost his vision. Patient was alert and was able to answer questions. Medics arrived and took his blood pressure. He was transported to the hospital

5 MINUTES AFTER VACCINE ADMINISTRATION HE FELT LIGHT HEADED THEN COULDNT SEE (BUT HAD EYES OPEN), BLACKED OUT, WAS DREAMING AND THEN WOKE UP. DURING THE TIME HE WAS DREAMING PHYSICALLY HIS EYES WERE OPEN AND HE WAS MOANING, HIS BODY STIFFENED UP AND FACE WENT WHITE. HEART RATE WENT UP TO 125BPM BUT THEN DECREASED TO 65 BPM AS SOON AS HE CAME BACK. HE WAS MONITORED FOR 35 MINUTES LAYING FLAT ON FLOOR, ATE CHOCOLATE BAR AND HAD SODA. FELT MUCH BETTER BEFORE LEAVING AND REGAINED COLOR.

Patient start walking unstable after getting up from vaccination table loss consciousness after being sited on the chair but quickly regain consciousness shortly.

Presented with chest pain, found to have diffuse ST elevation, elevated troponin/CRP/pro-BNP and echo concerning for low normal left ventricular systolic function. Ultimately diagnosed with myopericarditis.

Pt became dizzy, pale, and lightheaded about 5 minutes after receiving his COVID-19 vaccination. He states that he feels like this every time he gets a shot. Denies shortness of breath or nausea. After drinking water pt stated he was no longer experiencing symptoms. He was observed for 20 minutes and then left after all symptoms had improved.

Customer 30 seconds -1 minute after administration of the vaccine became unresponsive, and had facial twitching and overall body clenched down for 15 seconds--seizure like. Customer woke and assisted customer to ground, he reported lightheadedness, customer was pale. Customer was fasting. Customer reports within 5 minutes on the floor that he felt better. Assisted customer into sitting position and observed for 20 more minutes. customer reports being 100% at time of departure. Customer with his father.

Patient appeared pale, light headacheness, near fainting, tunnel vision, skin cold and clammy within 10 minutes of 2nd Pfizer injection. Patient rested on gurney and felt better. 1st BP taken at 10:45 BP 85/47, HR 56. 2nd BP taken at 10:55 BP 95/57, HR 61. Patient left the facility 30 minutes after his vaccination with stable condition.

patient saw black stars in his eyes and fainted. Fainted for about 5 seconds and came back very pale white. Has history of vasovagal reactions post injections. After laying down on flat surface for about 20 minutes with water and chocolate bar he started feeling better and his face got more color.

16 y/o VR present with father received vaccine and approximately 1 minute later became unresponsive, falling forward and hitting his face on the carpeted floor. VR became rigid with posturing that lasted one minute. VR regained consciousness. VR had a 2.5cm laceration to the left eyebrow and abrasions to the left face. Hemostasis is achieved with pressure. NIHHS is 0 at the time VR regained consciousness. CN exam intact as tested. Cerebellar exam is intact – gait is deferred. VR had been fasting. BP 90 /50, HR 50, 99% on RA, RR 16. Sitting causes lightheaded/dizziness. Ambulance was called and VR transported to Emergency Department. Father present throughout the likely multifactorial syncopal event.

5:24pm Pt called staff over and sad he felt faint and then fainted. Parent in car, layed pt back in car, talking to him to help orient him. Vitals obtained, temp, 96.2 temporal, 62HR, 100 %spo2, 116/60 Bp. 116/60. 5:32 Pt awake enough, stable to be observed for another 10 minutes. Pt stated he is fasting ad thats probably why i fainted/ 5:47 pt awake and stable enough to leave. Mother is ok with Pts condition.

PATIENT PASSED OUT AFTER RECEIVING HIS FIRST DOSE OF VACCINE. PATIENT STATED THAT HE HAD NOT EATEN ALL DAY. HE ONLY PASSED OUT FOR A FEW SECONDS, AND THEN FELT DIZZY FOR THE NEXT 5-10 MINUTES.

Syncope occurred 10-15 seconds after getting COVID vaccine. Was sitting in the car with mother at a drive-through clinic and no injury was noted. He was not driving vehicle. He was immediately aroused and was oriented to person, place and time. He did not seek medical help after leaving clinic due to feeling well. Symptoms resolved immediately. Upon speaking to patient(Mother with him), he continues to have no symptoms and advice was given about future vaccines and hydration. Patient stated that he will seek medical help if having any new/worsening symptoms.

Light headedness, headache and visual changes. Hypotension. Pt placed supine and provided with water. Observation for 30min, symptoms resolved and pt sent home.

Patient started to feel dizzy for about one minute. His father states that patient was sitting up on a chair and he started to fall backward, so his father caught him and lowered him to the ground. He did not hit his head. He was not responsive for approximately 10 seconds, per the father. Clinical monitors arrived and patient was alert and oriented to name, place, date/time. He was slightly pale and clammy but he denied any dizziness, chest pain, palpitations, shortness of breath, headache, changes in his vision/hearing, or nausea. He was laying on his back on the ground with his legs elevated on a chair and he started to feel better, and his blood pressure and oxygen saturation were stable with mild bradycardia per the vital signs obtained by one RN. He said he was feeling better and he was smiling and joking with staff. He slowly started to sit up and sipped bottled water. Stated that he had not eaten since 11am, and he agreed to a snack. I left to get him a snack, and RN said that he started to "zone out" and he lost consciousness again for approximately 20 seconds. When I came back, he was sitting up, conscious, and had spit up saliva and water onto his shirt. His breathing was steady. He again stated that he was feeling better very quickly, again in good spirits, but his father and I agreed that it would be best to call 911 to transport him to the ER just to be safe. He did not hit his head. He denied dizziness, chest pain, palpitations, shortness of breath, nausea, changes in vision, and headache. He was alert and oriented to name, place, and time. EMS was requested and they arrived, took his vitals, and he was transported to the Emergency Dept for futher care. He and his father were confident that he would recover quickly as he had a history of syncopal episodes related to vaccines in the past.

PATIENT PASSED OUT AND EXPERIENCED CONVULSIONS APPROXIMATELY 1-2 MINUTES POST VACCINATION. HE WAS UNRESPONSIVE FOR 5 - 10 SECONDS AND THEN BECAME ALERT COMPLAINING OF "FEELING HOT" AND HAD TROUBLE BREATHING. EMS WAS CALLED AND PATIENT WAS TRANSPORTED TO LOCAL HOSPITAL.

16 yo M h/o anxiety with prior panic attacks, syncopized after vaccine, vomited and had a second near syncopal episode. He was evaluated by EMS. He was discharged home. Mother was with patient and was in agreement with discharge. Appointment with therapist scheduled for later that day.

Pt was seated in the waiting area after receiving his first dose of covid 19. His parents who also received the vaccine were waiting with him. I was preparing another dose for patients waiting for their covid vaccination. I heard pounding on the clinic room and ran to check. The mom had knocked on the door because her son had fallen out of his chair.. when I arrived he was on the floor and his parents said he was regaining consciousness and moved him in to a seated position. At this point another customer was calling 911. I had my technician call management. I observed the patient and asked if he was doing ok. His parents asked him if he was hurt and he responded in the negative. The patient was feeling cold and his hands were "cold and clamy" according to his mom so I held off on the cold compress. He wanted water but was also nauseous so I told the parents that I do not want to risk aspiration. We gave him a bag to throw up. I recommended that they take him to get seen when the paramedics arrived as I was concerned about him shaking before fainting. At this point the paramedics arrived and he was taken to the hospital as he was not feeling well. I followed up with the patient's mom and she said all his tests came back normal (EKG, et) and that the doctors may think it could have been due to anxiety from getting the vaccine. She was really appreciative of the call.

after vaccination patient start feeing dizziness and fainting. Pharmacist on duty helped the patient by checking blood pressure and pulse rate. Patient was give orange juice, after 10 minutes patient starts feeling better left pharmacy

Pt had syncopal episode approximately 2 minutes post 1st dose of Pzifer vaccine. He landed on the left side of his body and hit his head on the ground. He was immediately alert and oriented and knew that he had a syncopal episode. Pt and Mom state he has a history of vasovagal episodes, latest episode after getting an allergy shot. BP 117/46, HR 59 immediately after syncopal episode (12:17), and 111/76, HR 78 when EMS arrived (12:26). Pt had swelling on the left side of his forehead but denied pain or headache. Mom declined EMS transport. Pt sat in chair for remaining 15 minutes of observation.

Myopericarditis 48 hours after 2nd dose of Pfizer vaccine with chest pain, shortness of breath, and nausea.

Immediately after receiving the Pfizer COVID19 vaccine, patient began feeling sick, dizzy, lightheaded. Patient was shaking and went unconscious for a few seconds. Patient regained consciousness but was able to sit and drink water until paramedics arrived. Administering pharmacist suspects it was a seizure but that was not verified. Patient left with paramedics.

headache; body aches; feeling bad; sick; he thought he was going to pass out at work; fever of 105.2F; This is a spontaneous report from a contactable consumer (mother). A 16-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiry date: unknown), via an unspecified route of administration on 31Mar2021 12:00 (at 16-years-old) as single dose for COVID-19 immunization. The patient medical history was not reported. There were no concomitant medications. The caller is calling about her 16 year old son. She just left the doctor with her son who received his first Covid 19 vaccine. She would like to report an adverse event. Her son has had a fever of 105.2F (07Apr2021). The doctor just did blood tests, a rapid test for Covid that was negative, they tested him for strep throat that was negative and he doesn't have an ear infection. He's been running a fever over 105F for the past 2 days (07Apr2021). The caller wanted to rule out that nothing else is going on. They have called the Medical Director of (name) and he didn't know what was going on with her son. If this fever continues she'll be calling Pfizer back. She is waiting on the results of his blood tests like his mononucleosis test pending and other viral and bacterial tests (unknown result). Her son started feeling bad about 4-5 days (unspecified date) after he received the Covid 19 vaccine. The last 2 days he's had a very high fever. He has a headache and body aches (unspecified date). He had a Covid 19 test not long before he received the Covid 19 vaccine and it was negative. She thought her son might have the Covid 19 virus but he had the rapid Covid 19 rapid test (09Apr2021) and it was negative. The caller does not know what is going on with her son. She took her son to a clinic because he was sick and because his fevers are too high. She also called the state but they told her that fevers are normal with the Covid 19 vaccine but if it persists after today, 09Apr2021, she needs to seek medical attention. It was further reported that earlier in the week her son told her he thought he was going to pass out at work (unspecified date). He told her he thought he had a fever but she checked it with a forehead thermometer and it didn't show a fever. Then on Wednesday, 07Apr2021, her son woke up around 4:30AM and had a fever of 105.2F with an oral thermometer. He woke Thursday, 08Apr2021 and this morning, Friday 09Apr2021 with a fever. His mother can control the fever during the day with Ibuprofen but he's spiking these fevers in the middle of the night. She knows fevers spike at night but she can't come with any other reason why this is happening. The patient lab tests and procedures also included CBC: pending, mononucleosis: pending, and rapid strep test: Negative; all from 09Apr2021. The outcome of events fever of 105.2f, headache, and body aches was not recovered; while for other events was unknown. Information on the lot/batch number has been requested.

Patient received the vaccine and sat down for 15 minutes. After the 15 minute wait patient got up to schedule their second dose appointment. While waiting in line, patient fainted and fell to the floor. Patient stated had blurred vision, was not showing signs of difficulty breathing , denied a soar itchy throat. Had patient lay down, feet were elevated. ambulance removed patient from pharmacy area via stretcher.

Patient received his first dose and fainted in the chair immediately after, when he saw a drop of blood trickle down his arm. Patient regained consciousness right after. Patient was monitored closely in observation and left the vaccination site in stable condition.

5 minutes after dose while standing and watching sister receive dose of vaccine, patient experienced presyncope. Patient started to sway and lost muscle control. I helped to the floor and laid him out. Patient conscious whole time and never stopped breathing. Did not lose cognizance. Had momentary feeling of nausea that immediately passed. Did not believe necessary to call 9-1-1 as patient did not exhibit any allergy symptoms of any distress during the whole episode. Allowed to lay on floor for about 5-10 min. Supplied patient with bottle of water to help with dry mouth and he drank and felt better. After another 10 minutes patient was up on feet and feltmuch better. Mother called an hour and a half later (about 5 min ago as I prepare this form) to inform me that he was back to 100%.

Patient presents with a potential reaction to the COVID19 vaccine. I was called to the patient's vehicle just outside the vaccination area. The patient appeared to having a moderate to severe vasovagal episode without total syncope. There did appear to be slight pseudoseizure activity present, however, there was no LOC or loss of bowl or bladder tone. The patient was placed in a supine position and moved to the monitoring area. With positional changes and aggressive hydration, he rapidly improved to baseline. He did endorse that he has had similar episodes with blood draws, etc. He was returned home with his mother as the driver and with preventative instructions for his second dose.

Within 10 secs after injection patient said his body started having some adverse reaction. He said he didn?t say anything until his eyes were black and couldn?t see then he said he didn?t feel so good. The color drained from his body and he went limp. Luckily a nearby paramedic caught him and he was wheeled to a recovery room to be monitored. Patient felt better after 15 Mins but it was so scary. We didn?t expect any reactions as hes gotten all of his immunizations and never had any reactions. I was really traumatized by this whole event. The staff there were very nice and helpful and helped us ease thru his recovery. I wanted to report this incident so that way you have a log of adverse side affects from getting the vaccine. I hope the 2nd shot will be ok.... I?m very scared at this point. TBD

Syncopal episode after receiving covid vaccine. He became acutely lightheaded, describes tunneling of his vision, then his head rolled back and his eyes fluttered. Event was witnessed by his mother. Did not fall to ground. No injury. Taken to ER no further care required and symptoms resolved. Has happened before with blood draws and other vaccinations.

Suspected myocarditis. Chest pain with multiple intermittent dysrhythmias including complete heart block, junctional, PVCs. Trop leak. Elevated NT-proBNP. Planning for IVIG.

After reporting symptoms of dizziness, Patient was monitored by RN at vaccination site. While monitoring, RN noticed patient exhibiting muscle tremors throughout his body that he reported not being able to control. Reaction intensified with patient advising that the was having sharp right sided chest pains that he rated on a pain scale of 0 to 10 as being an 8. In addition he stated that the felt as though his throat felt as though it was closing off. EMS were notified and while en route, RN continued to monitor patient. Patient remained able to speak with RN, pulse remained 70s bpm and respirations within normal range of 14 to 20. Patient did not display any symptoms of having trouble breathing. EMS arrived to evaluate patient; administered oxygen therapy and ran a 12-lead echocardiogram. Patient's parents opted to take patient local hospital to be evaluated, but declined to do so via the ambulance and transported patient via private vehicle.

Patient received vaccination on 4/22 and started developing chest pain on 4/24. patient presented to the Emergency Department on 4/25 and was evaluated and found to have a troponin of 1500 and was diagnosed with myocarditis. The source is unknown at this point but may be related to the vaccine.

Covid vaccine site: Per chart pt received covid vaccine at 1413 accompanied by his Grandma. About a minute later, pt had a syncopal episode while walking to observation area. Per grandma, pt hit L-side of face on plastic chair. Medical staff responded to incident, RN and Dr, pt supine on ground - awake and alert. Dr examined pt. VSS taken: BP: 130/60 HR: 74 O2sat: 99% RA. 1420: With permission from Dr, pt stood up to sit on the wheelchair. Pt wheeled to observation/triage area. Intervention: Ice and gauze dressing. Pt is awake and alert, mild swelling to L side of-face, under eye - small break in skin noted, bleeding controlled. Pt had some juice, water and crackers, no difficulty swallowing. Pain 2/10, tolerable. Cold compression on and helping. Grandma remains with pt - per grandma, pt has history of passing out with blood draws. 1440: Pt remains awake and alert, NAD, no new or worsening complaints. Grandma remains at bedside. 1505: Orthostatic BP done per Dr. Results given to MD. No new orders. 1510: Dr OK'd pt to go home with grandma. Grandma and pt stated they are comfortable to go home. Instructed pt and grandma to monitor for symptoms and to call PCP or 24 hour advice line for new or worsening symptoms. Call 911 or go to emergency if has emergent symptoms. Grandma and pt verbalized understanding and agreed. Pt and grandma exited triage area, ambulatory with steady gait and in no apparent distress. Grandma will drive pt home.

COVID-19 in Nov 2020. At the time had sore throat, runny nose, and body aches for about 3 days. No chest pain at the time. Patient developed episodic chest pain starting Saturday 4/24 (2 days after vaccination). First episode 4/24 and then again 4/25 PM. Found to have elevated troponins, cardiac imaging normal (EKG, ECHO, chest CT). Depending on trend of troponin may receive IVIG, although currently not indicated given improvement in troponins.

had his injection at 12:15pm without incident and went to monitoring area and sat at table. lost consciousness and fell to the floor, staff alerted RN who came over to . regained consciousness right away. stated that he remembered leaning forward over the table looking at his phone and texting his sister and then he was on the floor. A wheel chair was brought over and was laid down on the cot where he stated he already felt better. PHN assessed for injuries. He denies pain, no injuries noted except for right eyebrow that is red and starting to swell. At 12:20pm BP 108/64, P-63, Os Sats 96% and R-18.

Received his 2nd Pfizer Covid-19 vaccine today and while waiting the 15 minute observation time, he had a witnessed syncopal episode. Writer noticed him and lowered him to the floor out of his chair. He did not hit his head, nor have any injury. He quickly became alert and oriented x 4, denied any other symptoms. Mom states this has happened to him the past with vaccines. VSS, BP 115/65, pulse 73, and 98% on room air. Observed on floor for an additional 10 minutes before returning to chair. RN assisted him to chair within another 10 minutes he ambulated out of clinic. Advised him to eat some lunch, stay well hydrated and to avoid any strenuous activity today. Patient and mom verbalized understanding and agreement with plan, no further questions or concerns.

was sweating profusely and breathing heavy then he passed out; was sweating profusely and breathing heavy then he passed out; was sweating profusely and breathing heavy then he passed out; he started getting dizzy; felt nauseated; This is a spontaneous report from a contactable consumer (patient's parent). A 16-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Right on 11Apr2021 14:30 (Lot Number: EW0150) (age at vaccination: 16-year-old) as SINGLE DOSE for covid-19 immunisation. Medical history was reported as no. No COVID prior vaccination, no COVID tested post vaccination, no Known allergies. There were no concomitant medications (no other vaccine in four weeks and no other medications in two weeks). Right after the patient was administered the vaccine, he started getting dizzy and felt nauseated, was sweating profusely and breathing heavy then he passed out. They were in the car so the nurse reclined his chair. He passed out and then woke up and then passed out (twice) -They gave him water and gum to chew and remained laying flat. After about 20 or so minutes he felt better and nurse checked his pulse and heart rate during the ordeal. The adverse events start date was reported as 11Apr2021 14:30. No treatment received for the events. The outcome of the events was recovered.

Approximately 10 minutes after being administered with Pfizer COVID vaccine patient became lightheaded and almost fainted. Patient did not fall out of chair, but did slouch over in chair. The patient's father alerted pharmacy staff and the nurse administering vaccines today, and I went out to check on him. Patient was sitting up in chair at this time, but was very sweaty, pale and cloudy. Nurse instructed him to place his head down by his knees and provided him with water, Gatorade, and cold compresses. Once patient was feeling a little bit better we moved him into a private room with father and let him lay down at rest. When patient felt okay to leave he was advised to lay flat when he got home and eat. Father was also advised to stay with him until he was feeling 100%. Event lasted approximately 30 minutes. A call was placed to parents around 3pm to check on him and he was doing well. (moving around and playing video games)

Patient reported light heade fullu recovereddness and had syncopal episode for few seconds. no shortness of breath or respiratory symptoms. he was table with heart rate 98 and oxygen 98%. patient is not taking any medications but did report has ADHD. Patient advised to lay flat with legs elevated after a couple minutes. Water offered. No medications and patient encouraged to hydrate. Patient left premise once no ADHD. Patient fully recovered.

Patient developed significant thrombocytopenia 3 days after vaccination (platelet count 35,000). Other counts normal, no clinical bleeding. Lab was ordered as part of a work up for persistent abdominal pain (which was present before the vaccine)

The patient received the BioNTech covid vaccine and waited 15 minutes in the pharmacy. The patient left with his mom to go shopping in our Walmart store and a few minutes after his 15 minute wait time, the patient developed a heavy nose bleed. We helped patient control the bleed and provided first aid. 10-15 minutes after the onset of nose bleed, it began to slow down and patient felt comfortable to leave the pharmacy.

Developed Fever, chills, body aches, cough, sore throat and ear pain on 4/21. Started on Amoxicillin following telephone visit. Fever persisted and was seen for cough/fever on 4/26 at which time work up was initiated for persistent fever and antibiotic changed to Augmentin. Returned 4/30 due to continued fever, negative cause identified on previous blood tests. At visit had low BP with tachycardia and fever. New onset that day of conjunctivitis. Cough and L sided wheezing improved with albuterol. Lab eval and ED referral initiated for fluid resuscitation in consultation with pediatric infectious disease.

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Headache-Mild, Systemic: Hypotension-Mild, Additional Details: 16 years old male suddently have low blood pressure, light headache, not feeling well, gave him a dose of tylenol 500mg, a bottle of water, and call 911.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Severe, Additional Details: Patient passed out and lost conciousness. EMS called. Patient was breathing. O2Sat >95%. EMS arrived after patient regained conciousness. Patient refused transport to hospital.

Patient fainted and proceeded to feel nauseous. Patient was in chair when the mother asked for help and the patients head was slumped over. Patient was put in cot and counties to feel headache and dizzy.

Pt began sweating, stated he had ringing in his ears, became very pale stated he was having difficulty breathing.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: pt fainted after injection but was fine after laying down for roughly 15 min. gave h2o and waited 30 min before ok to drive home. consulted parents... will drive son to next appt.

After waiting in the waiting area for about 10 minutes the PT said he felt light headed and passed out falling to the floor. Mom was at his side and stated that he went to 'dead weight' and then she lowered him to the floor as best as she could. Mom said that she started 'shaking' and then stopped after about 15 seconds. After PT was stood up he felt like he was going to vomit but he did not. PT was extremely diaphoretic.

Patient presented to urgent care with chest pain that started on 4/30/2021. EKG with diffuse ST elevation, consistent with Pericarditis. Sent to ED for further care and management.

Vasovagal with syncope after receiving vaccine and still with vaccinator and father. Regained conciousness after "a few seconds" per vaccinator. Transferred to EMS observation area for evaluation. Placed supine with feet elevated. 1522-BP 108/59; P 74. Pale color to face. Alert and oriented, departed EMS observation after approximately 20 minutes. Able to ambulate without difficulty and departed vaccine clinic accompanied by father.

Patient was sitting down and said he felt dizzy, guardian with him stated that he passed out briefly and then just said he felt dizzy. He wanted to get some air so him, myself, and his mom went outside and waited for the paramedics to arrive . Once outside, patient said he felt better but a little dizzy. Paramedics came to make sure he was okay, he went to the hospital after that,

Pt fell off chair and hit head on ground. EMS and 2 vaccinator RN's came to help. Pt lost consciousness for few seconds. Pt vitals and glucose were stable. Pt alert and oriented when awoke. Pt transported to hospital with EMS with mother.

Patient came into the immunization room for his shot along with his mom. He did state he hated needles, but was in good spirits. He got the shot, I filled out his card, and directed him and his mom to sit in the waiting area for 15 mins in case of dizziness or a reaction. They were walking out of the room to the waiting area and he almost immediately fainted. He fell and possibly hit his head on the chair/ floor when he went down. (This was maybe 2 mins post-injection). He almost looked like he was going to have a seizure (arms were tensed up, his eyes were not focused, was starting to shake) but then he suddenly came-to. He seemed to be pretty coherent after he woke back up but 911 was called since he was bleeding

MYOCARDITIS. Patient is a 16 year old boy with ADHD who presented with fever and myalgias for 3 days, that progressed to sharp parasternal chest pain and some SOB. Patient received second dose Pfizer COVID-19 vaccine on 4/26, and after that shot experienced fever to 102 at home and myalgias. Subsequently his symptoms of chest pain have occurred. He underwent workup revealing of elevated Troponin, and EKG with some ST segment elevation, a slightly elevated CRP at 32, and a normal ECHO. Admitted for observation and concern for infectious myocarditis vs MIS-C. Cardiac MRI was done confirming Myocarditis, Troponin I was elevated and peaked at 23, 325pg/mL. Workup unrevealing of SARS. Other testing showed Resp virus panel negative, blood pcr for EBV, CMV, Parvovirus B19, enterovirus, and adenovirus all negative, HIV antigen/antibody testing negative. Patient treated with Ketorolac with steady improvement in symptoms over several hospital days. Discharged home 5/2 with Troponin I well down and symptoms resolved. Given reports in lay press regarding other cases of COVID-19 MRNA vaccine associated myocarditis, we are reporting this as a vaccine associated adverse event.

The patient received the second dose of the Covid vaccine on 4/30/21, on 5/2/21 at 0230 the patient reported an episode of palpitations, chest pain, and left arm pain that was relieved after 1 hour. On 5/3/21 at 0230 the patient reported a second episode of palpitations, chest pain, and left arm pain that was not relieved, pt presented to the Clinic, to ED at 0340 on 5/3/21, the patient had an EKG and lab work done. Troponin I lab level was 4.52, which is over 100 times the normal limit. Pediatric cardiology was consulted and the patient was sent to Hospital via life flight.

Received dose #1 on 4/8/21 and dose #2 on 4/30/21. On 5/1 evening developed chest pain and tightness. He told his family about the chest pain the following day, on 5/2, which prompted his Mom to take him to an ED. In ED on 5/2 and found to have ST elevation, elevated troponins and elevated inflammatory markers. ECHO with mildly decreased systolic function. Picture consistent with perimyocarditis. Admitted to Hospital 5/3 AM. Currently clinically stable but admitted for close monitoring.

Previously healthy 16 year old young man presenting with chest pain admitted for myopericarditis. He was in his usual state of good health until 2 days ago when he experienced fever, chills and myalgias after receiving his 2nd dose of COVID pfizer vaccine. He improved until 5/2 when he developed a crushing, non-radiating, substernal chest pain which was waxing and waning in nature without specific alleviating factors. He had shortness of breath, but no palpitation, dizziness, or changes in pain on exertion vs rest. Family activated EMS who gave 325 mg of aspirin en route to the ED. In the ED, he was afebrile and hemodynamically stable. He was mildly diaphoretic, but otherwise, unremarkable on physical exam. STAT EKG showed ST elevations in V5 and V6 and ST depressions in V1 and V2 as well as PR depressions, which persisted on repeated EKG. Given concern for myopericarditis, they ordered labs including CBC, CMP, troponin and inflammatory markers which were only remarkable for troponin of 1.94 and CRP 3.5. Chest x-ray was normal. Cardiology was consulted and they recommended transthoracic echo which is pending. Cards also recommended starting Ibuprofen 600 mg q8 hrs and admission to cards for further management.

My son woke up with a upper backache in the middle of the night (5/3/21) and shortly after that he said that it felt like someone was squeezing his heart. We called the pediatrician on call who recommended I take him to the ER. At the ER, they performed two EKG's, a chest x-ray, bloodwork and an echocardiogram. We were discharged from the ER 7 1/2 hours later with the following diagnoses: acute chest pain and acute pericarditis. His treatment consists of taking 600 mg of Advil every eight hours for at least the next, laying low and not exerting himself for the next and following up with his primary care provider and seeing the pediatric cardiologist later this week.

16 year old male who got first Pfizer Covid vaccine 4/30, then by the next morning experienced non-bilious emesis for a few hours, as well as fever, chills, body aches, and HA. The body aches and HA continued through today when he began experiencing chest pain while lying down. Chest pain improved on sitting up, standing, sitting forward. No shortness of breath.

bloody nose; This is a spontaneous report from a contactable consumer(patient). A 16-year-old male patient received the first dose of BNT162B2 (COMIRNATY, PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection Lot number and expiry date: unknown), via unspecified route at 27Jan2021 at single dose for COVID-19 immunization. The patient's medical history and concomitant medication was not reported. The patient did not take any medicines and does not have any underlying conditions. On 29Jan2021 (Friday), the patient wake up in the morning with a persistent bloody nose and had 5 intermittent bloody noses though-out the day. On the same date, in evening, the patient had no bloody noses. Outcome of the event was recovered on 29Jan2021. Information about Lot/Batch number has been requested. Follow-up attempts are completed. No further information is expected.

PT FELL DOWN, THEN REGAINED CONSCIOUS, VSS, DID NOT EAT PRIOR, REFUSED TRANSPORT. DRIVEN HOME BY DAD.

PT FELL TO THE FLOOR, DID NOT HIT HIS HEAD, THEN PT REGAINED CONSCIOUS. DID NOT EAT LUNCH PRIOR, VSS, REFUSED TRANSPORT.

Within 3 minutes of receiving the vaccine, Subject experienced syncope, had ringing in the ears, loss of vision, was pale, diaphoretic, and hyperventilation. BP 102/49 and 96/58. Staff responded, provided supportive care. Subject regained consciousness. Reported on 5/5/2021 made a full recovery. It is noted he reports he worked out that morning, had not eaten or had water that day. Did not seek medical attention.

16 y/o with needle phobia. 7 minutes after administering vaccine the patient fainted. the patient bit into his tongue and chipped 1 of his front teeth.

Approximately 5 minutes after receiving his vaccine, pt started to feel light headed on his way to the observation area, and sat on the ground. As Medic approached, I helped patient to his feet and walked him over to a chair and sat him down, about 10 seconds after sitting him down he stated he was going to pass out, medic immediately braced patient and held him up and pt did go unconscious for about 15 seconds. Pt quickly regained consciousness and was alert and oriented but still feeling light headed, he was helped to a wheel chair and taken to the cot area for eval. Pt skins pale, cool, moist, pupils perrl, lungs clear bilaterally, vitals: BP 120/84, HR 52, RR16, SPO295%, pt asked if he has a slow heart rate and he declined, HR did return to normal at 82 BPM approximately 10 minutes later. PT kept on cot for 30 minutes, and felt much better after. Pt released to his father who stated that everyone in the family always passes out when they get shots.

10 to 12 minutes after the vaccine administration Observing pharmacist reported that patient was turning pale and continued to be pale after few minutes. Patients mother reported that it does happen to him often. Called paramedics as precautionary and paramedics suggested to take him to the hospital. Patient was transported in the ambulance for further evaluation. Could not reach the patient or the Mother to follow up

After 10 minutes receiving the 1st dose of Pfizer Covid-19 vaccine, patient experienced sweating, pale looking, eyes rolling back. He was still aware, and stated that he wants to lye down. We took his BP, all the numbers are within normal range. He rested for 15 more minutes, and said that he wants to go home and rest. We called to followed up later and talked to Mom. She said he is ok after eating and resting.

Patient who has a history of fainting came in for a Covid-19 vaccine. Patient fainted right after getting the shot. Medics were called. Patient is okay after a few minutes of rest. Patient's father brought him home

syncope - pallor, nausea, sweating, Had pt sit on floor and remove mask, gave water & stay for 30 min. Checked BP wnl before he left, with someone else driving.

Shortly after receiving his COVID shot, patient began to feel nauseated and lightheaded. He was standing up near the bleachers and an assistant initially brought a trash can over to him. He was extremely pale and started to nod off as if he was going to pass out. Chair placed so could sit down and instructed to breathe slowly and VSS obtained. BP=122/70-98% spot oximeter-78 pulse. He was able to drink some water and part of a cookie. He fully recovered and was able to return to class after 25 minutes.

Patient had no issues with 1st shot. After 5 minutes of injection pt fainted. He revived right away but pupils were dilated and he had trouble staying conscious. After a few more minutes pupils were normal but he was pale and sweaty. He drank some water and felt better. EMS were called and said he was ok. All happened within 30 minutes.

Syncope, dizziness, pallor, hungry, no breakfast. Stable and released with mother after significant improvement.

Patient developed headache and chills the evening after receiving the vaccine on 5/5/21. The following day his throat was sore and he had cough and chest tightness. He took an albuterol neb which relieved the cough and chest tightness. I saw him in clinic on 5/7/21. His COVID PCR was negative. His lungs were clear. My assessment is that most likely his symptoms were related to a respiratory virus or seasonal allergies triggering his underlying asthma. I do not suspect that his symptoms were related to the vaccine.

Child woke up at 3 am with severe nausea. Within minutes he complained about not being able to breathe. His lips turned blue and he was about to pass out. As I was able to keep him awake, I am not sure whether he would have had a febrile seizure (it very much looked like it) or just fainted. The fever spike was too fast, and his body couldn't handle it. His extreme nausea persisted for four hours (but he didn't vomit). He was completely debilitated. Fever spiked to 103 but stabilized at 102 for the following 24 hrs.

seizure; passed out; light headed; fell out of chair and hit floor; making a gurgling/growling sound; his right arm was contracted and tight; his right arm was contracted and tight; This is a spontaneous report from a contactable consumer, the parent. A 16-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot: ER8736), via an unspecified route of administration in the left arm on 23Apr2021 at 09:30 (at the age of 16-years-old) as a single dose for COVID-19 immunization. Medical history included Ehlers-Danlos syndrome. The patient had no known allergies. The patient was not diagnosed with COVID-19 prior to the vaccination. Concomitant medications were none. The patient did not receive any other vaccinations within 4 weeks of the vaccine. On 23Apr2021 at 09:45 (reported as 13 minutes after the vaccine), the patient said he was lightheaded and then fell out of the chair and hit the floor. He started making a gurgling/growling sound. After the nurses flipped him over, they noted that his right arm was contracted and tight. They were unable to determine if he had passed out or had a seizure. He had no seizure history. He regained consciousness after about 45 seconds to a minute. The patient was not treated for the events. Since the vaccination, the patient was not tested for COVID-19. The clinical outcome of passed out was resolved on 23Apr2021, while of seizure, lightheaded, fell out of chair and hit floor, making a gurgling/growling sound, his right arm was contracted and tight was resolving.

Too trashed to train for his sport/described as too weak to train; Swelling; Loss of taste and smell to some extent; Brain fog; Swollen glands; Loss of taste and smell to some extent; Leg pain; Joint pain; passed out/hit the floor, put a big bump on his head; passed out/hit the floor, put a big bump on his head; Redness; Chills; Fever; Too sick to get out of bed; Shortness of breath; Headache; Muscle pain; Tiredness/Fatigue; Pain in the arm; 2 inch diameter raised circle at injection site; could not barely remember his name; tried to study but just wasn't there, head on desk. Still has difficulty focusing; This is a spontaneous report from a contactable consumer (patient's father). A 16-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot: ER2613 and expiry: Jul2021), via an unspecified route of administration in right arm on 31Mar2021 14:30 (at the age of 16-year-old) as single dose for covid-19 immunisation. Vaccination was taken because he was going back to school. The vaccine was not administered at a military facility. No additional vaccines administered on same date of BNT162B2 and no prior vaccinations (within 4 weeks). The patient received first dose of bnt162b2 (Lot: EN6199, Expiry: Jun2021) on 10Mar2021 at 13:30 in right arm (at the age of 16-years-old) as single dose for covid-19 immunisation and experienced loss of taste and smell and joint pain, all events started in Mar2021. Medical history included mild allergy to Birch pollen (which everybody has, but nothing else/patient tested for allergies, and had no significant allergies, they thought he might be because he spilled a sugared soda behind his bookcase in his room and there was mold growing so they thought he might be allergic to mold, so they tested for allergies and he has no allergy to mold) and ongoing vitamin supplementation. Family Medical History included Sarcoidosis with mother. Concomitant medications included vitamin d3 for vitamin supplementation from 2020 (about a year ago) and ongoing; ascorbic acid, rosa canina fruit (VITAMIN C) for vitamin supplementation from an unspecified date (several years ago) and ongoing and an unspecified ongoing multivitamin from an unspecified date (several years ago) at 1 taken daily for vitamin supplementation. On 31Mar2021, the patient experienced pain in the arm at 17:30, tiredness at 20:30, shortness of breath, headache at 22:30 and muscle pain at 22:30. On 01Apr2021, the patient experienced fever at 00:30, chills at 01:30, redness at 02:30, leg pain at 08:30, fatigue (ongoing) at 02:30, joint pain at 08:30, too sick to get out of bed and passed out and hit the floor, put a big bump on his head at 05:30 (about 15 hours after second dose, patient was at the kitchen table with his head between his knees trying to breathe, passed out, hit the floor and put a big bump on his head). On 02Apr2021, the patient experienced brain fog at 14:30, swelling at 14:30, swollen glands at 02:30, loss of taste and smell to some extent at 14:30 and too sick to get out of bed. On day 2 (02Apr2021) and was still about pushing 100 degrees Fahrenheit and on 21Apr2021 (after 21 days) sometimes over sometimes less. On the following Monday (05Apr2021), he struggled back to school after 5 days, but came home early. He has just been trashed, too trashed to train for his sport, further described as too weak to train, he hadn't trained for 3 weeks. He still has a fever. His local doctor did not have any suggestions other than he should take acetaminophen and ibuprofen alternately to get rid of the headache and fever. In 2021, the patient experienced 2-inch diameter raised circle at injection site and disappeared after 10 days and there was a time he could not barely remember his name, tried to study but just wasn't there, head on desk. Still has difficulty focusing and doing his calculus. It was reported that the time to recover from any exertion seems to be longer by a lot. On 01Apr2021, body temperature reached 103 degrees Fahrenheit. The patient tried to do a few things like a week ago just because he couldn't stand to be in the house anymore he took a bike out for about 15 minutes and was just trashed from that experience and took 3 days to recover. The events did not require emergency room visit nor physician's office neither hospitalized. The outcome was recovered from loss of consciousness, head injury on 01Apr2021; from illness on 02Apr2021; from headache on 04Apr2021; from chills on 06Apr2021; from pain in arm and fatigue on 07Apr2021; from erythema on 11Apr2021; from ageusia and anosmia on 14Apr2021; from lymphadenopathy on 16Apr2021; from arthralgia on 17Apr2021; from myalgia on 18Apr2021; from leg pain on 21Apr2021; from vaccination site swelling in 2021; then recovered with sequel from dyspnoea on 05Apr2021 and from swelling on 07Apr2021; then recovering from pyrexia, feeling abnormal; then not recovered from asthenia and unknown for the remaining events.

Patient is a previously healthy 16 year-old M presenting with acute onset chest pain, shortness of breath, nausea, vomiting, malaise, fever and myalgia to ED on 5/6/2021 at 20:44. He started experiencing symptoms on 5/6/2021 morning a t06:07 AM. He received his second dose of Pfizer COVID-19 vaccine on 5/4/2021 10:: AM. In the ED, CBC, CMP and UA was within normal limits. EKG at 20:46 and again at 21:14 showed ST segment elevation in inferolateral leads with possible myocardial injury, ischemia or pericarditis. Troponin 0 hour was 835 and at 2 hours 1674. Patient was admitted to the PICU for further evaluation and management. Echo on 5/6/2021 showed normal LV systolic function with SF 31% . Cardiac MRI on 5/7 showed contrast enhancement of inferolateral wall consistent with myo-pericarditis with small pericardial effusion. Troponins were trended every 12 hours and plateaued in the 1800's on 5/8/2021. Patient was diagnosed with acute myo-pericarditis. Respiratory viral PCR and COVID-19 PCR on 05/06/2021 were negative. Thyroid studies were normal. ANA titer is pending. Viral serology for HbsAg was negative and HIV was non-reactive. Results for additional viral serologies for Coxsackie viruses, EBV, CMV and HHV6 are awaited. Patient was treated with NSAIDs and Colchicine. IVIG was not given based on clinical judgement. Pediatric Cardiology was involved in patient's care and clinical decision making. Patient remained hemodynamically stable on room air throughout his PICU course. He was discharged on 5/9/2021 with Pediatric Cardiology outpatient follow up in 2-3 weeks. He will continue Ibuprofen 600 mg every hours and Famotidine 20 mg 2 times daily until his follow up.

Vasovagal reaction, awaked quickly, tolerated , ambulates with difficulty, no further symptoms, no medication taken then released at 08: 30 AM

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

Patient fainted in store about 5 minutes after receiving vaccination, patient seemed anxious when vaccine was given

Patient received his 2nd Pfizer COVID vaccine on Tuesday 4/27/2021; he had low grade fever (100.3 deg F) on Wed 4/28/2021. On Thursday 4/29/2021, he developed "heartburn", and on Friday 4/30/2021 he developed chest pain that radiated to his jaw and left arm. He presented to Hospital on late 4/30/2021 or early 5/1/2021 for evaluation; initial labs showed a CRP of 1.23, POC troponin of 6.56 ng/mL (03:18 on 5/1) and lab level of 17.6 ng/mL (03:05 on 5/1) that increased to 24 ng/mL later in the morning on 5/1. COVID-19 PCR was negative. He was transferred to another Hospital mid-day on 5/1/2021 due to concerns for myocarditis/myopericarditis. He was started on NSAIDs. His troponin level improved, had decreased to 9.69 ng/mL on 5/2/2021; at that point as his chest pain had improved and labs were improving, parents requested that he be discharged from the hospital. He had 2 echocardiograms at PCH which reportedly showed normal biventricular systolic function. He had an echo at the hospital on 5/2/2021 which showed normal biventricular systolic function, no pericardial effusion, and normal valves. As an outpatient, he had repeat troponin-I levels: 2.49 ng/mL on 5/3; 0.31 ng/mL on 5/5; the troponin level was reportedly normal on 5/10/2021 per his primary cardiologist

Mom contacted our clinic today reporting that patient received the COVID vaccine at the Pharmacy. Mom reports about 2-3 minutes after the vaccine was given, patient 'had a seizure'. Mom reports loss of consciousness, twitching/jerking, pale skin, nausea. These s/s lasted less than 1 minute. They were at the pharmacy when the episode occurred. When he was alert and awake after the episode, he was acting normal and continues to act normal.

5/7: c/o fatigue and headache 5/8: Chest pain, shortness of breath, headache and heart racing 5/9: Worsening left sided chest pain with dizziness. Presented to an urgent care and then transferred to the hospital.

Pt came to ER with nausea, vomiting, difficulty breathing. Pt was coughing up blood O2 sat 90 room air initially then down to low 80's. Put on high flow 10 L nasal cannula. Diagnosis hypoxia, dyspnea at rest, pericarditis, elevated troponin 35. Transferred to second hospital. Update from them : likely myopericarditis with cardiogenic shock, respiratory failure, diffuse ST elevation on EKG, on Inotropes

The patient's mother asked for help. Patient was sweating and said saw black dots. Patient was wet to touch and pale. Pharmacist talked with patient and there breathing was normal. Possibly anxiety. Had patient stay for addition 15 minutes and was fine when left.

Mother stated patient skin color changed within seconds after vaccination was given. This nurse observed patient laying in mother's lap face pale with jerky head movement.

Initial complaint: feeling lightheaded, couldn't see, diaphoretic, pale 12:10 BP 60 systolic HR 64 Patient diaphoretic, "can't see". Ice pack, granola bar and water provided. 12:15 BP 56 systolic Second ice pack provided. Reports "feel better" Noted having ringing in right ear 12:20 BP 98/42 HR 60 only complaint is the ringing in his right ear. Still Pale 12:25 Color improved. Skin warm and dry. Alert, continues to have ringing in ear. 2nd granola bar offered and encouraged to drink the water 12:30 BP 100/52 HR 64 Right ear "barely ringing" 12:35 BP 104/62 HR 68. Reports ear ringing "gone" 12:40 Discharged with parent. Instructed to inform vaccinator of incident when he comes in for his second vaccine 5/11 Unable to reach for follow up

HPI: Patient is a 16-year-old male who was upgraded to our emergency department after blood work showed a significant thrombocytopenia. Please see walk-in clinic provider NP for presenting history and physical exam. Patient reports to me development of sore throat as well as blood from the throat last Thursday. Patient also began to notice development of bruising to his legs without any injury approximately a week ago. Denies any pain. Denies any blood in the urine or stool. No other medical complaints at this time. Chief Complaint Patient presents with ? Sore Throat was seen a few weeks ago for ear infection, also had sore throat at that time that never went away. School nurse wanted him swabbed for strep and covid PCR ? Bleeding/Bruising has large bruising to right leg for about a week, no injury. also states bruise to upper left thigh and right shoulder and scattered small bruises. School nurse wants his platelets checked. Denies pain. States mild bleeding in gums and states notices blood in back of throat ROS: See HPI above. All other 12 review systems negative otherwise specified in HPI above. ROS PMH: Past Medical History Past Medical History: Diagnosis Date ? Asthma ? GI symptoms 10/2018 with pharyngitis ? Headache ? Strep throat ? Tonsillar and adenoid hypertrophy nasal scope Past Surgical History Past Surgical History: Procedure Laterality Date ? COLONOSCOPY 12/07/2018 with biopsies ? ESOPHAGOGASTRODUODENOSCOPY 12/07/2018 with biopsies ? TONSILLECTOMY & ADENOIDECTOMY 2011 Family History Family History Problem Relation Age of Onset ? Hypertension Father ? Diabetes Mellitus Father Social History Tobacco Use ? Smoking status: Never Smoker ? Smokeless tobacco: Never Used ? Tobacco comment: no second hand smoke exposure Substance Use Topics ? Alcohol use: No Allergies: No Known Allergies Meds: No current facility-administered medications on file prior to encounter. Current Outpatient Medications on File Prior to Encounter Medication Sig Dispense Refill ? albuterol HFA 108 (90 Base) MCG/ACT inhaler Inhale 2 puffs every 4 hours as needed. 1 inhaler 1 ? Aspirin-Acetaminophen-Caffeine (EXCEDRIN PO) ? acetaminophen (TYLENOL) 325 MG tablet Take 975 mg by mouth every 6 hours as needed for Pain. ? naproxen (NAPROSYN) 220 MG tablet Take 440 mg by mouth twice daily - with breakfast and supper. Physical Exam: Blood pressure (!) 148/93, pulse 107, temperature 98.6 °F (37 °C), resp. rate 20, height 6' 5" (1.956 m), weight (!) 348 lb 8 oz (158.1 kg), SpO2 96 %. O2 flow: Physical Exam Constitutional: He is well-developed, well-nourished, and in no distress. No distress. HENT: Head: Normocephalic. Right Ear: External ear normal. Nose: Nose normal. Mouth/Throat: Oropharynx is clear and moist. No oropharyngeal exudate. Mild erythema in the posterior pharynx with some bleeding. No posterior pharynx edema. Eyes: Conjunctivae are normal. Right eye exhibits no discharge. Left eye exhibits no discharge. No scleral icterus. Cardiovascular: Exam reveals no gallop and no friction rub. No murmur heard. Pulmonary/Chest: Effort normal. No stridor. No respiratory distress. He has no wheezes. He has no rales. Abdominal: Soft. Left upper quadrant tenderness. Musculoskeletal: General: No tenderness, deformity or edema. Cervical back: Normal range of motion. Neurological: He is alert. Gait normal. GCS score is 15. Skin: Skin is warm. He is not diaphoretic. Multiple baseball to softball size bruises to the bilateral lower extremities worse on the right than left. Mild petechiae. Psychiatric: Mood, memory, affect and judgment normal. Diagnostics: Results for orders placed or performed during the hospital encounter of 05/10/21 CBC WITH DIFFERENTIAL Result Value Ref Range White Blood Cells 7.72 4.0 - 13.0 K/uL Red Blood Cells 3.48 (L) 4.15 - 5.30 M/uL Hemoglobin 10.8 (L) 11.8 - 15.4 g/dL Hematocrit 30.5 (L) 35.5 - 46.5 % MCV 87.7 77 - 94 fL MCH 31.0 25.0 - 32.3 pg MCHC 35.4 31.9 - 35.9 g/dL RDW 16.2 (H) 11.5 - 14.8 % Platelet Count 9 (LL) 160 - 424 K/uL MPV 11.4 (H) 6.8 - 10.5 fL Neutrophil % Pending % Lymphocyte % Pending % Monocyte % Pending % Eosinophil % Pending % Basophil % Pending % Absolute Neutrophils Pending 1.6 - 7.5 K/uL Absolute Lymphocytes Pending 1.2 - 4.9 K/uL Absolute Monocytes Pending 0.1 - 0.9 K/uL Absolute Eosinophils Pending 0.0 - 0.6 K/uL Absolute Basophils Pending 0.0 - 0.2 K/uL COMPREHENSIVE METABOLIC PANEL Result Value Ref Range Sodium 138 133 - 144 mEq/L Potassium 4.4 3.5 - 5.0 mEq/L Chloride 101 95 - 107 mEq/L Carbon Dioxide 22 22 - 32 mEq/L Anion Gap 15 6 - 15 mEq/L BUN 14 8 - 24 mg/dL Creatinine 0.81 0.69 - 1.20 mg/dL Glomerular Filt Rate NOT CALCULATED due to age less than 18 years. mL/min Glucose 110 (H) 70 - 100 mg/dL Albumin 4.9 3.5 - 5.2 g/dL Calcium 10.0 8.6 - 10.4 mg/dL AST 23 11 - 41 IU/L ALT 28 (H) 0 - 19 IU/L Alkaline Phosphatase 142 90 - 366 IU/L Bilirubin, Total 0.4 <1.5 mg/dL Total Protein 7.7 5.9 - 7.8 g/dL Globulin 2.8 1.8 - 3.7 g/dL A:G Ratio 1.8 1.2 - 2.7 PROTHROMBIN TIME Result Value Ref Range Prothrombin Time 18.4 (H) 12.0 - 14.6 sec INR 1.5 (H) 0.9 - 1.1 PTT, PARTIAL THROMBOPLASTIN Result Value Ref Range PTT 32 23 - 36 sec CRITICAL VALUE HEME Result Value Ref Range Critical Value ED Course: Patient was upgraded to the emergency department after he was noted to have significant thrombocytopenia. Patient is pleasant he has no active complaints other than some throat irritation bleeding in the throat and bruising that was nontraumatic to the legs. My physical examination reveals multiple rather large bruises to the bilateral lower extremities up to softball size worse on the right than left. Patient had some mild left upper quadrant discomfort. Very minimal bleeding in the posterior pharynx. I personally reviewed the labs and CBC revealed an anemia at 10.830.5 hemoglobin hematocrit respectively. Most notably a 9000 thrombocytopenia. CMP essentially unremarkable. INR 1.5 PTT normal. I added on Lyme disease and tick-borne illness as well as a Monospot type and screen. Patient did receive his 1st visor vaccine for COVID-19 on April 29, 2021. IV was established in the emergency department in consultation made to Pediatric Oncology. I spoke with pediatric oncology in regards to patient's history and present illness. He does agree that the patient should in fact be transferred under the pediatric care but recommended under the general hospitalist service. He did not advise to proceed with any active treatment in our emergency department such as gamma globulin, platelets or steroids. Awaited call back from pediatric hospitalist and spoke with Dr. She has agreed to accept the patient in transfer. Patient and family are comfortable disposition plan no further questions at this time. Impression: 1. ITP Disposition: Transfer ED on 5/10/2021 Revision History Detailed Report Note shared with patient Note filed date Mon May 10, 2021 12:24 PM

The patient developed severe chest pain on the 4th day after the vaccine, he presented to the local emergency room and had the abnormal tests as described below. His symptoms improved rapidly but due to active myocarditis was given recommendations for limited activity to reduce risk of fatal arrhythmia

presented to outside ED with complaints of new onset chest pain that radiated to the back and down his arms with concurrent nausea. Patient was sitting in the living room around 2030-2045 when he developed midsternal and epigastric region pain. Pain radiated to his upper middle back and down both left and right arms. There were no notable exacerbating or relieving factors. Pain was a 4-7 in severity. He was also nauseated. He was given tums by his mother without significant change in symptoms. After 45 minutes they decided to go to the ER. At ER labs were notable for elevated troponin (2-- >15-- >9). EKG with J-point elevation. Non-contrast CT chest/abd/pelvis was unremarkable. He was given ASA 325 and famotidine in the ED. Pain eventually subsided around 2345. He was transferred to another hospital for further evaluation of troponinemia.

Pt. got sick in the middle of the night after receiving his second vaccine. He had a fever, chills, body aches. He is a very physically fit teenager who is active in weight lifting, football and wrestling. His blood pressure is now high, and he has had 9 nose bleeds in 11 days. Currently his pediatrician, Dr. is tracking his blood pressure. He has not fully recovered and still appears ill after his vaccine. Blood tests have been requested, but orders have not been issued yet.

Patient is a 16-year-old male patient admitted with seizure like activity. One day prior to admission patient received his second COVID vaccine, Pfizer brand. On the day of admission Patient woke at 0200 with pain in the left side of the chest, mid-axillary per patient's description it was cramp-like pain and he was able to go back to sleep. At 0500 he got up to use the restroom and went into the kitchen. He told his mom he didn't feel well and fell forward making a gurgling sound, arms rigid, was unresponsive, and this lasted 1.5minutes according to mom. Mom called EMS and when he awoke he stated he was nauseous. After EMS arrived it was 2-3 minutes and he did not feel well again, he stood up and head fell back, eyes open, he was shaking, and making a gurgling noise again, this episode lasted 30 seconds. Upon awaking he was disorientated for a few minutes then back to baseline, he was nauseous again and very tired. He came to the ED where EKG (pending), CBC (normal), PT/PTT/INR (slight elevation), CMP (normal), TSH (normal), Ethanol (None), Troponin (normal), Head CT (normal), and chest xray (normal) were done. He received a NS bolus was given. He was admitted to the pediatric hospitalist for further evaluation and management. This is where he had a 24hour Video EEG with normal EEG he was discharged home.

1. Right-sided chest pain and decreased aeration on Right lung (3 lobes) The pt was imaged to rule out spontaneous pneumothorax - MBI:XRY Chest, PA and Lateral (STANDARD) IMPRESSION: Large right pneumothorax with pronounced collapse of the right lung

Pt feeling lightheaded & sweaty 15 minutes after vaccination given. BP 92/64 P64 Parents say she blacked out for a few seconds but did not fall. She was transported per w/c to Observation area & laid down for 10 min. BP 118/76 Pt discharged with parents w/o assistance.

Pt became dizzy & pale after vaccination. BP 123/74; HR 71; RR 18. Recommended that pt lay down prior to getting 2nd dose. Stable & released from site

It was reported to this writer that the patient was being escorted by his father to the upstairs post-vaccination observation area when he slumped to the wall midway up the first flight of stairs. He appeared pale and diaphoretic; complained of chest heaviness without pain, and blurry vision. Denied nausea. He was helped to sit down. EMS was notified and came to the scene. Assessed by EMS. Vital signs were WNL and without hypotension. Once he had a chance to sit down he accepted water and juice. Continued to be assessed by RN and EMS. Vital signs continued to be WNL. Medically cleared by EMS to leave the facility.

Pt developed sharp chest pain, intermittent, positional, severe at times. Occurred within 24 hours of 2nd vaccine administration. Seemed to improve with ibuprofen taken. Found to have significantly elevated troponin I to 1.5, concerning for myopericarditis. Echocardiogram was normal. Plan for NSAIDs as needed for pain and follow-up with Cardiology.

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

Within approx. 5 minutes of receiving vaccine another patient (not related) alerted pharmacy staff to a patient "having a reaction" in our waiting area. When I approached the patient, he was staring ahead at his mother while she informed me that he experiences similar reactions when at the doctors office when he receives any shot. Before I approached he was passed out, but he was coming to when I arrived. He was able to speak, look at me, and move without delay within a minute and showed no further symptoms.

Within minutes of receiving the vaccine, the father says patient became slumped down in his chair, was drowsy, and he thought his son had passed out. Patient had become very pale in color, and his father says he was sweaty/warm to the touch. He was conscious, but wasn't very alert.

Vaccine was administered to patient. Patient was walked to chair in waiting area and fainted. Once patient fainted, he immediately recovered. No treatment was necessary and left after 15 minutes

Nose bleed, 10:15 pm on 13 May 2021. Pinched nostrils and held head down, chin to chest for about 10 minutes before it stopped bleeding. No additional bleeding after initial episode. Called pediatrics advice line that night but didn't recieve a call back. Called again the next morning and spoke with nurse, she advised keeping watch but did not recommend further evaluation unless there was another episode or any additional potential side effects. She agreed that I should report as potential side effect as he has not had any nose bleeds for about 11 years prior to this.

faint, pale color, cold sweat, vomiting, nausea, tingling in fingers. EMS was called to the pharmacy lobby. After patient drank some water and juice, he felt better. EMS treated on the scene for suspected panic attack. (Patient saw blood running down arm post injection). Patient and parent left the pharmacy after about 45 minutes from time of injection feeling and looking much better.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient seemed to have a faiting spell about 10 minutes after vaccine was given, patient came too and felt "sick to his stomach", patient stated he felt okay, but once paramedics came, mom wanted him to go to with them to the hospital.

Thrombocytopenia. Had sore throat and intermittent fevers, as part of evaluation PCP obtained CBC with differential that showed leukopenia and thrombocytopenia. No bleeding or bruising, no petechiae.

Within 30 seconds passed out. Woke up and about 5 minutes later passed out again, with eyes open and could hear but couldn't talk. Epi Pen administered by Pharmacist around 8 minutes after shot. Taken by ambulance to ER

Fainted 2-5 minutes after the injection. Came to quickly and recovered enough to walk out after a short rest.

about 5 minutes after administration pt fainted. pt was in the company of his mother who stated pt quickly regained consciousness. we offered to call the paramedics pt's mother refused reassuring us her son was fine. several hours later we tried contacting pt at the phone number listed on their file but could not reach the pt and could not leave a message

elevated cardiac enzymes; left ventricular damage; This is a spontaneous report from a contactable pharmacist. A 16-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as first dose, at single for covid-19 immunisation (At the age of 16-years). Medical history was none. The patient's concomitant medications were not reported. On unspecified date, the patient was with elevated cardiac enzymes and left ventricular damage followed by a dose of product. Physicians indicate it was directly correlated and the reported was asking for specific information on this topic as to reported tissue damage especially with the EUA update age range. The patient underwent lab tests and procedures which included cardiac enzymes with results elevated on unspecified date. Outcome for all the events was unknown. Information about batch number and lot number is requested. Further information has been expected.; Sender's Comments: Based on the information available and a close temporal association, a possible contributory role of the suspect BNT162B2 cannot be excluded for the reported events of elevated cardiac enzymes,left ventricular damage. The case will be reassessed once new information is available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate

Received second Pfizer Covid-19 vaccine on Thursday 5/13 without acute adverse events. The following day he developed substernal non radiating pleuritic chest pain that kept him awake all night. The following morning pain progressively worsened so he went to the emergency room.

Patient started feeling dizzy about 5 minutes after injection. Was seated and lost consciousness for a couple seconds and popped back awake. Patient complained of nausea, dizziness and vision disturbance. No SOB or wheezing and no hives. Paramedics were called and patient was starting to feel better upon arrival of paramedics. Patients blood pressure was low 90/50, and vision still not normal. Paramedics recommended taking patient to hospital. Patient mom, consented and patient was taken to the hospital.

Patient had syncopal episode with in 60 seconds of vaccination. Patient responded immediately to nurse when name was called. Patient was helped down to the floor vital signs taken BP low O2 sat 95%. Ambulance crew was in the parking lot of College came in to assess patient, FNP came from clinic at College to assess patient. Continuous monitoring of vital signs, patient BP came up, patient given orange juice to drink per FNP. Patient was very anxious about vaccination and had eaten since the previous day. Patient monitored about 45 minutes, vital signs improved, patient appearance improved and stated he felt better. Patient 's Mother reached on phone by ambulance crew, she did not want him transported. Patient left College accompanied by brother. Advised to be seen by provider or ER if symptoms worsen.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Shakiness-Mild, Additional Details: 911 was called for vitals after patient passed out. Paramedics stated that patient experienced syncope when standing up. also has history of anxiety.

Within minutes of receiving the vaccine, he, vomited and then fainted twice. His blood pressure plummeted (60/40) and required the on site EMT medics to intervene with a 800 cc saline IV and Zophran medication. He responded well to the treatment and was able to be release 45 minutes after the IV started.

"The patient presented with symptoms of pericarditis and palpitations. Evaluation revealed elevated troponin levels consistent with myocardial injury, ST elevation on ECG (consistent with pericardial inflammation) and short episodes of non-sustained ventricular tachycardia that were not hemodynamically significant. Echocardiography revealed normal anatomy and normal ventricular / valvular function with no pericardial effusion. He was observed in hospital on telemetry for 24 hours and transitioned to outpatient care with exercise restrictions as well as oral non-steroidal anti-inflammatory and colchicine therapy. Clinical diagnosis was peri-/myocarditis without ventricular dysfunction."

back was hurting; acute chest pain; elevated white blood count; acute pericarditis; Arm pain; This is a spontaneous report from a contactable other health professional (parent). A 16-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 2 intramuscular, administered in Arm Left on 29Apr2021 15:30 at the age of 16 years old (Lot Number: E000167) as 2nd dose, single for covid-19 immunisation. The patient had no medical history, no known allergies. Concomitant medications received within 2 weeks of vaccination included vitamins nos (MULTIVITAMIN [VITAMINS NOS]), acetaminophen. The patient previously received the first dose of bnt162b2 (lot number: EN6208) intramuscular in Arm left on 07Apr2021 13:00 at the age of 16 years old for covid-19 immunisation. Facility where the most recent COVID-19 vaccine was administered was Other. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced Arm pain the first few days after receiving vaccine (2021). Then last night (02May2021), at 03:00 he came to his parent's room and said his back was hurting. His parent gave him one Advil. He tried to go back to sleep but came back an hour later saying it felt like his heart was being squeezed. The doctor on call recommended they go to the ER. At the ER, they performed 2 EKGs, bloodwork, chest X-ray and an echocardiogram on 02May2021. His diagnosis upon discharge: acute chest pain and acute pericarditis on 02May2021. His bloodwork showed an elevated white blood count on 02May2021. They were to follow up with the pediatric cardiologist later this week. This events happened three days after his receiving his 2nd Covid vaccine shot. The adverse events result in Emergency room department or urgent care. Treatment received for the adverse events included Two EKGs, bloodwork, chest X-ray and echocardiogram. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient hadn't been tested for COVID-19. The outcome of the events was recovering.; Sender's Comments: The causal relationship between BNT162B2 and the events cannot be excluded as the information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.

Patient fainted after standing up. Immediately came to, Bp was 146/76. Gave water, pt sat with feet up. After 35 minutes felt better, bp now 121/85. Pt left with father.

ANXIOUS, LIGHTHEADED, DIAPHORETIC WITH SYNCOPE S/P VACCINATION. PARAMEDICS CAME, VSS, SX RESOLVED, REFUSED TRANSPORT, AMA SIGNED.

Post vaccination pt began s/s lightheaded ness, anxious and diaphoretic. RN and I transferred patient into cot, patient had syncopal episode of 2min, paramedics on site. Vital signs stable, patient states feeling, ? a lot better? after a few minutes. Patient and mother refuse going to the hospital. AMA was signed. Patient then transferred himself into wheelchair with minimal assistance. Patient waited in observation for 30min and left home with mom.

PATIENT WAS EXTREMELY NERVOUS, STATED DOES NOT LIKE NEEDLES. WITHIN 2 MINUTES FELT CHEST TIGHTNESS, LIGHTHEADEDNESS, STARTED SHAKING AND EYES ROLLED UP BEFORE PASSING OUT. COME TO WITHIN A FEW SECONDS BUT WAS NOT COHERENT. COULDN'T ANSWER BASIC QUESTIONS AND LOOKED AS IF WAS GOINT TO PASS OUT AGAIN. COULD NOT STAND, TALK ETC. HE WAS LIKE THIS FOR 10 MINUTES OR SO. CALLED 911 THEY STATED TO LAY PATEINT CAREFULLY ON THE FLOOR TO RECOVER BLOOD FLOW UNTIL THEY COULD GET THERE. PATEINT STARTED COMING BACK AROUND WITHIN THE NEXT 5 MINUTES. MOTHER REFUSED LEAVING IN AMBULANCE BELIEVED SON WOULD BE FINE.

Immediately after vaccination patient became nauseous, diaphoretic, weak, pale and then brief ?LOC HR66 Pulse Ox 98 BP 1 78/58 BP 2 100/70

Patient developed sudden onset of chest pain and shortness of breath worse with supine position. Patient went to the ER and ECG was done which was consistent with Acute Pericarditis. Patient was treated with Ibuprofen 600mg PO TID with resolution of his chest pain and SOB. patient was discharge home from the ER with cardiology follow-up 2 days later. Patient continues to have no chest pain or SOB and continues on Ibuprofen 600mg PO TID at this time. Repeat labs are pending.

Immediately after injection Patient began to faint and clench his arms. His head tilted back and eyes were glazed over. Lips became pale and face was pale. He was clammy to the touch on the back of his neck. His blood sugar at the time of injection was 113. He had not eaten breakfast yet. This lasted about a minute or so. He was finally able to say that he felt ok, but asked what happened. This happened a second time about 4minutes after the first time. But didn't seem to last as long. I gave him some juice and saw that his blood sugar was dropping to 85. Then a few minutes later his blood sugar was at 62. He continued to drink the juice and had 3 4carb glucose tablets. He started to feel better about 15 minutes later. He states that he felt numbness in his hands and feet initially. All feelings returned and color to his face and lips. His blood sugar began to rise again and he was feeling better. No hives or rash was noted on his body and the injection site was normal.

Patient fainted after vaccine administration. After lying down for 20 minutes, patient felt back to normal.

Patient developed chest pain starting 3 PM on 5/17. Presented to a local ED for this on 5/18 and was found to have elevated troponin level. Transferred to a hospital with pediatric floor and was seen by a pediatric cardiologist. Echocardiogram notable for evidence of pericarditis but normal cardiac function. Given concern for development of arrhytmia, transferred to a hospital PICU. Chest pain was mild to moderate, stabbing, and was somewhat relieved by antinflammatory therapy. He never had fever, chills, vomiting, diarrhea or rash. He had no ill contacts. He had no history of prior COVID nor did his family

Chest pain, fever, headache and fatigue starting morning after vaccination. Progression of chest pain prompting evaluation in the emergency room where he was found to have a Troponin of 23,000 (nl less then 50). D'Dimer mildly elevated. ST changes on EKG. CTA negative. LFT mildly elevated. Sent to hospital where admitted to cardiology service pm 5/19 and given a diagnosis of myocarditis. Still under care at this time of report.

Patient developed dull R chest/axilla pain "around the time of vaccine". On 5/11/2021 diagnosed with spontaneous pneumothorax. s/p 10 day hospital stay including pleurodesis

Patient fainted, lost consciousness and was treated by paramedics. Patient was administered oxygen. Patient did not need further treatment.

Patient is a 16yo girl admitted on 5/19 with sepsis secondary to myocarditis and pneumonia, s/p IVIG, after presenting with fever, myalgia, sore throat, hypotension, elevated troponin, elevated CRP, and leukocytosis with left shift. Sore throat has been present for about a week and fevers began on 5/17 with a Tmax of 103. On 5/18, she began developing shortness of breath and upon evaluation by the PCP on 5/19, she was admitted. During initial workup on 5/19 upon admission, hospitalist was high concerned as she developed hypotension of 91/48 on 5/20 at 08:35am. CT of chest on 5/20 showed patchy consolidation of the posterior lower lobes bilaterally. At that point, I was contacted and recommended broadening regimen to clindamycin , ceftriaxone, and azithromycin. Upon transfer to Hospital, further serologies were collected which showed leukocytosis with left shift, highly elevated CRP, elevated troponin, elevated IL-6, elevated ferritin, negative Covid abs test, negative RVP, and negative Covid PCR. IVIG (2grams/kg) started on 5/20 at 22:57. Cardio and ID on board and all regular myocarditis infectious workup has been collected. ID consulted for workup and management. Of note, patient received the Covid vaccine on 5/1/21

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Weakness-Medium, Additional Details: Patient started to get lightheaded while sitting in a chair during his post vaccine observation time. He was hypotensive and had lost the color in his face. His mother and I were able to get him over to a bench to lay down, where he also drank a bottle of water. After roughtly 45 minutes he felt strong enough again to walk around and leave.

05/09 Woke up with Chest pain/fever/headache 05/17 went to urgent care due to chest pain/diagnosed with Pericarditis 05/20 pericarditis diagnosis confirmed by cardiologist No other contributing factors

(Vasovagal Response and Mild Urticaria) ? Felt faint, had very mild rash on both arms. Pt said he saw a flash of ?blue light?. Possible to d/t laying out in the sun. Mom noted possible allergic reaction to cats at home. (Initial BP 100/62 ? 10 mins 118/68). Treatment: Diphenhydramine 50mg/ml injection on right arm.

Syncopal episode with loss of consciousness and fall with left head injury 2 minutes after vaccine administration. First Aid was administered immediately to stop the bleeding. Patient was awake and alert and declined further medical assistance. Pharmacist monitored for 30 more minutes before patient was able to walk away on their own.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Confusion-Medium, Systemic: Hypotension-Severe, Additional Details: Blood pressure dropped 94/33, heart rate 43. Epi-pen 0.3mg wagiven. (911 team) confirmed patient recovered, vital stable, Ok for parents take Pt to ER or home. Dr confirmed patient had vagal response on 7/12/2019 after vaccinated HPV.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Confusion-Medium, Systemic: Hypotension-Severe, Additional Details: Blood pressure dropped 94/33, heart rate 43. Epi-pen 0.3mg wagiven. Personnel (911 team) confirmed patient recovered, vital stable, Ok for parents take patient to ER or home. Doctor confirmed patient had vagal response on 7/12/2019 after vaccinated HPV.

have ST elevated with elevated troponins in the 1000s, concerning myocardial infarction vs myopericarditis; have ST elevated with elevated troponins in the 1000s, concerning myocardial infarction vs myopericarditis; have ST elevated with elevated troponins in the 1000s, concerning myocardial infarction vs myopericarditis; 36 hours of left chest pain radiates to left arm; have ST elevated with elevated troponins in the 1000s, concerning myocardial infarction vs myopericarditis; 36 hours of left chest pain radiates to left arm; This is a spontaneous report from a contactable Physician. A 16-year-old male patient received bnt162b2 (BNT162B2), dose 2 intramuscular, administered in arm left on 12May2021 10:15 (Batch/Lot Number: EW0167) as single dose at the age of 16-year-old for COVID-19 immunisation, administered ad hospital. Medical history included acne with no medications. The patient's concomitant medications were not reported. patient received bnt162b2 (BNT162B2), dose 1 intramuscular, administered in arm left on 21Apr202110:15 (Batch/Lot Number: ER8735) as single dose at the age of 16-year-old for COVID-19 immunisation. No past drug history. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No other medications the patient received within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient experienced ST elevated with elevated troponins in the 1000s, concerning myocardial infarction vs myopericarditis, 36 hours of left chest pain radiates to left arm on 13May2021. The course of events was as follows: Previously healthy 16 year old male complaining of 36 hours of left chest pain radiates to left arm. Had Pfizer vaccine dose #2 about one day prior to chest pain onset. Found to have ST elevated with elevated troponins in the 1000s, concerning myocardial infarction vs myopericarditis. Admitted to the Pediatric ICU for further management on 15May2021 7:00AM. The patient was hospitalized for the events, considered life threatening. Since the vaccination, the patient has been tested for COVID-19: Sars-cov-2 test: negative on 15May2021 Nasal Swab. Therapeutic measures were taken as a result of events, treatment in process. The outcome of events was unknown.; Sender's Comments: Based on the current available information and the plausible drug-event temporal association, a possible contributory role of the suspect product BNT162B2 to the development of reported events cannot be excluded. The case will be reassessed if additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

patient slumped, syncopal episode for less than 2 seconds. Awakened stating "I feel light headed". Site staff reported event to NP right way, at 10:30am, BP 120/80 pulse of 58, Patient's mother came to patient's side, repeat BP 120/78, pulse 58; , repeat again at 11:20 116/80, pulse 60. Mother declines EMS. Patient in good spirits, A&ox4, and left site with mother normal gait and affect.

Suspect pericarditis, elevated CRP, very very slight pericardial effusion, classic story, few EKG findings

Vaccine administered at outside facility. Pt. is a 16 yo male with no significant PMH admitted on 4/26 with myocarditis, elevated troponin, and abnormal EKG. Pt. states that he was feeling his usual self until the day that he received his 2nd dose of the COVID vaccine on 4/24. On 4/24, he started to have a headache and subjective fevers. On 4/26, he reports having substernal chest pain at rest, non-radiating, associated with shortness of breath. Patient took tylenol with minimal relief. Patient denies cough, congestion, abdominal pain, nausea, vomiting, diarrhea, rash. No sick contacts. Since admission, troponin has been rising (up to 16), BNP normal, CRP to 87, ESR normal, CBC and electrolytes unremarkable. Clinical course and findings consistent with myocarditis. ID consulted for infectious workup and management. In my prelim recs upon admission, I recommended a dose of IVIG and holding off on steroids and antibiotics.

patient received first dose. Left the consultation room and fainted within a few minutes. Emergency personell were called and patient taken to the ER. Patient given fluids and sent home follow up with family stated patient fine.

ONE MINUTE AFTER ADMINISTERING PAITENT HIS FIRST DOSE OF PFIZER COVID-19 VACCINE, THE PATIENT FELL TO THE FLOOR. PATIENT REPORTS , " HE FELL ASLEEP", BUT CLAIMED HE WAS OKAY. THE PATIENT WAS ESCORTED TO THE WAITING AREA AND INSTRUCTED TO WAIT FOR 15-30 MINUTES FOR OBSERVATION. SOON AFTER SITTING IN THE WAITING AREA,THE PHARMACIST WHO ADMINISTERED THE VACCINE REPORTS THE PATIENT PASSED OUT FOR THE SECOND TIME. PER PHARMACIST REPORT, THE PATIENT WAS UNRESPONSIVE AND SEEMED NOT TO BE BREATHING. EPINEPHRINE 0.3MG DOSE WAS GIVEN INTRAMUSCULARLY AND EMERGENCY WAS CALLED AT 11:56AM. THE PATIENT REVIVED AND REPORTED HE "FELT FINE". EMERGENCY HEALTHCARE AND AMBULANCE ARRIVED AT 12:06PM AND TOOK OVER CARE OF THE PATIENT.

Day after vaccine patient went to er with cp, cough, myalgias and fever, he was sent home. (No known covid exposure) The following day sent to the er with same symptoms and bedside echo normal. the third day came back to the er and labs were done with an elevated troponin to 2.7 increased to 12. Still currently monitoring.

PT REPORTED REDNESS AND ITCHINESS TO LEFT AREM AND RIGHT CHEEK AND CHEST. PT STATED HAS ALLERGIES TO MIGRAINE MEDICATIONS AND GIVEN 25 MG OF BENEDRYL PO @3PM AND PT EDUCATED THAT IT TAKES FOR MEDICATION TO KICKIN PT GIVEN AN EXTRA 20 MIN ON THE TOP OF 30 MIN OBSERVATION TO BE CLOSLEY MONITORED, PT INSTRUCTED TO STAY HYDRATED AND TO NOTIFY THE OBSERVATION TEAM IF SYMPTOMES WORSEN.

Patient developed chest pain and difficulty breathing when lying down; symptoms started at 7pm on 5/21/2021. Seen in the emergency room at Hospital for chest pain, found to have elevated troponin level of 11.6 ng/mL (normal <0.05). CT chest negative for pulmonary embolism. Patient transferred to Medical Center. Initial high sensitivity Troponin-T level 1224 ng/L (normal <15), BNP 805 pg/mL (nl <300). EKG with diffuse ST segment changes. Echocardiogram (5/23 AM) with normal systolic and diastolic function, LVEF 58%; no pericardial effusion, no pathologic valve regurgitation. Patient admitted to telemetry monitoring bed (no arrhythmias noted during hospitalization). Patient treated initially with Ibuprofen 400 mg PO q6 hours and famotidine 20 mg PO q12 hours for presumed myopericarditis. Workup sent for viral causes of myocarditis: Respiratory viral panel negative. Infectious Myocarditis workup sent: CMV, Cocksakievirus A and B antibody, CMV IgG/IgM, Echovirus antibody, Infectious Mononucleosis Screen, Lyme C6 AB IgG/IgM, Mycoplasma IgG/IgM, Parvo IgG/IgM, Varicella IgG/IgM. Follow-up echocardiogram on 5/23 (PM) and 5/24 (AM) demonstrated no change in LV systolic or diastolic function. Cardiac enzymes, including high-sensitivity troponin T, CK and CKMB, were trended. Cardiac MRI was performed - preliminary results show evidence of myocarditis Lab Trends (earliest to most recent, as of 1 pm on 5/25/2021): High sensitivity Troponin T: 1224, 732, 664, 1058, 1332, 1141 CKMB: 65.6, 41.6, 19.3, 11.4, 6.3, 3.2 Pro-NT-BNP: 803,493, 392, 293 CRP: 58.2, 32.8, 28.6, 14.9. At the time of sumission of this report, the patient remains in the hospital. Further results will be communicated to VAERS.

Per patient he has heart palpitations and some heart racing after the first covid vaccine dose on 4-20-21 he proceeded to then get the 2nd vaccine which further exacerbated the heart racing on 5-20-2021.

The evening after the client received his first dose of Pfizer, he reported chest pain and fluttering in his chest while playing basketball. This event lasted approximately 5 seconds and resolved without intervention. The client is being followed by his pediatrician. Per his parent, these events have happened before, but this was the most severe.

5/15/2021 1120: EW0182 1st dose QMC -BVC Pt c/o itching to throat, chest tightness immediately. Mother gave benadryl at 1207. Epi pen at 1235. Pt taken to ED by mother. Pt rec'd prednisone, famotidine after observation and dx of anaphylaxis to Pfizer Covid 19 vaccine.

patient presented w/ acute onset Chest pain, tachycardia Found to have cardiomegaly on xray elevated BNP, elevated CRP and Echo with severe decreased Left Ventricle Function

Previously healthy 16 year old male presenting to hospital as a transfer for chest pain and elevated Troponin levels concerning for myocarditis. Patient has otherwise been healthy. Two days ago he received his second dose of COVID vaccination. He initially felt fine, but later that day had some body aches. The next day he felt feverish off and on and had dull left upper sternal border chest pain intermittently. Today, he reports sharp 7/10 mid sternal chest pain, lightheadedness, sweating, chills, and intermittent non-productive cough. He presented to original hospital for evaluation. The patient admits to tactile warmth since Sunday with no documented temperatures. He recently received his second dose of Pfizer just before onset of these symptoms. He reports difficulty sleeping since Sunday, but no shortness of breath, rashes, syncope, nausea, or vomiting. He has not had any other recent illness, fevers, or known COVID-19 exposures. He denies any history of prior cardiac disease and there is no known family history of cardiac disease, arrhythmias, or sudden death in the child or adolescent period. He denies illicit or recreational drug use. In the ED, he was well appearing with pain now 1 out of 10. POC troponin was 16.8 ng/mL. He had labs pertinent for ESR 10, CRP 3.0, BNP 24. RP2 PCR was negative. UDS was negative except for opiates (s/p morphine). IV was placed and patient was started on IV fluids. EKG was obtained and showed questionable left atrial enlargement per ED read. Cardiology was consulted and performed Echocardiogram in the ED at bedside and was within normal limits. Cardiology resident team contacted for admission. Past Medical History: No major medical diagnoses Past Surgical History: Orchiopexy, T&A Family History: No cardiac family history Social History: Lives at home with mother. Has two healthy siblings not living at home Immunizations: Up to date Medications: None Allergies: NKDA Etiology of likely myocarditis remains unclear at this time. In his age group, this would most likely represent a viral myocarditis. He would likely benefit from cardiac MRI during this admission for further evaluation of myocarditis. His EKG findings with his age group are unlikely to be secondary to myocardial infarct. No arrhythmias or heart block noted on EKG at time of admission or telemetry in ED. There is no family history of autoimmune disease or cardiac disease to suggest an autoimmune component or genetic etiology.

Patient developed acute chest pain 2 days after administration of the 2nd dose of the COVID vaccine. Contacted PCP on the third day post vaccination. PCP directed him to be seen in the ED. Patient noted to have ST elevation on ECG with elevated cardiac enzymes (CKMB and troponin) thus was admitted to the PICU. Echocardiogram showed normal cardiac function. Troponin level increased further following admission, however CKMB started to trend down. Remained hemodynamically stable and did not require any significant interventions (IVIG, vasopressors, ECMO, steroids, etc). Chest pain resolved on admission to PICU.

Patient received the Pfizer COVID vaccine at 1745. Patient states he didn't feel right but stood up to go to the observation area and lost consciousness causing him to fall backwards to the floor where he was witnessed hitting his head on the gym floor. Patient was unresponsive for approximately one minute and was then alert and oriented but c/o dizziness. VS at 1756 BP 137/63 HR 85 and O2 Sat 98%. Patient remained in the supine position for approximately 10 minutes and was then aided into a sitting position on the floor and then assisted into a chair. Patient was then observed for 30 minutes by staff where he continued to c/o lightheadedness and dizziness. VS at 1806 BP 115/68 HR 84 O2 Sat 97%. EMS was then called to assess patient for continued dizziness. VS by EMS sitting BP 122/77 and standing 117/70. Patient was offered to be taken by EMS for further assessment but patient and grandfather both declined further care at this time. Patient and grandfather were instructed to call 911 immediately for any change in mental status, nausea/vomiting, or any other reaction symptoms with verbalization of understanding and agreement. Patient was advised upon discharge to stay hydrated and rest for the remainder of the evening. Patient and grandfather were also encouraged to discuss reaction with patient's PCP prior to receiving second dose.

Patient had the vaccine and then he fainted after the needled removed. He passed out and then he had seizure after. He brought to the Emergency room and was released.

Patient is a 16 y.o. previously healthy male transferred from different Hospital for chest pain and elevated troponin. He had received his 2nd dose Covid vaccine (Pfizer) on Saturday 5/22, then had a fever to 103 on Sunday and then 101 on Monday measured by laser thermometer to forehead, associated with chills. Mother gave him Advil for fever. States he was awakened from sleep on Tuesday 5/25 at ~4am by a sharp chest pain. He describes a non-radiating, aching pain with some sense of pressure in the LUSB that initially lasted 2 hours. Once he arrived to Hospital it went away completely, but then returned several times after lasting about 30-60min each. Denies pleuritic pain, positional pain, dyspnea, or exertional pain. Tried Ibuprofen which he feels helped, but then the pain returned 30min later. Also endorsed headache and fatigue. At Hospital he had elevated troponin concerning for mild myocarditis. EKG had diffuse ST elevation suggestive of possible pericarditis.

pt experiencing chest pain after receiving second dose of COVID 19 vaccine on 5/26/21. Pharmacist and staff suggested contacting 911 to have an ambulance come, but patient's mother wanted to take him to Hospital for children which is nearby. Pt had chest pain 1-2 days after first dose and had EKG done 5/24/21. MD cleared patient to have vaccine.

Diagnosed with hemophagocytic lymphohistiocytosis on 5/7/2021 after bone marrow performed on 5/5/2021. Presented to our office on 5/5/2021 for evaluation due to the finding of pancytopenia on 4/28. Mom states he received his second COVID vaccine on the 10th of April and since then he has been hurting head to toe, complaining of his throat, and feeling dizzy. He has had low grade temps mostly from 100-101, but it has gone as high as 103.6 deg F. They presented to urgent care 1 week after the vaccine and was told that it was likely due to the vaccine, he had fluid in his ears and he was prescribed an antihistamine. He went back to urgent care a few days later and saw the same NP who told them to go to their PCP. At their PCPs office he tested "faintly positive for Flu A" and was given tamiflu and zofran which has since completed. No bruising, bleeding, gum bleeding, nose bleeds. He has been having leg pain/difficulty walking and his friends brought him a cane to use. He has had possible night sweats, mom reports he "burns up constantly." Decreased appetite, lost 4lbs, hasn't eaten much since last week. Labs were performed at the PCPs office on 4/28/2021: WBC 1.7 Hgb 10.3 Hct 30.1 Plts 118K ANC 500 Mono was negative. A referral was placed to our office on 5/4/2021 and he was brought to our clinic today for evaluation.

Patient had vaccine and had no reaction in 30m observation period. Three days later he developed rash on thighs. Likely unrelated but timing suspicious with history of anaphylaxis.

Patient was admitted to healthcare facility on 5/23 with chest pain and elevated troponin. Normal biventricular systolic function. Cardiac MRI showed myocardial fibrosis

Patient was seen by me via telehealth for follow up after ED visit to Hospital on 5/26/21. On 5/26/21 patient was riding his bike, felt like his legs were heavy and lost consciousness. He said that prior to losing consciousness his vision was blurry and sounds sounded distant. Mother witnessed event and stated he had shaking of his upper extremities for a few seconds woke up and then had repeat shaking and loss of consciousness with eyes rolling up. He was taken by EMS to Hospital where evaluation per report was normal (labs, CT head, EKG)

Patient began experiencing "tunnel vision" five minutes after receiving his first dose of Pfizer COVID vaccine. Patient lost consciousness and began seizing for a few seconds. Patient regained consciousness after a couple minutes. Paramedics were called and patient was checked out. Vitals were good and parents decided to just monitor him and not send him to the hospital.

Received 2nd Pfizer COVID vaccine 5/9. On the evening of 5/10 he awoke with severe 7/10 CP located centrally and radiating down both arms. Not a distinct pain such as sharp, stabbing, burning, throbbing but located in center of chest and was really uncomfortable. No other associated CV symptoms (palpitations, SOB, syncope). Pain slightly worse supine. Pain self-resolved but recurred on 5/12. he had no symptoms of COVID disease.

About 10 mins after shot, fainted with eyes rolling back in head, convulsions for a few seconds. Patient helped to lay on floor. Showed confusion for a few seconds and then came to. EMTs checked vitals and blood sugar levels and said things were normal. Visited urgent care facility a few hours later where physician said episode was likely vasovagal syncope.

c/o chest pain began 1 day (may 26) after2nd pfizer vaccination (May 25). Patient came to ER on 5/27. C/o chest pain. Physical exam shows chest wall Tenderness to palpation.

rapid heart rate; tachycardia; This is a spontaneous report from a non-contactable consumer or other non hcp.A 16-years-old adolescent male patient received bnt162b2 PFIZER-BIONTECH COVID-19 mRNA VACCINE, Batch/Lot Number: EW0172), via an unspecified route of administration, administered in right arm on 04May2021 12:00 (at the age of 16years old) as 2nd dose, single for COVID-19 immunization. The patient's Medical history included asthma, ongoing intermittent asthma (only during other upper respiratory illnesses) , respiratory disorder. Allergies were reported as No. The patient previously received bnt162b2(PFIZER-BIONTECH COVID-19 mRNA VACCINE,lotnumber:EP6955)via unspecified route of administration, In left arm, on 02Apr2021 at 11:15am as first dose, Single for COVID-19 Vaccination.The patient was not diagnosed with COVID-19 prior to vaccination. The patient has not been tested for COVID-19, since the vaccination.It was reported that the patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and did not receive any other medications within 2 weeks of vaccination.The patient's concomitant medications were not reported. On 05May2021 at 19:30 ,the patient experienced rapid heart rate and lasted all day Thursday, subsiding late Thursday night and periodically flaring up on Friday and Saturday. The patient underwent lab tests and procedures which included chest x-ray: clear on, electrocardiogram: mostly regular but confirmed tachycardia on. Therapeutic measures were taken as a result of rapid heart rate (heart rate increased), tachycardia (tachycardia).By Sunday 09May the tachycardia was apparently gone and so far as we can tell has not recurred. The case was reported as non-serious.The outcome for the events were recovering.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient was very worked up and nervous before receiving vaccine. Seemed to calm down after vaccine administration. Within a few minutes patient fainted. Had patient lie down with feet up. Once patient could sit up, blood pressure reading 75/42. Patient was given water and laid down/sat for about 30 minutes. Feeling better and blood pressure reading of 98/69 before leaving store.

16 yo M w/ no known chronic medical conditions (but s/p ASD and mitral valve repair in 2015), presents w/ constant R-sided CP since yesterday; woke up w/ R shoulder pain that radiates to his R pinkie. The CP is worse w/ movement of the torso, specifically while bending forward. No shortness of breath, DOE, leg swelling, LH, diaphoresis, n/v/d, abd pain. No recent illnesses, fevers/chills, cough, nasal congestion. No h/o similar sx. No family h/o cardiac disease. He had congenital mitral prolapse and ASD that were repaired in 2015; he was told by his interventional cardiologist that the repairs were successful and that he does not need regular follow-up. Worked out heavily 2 days ago (mostly chest/arms weightlifting

SEVERAL MINUTES AFTER RECEIVING HIS VACCINATION, PATIENT STARTED TO EXPERIENCE LIGHTHEADEDNESS AND A RACING HEARTBEAT. HE PUT HIS HEAD BETWEEN HIS KNEES, APPLIED AN ICE PACK TO THE BACK OF HIS NECK, AND DRANK SOME GATORADE. HE FELT BETTER AFTER ABOUT 10 TO 15 MINUTES.

myocaritis - chest pain with elevated troponin reequiring hospital admission. symptoms started 3 days after vaccination which was his second dose of the Pfizer vaccine. First dose was on 5/1/21.

Patient received first COVID-19 vaccine as noted above on 5/7/21 at University Health without significant side effects. He received his second vaccine dose as noted above on 5/28/21 at University Health. Two days later (5/30/21) he noted persistent, crushing substernal chest pain. He was brought to the emergency department where he was given the diagnosis of myopericarditis and admitted to the hospital for pain control and monitoring.

Pt developed chest pain appx 24-36 hours after receiving the 2nd Covid-19 vaccination. Three days after receiving the 2nd vaccination, he went to the emergency room to be evaluated for chest pain. He was admitted to the hospital on 5/29/21 because of elevated troponin levels. He was given a dose of Ketorlac for pain. He was observed x 2 days and then discharged to home on 5/31/21

Chest pain, troponin I elevation to 40.15, with diffuse ST-elevations on ECG. The patient was vaccinated on 5/29, developed chest pain on 5/30 and presented to our hospital on 6/1.

16 year old c/o mid-sternal chest pain x 2 days which worsens on inspiration. Pt had Pfizer vaccine #1 on 4/25. About 10 days later pt developed cough and around that same time his mother tested positive for Covid-19. On 5/8 the patient tested positive for Covid-19 and his 2nd vaccine dose was postponed. His symptoms resolved after appx 1 week. He then received his 2nd Pfizer Covid-19 vaccine on 5/26. The next day 5/27 (2 days PTA), pt c/o of mild chest pain. On 5/28 (1 day PTA) he was able to run a mile during PE but ran slower than usual and had some mild chest discomfort during the run. This morning pt felt worsening chest pain and parents brought him to ED. Since his recovery from presumed Covic-19 infection earlier in the month, the patient has not had any SOB/cough/fever/chills/rash. No pain radiating to extremities. No lethargy. Pt continues to have a normal appetite w/ normal u/o and normal BMs.

Patient woke up with chest pain and later diagnosed with possible acute pericarditis at his PCP office. He was treated with Ibuprofen 600 mg taken three times daily and referred to the pediatric cardiologist.

14 hours after the vaccination my son began to feel short of breath, warmth in the chest, very fast heartbeat, and chest pain. We immediately went to an emergency room and they detected pericarditis. Followed with a little milder symptoms. He will continue to visit his doctor.

Chest pain - Pt with left sided chest pain with running yesterday, about a mile into the run, jogging on a treadmill. Sharp pain, severe, had to stop. Pain resolved within a few seconds when he stopped. Similar episode the day before but much more subtle mild achy pain. Has had faster heartrate and out of breath much easier since he received the 2nd COVID-19 vaccine 3 weeks ago. Dull pain/pressure in his chest has been persistent the last few days since he started running for soccer, club soccer just started. Rode a long intense mountain bike ride prior to the 2nd COVID-19 vaccine, no problems with that, that was 2 weeks after the first, 1 week before the 2nd shot. Since the second vaccine has been really fat

Two days later my grandson fainted, had a seizure and was taken to the ER. At the ER a CT scan of the head was performed. Also while getting an IV, my grandson also had a seizure. I do not have his CT scan results at this time. My grandson is also prepping for a surgery coming in June.

Myocarditis: Patient reports developing intermittent non-radiating substernal chest pain (5/30/21 at 7am) one day following his second Pfizer vaccine. He had also been experiencing cough for the last few weeks starting in early May about a week after his first Pfizer vaccine . He states having an intermittent non-productive cough since receiving his first COVID vaccine in early May. Symptoms are worsened by walking or exertion. No leg swelling. Patient presented to the ER where troponin was elevated to 9000 and EKG was consistent with myocarditis . Patient admitted for NSAID treatment, cardiology evaluation and observation. Troponins quickly down-trended and patient clinically stable. Anticipate discharge home in next 24-48 hours.

16-year-old male with no significant past medical history who presented on 5/25/2021 with 2-day history of chest pain. Patient had his second dose of Pfizer Covid vaccine on 5/22/2021 and on 5/23/2021 he developed headache and body aches. In the afternoon of that same day patient developed retrosternal chest pain that he described as a pressure and radiated to the back. He took 2 Tylenols and went to sleep and he reports improvement of the pain. He woke up the next day on 5/24/2021 without any pain and was most of the day doing well but in the afternoon early evening the pain returned stronger. He describes as at least 5 out of 10 in severity, no shortness of breath but the pain got worse when yawning or taking a deep breath. The pain would improved if he lay on his left side. Given the symptoms he was taken to outside hospital where he was found to have ST segment elevation and elevated troponin concerning for myo/pericarditis he was transferred from this facility for further management. He was given 2 aspirins and the pain improved down to a 1 out of 10 and has remained the same. Interval history 05/26/2021: No acute events overnight. Denies chest pain, SOB, or headache. Eating well. VSS. No emesis. Almost back to baseline very minimal residual discomfort

Fatigue on day 1-2. Chest pain and shortness of breath on day 3-4. No fevers. Symptoms fully resolved by day 5 without therapy.

Increased resting heart rate. He wears a fitness tracker and resting heart rate increased to 104-105 BPM. When he went on a walk increased to 160-170 bpm. Lasted 2 days from onset (approx 24 hours after injection)

myocarditis; chest pain; shortness of breath; This is a spontaneous report from a contactable physician. This physician reported similar events for two patients. This is the first of two reports. A 16-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 06May2021 (Batch/Lot number was not reported) (at the age of 16-year-old) as single dose for COVID-19 immunisation. Medical history was none. Prior to vaccination the patient was not diagnosed with COVID-19. The patient's concomitant medications were not reported. The patient previously took ceftriaxone and received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) for COVID-19 immunisation. On 08May2021, the patient experienced myocarditis, chest pain and shortness of breath. The patient was hospitalized for 4 days due to the events. The patient underwent lab tests and procedures which included COVID-19 test (nasal swab): negative on 09May2021. Therapeutic measures were taken as a result of the events and included treatment with ibuprofen. The patient outcome of the events was recovering. Information on lot/batch number has been requested.; Sender's Comments: Based on temporal association a contributory role of BNT162B2 to the reported myocarditis, chest pain and shortness of breath cannot be totally excluded. Additional information is needed to better assess the report. 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.,Linked Report(s) : US-PFIZER INC-2021565275 same reporter/AEs/vaccine, different patient.

16-year-old male with no significant past medical history, now presenting with chest pain. Patient had 2 episodes of left-sided mid-chest pain. The initial episode was at ~ 3 am on 5/18 when the pain woke him up from sleep, lasted for ~ 20 minutes and he was able to fall back to sleep, he did not mention it to his parents at that time. Then it recurred at 2.30 pm - pressure-like pain in the same area, which radiated to his left shoulder. There were no significant worsening or alleviating factors. No change in pain quality or intensity with position. No shortness of breath, near-syncope or syncope, no palpitations. Upon his second pain episode, he called his parents on video chat and they instructed him to take 81 mg of aspirin and the pain subsided after 30 minutes. His parents promptly took him to the urgent care where he was found to have ST elevation and elevated troponin. He was transferred to CICU for further management. Admitted for myopericarditis with ST elevation and elevated troponin. On motrin q8h ATC, 12 lead EKG and troponin levels q6h. Underwent cardiac MRI on 5/20 which confirmed the diagnosis.

In the evening on 5/29 pt experienced chest pain in the center-left chest, was advised at urgent care where he was found to have elevated troponin levels with normal vitals, exam, EKG, and chest X-ray. He was admitted to the hospital where he continued to have intermittent chest pain and had increase in troponin levels during his admission. He was then transferred to a different hospital where he continues to have elevated troponins and is being worked up for possible myopericarditis.

Patient had syncope after his first dose of the pfizer covid vaccine. The patient was pale, sweaty and passed out. We elevated the patients legs put cold water bottle on patient's neck and called EMS. The patient came around after a few minutes and was feeling better by the time EMS arrived. Patient was checked out by EMS and was not transported to the hospital.

It started around 10 PM, he stated with 102 degree fever, body aches, fatigue and he couldn't even get out of the bed. He was really weak and extremely tired. These symptoms last thur 06/04/2021 and his fever broke. I thought we was out of the woods. Saturday, Jun 05, 2021 he woke up with severe chest pains. He had an irregular heartbeat and rapid heart beat. He fever was back and it was 100.8. I called his PCP and he said to take him to the ER.

Patient had the normal expected symptoms on the 2nd day following his shot ... with sore arm, fever to 101, fatigue & slight headache. He refused to take Tylenol that day, unlike his 14 year sister who had the same symptoms. On Sunday morning (the 3rd day) he woke up & told us he was having chest pain & shortness of breath. His sister was doing fine. So I gave him Tylenol at 10am to try to reduce any inflammation & he still had a fever of 100. About an hour later his fever had reduced to 99 but he was still having slight chest pain & shortness of breath ... mainly if he walked or moved around. He didn?t want to get it checked out but I called our insurance & they agreed that he should go to the ER for testing so we went there at around 3pm. He had testing done including EKG, chest X-ray & COVID-19 test which all came back negative & other lab tests that also came back negative. They gave him some meds & about 2 1/2 hours later diagnosed him with pleurisy. He still was having slight chest pain & shortness of breath when we left at 5:30pm but throughout the evening was getting better. We gave him Motrin before bed & another Motrin this morning before school, even though he said he was feeling better.

two days of recurrent sudden, severe, crushing right sided chest pain lasting 10 min to 3 hrs that occurred 2 days after second dose of covid vaccine. pain radiation to back presented to ED, found to have elevated troponin and d-dimer. also endorsed emesis and diaphoresis. Denies sob. discharged two days after hospitalization.

PATIENT RECEIVED 1ST DOSE, THEN SAT IN OBSERVATION AREA WITH HIS MOM. PATIENT SLUMPED IN CHAIR AND HAD FAINTED - MOM YELLED FOR HELP. I CAME OVER TO HELP THE PATIENT DOWN TO THE GROUND AND ASSESS. A BYSTANDER CALLED 911. PATIENT WAS PALE, HAD A PULSE. PATIENT HAD A PULSE AND WAS BREATHING, COLOR STARTED TO COME BACK TO HIS FACE. HE WOKE UP AND PULSE WAS ABOUT 60-64BPM. PATIENT KNEW WHERE HE WAS. THE AMBULANCE CAME AND TOOK HIM TO THE HOSPITAL.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient fainted roughly 2 minutes after receiving COVID 19 vaccination

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Mild, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Weakness-Severe, Additional Details: After confirming that the patient did not have allergies or any previous adverse reactions to any vaccines in general, immediately after the vaccine, the patient's eyes had rolled to the back of their head and he began to go limp. His body shook for a few seconds. He quickly regained consciousness but was very weak and confused. His sister stated that he has a fear of needles. He felt nauseous (did not vomit) and felt like his heart was racing but his pulse was normal.

Headache commenced in early evening, about 30 hours after injection. About 35 hours after injection he had an explicable nosebleed that commenced while showering. He is not susceptible to nosebleeds in general also it seemed to be very high in the sinuses as it exited from bothering the nose and back of the throat. Nosebleed stopped after simple pressure to nose within 15 minutes.

Patient is 16 yo male who came to the pharmacy with his mother and his sister. Per patient's mother, patient does not have any issue with vaccine before. Patient got Pfizer at 2:10 pm and at 2:24 pm, he told his mother he is not feeling good. At 2:29 pm, he started to turn pale and 5 minutes later, he vomited. 10 minutes later, he back to normal. Asked patient to stay for another 15 minutes before leaving the pharmacy. At 3pm , patient left and feeling okay.

PT felt nausea, dizziness, and light headed after injection. Transported to med obs 1 via wc with mother. PT reports working out earlier today. Vitals taken and monitored. Per on-site physician - pt experienced vasovagal reaction - resolved. released at 1:55 with mother 1340 LYING - BP: 98/63, HR: 50, Sp02: 99 1343 LYING - BP: 104/68, HR: 71, Sp02: 98 1345 LYING - BP 112/74, HR: 76, Sp02: 99 1354 Standing - BP: 138/81, HR: 78, Sp02: 99

Admitted with chest pain on 6/7/2021. EKG showed Pericarditis. Troponin peaked at 33. Patient discharge on NSAIDs with follow up in cardiology clinic in 2 weeks.

Patient presented with chest pain initially with exertion on day one of illness (2 days post immunization), but by day 3 of illness (4 days post immunization) with acute onset midsternal chest pain that woke him from sleep. Pain did not radiate, he did not have any shortness of breath but pain with deep expiration. EKG performed in the ED showed diffuse ST elevations, and because of this patient underwent left heart catheterization. Left heart catheterization performed showed normal coronary arteries, left ventricle dysfunction with apical hypokinesis and an estimated ejection fraction of 50%, elevated left ventricular end-diastolic pressure of 20-25 mmHg, and no evidence of aortic stenosis, insufficiency, dissection, aneurysm. . Initial troponin level elevated to 12.4, max troponin level of 31.3. Pediatric cardiology was consulted with recommendations to start ibuprofen 600 mg every 6 hours. An echocardiogram was performed and showed mildly decreased longitudinal strain in the apex and inferior basal segments. Patient currently continued on ibuprofen 600 mg q6h, with improvement of troponin level.

myocarditis; elevated troponin/troponin has been rising (up to 16); substernal chest pain at rest; shortness of breath; CRP to 87; abnormal EKG; headache; fevers; This is a follow up-spontaneous report from a contactable HCP (Nurse). A 16-years-old male patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration on 24Apr2021 (Batch/Lot number was not reported) as 2ND DOSE, SINGLE for covid-19 immunization, at the age at vaccination of 16 years old. The patient medical history was not reported. NKA (No known allergies). Historical vaccine included first dose of BNT162B2 for covid-19 immunization. Concomitant medication included tretinoin (RETIN-A) 0.025 % cream taken for an unspecified indication, start and stop date were not reported. The patient experienced myocarditis, elevated troponin/troponin has been rising (up to 16), headache, fevers, substernal chest pain at rest, shortness of breath, crp to 87, abnormal EKG, all on 26Apr2021 with outcome of recovered on Apr2021. Reported as Patient with no significant PMH admitted on 4/26 with myocarditis, elevated troponin, and abnormal EKG. He states that he was feeling his usual self until the day that he received his 2nd dose of the COVID vaccine on 4/24. On 4/24, he started to have a headache and subjective fevers. On 4/26, he reported having substernal chest pain at rest, non-radiating, associated with shortness of breath. Patient took tylenol with minimal relief. Patient denies cough, congestion, abdominal pain, nausea, vomiting, diarrhea, rash. No sick contacts. Since admission, troponin has been rising (up to 16), BNP normal, CRP to 87, ESR normal, CBC and electrolytes unremarkable. Clinical course and findings consistent with myocarditis. ID consulted for infectious workup and management. In my prelim recs upon admission, I recommended a dose of IVIG and holding off on steroids and antibiotics.The patient underwent lab tests which included electrolytes: unremarkable on 26Apr2021, BNP: normal on 26Apr2021, c-reactive protein: to 87 on 26Apr2021, electrocardiogram: abnormal on 26Apr2021, CBC: unremarkable on 26Apr2021, ESR: normal on 26Apr2021, sars-cov-2 antibody test: positive on 29Apr2021 (Blood test), Symptomatic COVID-19 (Standard NAA): negative on 26Apr2021 (Nasal Swab), troponin: has been rising (up to 16) on 26Apr2021, troponin: elevated on 26Apr2021. The events resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization. The patient was hospitalized for events for 4 days. Treatment received for events. Patient had no covid prior vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Information about batch/Lot number has been requested.; Sender's Comments: The causal association cannot be excluded between the reported events and BNT162B2 use. The impact of this report on the benefit-risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for AE. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, ethics committees and investigators, as appropriate.

16 yo previously healthy with pleuritic chest pain, occurring a couple of days after receiving second covid vaccine (Pfizer). Workup revealed mildly abnormal EKGs and elevated troponins. Cardiology consulted and Echo showed no evidence of myocarditis and bright pericardium without effusion c/w acute idiopathic pericarditis. He was started on several days of motrin and pepcid. Cardiology will see him in the office in 1 week. The cause of pericarditis may be related to recent covid vaccination - this has been increasing reported after mRNA vaccines and affects teens and adults, primarily males. Prognosis is very good with rest and NSAIDs. Strict RTED instructions provided. Normal activity allowed but NO sports or strenuous activity until seen by Ped Cards.

2 MINUTES APPROXIMATELY AFTER RECEIVING DOSE SAID I DON'T FEEL RIGHT, THE INJECTION SITE DOESN'T FEEL RIGHT, I FEEL DIFFERENTLY, I FEEL LIKE I'M GOING TO PASS OUT" STATES HIS PUPILS DILATED, EYES ROLLED BACK, COLOR IN THE FACE CHANGED (PALOR) AND THEN HE FAINTED AND PRVENTED HIM FROM FALLING. HE DESCRIBES FEELING THAT THE VISION HAD CHANGED, LOOKED BLACK AND SPOTTY, AND THE HUMIDITY, THE GROUND LOOKED SPOTTY TO HIM. IN LESS THAN A MINUTE HE CAME TO CONSCIOUSNESS BEFORE WE COULD ADMINISTER AMMONIUM SALTS. PULSE RATE WAS STEADY AND POUNDING, FELT NORMAL. TOOK VITAL SIGNS, PULSE OX 98%, WITH PULSE OF 55 ON THAT DEVICE AND THEN WITH WRIST B/P READ B/P OF 174/75 AND HR UP TO 66BPM, PATIENT KEPT FOR ADDITIONAL 25 MINUTES FOR OBSERVATION AND DOING JUST FINE NOW.

June 4: Vaccine received June 6 (AM): felt arm pain and mild chest pain not affected by breathing or moving. Continues on and off, but was relieved by ibuprofen. June 7: 1PM- chest pain became persistent, not relieved by ibuprofen. Describes as "squeezing" with palpitations. Accompanied by feeling clammy, weak, pale, subjective fever. Brought to ED and transferred to ICU 6/7 at 18:44 for labs and imaging consistent with myopericarditis. Started treatment on scheduled Ibuprofen (600 mg q8 hours). Chest pain improving, but serial troponin continued to rise. 6/9: NSAID changed to Toradol for continued chest pain with colchicine

Severe chest pain , low grade fever and extreme fatigue Chest pain/ fever got better with 800 mg of ibuprofen every 6 hours and seemed to resolve itself in 2 days

Systemic: pale-Mild, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Mild, Additional Details: Pt vision went dark within a few minutes after vaccine. Pt HR 40s, O2 93%, temp 97.1 and pt looking pale. UTA BP as pt is autistic teenager and was agitated and trying to leave during visit. Pt mother present and helped calm patient. 911 called due to vision change and low heart rate. EMS arrived and pt HR back up and no longer pale. EMS reassessed pt, per pharmacy on NP return, pt/guardian refused ER transport and condition stabilized. Pt vision returned. Further EMS services declined.

PATIENT RECEIVED FIRST DOSE OF COVID VACCINE. WAS IN WAITING ROOM SITTING AFTER THE SHOT WAS GIVEN. AFTER A WHILE HE GOT UP TO LEAVE AND GO HOME. AFTER SEVERAL STEPS, HE PASSED OUT AND HIT THE GROUND. HE WAS ONLY OUT FOR SEVERAL SECONDS AND CONTINUED TO LAY ON THE GROUND. AFTER HE TRIED TO GET UP, HE BLACKED OUT AGAIN FOR SEVERAL SECONDS. WE CALLED 911 AND PARAMEDICS WERE ON THE SCENE SHORTLY. AFTER EXAMINATION AND PATIENT FELT BETTER, HE WAS CLEARED TO GO HOME.

Pt received the 2nd dose of the COVID vaccine (Pfizer Lot # EW0161 expiration date 07/05/2021) at 1603. At 1612 the client stood up with his father and both started walking towards the zero gravity chair. Client was being supported by his father. PHN and EMT responded and helped the client into the zero gravity chair at 1612 and raised the client?s feet. Client stated that he felt ?dizzy and lightheaded, and I knew it was happening.? Client was pale but alert and oriented times four. Client was offered a juice, which he accepted and started to drink. Vital signs were taken at 1613 (blood pressure 78/32 oxygen 98% heart rate 48). Client?s father stated, ?he has a history of passing out with needles.? At 1617, color started to return to the client?s face, and client stated, ?I?m feeling fine.? Vital signs were taken at 1617 (blood pressure 98/58, heart rate 74, oxygen 96%). Client finished the juice at 1619, and the color had completely returned to his face. Vital signs taken at 1624 (blood pressure 98/48, heart rate 58, oxygen 96%). Client?s dad stated that the client?s blood pressure is ?normally under 100,? and that his vital signs ?are normal for him.? Client does not have any medical conditions and is not taking any medications. Client is allergic to peanuts and shellfish. Vital signs taken at 1636 (blood pressure 102/50, heart rate 58, oxygen 96%). Vital signs taken at 1642 (blood pressure 104/52, heart rate 59, oxygen 96%). PHN provided client and his father education on when to seek emergency services and to follow up with his primary care provider. At 1642 client stated, ?I feel fine,? and left the facility unassisted with a steady gait.

Had covid pfizer vaccine on 5/19/21 Had vaccine at 5 PM, the following morning at 7 AM patient had episode of experiencing chest tightness and difficulty breathing Reports had feeling of throat being tight, closing on him per his description Sx resolved after 1 hr Did not take any benadryl or other medicine No further chest pain since incdient

mother reports that he developed chest pain, tightness and SOB on 6/5/21. He will see his Pediatrician on 6/16/21. He was supposed to have 2nd covid dose on 6/10/21 but has been postponed until doctors appt.

patient began having chest pain on 6/10 that progressively worsened over the past 24 hours. He was diagnosed with pericarditis and costochondritis. We have started colchicine and ibuprofen and will monitor overnight.

Myocarditis (CP, elevated troponin, cardiac dysfunction). Steroid burst with normalization of function and improvement in troponins

complained of chest pain after having the vaccine; very fatigued; very sluggish; Sore arm; This is a spontaneous report received from a contactable consumer (parent). A 16-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 15May2021 (Lot Number: EW0177, at the age of 16-year-old) as single dose for covid-19 immunisation. Medical history included heart murmur. The patient's concomitant medications were not reported. Historical Vaccine included 2 vaccines in Mar2021 (Caller said that her son had 2 vaccines in Mar2021 on his annual doctor visit, she did not have the names of the vaccines and then had a booster for the vaccine 4 weeks later. The booster was 14 days prior to receiving the Covid vaccine), and meningococcal vaccine on 01May2021 (at the age of 16-year-old, Caller said that it was a meningococcal vaccine. She thought there were 2 different meningococcal vaccines). Caller was a consumer that was calling on behalf of her son that received his first dose of the Covid-19 Vaccine. She said that she saw on the news recently that Pfizer was looking into reports that teenagers were developing heart issues after receiving the vaccine. The caller said that her son was 16 years old and received his first dose on 15May2021. The caller said that her son had a really small heart murmur. When they got home later that day after he received the vaccine on 15May2021, he said that he had chest pain. She said that he did not have a fever, but was very fatigued and very sluggish for a couple of days. She said that this had been on her mind since she saw it on the news. She was concerned if he should get the second dose on 05Jun2021 with his pediatrician. The caller also said that because he turned 16 in Mar2021, he recently had 2 other vaccines and he had a booster. So he had 3 shots prior to having the Covid-19 Vaccine. The caller said that he received the Covid-19 Vaccine after 14 days of receiving the booster. The caller said that the fatigue and feeling sluggish lasted a couple of days, but stated that he was still tired a lot. The caller said that her son also reported that he had a sore arm. She said that he noticed it a couple of hours after his vaccination and lasted about 3 days. He had completely recovered from the sore arm. The outcome of the event chest pain was unknown, of event fatigue was not recovered, of event sluggish was recovering, of the event sore arm was recovered on 18May2021.

acute onset of chest pain along the left sternal border on 6/11/21 ~2am. He describes the pain as a 5-6/10 pain, sharp pressure. He was having subjective fevers though afebrile on measure in the ER; +chills at home for which he took ibuprofen. Patient also reports having body aches immediately after the vaccine, fatigue, headache, and sweating. Patient denies having any palpitations, cyanosis, shortness of breath, dyspnea, dizziness or syncope.

The patient had a black out within 10 minutes of taking vaccine for both doses. The black out lasted for about 2 minutes. In the first case, the patient fell on the carpet since he was standing. Paramedics attended, observed for 15 minutes and declared that he was doing alright and we took him to a physical examination after that and found everything was normal. After the second shot ensured the patient was sitting on the chair after the shot and he experienced a black out and recovered. In both instances, he complained of heart pain.

Systemic: Dizziness / Lightheadness-Mild, Additional Details: a patient passed out in the store today after receiving their 2nd shot and they hit their chin on a shelf in one of the isles when they were falling. An ambulance came and the patient left in the ambulance. The patient was awake and alert when the ambulance arrived. The patient was made aware to sit and wait 15 minutes after the shot was given but the patient did not wait and preceded to leave but the patient did not wait and preceded to leave and that?s when he got dizzy walking

Pt rec'd first dose of Pfizer vaccine at approximately 0950 and immediately after reported feeling nauseous and dizzy. MA retrieved a water bottle for pt and called for the RN. The RN, also responded, pt was pale, moist, coherent. At 0954, pt had seizure activity while sitting in chair, dad held pt, hands, arms, and legs stiffened and pt's head rolled back. Pt was secured by dad and activity lasted approximately 7-10 seconds. Immediately after this activity, pt was oriented to self, place, date, and situation, then reported increased nausea. At approximately 0958 pt started vomiting. 911 was called by the RN, at 0955 and provider, was retrieved immediately from COVID testing tent. During this time, pt started to report seeing purple lights at approximately 0957. Vitals were attempted at 0954 but pt started seizing. At 1001 pt reported total vision loss. At this time, EMT's arrived on site and began to obtain vitals. Pt's BP was 50/30, EMT's started an IV and prepared pt for transport to gurney. At 1008 pt reported sight returning. 8L of 02 were applied to pt via non-rebreather at approximately 1000 at which pt's 02 sats registered at 72%. EMT's placed pt on gurney at 1008 and started en route to Hospital. Prior to seizure activity, pt's medical hx, medication list, and allergies were confirmed with pt's father. Father reported pt has no medical hx, does not take any medications, and does not have any known allergies. Father denies pt having any seizure before, any hx of brain tumors, hx of epilepsy, hx of diabetes. Father remained with pt during duration of incident and accompanied pt and EMT's in ambulance to the hospital.

After receiving vaccine, patient stood up from chair and started to feel "dizzy." Patient was assisted back to chair by staff. Upon assessment, patient was pale to face and warm to touch. BP 102/58, P88. SpO2 99% on room air. Given gatorade water to drink and cool compresses applied to neck. Extended monitoring done in recovery. Patient ambulated from facility with mother. No s/sx of distress noted.

seizure happened; fainted; passed out or fainted; his face and lips became so pale; His body is shaking almost fell of the chair; his arm is so hard and straight (on the left arm where the vaccine was injected); This is a spontaneous report received from a contactable consumer (patient's father). A 16-year-old male patient received the 1st dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: UNKNOWN) via unspecified route in the left arm on 26May2021 at 10:00 (at the age of 16-years-old) as a single dose for COVID-19 immunization. There was no medical history. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. There were no concomitant medications the patient received within 2 weeks of vaccination. After seconds of injecting the vaccine, on 26May2021 at 10:00, the patient passed out or fainted. His father slightly slapped his face to keep him awake. The patient responded slightly and his face and lips became so pale. His father thought he was okay, then he fainted again and the seizure happened. The father was holding his body and his arm is so hard and straight (on the left arm where the vaccine was injected). His body was shaking, almost fell of the chair. Then they called for emergency assistance from the hospital. The events resulted in Doctor or other healthcare professional office/clinic visit. Patient was to schedule a visit to the primary doctor. The clinical outcome of the events passed out or fainted, face and lips became so pale, seizure, arm is so hard and straight, and body was shaking was unknown. Since the vaccination, the patient has not been tested for COVID-19. The lot/batch number for the vaccine, BNT162b2, was not provided and will be requested during follow-up.

PT EXPERIENCED FAINTING, DIZZINESS, NAUSEA/VOMITTING AFTER COVID VACCINE. PARAMEDICS ARRIVED AND TOOK PT TO ER. VITALS: BP 105/68, RR: 22, HR 71, O2 99%

myocarditis with PR segment depression and a Troponin of 9000; Chest pain; This is a spontaneous report from a contactable physician. A 16-year-old male patient received the second dose of BNT162B2 (PFIZER COVID-19 VACCINE, lot number: EW0168), at the age of 16 years old, intramuscularly in right arm on 29May2021 14:00 at single dose for covid-19 immunisation. Medical history included allergies to pollen. The patient was not diagnosed with covid-19 prior to vaccination. The patient did not receive any other vaccines within 4 weeks and any other medications within 2 weeks prior to vaccination. The patient previously received the first dose of BNT162B2 (lot number: EW0172), at the age of 16 years old, intramuscularly in right arm on 08May2021 12:00 at single dose for covid-19 immunisation. Shortly after the patient began experiencing a cough which has persisted until currently presentation. The patient received his second dose on 29May2021 14:00 and developed chest pain on 30May2021. Subsequently the patient experienced myocarditis with PR segment depression and a troponin of 9000. The patient was admitted to the hospital for 2 days. The patient underwent lab tests and procedures which included PR segment depression and troponin 9000 on 30May2021, SARS-CoV-2 by nucleic acid amplification (NAA) test (nasal swab) negative on 01Jun2021. The patient received treatment with scheduled non-steroidal anti-inflammatory drugs (NSAIDs) and at present he had improvement in symptoms and troponins. The outcome of events was recovering. No follow-up attempts are needed. No further information is expected.; Sender's Comments: Based on available information, a possible contributory role of the subject product, BNT162B2 vaccine, cannot be excluded for the reported events of myocarditis and chest pain. There is limited information provided in this report. This case will be reassessed once additional information is available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

1 week later c/o intermittent burning pain in chest when eating or taking a deep breath. Sometimes feels like heart is being squeezed. No fever, no chills. Does not feel like heart is beating funny. Has not stopped him from normal activities like working out or playing baseball.

Patient stated that they had a fear of needles, He received the shot and was fine, he even observed his mothers shot right after. The patient and mother walked to the waiting room for the 15 minute waiting period, approximately 5 minutes later the patients mother called out for help as the patient passed out. The patient was awake when I arrived but eyes were rolling slightly. he was breathing and pulse was present, we called 911 to be on the safe side. Approximately two minutes after calling 911 the patient basically snapped out of it, knew where he was, knew the date and the day of the week. EMS evaluated the patient and the mother had informed the EMS that he had just got done mowing the lawn before his appointment , the weather here is extremely hot and humid so I don't know if related to that as well but wanted to provide all information known.

Patient received his 2nd Pfizer COVID vaccine on 6/9/2021, did not feel well for 24 hours after the immunization but then improved. Yesterday developed chest pain/heaviness that continued today prompting emergency department evaluation. He was noted to have elevated troponin levels concerning for myocarditis.

Central chest pain (started two days after vaccine, admitted to the Hospital on day three after vaccine), nausea, vomiting, shortness of breath.

Per patient report upon presentation to hospital: Received vaccine 6/9 during the day, in the evening developed typical symptoms (headache, vomiting, warm to the touch) and has chest pain that seemed to resolve with ibuprofen. On 6/12 at 0400 patient woke up with severe chest pain (localized to the middle of the chest), no tachycardia or shortness of breath. Pain does not change when moving arms/neck. No recent fevers, URI symptoms, known sick contacts. On presentation 6/12 troponin was elevated to 9.69, repeat on 6/13 decreased 6.03. Diagnosed with myocarditis, initial ECG was abnormal, repeat ECG has not shown any ischemic changes. Patient will have repeat EKG, ECHO, troponin, and likely discharge from hospital

Patient had a vasovagal reaction. Was sitting in a chair in our waiting area and fell off his chair and "passed out" for no more than a few seconds. After that he reported he felt weak and dizzy and nauseous

cough with progressive dyspnea, pt found to be in biventricular systolic heart failure being treate with Milrinone, lasix, Patient has diabetes type 2 most recent HGB A1C was 12, with a BMI of 40. Hospitalized

Admitted with chest pain, troponin elevation (Troponin T elevation to 1987 ng/L), and abnormal EKG (borderline ST elevation in lateral precordial leads with depression in V1)

chest pain that began 24 hours after vaccination, continued and worsened over 24 hours hours, sought treatment at ED approximately 48 hours after vaccination. At ED given IV fluids and toradol with notable improvement in pain,

Patient briefly passed out within 5 minutes of receiving the vaccination. He came around within 15 seconds of passing out. He was responsive. He was sitting down when he passed out. He did not fall or injure his head.

WHILE SPEAKING WITH THE PATIENT, HE BECAME PALLOR IN COLOR AND DIAPHORETIC. HE BEGAN COMPLAINING OF CALF PAIN AND EXPRESSED PREVIOUS SYNCOPAL EPISODE AFTER RECEIVING THE FLU VACCINE LAST YEAR. I ASSISTED PATIENT TO RECLINE IN HIS SEAT IN THE CAR, PROVIDED A COLD BOTTLE OF WATER, PLACED AN ICE PACK ON THE BACK OF HIS NECK, AND BEGAN TO FAN HIM. PT REMAINED CONSCIOUS AND ABLE TO ANSWER NEUROLOGICAL QUESTIONS WITHOUT HESITATION. AFTER 2 MINUTES, PT BEGAN TO REGAIN COLOR AND WAS ABLE TO SIT UP. AFTER ANOTHER 5 MINUTES, PT WAS ABLE TO STAND AND WAS FEELING MUCH BETTER, SKIN COLOR RETURNED TO NORMAL.

Acute Myocarditis with chest pain and elevated troponin (peak level 27) occurring 3 days after 2nd Pfizer covid shot. Treatment with Ketorolac and morphine, clinically improving at the time of report. Echo reassuring with good function and no effusion, ECG initially with RBBB repeat ECG with early depolarization, no arrhythmias

4 HOURS POST IMMUNIZATION PATIENT EXPERIENCED SHORTNESS OF BREATH AND CHEST PAIN. WENT TO ER DEPARTMENT. CHEST X-RAY, EKG AND BLOOD WORK PERFORMED. NEXT DAY VISIT TO PEDIATRICIAN FOR UNRESOLVED CHEST PAIN, GIVEN ANTI-INFLAMMARY RX AND PPI FOR GERD.

Adverse Effect: Guest had an episode of dizziness and passing out per report. Treatment: Guest lowered the floor, ice pack applied to back of the neck: EMS assessed - juice offered accepted. VSS. Outcomes: Guest provided 45 monitoring time, mother with guest. Guest stable and released by EMS to mother's Care.

Presented to urgent care on 5/28 with complaints of sore throat, Headache, body aches and fever for 103, slight cough, denies chest pain or SOB. Had a neg rapid strep. Diagnosed with viral illness 5/30 presented to the ED with chest pain, cough, wheezing and SOB. Also had diarrhea and low abdominal pain. Was hypotensive and bradycardia. Received 2 bolus of Lactated Ringers . EKG with ST segment elevation. Concern for MISC. Transferred to hospital. 5/30 at the hospital he had another bolus of fluid, continued bradycardia admitted to the ICU for potential for hypotension during IVIG for suspected MISC, worsening ST elevation on EKG. TTE unremarkable. Started on IVIG, anakinra, lovenox and solumedrol. Monitored on telemetry. EKGs consistent with myopericarditis. discharged home on prednisone on 6/4 with a long taper, has follow up with rheumatology and cardiology. Stool enterovirus positive culture positive. He had previously been diagnosed with COVID-19 in November 2020

16 year old male with no PMH who presented with chest pain. Initially on 6/10-6/11 had expected myalgias and headaches post vaccination similar to dose #1, but later 6/11 developed chest pain that made it impossible for him to sleep. It was waxing and waning but continued through 6/12 which after discussion with PMD ultimately led to referral into our facility for further evaluation. Received a dose of ibuprofen with marked symptomatic relief. No further medications given during his time, his chest pain had resolved after that ibuprofen dose and was at clinical baseline until discharge on 6/15. Prolonged hospital course was to arrange for cardiac MRI to be done for comparison. Otherwise had serial labs (documented below) which had trended in the right direction.

1610: vaccine given 1611: Pt experienced syncopal event, laid down supine on floor. juice given. Pt reports "this reaction runs in the family". VS: BP 131/72, HR 41, O2 95%, RR 12 1618: VS: BP 125/59, HR 66, O2 98%, RR 16. VS: 126/64, HR 71, O2 98%, RR 16. 1621 Patient taken from floor and placed into sitting position. No dizziness noted. 1630:Pt reports return of dizziness. bp: 122/73 HR:74 02: 95% RR:16 1635: BP: 102/58 HR 79 02 100% RR 16. Pt sitting up and denies any further sx's. Father denied need for further medical intervention. Pt was helped to standing. VS remain stable. Denies dizziness. Ambulated safely to personal vehicle and departed to home.

Myocarditis Developed fevers, chest pain and hematuria. Fatigue started the next day, night sweets the night after x 2 days, fever on 6/14, chest pain on 6/15. Troponin elevated, Echo with poor ventricular function, UA with hematuria. Improving on NSAIDs

Received second covid vaccine and one month later, developed chest pain, shortness of breath and was admitted to hospital for concern of myocarditis.

An episode of 7/10 substernal chest pain that lasted for 1.5-2 hours. It was not worse with deep breath or changes in position and was relieved with 2 tablets of ibuprofen (400mg). Denies recent fever, cough, or congestion.

Patient received the 2nd vaccine dose and 2 days later presented to the Emergency Department with chest pain.

Melena and hematochezia with associated nausea, fatigue and abdominal discomfort. Symptoms began that evening and continued for 3 more days. Stool was initially watery but became more formed each day.

complete loss of vision, ringing in ears and hearing loss for 30-60seconds; fever > 101, elevated HR

Patient was dizzy, woozy, pale, disoriented briefly . He sat on the floor for about 5 minutes, then we transferred to a chair. We gave him a cool cloth, crackers, juice and water. He waited in the pharmacy until we were sure he felt better and then left with his mother at 3:45 pm

16yo previously healthy male presenting with chest pain. He received second dose of Pfizer Covid vaccine on Wednesday at 3p. That evening, he developed fevers, chills and had trouble sleeping. On Thursday, he began feeling heart palpitations and again slept. Overnight, he developed midline chest pain, and decided to present to the emergency room. His EKG showed elevated ST segments. Labs were remarkable for elevated troponin, leukocytosis, and elevated CRP; echo showed normal function but subtle hypokinesis of the apex. He was given morphine, Tylenol, Ketorolac, 1L NS, and possibly aspirin before being transferred to the ED. In our ED, he had a reassuring exam, was no longer reporting chest pain. He had labs drawn which showed a white count to 15.3, normal H/H, Plt 152, ESR 12, CRP 10, and Trop T 1.14. Aside from the above symptoms, he has been in his usual well state without viral symptoms, nausea, vomiting, diarrhea, rash, joint pain, or other symptoms. He has no past medical or surgical history. Immunizations are up to date. His social history is benign. Patient was admitted to the cardiology floor for continued monitoring of his troponin levels and EKG. An echocardiogram was performed which showed mild LV systolic dysfunction. He was then treated with IVIG 2g/kg and started on methylprednisolone IV q12h. He remained asymptomatic with no chest pain throughout his admission. He was transitioned over to PO steroids on 6/13 which he tolerated well. On day of discharge, his troponin levels were trending down. Cardiac MRI showed an area of late gadolinium enhancement in the LV, with no abnormal function. By time of discharge, patient was well-appearing, vitals stable, demonstrating good PO intake including tolerance of PO steroid. Prescriptions sent to preferred pharmacy. Follow up with cardiology to be arranged. Discharge instructions and return precautions reviewed with patient and parent, who expressed good understanding and agreement with plan. Reasons for new, changed, and discontinued medications: - Prednisone - Famotidine Patient was admitted for management of myocarditis thought to be due to his SARS-CoV2 vaccination. He received IVIG and steroids. He had multiple EKGs, echocardiogram, and a cardiac MRI. He showed improvement during his hospitalization. He will be followed closely by Cardiology who will advise return to exercise and repeat imaging needs. **Please note that we do not have access to the vaccination records (lot, etc)**

4 days after 2nd dose of vaccine patient had onset of shortness of breath, chest pain, and palpitations. He did not tell his parents so evaluation was delayed. Shortness of breath and chest pain self resolved. He presented ~2 months later with persistent palpitations and was found to have a new diagnosis of frequent ventricular ectopic beats. 2 months post vaccination his inflammatory markers and troponin were negative and his echocardiogram showed normal ventricular function. However, the clinical history suggests the possibility of post-vaccine myocarditis. I am not positive whether he received the Pfizer or Moderna vaccine but I believe it was Pfizer. I am also not 100% positive about the date of vaccination.

The day following the second Pfizer shot the patient developed a fever to 101.5 that improved with Tylenol and did not recur. On that same day he felt tingling in the hands and feet and reported a floating sensation. This too resolved with resolution of fever. On the third day after the shot he developed chest pain, difficulty taking a deep breath. He woke up the following morning with nausea which resolved but the chest pain and a feeling that it was hard to take a deep breath worsened. The pain was significant enough that he went to the ER. In the ER, he was found to have an ECG consistent with acute pericarditis and his troponin was elevated (2.75, upper limits of normal 0.03). He was started on IV Toradol and admitted to the hospital. His troponin kept climbing so he was also given IVIG (80 gm). The following morning his Troponin started coming down and he no longer was reporting any symptoms.

Fever 18 hours after second dose injection. Stiff neck, tightness in chest approx. 30 hours after second dose injection.

PATIENT RECEIVED SECOND PFIZER VACCINE AT HIGH SCHOOL VACCINE CLINIC LEAD BY HEALTH CLINIC ON 6/10/21. ARRIVED AT EMERGENCY ROOM ON 6/13/21 PRIMARY COMPLAINT OF CHEST PAIN. BEGAN FEELING ILL ON FRIDAY 6/11. PT LABWORK,CHEST XRAY AND EKG DONE. . PATIENT TRANSFERRED TO HOSPITAL ER WITH DIAGNOSIS OF ACUTE MYOCARDITIS.

severe chest pain; shortness of breath; This is a spontaneous report from a contactable consumer (patient). A 16-year-old male patient received 2nd dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, LOT number: EW0179, expiration date unknown) via an unspecified route of administration in the arm left on 28May2021 at 11:45 AM at age of 16-year-old at single dose for COVID-19 immunization. Patient previously received 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, LOT number: EW0171, expiration date unknown) via an unspecified route of administration in the left arm on 07May2021 at 02:30 PM at age of 16-year-old for COVID-19 immunisation. Patient had no known allergies. Medical history and concomitant medications were not reported. On the night of day 1 into day 2 following the second vaccine, patient woke up with severe chest pain and shortness of breath that lingered for hours after onset. Events onset date was reported as 30May2021 at 02:00 AM. Events didn't result in emergency room visit or physician office visit. Outcome of the events was recovering. No treatment received for the events. Patient had no COVID-19 prior vaccination. COVID-19 was not tested post vaccination. Follow up needed, further information has been requested.

Pain in the back of patient's right calf started after a flight on 6/2/2021. We ended up in the ER on 6/7/2021. There he was diagnosed per ultrasound with DVT or having a blood clot in a vein in his right calf. He was prescribed Eliquis and counseled to follow up with his physician at home. Patient met with our family physician on 6/9/2021, the day we arrived home to follow-up. After receiving the medical records Dr. advised us to file this report. We understand that blood clots can happen on flights, but Dr. felt that this event was such an anomally for patient that it merited further reporting. Patient is a completely healthy 16 year old male who is an extremely active athlete who participates in basketball, track, cross-country and other physical activities daily. For him to develop a blood clot after a 4 hour flight is an exceptional, unexpected event. Dr. long term plan is to keep patient on Eliquis for 6 months, then take him off of the medicine and then run more blood tests after 2 weeks to fully investigate the incident.

Patient was hospitalized on 6/11/2021 after presenting to the ER with a history of chest pain x 48 hours. Labs showed an elevated troponin and an EKG was consistent with pericarditis/ myopericarditis. On further questioning patient had received the second dose of his COVID-19 Pfizer vaccine 2 days prior to the onset of chest pain. In the ER he was given a dose of ketorolac which relieved his chest pain. An echo as done which showed normal left ventricular systolic function and no pericardial effusion. He was admitted for further monitoring of his heart rhythm and to trend his troponin. He remained in the hospital for ~ 48 hours and was discharged on 6/13. His troponin was at its peak at his initial presentation and was 7,077. It initially decreased in the first 3 hours, but had small increases in the first 24 hours of admission. However, it had decreased to a low of 1575 at the time of discharge. His CRP initially was 4.4 (normal < 1 mg/dL) and decreased to 1.5 at discharge. ESR was mildly elevated at 23 and decreased to 18 at discharge. Chest pain had completely resolved within 12 hours of admission. He was maintained on ibuprofen 600 mg three times daily.

fever, chills, palpitations, orthopnea. elevated troponin I and BNP presented to hospital 6/14/2021 after 2nd pfizer covid vaccine on 6/11/2021. treated for suspected myocarditis. discharged from the hospital on 6/16/2021 with decreasing troponin I, resolved symptoms, no ECG or echo changes

Pain in chest area around the heart and under the left arm, along the left side of the chest. Headache, mild aching in the arms and legs, lack of desire to eat, and extreme tiredness also. Inflammation of the lining of the heart was the primary side effect and very concerning. Pain began the day after the immunization. It was significantly worse in the morning and mid-day. Pain would lessen during the day, but increase over night again. Most symptoms were gone within 5 days. Minor aches remain after 1 week.

Exactly seven days after patient second vaccine, he boarded a 9:10AM flight, with his Dad and sister. Approximately 90 minutes into the flight, as patient watched a movie on his phone (which did not have a photosensitivity warning), he blacked out and doesn't remember anything else until after coming out of a seizure. What others saw, including his father (my husband), was a convulsing 16 year-old (nearly 6' tall and 155 pounds), who was sitting just in front of him, between two strangers. My husband quickly realized what was happening and was totally surprised and struck with some fear, as we have NEVER seen a seizure in our family or in patient before (we have six biological children). The airline called for medical help; a doctor and some other professionals came. My husband had EMT training many years ago, so didn't hold patient body, but did work a few times to keep his head up (patient was seated), so as not to allow the airway to close. Patient sister (age 18) was across the aisle, alone, watching all of the commotion take place, not knowing what to do or how to help, in tears, but handling it with poise and independence. After about 2-3 minutes, the intense convulsing stopped, and his seizure became quieter but still had movement. His eyes were rolled back and he was foaming a bit at the mouth. He was still not responsive. This went on for about 4-5 minutes. Then he stopped. His dad and the doctor asked him basic questions like, "who are you?" "how old are you?" "where are you?" He couldn't answer any other those. Another 3-5 minutes past, and finally he was able to answer "where are you?" with "I'm right here." Slowly, he came back to his "senses" but of course, was very tired and had a horrible headache afterward. The doctor and my husband decided it was best to have the plane divert to another city to get patient to a hospital as soon as possible. The three of them had to cancel their trip (work trip for my husband, which our 18- and 16-year-old children were accompanying him on for pleasure and travel). The Airlines was awesome about the whole thing. When the plane landed, they quickly escorted the three off the plane (patient walked slowly, then was put in a wheelchair when they got right off the plane). They were then transferred into an Ambulance and emergently sent to the Hospital. After several hours of waiting and testing, and patient not having any more seizure activity, his CT scan, blood tests, and chest x-ray were normal, so he was discharged with the instruction to get an MRI with and without contrast upon arrival back home, and then to follow up with a Neurologist. He has been home nearly a week now and feels like himself. He has had the MRI, which came back normal (yay!), but we are waiting to see a Neurologist at hospital. The ONLY thing in patient life that had changed for him in the days, weeks, months preceding this super surprising event, was his Covid #2 Pfizer vaccine. That is why we, and our supportive doctor, are suspicious that this may have been the cause. We are a little nervous about whether or not more seizures will take place, or perhaps his body is done dealing with his probably strong reaction to the immunologic/inflammatory variable. Maybe altitude could have played in, along with the vaccine, and been the straws that broke the camel's back of other things maybe brewing? But we don't think so. patient has had NO health issues, other than an appendix out 3 years ago! Thanks for listening. We want this variable to you as a data point.

Patient is currently in Pediatric ICU with diagnosed of Myopericarditis today 06/19/2021 Day #2 of hospitalization

Developed intermittent sharp chest pain 1-2 days after receiving the vaccine, worse when supine (c/w pericarditis); no fever or other symptoms. Seen by his pediatrician & an EKG showed diffuse ST segment elevation; TnI was markedly elevated at 13,259ng/L (nl up to 57). Was admitted to the PICU & begun on IV ketorolac. By the time of admission he had no more chest pain. Received two doses of IV ketorolac, then transitioned to po ibuprofen q.8h.

Troponin on admission was found to be elevated at 4.07. CRP was also elevated on admission at 4.06. Patient was admitted for telemetry monitoring and cardiac evaluation. The echocardiogram showed normal heart function and no pericardial effusion. Given the clinical description of his chest pain, the likely diagnosis was myopericarditis. Patient was initially prescribed scheduled nonsteroidal anti-inflammatories but this was subsequently discontinued as patient was chest pain-free. Patient was started on colchicine. Serial EKGs were obtained which showed subtle changes but no pathologic findings. A repeat echocardiogram prior to discharge showed was normal.

Chest pain, evidence of ECG abnormalities, significant troponin leak and mild to moderate LV dysfunction on echo.

6/17/21-complained of constant headache in the AM- 6-7/10 located at temples and forehead , with mild light sensitivity In evening during shower - rapid HR, pounding constant 116 bpm Since afternoon chest pain with deep breaths-midline and to the left , at nipple line , able to pinpoint location , worse with laying on left side . temp - 102.3 f .

Following with reaction like seizure; And after that faint; chest , neck and head pain with burning sensation; chest , neck and head pain with burning sensation; chest , neck and head pain with burning sensation; After few minutes started to change the face skin color, cold skin and memory loss; After few minutes started to change the face skin color, cold skin and memory loss; After few minutes started to change the face skin color, cold skin and memory loss; This is a spontaneous report received from a contactable consumer (patient). A 16-year-old male consumer received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 19May2021 at 15:45 at single dose in left arm for COVID-19 immunisation at the age of 16-year-old. Lot number was Er8735. Medical history included Environmental allergies. Concomitant medications included calcium carbonate, colecalciferol (VITAMIN D 2000). On 19May2021 at 04:45, the patient experienced chest, neck and head pain with a burning sensation. Following with reaction like seizure. Then, patient started to change the face skin color, cold skin, and memory loss. And after that he faint. The patient was not treated for the events. The patient recovered from the events. Prior to vaccination, the patient was not diagnosed with COVID-19; since the vaccination, the patient has not been tested for COVID-19.

I had my first Pfizer shot on 06/14/2021. I had little headache the next day 06/15/2021 and took 2 Tylenol pills before going to bed. At 2am -4am on 06/16/2021, I felt burning chest pain up to my throat.

Patient developed chest pain and shortness of breath a day after vaccine Admitted to the hospital, troponin were elevated, Echo showed mildly reduced EF treated with colchicine and NSAIDs

16 yr old male with hx of familia hyperlipidemia and Lp(A) with onset of chest pain 2 days after Pfizer vaccine. Had headache, fever, chills after vaccine. Short admission, responded well to NSAIDS and discharged for follow up with cardiology with a mild case of myocarditis. Serum IgG for COVID19 also negative.

Chest pain 3 days after vaccine, evaluated 4 days after vaccine and found to have evidence of pericarditis without myocarditis. As no myocarditis and symptoms mild, was discharged with plan for cardiology follow up in 1 month.

PMH: deniesALL: deniesVS: 96%, HR 54, BP 98/64 (intiial)99%, 49, 110/75 (after 30 min and full recovery) Symptoms: This is Dose#216yM developed immediate dizziness, warm rush and darkening vision after injection that lasted about 3-5 minutes and improved without intervention apart from supine position. No medication given. Father reports pt has history of presyncope with blood donation. Assessment: slightly flushed appearing, complete sentences, coherent, alert and oriented. chest is clear, good air entry bilaterally, no respiratory distress or facial/oropharynegeal edema noted. Heart rate mildly decreased on auscultation but otherwise regular with normal S1S2. No distress. Treatment: none Patient observed for 30 minutes with snack and drink given. Symptom resolution and driven home by father. Patient is a high school athlete with slim build. Father reports heart rate is usually low/normal

Headache, chest tightness and discomfort, elevated heart rate (resting heart rate bpm in the high 90s as measured by a home pulse oximeter). Resolved the following day, resting heart rate back to low 80s.

patient fainted upon walking out of store. face was pale. history of fainting from vaccines. did not wait 15minutes sitting. walked away after about 5 minutes.

The day of vaccination general malaise and low grade fever which resolved with Motrin. Four days after woke up with chest pain. Presented to ER where he was found to have elavated troponin 1.01. EKG showed Normal sinus rhythm, with ST elevation.

Teen son described a heart pain on the left side of his chest when he leaned forward or took a deep breath. Pain went away when he stood upright and resolved after a few days.

Patient described increased heart rate and eventually chest pain after 20 minutes of receiving vaccine. Ambulance was called to assist - relayed heart rate and blood pressure was normal and deemed it "situational anxiety". Mom decided to have patient transported to ER.

After receiving his second dose of the Pfizer vaccine, this patient lost consciousness while sitting in the chair. The staff slowly assisted patient into a lying position onto the ground. Patient visibly pale. Oxygen then applied at 2L via NP and vital signs were taken and stable. Approximately 30 seconds later, patient regained consciousness. Patient was able to identify name and date of birth. Patient verbalized no pain, nausea nor dizziness at this time. Water and ice pack provided for patient. Patient then slowly transferred into sitting position and was placed in observation area. Patients mother declining further transfer to urgent care. Staff encouraged further evaluation. 911 called around 12:15. Paramedics arrived shortly after and performed an EKG and blood sugar check. Patient verbalizing feeling better at this time. Patient then left clinic walking independently accompanied by his mother and siblings.

Pt stated that he was feeling lightheaded and dizzy while sitting in post-vac after receiving Pfizer (EW0196) vaccine. Pt became pale and clammy to touch and sat down on floor. Pt's mother stated "he gets like this when he gets shots." Pt denies any SOB, itching, pain, or other discomfort. Pt has no orofacial swelling or visible hives/rash. Pt was given juice to drink and stated that he felt better afterward. Pt's skin returned to normal and he sat up in a chair. Pt was released at 12:40 into care of mother. Pt stated he was no long symptomatic and felt "back to normal." Pt left clinic with mother, walking with steady gait, and in no apparent distress.

after 15 minutes patient fainted and collapsed in store then pharmacist came and patient was awake and breathing and very pale pharmacist was assisting him then 911 was called and came and took patient to hospital

Next day on Saturday; developed fatigue & extreme tiredness. Slept most of the day. Did eat two meals with a slight headache. Sunday headaches worsened with ear aches, fatigue & slept all day. Gave Patient Tylenol, pushed fluids to tolerance & used cold compress towels on his head for his headaches. Monday symptoms persisted & taken to his primary MD & was given medication (Tylenol) & was instructed to administer Ibuprofen if symptoms of headache continue. Prior to MD visit he fainted & vomited attempting to use the toilet. Unable to tolerate any light from the house with sensitivity to his vision. Encouraged to hydrate with GatorAid & fluids with meals to tolerance. Was instructed to take patient to Emergency if symptoms persist till Tuesday to obtain IV hydration. Tuesday late afternoon 4:30 pm, took patient to Emergency & was assessed for blood work which was normal & given IV hydration while there. Wednesday- symptoms subsiding with no further headaches & is now able to walk by himself with improving strength. He ate 3 meals today & hydrating most of the day. Sitting up more & trying to improve his strength & endurance. Less sensitive to light.

Pt reported chest pain with exertion occurring approximately one week after the second dose of the COVID-19 vaccine. He was seen in the ED on 06/10/2021. At the time he described midsternal chest pain and shortness of breath. Which occurred with exercise. In the ED he had a normal ECG and echocardiogram but had elevated troponins 0.24 and with observation in the ED decreased to 0.18. He has since been refraining from any competitive sports or swimming.

Pt sat down and about 1 minute later, lost consciousness. We called 911, got him on the floor, then he came to and begin to know where he was. Paramedics showed up and took his bp and blood sugar and within 10 minutes he was up and walking around

We were sitting in the after-shot waiting area for the mandatory 15 minute wait period. Patient was getting restless and started asking to leave ~13 minutes after shot. I said ?no, we need to wait the full 15 minutes they recommend?. About on minute later, or ~14 minutes after shot, Patient said he felt like he was going to pass out. As I turned my head to look at him to began to slump towards me unconscious and I held him up by his shoulder and waved the paramedics over. He was unconscious with eyes closed for about 5 seconds and by the time the paramedics got there his eyes were fluttering, but he remained unresponsive for another ~10-15 seconds as they were calling his name, tapping his shoulder, and asking him questions. Then he finally came around and, while groggy, he was able to answer questions. He sat there a couple minutes talking to paramedics and they had wheelchair, but he said he could walk and got up slowly to walk slowly back to clinic area.

Two days after second dose of Pfizer vaccine, started with pressure-like chest pain that woke him up from sleep. Made better when sat up worse when lying down. Some relief with motrin.

Myocarditis. patient reports shortness of breath and fatigue 24 hours post vaccine. Admitted to the hospital 17 days post vaccine with elevated troponin, chest pain, and shortness of breath.

Collapsed, unresponsive, low heart rate and blood pressure, vaccine staff attended and then felt 911 should be called, paramedics attended, did EKG

After administration of the vaccine, the patient got light headed and clammy. The patient never loaded consciousness. His heart rate is normally in the 80s according to his mom, who is a nurse practitioner. His heart rate dropped to 69. The mom did not want an ambulance called. Monitored the patient for 20 minutes. He was completely alert and held a conversation the entire time.

Chest pain 3 days after 2nd Pfizer Covid vaccination. Worse lying down, improved sitting up High Sensitivity Troponin 2340 ng/l

Mom called PCP office 6/30/21 about 4:00 and reported Cainan had a headache and mild chest pain. She brought him into the ED that evening. Mom called 7/1/2021 in the morning and informed us that he had been admitted to BAH for heart swelling. myocarditis

16 yo M experiencing syncope post vaccination. It was momentary and patient had full recovery on site. EMS declined.

Chest pain and "vice like" pressure in the area of the heart, shortness of breath which lasted for three days. During the period of pain there was limited activity on the part of the individual. After three days the symptoms had subsided completely.

Took to ER at 5am because he was dry heaving, and vomiting. They did an EKG and a CT scan of the abdomen and lab work. He was placed on hydratation, 6 bags of fluids as well as Zofran for the vomiting also he also had tachycardia. He also experienced chills to the point he was shakiness when he go the tachycardia. He also has fever of 108.F and he was given Tylenol for relief of pain. He was then transferred to Hospital at 4pm and stayed there till 11pm. He also received an EKG exam at the Hospital. They also did a Covid test which was negative. As far os today my son has recovered.

Chest pain and weakness on evening of 7/1/21 after working for 8 hours and while taking a bath. Chest pain worsened and went to ER.

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

Patient started by having fever, chills and vomiting. The next day, he started having chest pain and shortness of breath. Mother took him to Urgent care and then was asked to go to the ER. He was admitted to the ICU for positive cardiac inflammatory markers and diagnosed with Myocarditis.

Chest pain, shortness of breath, severe myocarditis, rhabdomyolysis developed 2 days after his second shot.

Patient received his 2nd dose on Thursday 7/1/2021. He had flu-like symptoms the next two days (fatigue, fever, headache, myalgias). On Sunday morning (7/4/21), the patient woke from sleep with sharp, stabbing left sided chest pain that did not relent. He was taken to the hospital where he was found to have sequential troponins of 6.6 and 8.12. He was started on fluids and underwent EKG and Echo which were unremarkable. He also had repeat labs. Serial troponins downtrended on 7/5/2021.

My son began experiencing chest discomfort a few hours after he had received his 2nd dose. The discomfort only increased with his anxiety and having difficulty breathing. He also experienced his heart racing. I took him to the facility the following afternoon - approximately 31 hours after the 2nd dose and the facility completed blood work, x-ray and EKG; I was to follow-up with a cardiologist and that was also completed with Dr. and another EKG was performed, followed by an ultrasound of his heart. I have not received the result of the ultrasound as it was just performed on 06/30/2021.

Patient received his 2nd dose of the Pfizer vaccine and fainted approximately minute after the dose was given. The patient's eyes rolled back as he fell to the floor where it appears that he had a mini seizure. We called for a code white and immediately began emergency procedures. I held the patient while he was sitting upright and kept speaking to him until he regain consciousness approximately 1 minute after he had syncope. The patient seemed very confused because he had asked the question "where am I," as he opened his eyes. He slowly became more alert as time passed by and was aware of his surroundings within the next 2 minutes. He then stated that he was hot and hungry and was given water (from me) and Gatorade from his mother at his request. It was not long after that that the patient fully recovered and was back to normal. I had them stay and observed him for at least 40 minutes just to make sure that he was ok. Statements were taken from a salaried member of management during this time. There was no medication needed and none given during this incident. Plans were made with patient's mother for a follow up and our contact information was given incase they needed to contact us for anything at all. I will reach out to them in the next 1-2 days to see how the patient is progressing.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: pt became very white, started to look like he was going to faint, got wet towels and applied to face, neck, arms. kept him conscious be talking to him, called ems but by the time they arrived, he had color and was ok

Healthy 16yr old boy with no PMHx. Received dose #1 vaccine on 6/9/21 and dose #2 6/30/21. Developed chest pain on 7/1 relieved temporarily with Tylenol but returns when Tylenol wore off. Progressive worsening over next 2 days. Mom took pt to Urgent Care 7/3 who referred pt to ER. EKG with diffuse ST elevation, no fever, Troponin elevated at 11. Afebrile. He was transferred to our hospital and admitted to PICU 7/3. Chest pain initially improved with ibuprofen but worsened on hospital day #2 with higher troponin. Started on IVIG and solumedrol, ibuprofen changed to Toradol with good response. No pressors, otherwise hemodynamically stable.

Patient developed myocarditis with peak troponin of 6.4, normal echo. He required hospitalization for evaluation and management of pain.

16 year old male with no past medical history, recently received 2nd pfizer vaccine on monday 6/28, here with chest pain since . EKG shows ST elevation: consistent with pericarditis. troponin 15.2. will admit to healthcare faciility.

Bloody nose started 2.5-3 hours after first dose, continued for two weeks, as well as, head aches and heart palpitations. Second dose continued nose bleeds, and ER visit for heart pain and heart palpitations

Late in the evening on July 7 patient began having multiple seizures. EMTs were called and patient was transferred to local hospital while seizing. Patient stabilized in ER with injections. But since patient was unconscious (postIcatal) he was transferred to ICU until stabilized on oral medication. Patient in hospital for 36 hours.

Site: Pain at Injection Site-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Mild

Patient's mother made call to hospital call center . patient c/o of chest pain since 4am today, 5/27/21, patient had Pfizer vaccine on 5/25/21. pain non-radiating pain anywhere but only at the middle. I had not take any medications or done any interventions for this pain. I feel more lethargic when I walked around the house. The pain is better now comparing to this morning". Patient was not able to determine a pain score for this writer.

Day after vaccine: headache, nausea, low grade fever, "pinching feeling in chest", decreased appetite. Felt better for a few days, then 4 days after vaccine, low grade fever returned, pt developed rash/swelling on 75% of body, itching, little nausea, elevated diastolic blood pressure when measured at urgent care. pt was given steroids for swelling/rash.

Patient experienced vasovagal syncope 2 to 3 minutes post vaccine. He passed out for about 20 seconds and his dad states he was convulsing. He was assisted to the clinic where he was provided 2 glucose tablets and had his vitals checked. Vitals were within normal limits. Throughout the next 30 minutes, patient continued to display cognitive awareness and finished about 12 oz of water. He was able to stand up on his own without feeling light headed. About 40 minutes post vaccine, he left to eat dinner. The family intends to see a physician prior to his second dose.

myocarditis with noted chest pain, diffuse ST elevation, and troponin >50. Received IVIG and IV steroids

Patient received his first Pfizer shot on 7/12/21 around 4:45pm and was sitting down for observation when after a few minutes fainted and fell off from his chair. Patient was already alert and had gotten up himself when pharmacy staff came to assist patient. He said he was fine and did not need further medical care. Patient mentioned he has not gotten a vaccine in a long time and was probably nervous. He finished the rest of his 15 mins observation time (with mom waiting with him) and was feeling good to go home.

is experiencing symptoms of Henoch-Schonlein Purpura (HSP), which consists of the inflammation of small blood vessels.; is experiencing symptoms of Henoch-Schonlein Purpura (HSP), which consists of the inflammation of small blood vessels.; About one week after the second Covid 19 vaccine the symptoms flared up again/Second dose: Henoch-Schonlein Purpura; This is a spontaneous report from a contactable consumer or other non-healthcare professional (patient's father). A 16-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection, batch/lot number: EW0179) via an unspecified route of administration, administered in left arm on 21May2021 (16-year-old at the time of vaccination) as dose 2, single dose for covid-19 immunization. Medical history included ongoing crohn's disease (only one in the family with Crohn's disease). Concomitant medication(s) included infliximab (REMICADE) taken for crohn's disease and somatropin (NUTROPIN) taken for blood growth hormone both the products from an unspecified start date and ongoing. The patient previously received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection, batch/lot number: EW0176) via an unspecified route of administration, administered in arm left on 30Apr2021, as single dose for COVID-19 immunization and experienced Henoch-Schonlein Purpura, red blotches under his skin and blotches on his legs, vasculitis on his bowel, severe stomach pain and on his legs it looked like vasculitis. It was reported that on 21May2021 the patient received the second dose of vaccine and on an unspecified date in May2021 patient experienced symptoms of henoch-schonlein purpura (HSP), which consists of the inflammation of small blood vessels and one week after the dose of vaccine the symptoms of henoch-schonlein purpura flared up again and it can appear on the skin, intestines, joints and where small blood vessels started to leak. The reporter further stated that his son took the first dose of Covid-19 vaccine and developed Henoch-Schonlein Purpura (HSP) and stated as HSP is inflammation in the small blood vessels most commonly in children and it affects the skin, intestines and joints with leaking blood vessels. On his son's legs it looked like a vasculitis. His son had these red blotches under his skin. It didn't hurt. He also got vasculitis on his bowel. He had a colonoscopy to diagnosis the vasculitis on his bowel. His son was being treated with steroids. HSP was a chronic condition, and his son has been dealing with it from the last month. The doctor advised him to call Pfizer to report this information and to find out if there is data or any other complaints or notification for HSP from the Pfizer Covid 19 vaccine. He stated that patient does have other medical conditions as he had Crohn's disease and receives a Remicade infusion every 6 weeks, and he also takes Nutropin for growth hormones. When probing indication for receiving the Covid 19 vaccine he reports convenience because he would have to wear a mask here or there or answer if he's vaccinated or not vaccinated. He didn't decide to receive the Covid 19 vaccine in concerns of his health. He reported that patient never had a positive Covid 19 virus test, the PCR test or the Rapid test. The reporter thought that patient's symptoms began on or around 07May2021 after receiving the first Covid 19 vaccine and the symptoms subsided, and the doctor gave the ok to receive the second covid-19 vaccine. His symptoms did improve prior to the second Covid 19 vaccine. About one week after the second Covid 19 vaccine the symptoms flared up again. Now it's 23Jun2021 and he still has symptoms. He estimates his son was seen at the doctor on 04Jun2021 with a colonoscopy on 09Jun2021. The reporter also mentioned that If Pfizer reaches out to him he does have photographs of his son's legs he can share. He really does believe the HSP came from the Covid 19 vaccine, but that could be one in a million. He stated that he was not calling to discuss symptoms. On an unspecified date, the patient underwent lab tests and procedures which included blood test which result showed no abnormalities and urine analysis which result did showed blood which also indicates HSP, and on 09Jun2021 colonoscopy which result was unspecified. The outcome of all the events was not resolved. Information on lot/batch number was available. Additional information has been requested.

Patient got the Pfizer vaccine and fainted upon standing up. He was caught by his mother who was with him. He quickly became alert and we sat him in a chair, elevated the feet, and got a fan. Patient stated he felt as if he was going to vomit which began quickly after his statement. Patient BP and breathing was normal. Patient did want to go to the hospital to be checked which he did.

Headache, chest pains, difficulty breathing. Went to ER, had EKG, echocardiogram and blood work. Tested troponin levels bc of recent covid vaccine. Then diagnosed with mild myocarditis Bc troponin levels were elevated to 27. Admitted to hospital and testing enzyme levels until they start heading down. Given Motrin to help with inflammation and chest pain

Myocarditis with onset 7/12, worse on 7/13 and admitted to hospital to Cardiology service. Had non-sustained ventricular tachycardia and was transferred to the cardiac ICU on 7/14 morning and placed on a lidocaine drip. He had no further arrhythmia, and lidocaine was stopped and transferred out of CICU on 7/15.

Chest pain; Headache; This is a spontaneous report from a contactable consumer (patient mother). A 16-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0180) via an unspecified route of administration on 28Jun2021 (at the age of 16-year-old) as single dose for covid-19 immunization. Medical history included seasonal allergy (with runny nose, he took seasonal allergic medicine Benadryl 25mg on Sunday morning, one day before of vaccination). Concomitant medications included diphenhydramine hydrochloride (BENADRYL) taken for seasonal allergy from an unknown date. On 29Jun2021, the patient experienced chest pain and headache. It was reported that on Monday, he was okay but on Tuesday, he says he started having a headache. The treatment for the events was not reported. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

First dose: Henoch-Schonlein Purpura; First dose: red blotches under his skin/blotches on his legs; on legs it looked like vasculitis/vasculitis on his bowel; First dose: severe stomach pain; This is a spontaneous report from a contactable consumer (father of the patient). A 16-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EW0176) via an unspecified route of administration, administered in left arm on 30Apr2021 as dose 1, single (age at vaccination: 16 years) for COVID-19 immunization. Medical history included ongoing crohn's disease. As far as family medical history, it was reported as none and father stated that his son is the only one in the family with Crohn's disease. Concomitant medication included ongoing infliximab (REMICADE) taken for crohn's disease and somatropin (NUTROPIN) taken as growth hormone, both started on unknown dates. The father stated that, after receiving the first dose of COVID vaccine, his son started developing symptoms Henoch-Schonlein Purpura (HSP) which consists of the inflammation of small blood vessels. The symptoms began on or around 07May2021. On his son's legs it looked like a vasculitis. His son had these red blotches under his skin. It did not hurt and he also got vasculitis on his bowel. The symptoms first showed up as blotches on his legs and severe stomach pain. The pain is what alerted him. He was seen at the doctor on 04Jun2021, with a colonoscopy on 09Jun2021. He had a colonoscopy to diagnose the vasculitis on his bowel. It was stated that, the patient also had blood work that showed no abnormalities and a urine sample that did show blood which also indicates HSP. His son was being treated with steroids (treated right now with Prednisone 20mg daily). HSP is a chronic condition and his son has been dealing with it for the last month. The symptoms subsided and the doctor gave the ok to receive the second Covid 19 vaccine. Father reported that his son never had a positive Covid 19 virus test, the PCR test or the Rapid test. Also the patient did not receive any other vaccinations within four weeks prior to the first administration date. About one week after the second Covid 19 vaccine the symptoms flared up again. Now he still had symptoms. He did have photographs of his son's legs he could share. He really did believe the HSP came from the Covid 19 vaccine, but that could be one in a million. The outcome of the events: First dose: Henoch-Schonlein Purpura and red blotches under his skin/blotches on his legs was not recovered and the outcome was unknown for rest of the events. Follow-up attempts are completed. No further information is expected.

Complained of not feeling well, collapse to the floor while walking, rapid sweating, pale skin, dizziness and nausea, loss consciousness for about 10 seconds

Myocarditis starting 7/18/21. Treated with oral colchicine and IV ketorolac (NSAIDs). Today is day 2 of hospitalization and patient's troponins are improving.

Fainted 3-5 seconds, VItal signs taken BP 109/66, Pulse, 74, O2 98%, Head to toe assessment done, no injury, no head hitting noted. Patient transferred to gurney and given sips of water. Mother states patient has history of fainting and he skipped breakfast today. He had not eaten anything for the morning. Snack provided. Patient stayed 30 minutes for observation. Patient feels better. Advised mother to contact PCP of patient and give more fluids. No dizziness or pain reported. Vitals after 15 minutes BP 110/78, Pulse 66

Immediately following 1st dose Pfizer COVID vaccine client turned pale and had a syncopal episode. Client was assisted to a supine position on the floor. Client regained consciousness within 20 seconds of syncopal episode. Client skins were pale for ethnicity, clammy and cool. Vital signs were taken in supine position: BP 121/71, HR: 69, RR 12. Client's mother denied any medication use, stated client was positive for Asperger's syndrome, denied any NKDA or allergies to foods/ environment. Client was assisted to seated position in wheelchair vitals: BP 105/46, HR 60, RR 10, skins returning to normal color for ethnicity, dry and warm. Client was assisted to zero gravity chair without incidence. Client complained of nausea, dizziness and tingling of Left arm and hand. Denied SOB, CP or HA. EMS called. Client care transferred to EMS. EMS BP: 98/50, 12 lead EKG revealed NSR. Client's mother signed client AMA from EMS care. Client stayed at observation site an additional 30 minutes. Last set of vitals BP 117/69, HR 76 RR: 10. Client stated he felt much better and all symptoms were resolved. Client's mother instructed on ED protocols and advised to follow up with PCP. Client left observation site with his mother on his own accord and with a steady gait.

AFTER ABOUT 10 MIN. OF INJECTION, AS THE PT. WAS WALKING TO SEAT OUSIDE OF CONSULTAION ROOM FOR ADDITIONAL 5 MINUTES, PT FAINTED AND HIT HIS HEAD TO THE DOOR FRAM. MOM HAD EPIPEN .3 MG AND PT WAS INJECTED INTO THE LEFT THIG.PT REGAINED CONSCOIUSNESS AFTER ABOUT 2 MINUTES PARAMEDICS ARRIVED AND EXAMINED THE PT, WHICH WAS DOING OK. MOM TOOK HIM TO THE ER AND PT IS DOING OK AND RELEASED.

Severe chest pain 3 weeks, 1 day after 2nd COVID-19 vaccine. 911 called and patient needed Fentanyl, morphine and Toradol for pain. ECG w ST segment elevation in inferolateral leads and troponin-I 12,726 ng/L (normal < 45 ng/L). Patient admitted to cardiac telemetry floor. Ibuprofen given and troponin-I trended down to 3,600 upon D/C 7/4/21 repeat troponin-I sent today 7/21/21.

Patient developed fever day of vaccine. One day later developed chest pain and decreased appetite which prompted seeking medical care. In ED, found to have tachycardia, orthostatic changes (was hypertensive) and elevated troponin level

Fainting (few seconds), pale, sweating, shallow breathing, low blood pressure. Patient was awake and responding to questions. By the time ambulance arrived, patient was able to walk. Patient contacted last night and he was completely fine.

Client at vaccination table. per NP client loss consciousness less than a second. history of episode of syncope. NP at station assessing client. client did not fall or hurt himself, NP was at clients side. EMT called VS obtained at 2:48pm HR 63 BP 86/47 o2sat 97%, VS at 2:50pm HR 64 BP 91/57 o2sat 98%, last VS obtained at 3:07pm HR 77 BP 95/58 o2sat 98%. client remained in observation until 3:28pm no other complaints. client left observation with father at his side, client ambulating on his own.

16 year old previously healthy male presented with chest pain consistent with cardiac chest pain that developed 24 hours after the initial vaccination. On presentation, EKG with findings consistent with myocarditis vs pericarditis. Troponin peak was approximately 5.2 on 7/22 and subsequently downtrended. Echocardiogram obtained which showed normal EF, no pericardial effusion, and no wall motion abnormalities. He was observed on cardiac telemetry with serial EKGs and troponins and was cleared for discharge by cardiology and infectious disease. Symptoms were treated conservatively--NSAIDs PRN. He is currently in the recovery phase from the myocarditis and will follow outpatient with cardiology.

Clot and bleed in brain causing stroke; Clot and bleed in brain causing stroke; Clot and bleed in brain causing stroke; This is a spontaneous report from a contactable consumer (patient's parent). A 16-year-old male patient received BNT162B2 (Lot Number: EW0186), dose 2 via an unspecified route of administration, administered in arm left on 20May2021 11:30 as single dose for covid-19 immunisation. Medical history included attention deficit hyperactivity disorder (ADHD). No known allergies. Concomitant medication included paracetamol (TYLENOL). The patient previously received first dose of BNT162B2 (lot number: ER8735) in left arm on 29Apr2021 17:15 for covid-19 immunisation. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced clot and bleed in brain causing stroke on 06Jul2021 17:00. The events were reported as serious due to hospitalization. Events resulted in: doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care, hospitalization. Treatment received for the adverse events: Current hospitalization in PICU, rehabilitation, and pending further follow up actions. Prior to vaccination, was the patient diagnosed with COVID-19. The patient underwent lab tests and procedures which included nasal swab for Covid-19: negative on 06Jul2021. The outcome of events was recovering.

After getting the 2nd dose of the Pfizer vaccine at 1:45pm in his left arm, around 9pm, started to get a headache. He went to sleep but felt cold at night and then started to get a cough. In the morning on Thursday July 22 his chest started to hurt in the upper area. He was feeling body aches. At 12:55pm he had a fever of 101.4 I gave him 2 Tylenol tablets. At 2:22 pm fever went down to 100.4 At 4:48pm his temperature was at 98.9. At 4:30pm he was complaining that his chest hurts, achy legs, headache. I call 911 and they tell me that he will need an ambulance to go to the hospital.

Pt c/o lightheadness and nausea. vs 98.4, BP 102/74, HR 82, Bld sugar 115 evaluated by Physician and Nurse Practitioner; sent to the Clinic for further evaluation; given fluids. Pt emphasized some change in mental status and sent to the Hospital for evaluation; evaluated treated with fluids and released back to the clinic. 7/15 vital signs stable, c/o slight pain at injection site; no other c/o any issues Later on 7/15 pt c/o sl chest pain and discomfort-examined. vital signs stables dx with controchondritis-treated. No further c/o any problems after COVID injection 7/8 left the clinic and reunified with family

Father stated today that upon receiving the vaccine the patient immediately felt chest pain. The following few days he was exhausted with chest pain and could not get out of bed. He suspects his son had heart inflammation. He has not had this evaluated by a doctor.

Patient pre-screened and given 1st dose of Pfizer vaccine then transferred to the post vaccine waiting area. After 15 minutes patient was on his way to the car and accompanied by mother and sister. At exit threshold patient reported "feeling woozy" and fell forward onto his face possibly chipping 2 teeth. Patient's mother rolled him to a supine position and called for help. Upon arrival this RN instructed mother to lower head. 2nd RN, arrived and elevated feet. Pt responding to verbal stimuli, unable to recall syncopal episode but otherwise oriented to person, place, time, and all events leading up to episode. During assessment patient stated he works outside and has been participating in football conditioning/practice outside and not drinking enough fluids or replacing electrolytes. Mother confirmed. Vital signs taken and as follows: HR 74, Bp 86/70, SpO2 100%, Pulse strong and regular, breath sounds clear on auscultation. No generalized redness, rash, or hives. Patient denies shortness of breath. Snack and juice provided. After 10 minutes patient reports improvement and was assisted to an upright position. No dizziness or lightheadedness reported. Patient assisted to a standing position prior to being seated in a wheelchair. Patient wheeled to and assisted to personal vehicle driven by mother who took the patient to Emergency Room across the street. Assisting RN,, called report to receiving ER.

Child taken to ER with tachycardia symptoms. Heart rate 120 and BPP at 158/89. Treated with fluids and released at 99 heart rate and BP at 139/85. This morning self check: HR 108 and BPP 134/85. Doctors appointment scheduled this afternoon. Child?s normal resting heart rate at 80 and BP at 115/75.

Developed shortness of breath with chest tightness 2 days after vaccination, accompanied by injection site pain, loose stools, and malaise. Chest tightness progressed over 1 day to become chest pain with diaphoresis, dizziness, and continued dyspnea. Patient evaluated twice at Pediatric ED; 1st time (2 days after vaccination): EKG and troponin were normal, discharged home on ibuprofen. 2nd time (3 days after vaccination): elevated troponin and ST-elevation on EKG; admitted to Pediatric ICU.

My son felt fine but then developed intermittent chest pain 1-14 days after the vaccine. The chest pain was right over his heart and would come and go.

This is a spontaneous report from a contactable consumer or other non hcp. A 16-years-old male patient received bnt162b2 (BNT162B2; Batch/Lot number was not reported), via an unspecified route of administration on 02May2021 11:00 as dose number unknown, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On 03May2021, the patient experienced high fever, chest pain and having trouble, like it hurts when he takes breath, ache. It was reported, reporter's son had the Pfizer vaccine, yesterday at 11AM, and he was fine and then this morning he had a high fever, the ache, all of that, but now, you know I have given him some Tylenol (treatment). He 16 and half, 17 in September and he was now complaining of some chest pain and having trouble, like it hurts when he takes breath, was this something that's normal, because have not heard about of this side effect. Therapeutic measures were taken as a result of events which includes TYLENOL. The clinical outcome for all events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

After my son received his 2nd Dose of the Pfizer on the scheduled date at approx.10:45 am, we went home and were just relaxing and at approx 1:54 pm. My son in a panic yelled for me to come into the bathroom and he showed me his urine and it was bright red with clots (Gross Hematuria). I know the time because as soon as I saw it I took a picture (of which I still have on my phone). I proceeded to access how he was feeling and after he said he felt okay just scared-no pain or anything, I called his Pediatrician whose office instructed me to take him to the ER and that is what I did. He was not rough housing, there was no trauma and again no pain. This has never happened before.

Patient is a 16-year-old boy with no significant past medical history presents to the emergency department with concerns for chest pain and shortness of breath. Patient had his second dose of the Pfizer Covid vaccine 3 days ago. Initially after the dose he did experience some myalgias, fatigue, and a sore throat. The symptoms lasted overnight and into the following day. They then remitted. Yesterday, patient was feeling well in the morning, however, in the evening he began to experience significant shortness of breath. This shortness of breath along with some anterior throat and upper chest discomfort with deep respirations. He denied any associated nausea, vomiting, or sweating. With these symptoms he went to hospital. There he was evaluated and a chest x-ray was performed. Patient's chest x-ray did not show any concerning findings. Patient was discharged in stable condition with albuterol and encouraged to follow-up with his primary care physician. Today, patient's shortness of breath and chest pain returned. He states that it is in the center of her chest with occasional radiation to his jaw. He denies any associated nausea, vomiting, or diaphoresis. His pain was initially severe in route to the emergency department, however, it has lessened and is now 4 out of 10 in severity. Patient otherwise denies any other fevers, lightheadedness, change in vision, abdominal pain, constipation, diarrhea, or dysuria. Medical Decision Making: Pt presented for chest pain. EKG was given to me shortly after obtaining it. This showed ST elevation inferiorly and laterally with possible reciprocal change in I, aVL & V1. Troponin was markedly elevated. I discussed case with our interventional cardiologist initially who wanted to take pt to the cath lab. However, pt is a minor and he noted that he couldn't cath a minor. This decision was made after the patient was already in the cath lab. Therefore, I contacted Hospital and discussed this case with the on call cardiologist. He recommended pt be tranferred to the ED where they will evaluate him and possibly do an echo of his heart. I discussed this with the ED physician at hospital who agreed to see pt. He was then tranferred via ambulance for further care.

Patient was normal and little nervous before vaccination. After receiving vaccinations about 2 minutes patient stated he could get up and was shaking. He was pale and sweating. Pharmacist Rima left the room to get another pharmacist. Patient mom reported she saw him passing out and eyes rolling. Patient was conscious after and had difficulty breathing but return to normal after a few minutes. We gave him a ice pack and called 911 to be ready on hand but was not dispatched. Patient rested in the room and left on their own.

Patient felt dizziness, weakness, and a fast heartbeat immediately after receiving injection. Patient was observed by EMS onsite and then went to ED for visit. Patient discharged from ED with no issues.

Rapid pulse 121-133; fever 101.3; chills; dizzy; body aches; This is a spontaneous report from a contactable consumer (parent). A 17-years-old male patient received bnt162b2 (BNT162B2, lot number=EM9709) second dose, vaccination location of left arm, via an unspecified route of administration on 14Feb2021 17:15 at SINGLE DOSE for covid-19 immunisation. Medical history was none. No Allergies to medications, food, or other products. The patient's concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 on 24Jan2021 16:00 (lot number=EL9261; vaccine location=Left arm). The patient experienced rapid pulse 121-133, fever 101.3, chills, dizzy and body aches, all on 15Feb2021 14:30 with outcome of recovering. No treatment received for events. The patient underwent lab tests which included body temperature: 101.3 on 15Feb2021, heart rate: 121-133 on 15Feb2021. The events reported as non-serious. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient not been tested for COVID-19.

5 minutes post vaccination, patient became pale, cool, clammy, lethargic, lips blue with brief loss of consciousness (15 seconds). When regained consciousness pt. reports continued dizziness & ligh-headedness. Assisted to floor, legs elevated. V/S 110/70, 71-HR, 96%-O2, A&Ox4. EMS activated. Upon EMS arrival EKG, orthostatic VS, and FSBS taken, all reported to be WNL, with BS being low normal @ 66. EMS administered PO glucose tube, FSBS rechecked by EMS, 78. Patient reports to no longer feeling dizzy or lightheaded, declined to go to hospital, left site with mother.

Nose bleed starting today x1, constant for 15 min., controlled now. No history of nose bleeds. Denies fever or any other symptoms. Advised to f/u with PCP.

Mother says history of loss of conscious after shots. My son fainted after receiving the vaccine for having looked at his brother who also fainted. Paramedics called 911 as brother became unconscious then patient also fell to ground was breathing normally - Paramedics treated paramedic took vitals

Patient felt fine after vaccination and ambulated to observation room accompanied by his mother. After 5 minutes in the observation room he had a syncopal episode.

one day of fever found to have elevated inflammatory markers, LV dysfunction (now resolved), elevated troponin and ST elevation in EKG concerning for myopericarditis. Admitted to hospital. No documented fever in hospital, no rash, no GI symptoms, no other criteria met for MIS-C. Unclear etiology of myopericaraditis.

3-23-21 4:07PM BROUGHT TO MEDIC TENT PER WHEELCHAIR - 'FEEELS LIGHTHEADED'. DAD WITH PT. PALE, ORIENTED X3, NO LOC, RESP WITH EASE, W/D. PLACED ON COT WITH FEET ELEVATED. 4:10PM PT STATES HE 'FEELS BETTER NOW'. COLOR IMPROVED. 4:12PM HOME WITH DAD - TO EXIT PER WHEEL CHAIR. NO ACUTE OR OBVIOUS DISTRESS. A/O, PINK, W/D, RESP WITH EASE.

Per father patient has a history of "passing out" following vaccine administration and blood draws. Following this vaccination administration patient c/o of being lightheaded and displayed a brief moment of generalized syncope while seated in chair and diaphoresis noted. No trauma no fall. Vital signs taken and patient assessed by staff. HR 52, BP 98/76 . Patient a&o x4 conversing with staff. Patient able to eat and drink.

Pt was nervous about the shot, but seemed ok immediately after it was administered. He went to the chair to wait his 15 minutes with his mom. A minute later, his mom was calling that he was having a reaction. A technician called 911 while I went to check. He passed out for just a moment and came to quickly. His mom said he was ok but paramedics arrived within minutes and were checking him out. His blood pressure was super low and they monitored him and took over. They were gone within probably 10 minutes.

17 year old male had syncope episode with fall from seated position to floor with spontaneous regain of consciousness. 911 was called. Normal vital signs. Legs were elevated. Patient assessed by paramedics, PA and NP. Patient declined transport to hospital for further medical evaluation and was encouraged to seek medical care if symptoms worsened. Yes

10 MINUTES ARE ADMINISTERED DOSE PATIENT LOSS SIGHT, EXPERIENCED PITCH NOISE, FELT FATIGUED AND HEART RACING--IMMEDIATELY WE PUT PATIENT IN SUPINE POSITION--RAISED LEGS WITH COLD COMPRESSED. CHECKED VITALS WITH FINGER MONITORING AND O2 STATS, HEART RATE NORMAL. HE BAGAN TO FEEL BETTER--HE REPORTED WAS ANXIOUS ABOUT VACCINE. KEPT FOR 10 MIN MORE MONITORING. PATIENT PARENTS WILL MONITOR AND ADVISED S/S TO LOOK OUT FOR IF NEED TO GO ER. DID NOT CALL AMBULANCE DUE TO NO ANAPHYLATIC SHOT--EPIPEN WAS NOT USED.

Pt is an 17 year old male who presents with a history of left shoulder pain since 3/25. He has recently been vaccinated for SARS Co-V2 (First dose on March 5th with second dose on March 27). He is currently hospitalized for elevated troponin and working up for myocarditis.

Patient became Pale, Diaphoretic, clammy, Experienced N/V, and Dizziness. Patient vomited x1 , given cold compress and escorted to cot. Vital signs obtained P: 67 , R: 18, B/P: 90/60, O2 sat 98% on R/A. Patient monitored for 30 minutes and symptoms improved , no medication required. Vitals P: 79, R: 18 , B/P: 102/70, O2 sat 98% on R/A. Patient color pink, lungs sound clear, no further distress noted, patient stated he felt better. Father advise to have second vaccine give with PCP. Discharged home.

During monitoring, patient c/o nausea, dizziness and became pale. Vitals: systolic BP 52; pulse ox 88%. Patient lost vision and pupils slow to react. Called EMS and gave 2L supplemental 02 via rebreezer. Patient moved to hospital bed and had legs elevated. Upon recheck blood pressure improved and patient responsive to questions (suspected vasovagal response). After EMS arrived, patient's family declined to send patient to hospital via EMS, and ultimately left the clinic with his family.

pt was waiting in the post-dose waiting area and came over to let us know he felt like he was going to faint. he was instructed to sit down and keep talking to us and ice packs were applied. he lost consciousness and we laid him down on his back and put his feet up and he regained consciousness and after laying for a few more minutes, he was slowly put back into the chair. he was instructed to sit there for a while longer until all his symptoms resolved.

Pt was in observation area and stood up from chair then synopsized with some jerking motions and fell to the ground not confirmed to have struck his head or neck. His mother was at his side and holding his head up. H r was awake not confused or post ictal, no tongue biting or bowel bladder incontinences. He was able to get up into the wheel chair with assistance. He was subsequently diaphoretic and pale, with dilated pupils, His mother reported that he takes dexmethylphenidate and escitalopram for ADHD.. She said he runs cross country and he reported he didn't eat since the night before, He received narcan nasal spray and was transferred to a stretcher and placed in Trendelenburg position. He subsequently improved with resolution of pallor and improvement in pupillary dilation. He went to the ED via EMS

Patient passed out, complained of being lightheaded and having loss of vision post 2nd COVID-109 vaccine. EMS was called. EMS evaluated patient and recommended going to the hospital for observation. Patient's father denied transfer to hospital and patient left with father to go home.

Within 1-2 minutes my son passed out and started violently shaking/convulsing. His chin was pinned to his chest, he struggled to breath and was making a sound as if he was loudly snoring but seemed to be struggling to breathe. I was unable to wake him. I'm not sure how long it lasted but maybe 2 minutes or so. He woke up and asked what was going on as we had all been standing over him trying to unsuccessfully wake him. He shared that he thought he'd been asleep and had been dreaming. He also shared that his throat hurt very much. He had the shakes for about 30 minutes after and was extremely exhausted. He slept for 14 hours as soon as we arrived home.

After leaving vaccination room with mother, heading towards the lobby for minimum of 15 minutes post-vaccination observation, patient collapsed/ fainted and fell to floor. Mother was able to catch and support patient's head as patient slowly fell to floor. After only seconds, patient alert again and speaking and answering questions correctly. Patient attempted and was able come to a complete unassisted standing position, but was immediately encouraged to stay lying down until EMT has arrived. EMT arrived, assessed patient vitals, and encouraged patient and mother to go with them to hospital if they were concerned, but mother declined and signed affidavit. Patient and mother left to go get late lunch, as it was revealed patient had not eaten breakfast or lunch yet and was nervous about getting the shot.

Patient fell back in chair, the chair fell and patient hit his head on the floor, slight swelling noted on right forehead. BP 93/41. HR 58. He was transferred to the ED via gurney. Lost consciousness for 1 minute. Recovered and was discharged home.

4/8/2021 Patient was observed post Covid-19 immunization for 15 minutes . During the observation period, he experienced an adverse reaction with the following symptoms: Feeling light headed and weak. Assessment : Time of assessment 0947, patient sloughing in chair feeling faint. Able to answer questions. Actions taken: Taken to stretcher, Vitals sign taken VAERS form obtained and completed by RN. 0947- 142/78, P- 88, RR- 16. O2- 100% 0957- BP127/66. P- 84, - 0952- CBG- 84 Water given. Medications administered: No medication administered. Disposition: Reports no further symptoms of adverse reaction after observation for 45 minutes. Discharged home. The Patient was provided with Vaccine Information Sheet and instruction to access the system. Mom with patient. Immunizations Administered Name Date Dose VIS Date Route Pfizer COVID-19 Vaccine 4/8/2021 9:42 AM 0.3 mL 12/11/2020 Intramuscular Manufacturer: Pfizer, Inc Lot: ER8729

Shot given around 1125 am. Pt and pt's mother went to sit in front of pharmacy. At around 1135, pt fell out of chair, sounded/looked like he may have hit his head on blood pressure machine that he was sitting near. We thought he had fainted. Pt woke within 10 or so seconds after fall and was confused. Said his head didn't hurt. His skin did lose it's color and he was looking "white as a sheet". We had pt lie on floor and elevated his feet. After a few minutes he was feeling better and was able to sit in a chair. Pt and his mom left the pharmacy area about 15-20 minutes after pt fainted. Upon looking at video of the event, it appears that before the patient fell out of his chair that his right arm raises up and his elbow is bent in a very stiff way. A split second later his whole body appears to stiffen and bend to the left, then he falls out of the chair and is lying on the floor. When on the floor, his legs appear to be fairly stiff as well. This whole episode seems to last about 10 seconds or less. The video makes it look more like a seizure than a case of syncope.

Systemic: Fainting / Unresponsive-Mild, Systemic: light headed, fainted after 5-10mins received vaccine-Mild, Additional Details: After received vaccine 5-10mins, he started feeling light headed, fainted. RN notified him to floor leftside, cold water to back of neck and forehead. BP: 91/66 -90/70, HR 91-85 when left side lying, BP 123/87, Hr 100 when sitting on floor. BP 122/85- 117/83, HR 99-95 when sitting in chair. He went home acoompanied by his mother when feeling better. He has fainted in past with shots and blood draws

Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: FAINTED AND SCAR ON FACE-Mild, Additional Details: PATIENT SEATED AT SEAT 5 FELL AFTER FAINTING AND INJURED ON HIS FACE WITH BRUICE ON RIGHT SIDE AFTER HITTING GROUND WITH HIS GLASSES. PATIENT GOT CONSCIOUSNESS IMMEDIATELY AFTER. OFFERED MEDICAL HELP AND ATTENTION. GAVE WATER TO DRINK. HE WAS MONITORED FOR 30 MINUTES AND LEFT PHARMACY HIMSELF.

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

Pt was given Pfizer first dose at 930. Walked to monitoring area. Sat down and c/o of visual disturbances light/blurry, ears sounding like drums. Bilateral hands shaking and holding parent's hands. Sweat running down face. Color draining from lips/face and began c/o trouble breathing. 9:31 epi given in right thigh. Began feeling better and breathing regular. 9:34 Benadryl given. Moved to exam room for monitoring. VS and monitoring continued for 4 hours. Pt released with epi rx and f/u instructions.

Patient fainted and fell while standing, hit head on floor, brief loss of consciousness, pupils PERRLA. Minor head pain, BP hypotensive (80/54) in wheelchair. Gave juice and crackers (hadn't eaten that day), glucose 91. Patient stable upon leaving, recommended ER visit for head evaluation.

Chest pain developed 3 days following vaccine administration. Presented to ED the morning of 4/11/2021, and was found to have diffuse ST elevation on ECG, and troponin level of 0.52. Received dose of aspirin, and then was transferred to Hospital for treatment and monitoring of pericarditis the afternoon of 4/11. Echo at Hospital with good LV function. Repeat EKG demonstrated ST elevation again, and he was started on ibuprofen 600 mg every 6 hours. Chest pain recurred in the evening of 4/11, but resolved some time after administration of ibuprofen. Troponin level upon arrival to Hospital were 3.92 at 17:11 on 4/11, then rose 8.68 at 23:42 on 4/11 at the time of his worsening chest pain. Chest pain still resolved by morning of 4/12, and troponin level downtrended to 5.87 at 6:22 on 4/12. Diagnosis consistent with myopericarditis.

pt experience syncope with normal blood pressure, but low pulse and loss of vision for short eperiod of time. EMS reported normal BP, heart check and pulse and oxygen. vision did return and pt felt better after about 20 minutes

Patient had an episode where he started stumbling, feeling diaphoretic, with diffuse muscle cramping 100 m from finishing a 5K race. He reports a sore throat, headache, and some dyspnea. He reports no adverse reaction to the first COVID vaccine. The patient had great symptomatic improvement with hydration. Patient was recommended to follow up with PCP and cardiology.

Pt's father called on 4/9/21 afternoon and stated patient received dose 1 of Pfizer vaccine on 4/7/21 at stadium. On 4/8/21 pt.'s father states pt has fever, chills, some SOB and chest pain but feels better today (4/9/21). Pt's father also state patient took Tylenol for fever. Advised pt.'s father to take pt to the ED for evaluation and contact PCP. Pt's father verbalized understanding.

Systemic: Fainting / Unresponsive-Mild, Systemic: Headache-Mild, Systemic: Hypotension-Mild, Systemic: Weakness-Mild

Blood clot in right calf. Noticed pain and knot in calf on Sunday 3/14/2021. It worsened over the next few days. Went to Urgent care on 3/18 and they sent us straight to ER for Ultrasound. In hospital they found it was a clot identified as deep vein thrombosis, and started a treatment of blood thinner and pain medication.

Pt c/o of lightheadedness, diaphoretic, pallor 15 minutes after vaccine administration. Pt placed flat on ground with pillow and feet elevated. apple juice, water and cold compresses provided. 15 minutes later pt still symptomatic, transferred to Ste 285.. Bp 128/75(88), pulse 83, o2 99%, RR 20.

After receiving first Pfizer vaccine, patient had a vasovagal episode. Patient states he became dizzy, lightheaded, and became diaphoretic prior to syncope. There were some mild seizure-type activity after the syncope. Patient was transferred to the ED In the ED, patient experienced no further episodes of seizure activities. Patient was evaluated, observed, and later discharged with PCP and neurology referral.

Post vaccine pt became dizzy, sweaty and experienced nausea. Pt transferred to med obs. Accompanied by parents. Pt reports immediately feeling better after lying down on stretcher. Vitals obtained and monitored. Per on site physician - pt experienced classic non syncopal vasovagal reaction - resolved. Pt released at 0857 with parents. Vitals as follows: 0845 LYING BP 120/83 HR 65 RR 18 SpO2 97% 0840 SITTING BP 113/67 HR 78 RR 18 SpO2 100% 0850 STANDING BP 130/75 HR 93 RR 18 SpO2 96%

Patient c/o dizziness, temporary loss of hearing, weakness, nausea and sweating . Took vital signs B/P was low 104/47. After 9 minutes B/P was up to 110/70 and patient's symptoms were resolved. He refused to be transported to ER to be evaluated and was taken home by his friend. Parents were notified of the event.

At 10:16 patient's mother brought him to our attention regarding how he was feeling. She states that patient was feeling hot and took off his sweatshirt and complained that he was starting to feel "dizzy" - then he started looking "grey" and not responding to any of her questions. States that he was progressively getting worse over time. Patient was flushed and hypotensive (80's/40's) initially followed by bp of 90/50 then before he left 102/60 at 10:45am. Initially his heart rate was 74 bpm and before he left it was 82 bpm. His temperature was around 97.5. Patient had not had anything to eat or drink prior to appointment. Patient was given a snack and water before leaving.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild, Additional Details: After recieving vaccine within 10 minutes, patient complained of feeling light headed, dizzy, appeared pale. Assisted patient to lay down on the floor. Seen by EMS, Temp 98, Pulse 63, 90/70. Patient stated that he had taken medication for anxiety prior to vaccination. Per patients mother, he took \"Hydroxyzine 25 mg Tablet\". 2nd set of vital signs were taken, BP 100/60. Patient assisted back to chair and observed for an additional 10 mins. Refused transfer, patient went home with mother.

On 4/16/2021 at 2:17 PM, 17-Year-old white male received his first dose of Pfizer vaccine lot #ER8729 0.3 ml to his right deltoid. At 2:28 pm while patient in the observation area, patient noted pale in color, he was complaining of dizziness, blurred vision. Patient taken to designated area while provided complete privacy. Vital signs as followed: BP 90/60, respiration 16, pulse 54, o2 sat 97% on room air, patient lowered to the floor with his feet elevated . 2: 33 pm Patient voiced that his feeling better. Patient skin color improved 100/80, respiration 18, o2 sat 98% on room air. Patient endorsed allergy to penicillin which he describes reaction as hives, also as per patient and his mother who currently in vaccine clinic, patient had similar above reaction to flu vaccine a year ago. Patient denies any known past medical history nor currently on medication. 2:38pm Sitting vital sign : BP 110/70, pulse 76, o2 sat 97%, resp 18, Patient denies any further symptoms. 2:43 Pm Standing BP 120/80, pulse 65, o2 sat 97%, resp 18. Patient remained stable, able to ambulate steady gait. No complain voice Patient released thirty minutes post observation accompanied by his mother in stable condition. Writer recommended to patient if symptoms reoccur to sick immediate medical help. Patient and family verbalized understanding.

Day 1-- shot, nosebleed 8 hours later Day 2-- feels gross, sore throat, 2 more nosebleeds, stays home from school, fatigue, chills around 7 pm, complains of nausea Day 3-- feels grosser, stays home from school again, another nosebleed, fever 99.2, fatigue, still sore throat, weak muscles, gets winded if he has to walk gave him advil, vitamins, lots of water, emergen-c, ice packs, hot water bottle, tylenol, room humidifier, tea w/ lemon & honey, cough syrup for throat, afrin to clear up nose when it was stuffed closed (after the nosebleeds, afrin did not cause them) Nothing has helped him, he felt worse with each passing day. Tomorrow is day 4.

A few minutes after patient received dose this morning around 9:20am, he became pale, developed hot flashes, shaking, nausea, dizziness, and hands feeling numb/tingling. Provided the patient with a cold pack for the back of his neck and water to drink, and encouraged him to sit with his head lowered. The patient's father pointed out that he had not had anything to eat that morning, which could have contributed to his response. After a few minutes, most of the symptoms abated, and patient was feeling much better. His father left the store with him at that time. Called the father later that day, and he said patient was feeling better. Had taken nap and was only feeling a little tired. I explained possible side effects from vaccine and father thanked me for our time and concern.

Patient started to feel dizzy and lightheaded about 15 minutes post vaccine and became pale. Patient was sitting the entire time. Kept him seated, provided a cold cloth, grabbed some water if needed, and monitored the patient until he felt better.

epistaxis and decreased plt count of note, it was his second dose of Pfizer vaccine last Wed 4/14/21 with CBC done Friday 4/16 showing plts down to 53 from 87 when last checked in December and 101 in June of 2020. remainder of CBC WNL

Adverse Event Safety Officer reports guest who received Pfizer vaccine (Lot #EW0164) had a syncope episode within seconds of being vaccinated. Intervention\Treatment\Why it Happened Guest was assisted to the supine position and LE elevated. Aid (EMT?s) were called and responded and assessed for further interventions. (B\P: 110\49, P-84, SPO2 ? 98% r/a). Guest reported to EMT?s that he has a history of feeling faint with vaccinations. Outcomes Guest was assessed by EMT?s and no further interventions indicated and released to the Vaccination Post Op Area. Monitored for 30 minutes with partner and reported no further concerns or issues.

My son had the vaccine at 12pm, after the vaccine at 1pm I gave him Ibuprofen to avoid arm pain. At 2pm my son experienced a light nose bleed. At 8pm the same day my son experienced another nose bleed. After putting pressure on the nose the bleeding stopped. Today 4/20, at 11:18am he has not experienced another nose bleed. It should be noted that my son does NOT have regular nose bleeds. The last time he had one was 10 years ago.

Patient was sitting in observation for approximately 5 minutes , started feeling light headed and passed out. Patient was out for approximately 15 seconds before recovering. There were no seizure like symptoms or post-ictal state. Patient was helped onto a cot and a set of vitals was taken, BP 118/84, O2 98%, HR 84. Patient was advised to wait at least 15 more minutes and told not to leave until after the 15 minutes had passed and he was no longer having any symptoms. Patient was brought home by a family member.

Near syncope, weakness 30 min after vaccine admin. Patient was C&A, self ambulatory & in no signs of immediate distress, strong regular bi lateral radial pulses w/ warm dry skin & regular respirations with good rate depth quality. Vital signs were obtained w/ no remarkable findings patients condition improved while in EMS care & was then released to patients father whom assumed responsibility of patients father. Patient was instructed to stay hydrated & eat food & Both patient & patients father where instructed to seek medical attention if symptom's worsened or reoccurred.

within seconds of the vaccine he felt light headed and started gagging. he drank water, and had a chocolate brownie. Regained color within 15 minutes and felt much better. has history of lightheadedness with vaccine injections

Syncopal episode with loss of consciousness. Hypotensive (79/49). EMS called to evaluate. Pt refused transport. Sx resolved after 20 minutes.

pt fainted, lost LOC x 20 sec according to mom, upon arrival pt was awake, alert, clamy and pale, HR=85, laid pt in supine position, monitored HR x 15 mins, pt awake and alert, oriented, described a syncopal episode, stated he hadn't eaten yet today, engaged in conversation, then sat pt in sitting upright position x 15 mins, HR=85, gave pt juice = 50gms carb, pt continued stated he felt much better, still appeared pale, then 15 mins pt able to ambulate without dificulty, HR=85, mom refused to go to emergency room as counseled. mom states he has a history of syncopal episodes with blood draws, or getting shots.

Pt arrived to facility accompanied by his father to receive 1st dose of pfizer vaccine. Prior to receiving the vaccine pt denied any illness, allergies, or previous reactions to other vaccines. Pt appeared nervous. Received 1st dose on 4/23/2021 at 1000 in right deltoid. Pt and father then walked to front of the room to schedule appointment for 2nd dose of pfizer vaccine. While standing at the table making his appointment, pt experienced a vasovagal syncope episode where he fainted hitting his head on the ground. Pt regained conciousness about 10sec later. Pt then assisted to a chair. On assessment pt diaphoretic/pale, HR bradycardic 42, RR 14, O2 96%, POCT glucose 81, alert/oriented x3. Pt assissted to wheelchair, transported to ED accompanied by father and 2 MAs for further evaluation.

Patient was given his second dose of Pfizer 7 days too early, yesterday 4/22/21. Patient called PCP complaining of fever and increased heart rate today 4/22/21 and was seen by PCP at 1345. Patient woke up at 0400 this morning with symptoms stated. Patient was seen and evaluated by PCP, offered a COVID test to be sure- mother and patient declined test. We were instructed by Poison Control that patient is to make an appointment and receive another dose of Pfizer on date he was to originally receive the vaccine.

A few minutes after getting vaccine, while still sitting in chair, pt fainted. Never left chair. Came to quickly, and was helped to a cot. VS: P=76 BP 120/72 P. Ox=98% He was given a juice box, declined crackers. Was initially very pale, but pinked up nicely once he was prone. After 5-10 minutes, he sat up, with VS: P=80 BP 128/70 P. Ox=99% After 5 minutes, he stood up, felt fine. VS: P=80 BP=136/82 P. Ox=99%. Per mom and pt, this has happened with other vaccines in past, most recently earlier this year with a Men B vaccine. We advised giving next COVID vaccine (and others) while laying down. VAERS form completed. Pt left without further incident.

About 3 minutes after administration of vaccine reported ?seeing black? , loss of vision, began to perspire and looked pale. Lasted about 2 minutes.

3 min after receiving the vaccine pt verbalized feeling faint. Staff offered pt a cool pack for his neck. Patient accepted. Pt reported not having had breakfast and leaned back into the chair and became pale. PTA eyes were noted to be rolled into his head. Pts body became rigid. Staff assisted pt to the floor to a supine position. Staff obtained baseline vitals (127/75, HR 66) while simultaneously dialing EMS. Pt a color retuned within approx 2 min and pt was talkative. Dad reports pt with fear of needles with hex of syncope in past. Pt reported feeling fine upon EMS arrival. Pt declined EMS transport. Tolerated water and muffin without difficulty. Pt without injury. Self ambulated out of clinic after additional 15 min observation period.

Patient received vaccine and came and sat down next to his father in the waiting area. Approximately 5 minutes after sitting down he fainted and fell out of chair. His father guided his fall. It took 2-3 minutes for patient to gain conscientiousness. He was disoriented, pale, groggy. 911 was called and arrived approximately 20 minutes after event. After the paramedics examined patient, he regained his bearings and color. The family decided to go home at approximately 10am. I spoke with mother at 7pm tonight and patient has been fine all day.

Pt felt dizzy after receiving his vaccine. While walking towards the observation room accompanied by father and vaccinator nurse patient had a fainting episode. He was lowered to the ground by nurse/father and an assessment performed. VS within normal limits Fainting episode lasted a few seconds. Pt reported no medical conditions or hx of fainting . Pt also mentioned he hadn't eaten anything before receiving his vaccine. Vitals signs as follows: BP at 0830 110/55, HR 60, O2: 96%, at 0837: BP 107/58, HR 69, O2 97%. Pt observed for approximately 25 minutes and discharged home in stable condition accompanied by his father.

patient awoke at around 9 am with a severe bloody nose. he used several tissues and had to cup his hand to catch all the blood. described having swallowed alot of blood before he sat up.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Visual Changes/Disturbances-Severe, Additional Details: Patient received shot and vision went black after about 5 mins. Vision began to return blurry within 15 mins with paramedics.

Pt fainted after vaccine given . C/o of not eating prior to arrival. PT ambulate to stretcher w/o assistance. Water and crackers given. No c/o dizziness or S.O.B. Pt released at 8:18am.

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild, Additional Details: Family History: Both parents had sezuires after being immunized in the past and this was their son's first immunization. Otherwise, the patient was calm and healthy.

Patient fainted. Patient also stated that they have not eaten all day. BP was normal when it was checked after the event

Systemic: Fainting / Unresponsive-Mild, Additional Details: Pt fainted about 5 min after admin. Had pt on the floor about 1/2 hour. He responded in a few seconds, but on multiple blood pressure checks he bp was low. Gave crackers and water. Took pulse which was normal. Had pt sit for additional 15 minutes. Eventually he was ok to lewave but mom was monitoring bp. Called pt at end of day and he was fine. Said he had fainted before with blood drawn in past.

Patient had a vasovagal episode. He loss consciousness for a few seconds. He laid supine with feet elevated for 10 min, then his symptoms improved. Denies any SOB or rash. He stayed for 30 min post vaccine.

pt got lightheaded and passed out. pt informed us he had not eaten all day so we are not sure if the lightheadness is from that or the vaccine

After I administered the vaccine, patient said to his mother "that was it", he also told his friend on the mobile that he just got the injection, then he said "I feel dizzy", I said "are you serious?" He said "Yes" and he just went out of consciousness in his mother's arm. I shout "call 911" and held his head which tilt backwards with eyes rolling back. together with his mother we lowered him to the floor and I supported his head at all times; as he was flat on the floor, he raised his own head and regained consciousness. Both mother and I tried to talk to him and keep him awake when he closed his eyes, he was laying on the floor flat and talking until EMT arrived at 16:42. EMT pulled him off the floor and took him to the ambulance.

Patient became very nervous five minutes after having vaccination, fainted to the floor with body tremors, BP 81/38 P45, Resp. 18, EMT at side with nursing staff, was put on stretcher, and complained of dizziness, nausea and lightheadedness, Later BP 114/55, P67 Resp.17. Patient transferred to ER. Recovered, no medications administered.

Patient was seen in COVID vaccine clinic for first dose of Pfizer vaccine. Patient has a history of vasovagel episodes related to anxiety and past healthcare appointments. Per mother patient has "White Coat Syndrome", and has been 2 years since previous episode. Given history patient laid supine on examination table for vaccine. Immediately following vaccine patient complained of lightheadedness and lost consciousness for approx 30 seconds. Patient woke up to stimulation but continued to complain of "fuzziness". Initial vitals HR 45, BP 100/51, MAP 73, RR 14, and sats 99% with bounding pulses.

bp 128/76 pt w syncope 5 mins into monitoring. hit head on front left. monitored for s/sx of concussion. denies blurred vision head ache. monitored for 15mins post fall 09:07 am pt c/o blurring in right eye peripheral vision pt to check with pcp if symptoms continue or worsen.

pt. had a syncopal episode post receiving a partial vaccination, Pt. was helped to the floor by staff without injury and immediately recovered Pt. was able to stand and seat himself on the litter where he was then taken to Observation Pt. had no other symptoms or reactions and requested and was given a full vaccine in the opposite arm the left arm without incident Pt. was discharged after additional 15 minute observation

Patient had syncope (BP 100/59 -- > 97/63), flushing/sweating, dizziness, nausea. Stable -- released from vaccination site.

My 17 years old son got a first dose of COVID-19 Pfizer vaccine on 4/26/21 at 4:30 PM and next morning woke up with a bleeding from his nose. After applying pressure bleeding stopped.

Patient fainted 25 minutes after receiving the vaccine. He was seated at the time, and fell forward out of his chair. He hit his head on the hard floor. The medical staff on site treated him and called for EMS. He was taken by ambulance to the hospital because of a continued low blood pressure and to rule out any problems due to hitting his head.

Fainted immediately after administration. Came too shortly after by utilizing cold pack and drank cold water. Patient left feeling well after 30 minutes.

Patient received his 1st dose of the Pfizer COVID19 vaccine and within a few minutes reported feeling faint. Pt was diaphoretic and lost color is his face. Pt was moved to a cot to lay down and elevate his feet. BP: 89/45 repeat 76/50, repeat 100/71. HR 110, repeat 59. RR 16.O2sat unable to read properly, reading 60%-80%. EMS called immediately, pt was evaluated by EMS and began to feel better. Pt?s mother signed refusal for transport to the hospital. Pt?s mother was given ED precautions and advised to notify the pt?s pediatrician. Pt?s mother verbalized understanding and agreed to the POC.

Patient passed out and ended up falling off the chair hitting his forehead (left side)on the concrete flooring. Patient seemed to be doing okay after being observed by EMS for about 45 minutes. BP 110/74, denied dizziness or nausea but was complaining of headache. Patient's mother refused transport to ER.

Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient fainted after receiving his first dose of the shot. He was very pale and sweating but responsive to questions. Monitored his blood pressure and had him sit and drink water. After 15 minutes his color had returned, stopped sweating and was totally alert/oriented. Per patients mother he had just come from school and had not eaten much that day which she belived to be a contributing factor

vasovagal response: BP 70/40 with dizziness and diaphoresis. legs elevated, given PO fluids observed for 30 minutes

patient had vasovagal episode immediatly after receiving the vaccination, there was vomiting associated with the episode. Patient vitals remained stable, he was observed for 30 minutes, given juice, water and crackers and able to ambulate without difficulty. Vitals remained stable.

Systemic rash with hives and itching, chest pain and shortness of breath, neck and facial edema, edema to extremities, nausea and vomiting Benadryl 50mg PO every 4-6 hours for 4 days and then PRN for itching/rash. Medrol Dose pack as directed, Daily Pepcid PO, Zofran PO PRN

Patient was in his usual state of health. On Wed, 4/7/21, at 10:20am, he received the first dose of Pfizer COVID-19 vaccine. No immediate vaccine reactions. He went home, complained of pain at the vaccination site and took a nap because he stayed up late the night before. On Thursday morning, he woke up with chills and feeling like having a fever. He took Tylenol and then took a nap. On Thursday night, he began to have chest pain but he did not tell his parents. On Friday, he continued to have chest pain so he told his parents about it. His father told him that if chest pain got worse, they would go to an ER. On that night (Friday) at 1am, he told his parents that he was not feeling well, his chest pain had gotten worse and he wanted to be taken to an ER. He also had abdominal pain, dizziness, disorientation, and he vomited. He was taken to ER where he was found to have elevated troponin of 10. The ER recommended transferring for further work up and the father drove him to the hospital. At the hospital, he was found to have elevated troponins and NT-proBNP concerning for myocarditis of unclear etiology. He was monitored on telemetry and had no concerning ectopy. He had an echo on admission that demonstrated no structural abnormalities, trivial mitral valve regurge, and normal biventricular systolic function. EKG was unremarkable. Troponins were trended q6h and decreased from 32 -- > 23 -- > 17. NT-pro-BNP decreased from 439 to 322 at discharge.

Pt received his 1st dose of the Pfizer vaccine, immediately after he began to feel faint. Pt reported losing his hearing . Appeared diaphoretic and pale. Ambulance on site. Pt was laid down on a cot. BP: 110/60, HR 60 O2Sat 99%. Mom reports this happens to the pt every time he has a vaccine or blood work. Mom was given the information for the high risk vaccination clinic, she will contact them to schedule the pt's second dose in the hospital setting. Pt felt better, signed a refusal with Ambulance and went home.

PT 7 MINS POST VACCINE BECAME DIAPHORETIC, A/Ox0, UNRESPONSIVE TO VERBAL STIMULI, EPISODE OF SYNCOPE LASTING LESS THAN 1 MINUTE. PT LAID ON FLOOR AND STERNAL RUB PERFORMED. PT RESPONSIVE TO PAINFUL STIMULI. V/S W/IN NORMAL LIMITS WITH SPO2 PRESENTING AT 93% BUT RESOLVED ONCE PT BECAME A/Ox3. PT GIVEN WATER TO SIP ON AND DISCHARGED IN NAD.

Patient given first dose of COVID vaccine today. After being vaccinated patient walked over where his brother was sitting. Soon after siting he felt weak and fell to the floor, patient appeared to be shaking for 2 seconds, generalized, witnesses unsure if he hit his head. No eye rolling, no foaming of the mouth, no incontinence noted. Patient was monitored and assisted off the floor to a wheelchair. While being assessed at a nearby cot, while siting, the patient's eyes rolled back, upper limb shaking for 2 seconds. Patient does not remember either episode. Vitals: 120/70, HR 88, RR14, Oxygen 100%, Glucose 113, exam: patient alert and oriented x3, PERRLA, heart RRR, normal S1 and S2, no murmur, lungs cleared. Due to second episode occuring, 911 was called. Mother was on site and full report given to her. Patient was getting up and heart rated noted to drop to 56, he felt dizzy at this point and sat down, then laid down. The patient was evaluated by EMT and was taken to hospital for further evaluation.

Spontaneous nose bleed approximately 24 hours after the injection. Lasted for approximately 30 mins and resolved with pressure. Other expected side effects he has are fatigue, muscle cramps, body aches, headache.

Systemic: Dizziness / Lightheadness-Mild, Additional Details: Patient stated vaccines always give them vasovagal response. Patient had vaccine. Felt dizzy and had vasovagal ususal response. Had patient immediately lie down. Blood pressure was 141 76 with pulse 56. Symptoms resolved and patient was fine after 30 minute rest time.

pt received injecton and immediately he advised it was alot more pain the the last one. Said he felt alittle dizzy but said he felt he could make it to chair. On the way to chair walking with RN on one side and father on other side pt had a sycopal episodes. legs gave way. EOA was a few feet away and assited pt to cot. directly upon being laid on cot pt was A&Ox3, V/S B/P 90/60, pulse 78, 02 sat 98%. at that time stated he remember getting dizzy following the painful injection. Father, mother and sister all have this same reaction when receiving injections. Pt observed for 30 min no problems noted. denies any problems. Pt sat on end of cot. Denied any dizziness. stood up no problems V/S retaken 90/70, pulse 84, O2 sat 98%, Instructed mother good idea to take to primary MD for check up. Pt stable released home.

The 17 year-old patient fainted and lost the consciousness for approximately 3 minutes, 10 minutes after he received his first Pfizer vaccine. He was laid down on the ground, was given water and started to gain his consciousness slowly. He was palpitated, sweating, dehydrated, dizzy and nauseous. Blood pressure was checked 126/78, glucose 118. The reaction could be related to his diet as he has been fasting. He got better gradually when the medical team came. He was advise to keep hydrated and to eat. Patient was taken to the hospital for further check-up

Petechial rash noted to dorsal aspect of b/l feet, not including legs/calves or soles of feet. nontender, nonswollen

Patient with initial low grade fever which resolved but then developed 3 days after shot developed acute myopericarditis with elevated troponins requiring intensive care unit and therapy.

Vasovagal event with hypotension and dizziness after vaccine (patient stated did not eat that morning)

Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed/Sweating-Mild, Systemic: Weakness-Mild, Additional Details: FOLLOWED UP WITH PATIENT AT 6:30P ON 05/02/2021. DAD SAID PATIENT IS DOING OK NOW. HE EATS AND TALK NORMALLY.

Two days after inoculation I developed a dry cough. Two days later the cough went away, at the end when it left (four days after my first shot of the Pfizer biotech vaccine) every time I sneeze there is either snot and blood or just blood. And it has not stopped two weeks later. And I wouldn't say I'm experiencing Brain fog however I do feel a bit slow in my mind not lethargic in my physical body.

17-year-old male who presents with 8 days of headache. He received his first dose of the Pfizer vaccine on 4/21. He felt like he had the flu after getting the vaccine and developed right-sided neck pain and a temperature to 100. The patient did endorse being elbowed in the neck playing basketball during this time as well, as he played in a basketball tournament in right after this. He got his Covid vaccine in his right deltoid. He saw his pediatrician on 4/26 and a CT scan of his neck with IV contrast was done and this showed significant diffuse right-sided deep spatial neck edema and right-sided adenopathy. The pediatrician discussed the findings with ENT who recommended augmentin and a medrol dosepak. The patient developed a headache several days after this and went to urgent care for evaluation. There was concern that the augmentin and steroids had caused the headache, so the steroids were stopped and he was switched to keflex on 4/30. He was given phenergan and toradol at Urgent Care and discharged home. His mom notes that several days ago he had fevers of 101-104. He has not had a fever for several days now. His headache continued and he felt unwell at basketball practice so he returned to urgent care on 5/4. A CT scan of his head was done which showed right sigmoid and transverse sinus thrombosis as well as thrombophlebitis of the right IJ. He was sent to ED for further management at that time. In the ED, the patient was hemodynamically stable and well-appearing. The CTs were overread by our radiologists here. The patient had some labs done at the outside urgent care but PT/PTT/INR and a CRP were drawn here, which were unremarkable. A Covid PCR is negative. Neurosurgery, neurology, and hematology were consulted. Neurology recommended heparin and a hypercoagulable workup and hematology agreed with this plan. The patient was admitted to the ICU for neuro checks and monitoring during initiation of heparin.

Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypotension-Medium, Systemic: Weakness-Medium

The day following the vaccine c/o tactile fever, headache, stomach ache and fatigue (on 5/2). On 5/4 developed chest pain and shortness or breath. Reported to the ER with concerning EKG and troponin levels and therefore transferred where he has been admitted for myocarditis.

During his 15 minute observation period after receiving his second shot, patient felt ill and started turning pale. Pharmacy staff came to his side and gave him wet, cold compresses and water. He was feeling dizzy and clamy but never lost consciousness. The pharmacist could see that the patient was wearing a CGM. The patient was able to see his blood glucose levels on his receiver and they were high. We were able to rule out hypoglycemia. The patient threw up three times in the waste basket. After about 20-30 minutes he started feeling better.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadedness-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Hyperventilation-Mild.

5 minutes following the vaccination, patient's BLE and BUE went into abnormal extension immediately followed by facial tics and shaking of the BUE. Pt was pale, diaphoretic, and verbalized " I am OK" three times in a row without being asked. Pt stated he was unaware of what had just happened then verbalized feelings of nausea. Airway, Breathing, Circulation intact. Pt was placed on gurney, side rails up x2, and transported to ED.

8:30pm: pale, fever Overnight: chills, fever, difficulty sleeping 7:30am: headache, sore arm, stomach ache

15:30 Client got Pfizer #2 1535 Client had full lost of consciousness ( Syncope) in route to Observation due Vasovagal Client observed by Safety Officers and symptoms resolved Client able to leave with mom

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadedness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Medium, Systemic: Visual Changes/Disturbances-Medium.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Seizure-Severe, Systemic: Vomiting-Medium, Additional Details: Patient began to seize/faint in chair within 5 minutes post-vaccination. Paramedics were called as I stabilized patient on floor. Consciousness regained within 60 seconds, patient confused/unaware of what had occured. Patient flush, lightheaded, vomiting. Paramedics arrived and confirmed patient was stable and safe to leave scene without further intervention.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Medium, Systemic: Visual Changes/Disturbances-Medium

Patient describes his experience as a "loss of vision" shortly followed by "blanking out" and dropping his phone. Patients in the observation area noticed him fainting and called pharmacy staff over to the location. Patient experienced no issues breathing nor experienced any swelling. Patient describes quickly feeling better, though pulse showed 60 BPM once EMS arrived.

Dizziness, pallor, hungry-small breakfast. Stable and released with mother after significant improvement.

Shortly after receiving his first COVID shot, he became faint. Nurse alerted by another parent who had accompanied her son that the patient was dropping his cookie. 0935, as nurse came up behind patient, accompanied by principal, patient slumped to the left and was holding him in place to prevent him from falling to the floor. Color was pale and dusky as moved hair out of his face. Stimulated patient and assisted to cot to get blood flow to brain. BP 120/84, pulse 52 and 97% pulse ox reading. At 9:43: sitting up in chair and drinking water, 99% pulse oximeter and pulse 61. Patient recovered after 30 minutes and went back to class. Principal notified his mother and wanted him to return to class.

Patient experiences syncopal episode within 10 minutes of dose. He was discharged after 30 minutes of steady recovery and was released after having returned to his baseline.

Fainting twice the next morning; Tachycardia (up to 145 bpm); somewhat disoriented for about 24 hours; Chills and fever starting that evening; Chills and fever starting that evening; Very lightheaded; This is a spontaneous report from a contactable consumer (patient). A 17-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration, administered in right arm on 22Apr2021 15:00 (Batch/Lot number was not reported) at the age of 17 years old, as single dose for COVID-19 immunisation. The patient's medical history was not reported. Concomitant medications included colecalciferol, fish oil (VITAMIN D WITH OMEGA 3); saccharomyces boulardii (FLORASTOR); and multivitamins; all taken for an unspecified indication, start and stop date were not reported. Historical vaccination included bnt162b2 on 01Apr2021 (product=COVID 19, brand=Pfizer, Lot number=ER8737, Administration time=03:00 PM, Vaccine location=Right arm, Dose number=1, age at vaccination=17 years) for COVID-19 immunization. On 22Apr2021 20:00, the patient experienced fainting twice the next morning, tachycardia (up to 145 bpm), somewhat disoriented for about 24 hours, chills and fever starting that evening, and very lightheaded. No treatment was given for the events. The patient was recovering from the events. The patient was not diagnosed with COVID prior to vaccination and has not been tested for COVID since the vaccination. Information on the lot/batch number has been requested.

Site: Pain at Injection Site-Mild, Additional Details: Patient was waiting after the his first covid shot and he was talking with his parents, they had a conversation for 5 minutes and then the patient fainted, fell down, had seizure for few seconds and then woke up in few seconds. Patient was sweating, feeling hot. He was breathing normal. Face was red. .911 was called. Patient had no issues with needles. HR was 104. Patient felt better after 10-15 mins and left with his parents. No hospitalization needed.

Approximately 10 minutes after vaccination, patient began jerking and passed out. Patient was placed on the floor and vitals were taken which were normal. After approximately 10 minutes, patient was brought to sitting position and after a few minutes began jerking movements and felt faint. After approximately 10 minutes, patient was walked to a chair but after a few minutes he again began jerking and felt faint. Patient was returned to the floor. Parents refused transport to the hospital. Father helped patient to the car and he was placed in the back seat lying down. Father stated he may take him to the ER if he seems like he needs it.

Pt received vaccine to R arm and within 3mins collapsed and hit back of hit head. Pt had seizure like activity for 1-2mins. Afterwards, pt was weak and confused. Pt taken to ER where he was given IVF and medication for nausea. Pt had neg head CT and CXR. Pt was discharged about 4hours later.

Patient came for second dose Pfizer COVID vaccine at location. He got his vaccine at 315pm. Immediately following the immunization he had a vaso-vagal reaction. He became light-headed, diaphoretic and pale. Dr. examined him and he was walked to a litter to lay down. He was given an ice pack and water. His legs were lifted. He felt better after laying down. He left for home at 235pm after the symptoms resolved.

patient was found to have fainted in the waiting area. Reports hitting his head, but was conscious by the time we examined him. A+Ox3, vision intact, speaking normally, complaining of slight pain where he hit his head

Headaches, body aches, shortness of breath, difficulty breathing, chest tightness since Apr 26th (2 weeks and continuing). ER visits on May 4, 2021 and May 10, 2021.

Patient developed chest pain with onset 05/08/21, 3 days after receiving his second Pfizer COVID-19 vaccination (Lot EW0167) on 05/06/21; he had previously received his first Pfizer COVID-19 vaccination (Lot EW0170) on 04/15/21. Pain continued until presentation at Hospital on 05/11/21, where testing indicated possible myocarditis (see below). Symptom resolved under observation without specific treatment.

On April 22, 2021, Pt had flu like symptoms. On April 23, 2021 I received a text at work that pt was having chest pains. I called his pediatrician. We were thinking pt was still having flu like symptoms. On Saturday, April 24, 2021, pt was still complaining about chest pains. He was tired and not acting normal. We took his blood pressure twice and his heart rate was 105 bpm.. Can not exactly remember blood pressure (seemed very off). Took pt to the hospital where they measured his heart rate at 107 bpm.

Pfizer vaccination administered into left deltoid at 0849. Reporter, RN arrived to patient at 0855 after being notified patient had fallen off his chair. Patient found to be laying facedown and unconscious near the chair he was sitting in. No initial response by patient to verbal and physical cues. Patient was pale in color and diaphoretic. Patient was placed into right side laying position. After about a minute of being in side laying position and continued verbal/physical cueing, patient awakened. Assisted patient to supine position, cool packs placed to armpit area, Excess sweat on face wiped. Two small abrasions noted to left side of face; nose and near top of mouth. Upper and lower extremities also had small abrasions. Patient reported he started to feel dizzy and tired shortly after receiving the Pfizer vaccination. Patient does not recall falling. Mother confirmed patient had eaten breakfast, no history of low blood glucose levels. Denied experiencing shortness of breath prior to fall and while nursing staff was present, No neurological deficits noted during assessment. No rash noted. Patient continued to be diaphoretic. Reported stomach was upset. Vitals taken at 0902; blood pressure 116/74, pulse 74, respirations 18, oxygen saturation 98% on room air. Permission by parent given to treat patient with epinephrine. Patient received 0.5 mg of epinephrine at 0900 and again at 0905. EMS arrived at 0912. Patient more alert at this time and diaphoresis subsided at this point. After EMS obtained further information, patient was assisted into a sitting position on the floor. Patient complained of stomach upset again and vomited two times. Ambulance arrived at 0935 and patient placed onto gurney. Ambulance departed at 0935 to transfer patient to Medical Center for further observation.

presented to ER for chest pain on 5/11 and 5/12, diagnosed with myopericarditis with elevated troponin level, abnormal ECG; hospitalized and treated with anti-inflammatory (Ibuprofen)

Diagnosed with myocarditis on day of admission, found to have elevated troponin levels, currently hospitalized for observation and potential supportive care, however patient with no cardiac compromise and stable. Patient with chest pain that has resolved.

Patient reported feeling nauseous nearly immediately after vaccination and retreated to the store bathroom. Upon arrival, I found him profusely diaphoretic and very pale. He reported some difficulty breathing and was wheezing when speaking. He did vomit briefly. An epinephrine 0.3 mg auto injector was administered to his right thigh pending the arrival of emergency services.

Patient begin to faint, never loss consciousness, was little out of it. There started to droll however was able to communicate with other.

Myocarditis. Patient initially presented with chest pain 12 hours after vaccination. No other risk factors. Patient required to be in Pediatric ICU for treatment and cardiac monitoring.

Patient was recently admitted to the hospital with heart failure due to rejection. The medication that has been administer to him has caused too many side effects and negative reactions. I was told to report it.

HI, couple days after my son (17 years old) got the 2nd shot he was heaving a pressure in his chest and left arm so we rushed him to the hospital. When we got to the hospital with his level of 26 (normal 1) and blood test show also lever inflammation they hospitalized him right away. He was there 3 days and just got released. now he need to be under care with medication and visit to a heart cardiology doctor every few days for tests. he cannot do any activity (per to the doctor including computer games that can raise his heart rate)

17yo otherwise healthy male presents to clinic for worsening cough, runny nose congestion, and sweats starting 4 days ago. He received the COVID vaccine 5 days ago in the afternoon and initially had what he expected to be normal side effects from the vaccine that evening. Symptoms included body aches, runny nose and general malaise. However, over the last few days he has felt worse and developed more congestion, cough, and sweating. He did improve a little bit 2 days ago but then started to feel worse yesterday and had a worsening cough that is resulting in some chest tightness. Cough is productive sounding. Mom describes it as barking. No appreciable wheezing but he sounds hoarse. He has some SOB after coughing repeatedly. He states it simply feels like it is hard to breathe for 10-20minutes after a coughing attack but then it resolves. He developed sweating yesterday as well. He states he will just start sweating for no reason. No measured fever. No chills. Today he has dried skin and cracked lips from blowing/wiping his nose all the time. No fevers. No vomiting. No diarrhea. No numbness/tingling. No redness/swelling at injection site. No rashes. No HA. EXPOSURE: No one at home is sick, No known exposures prior to vaccine CHRONIC: None, no hx of asthma or allergies, hx of eczema. PCP: None UTD on imms. Vitals: Wt 163.4, HR 60, RR 18, Temp 97.8, O2 sat % 98 Past Results: Examination: GENERAL APPEARANCE: alert, no acute distress, non-toxic, mildly diaphoretic, talking and cooperating throughout exam, sitting comfortably on exam bed, able to talk in complete sentences. HEAD: no visible lesions or abnormalities. EYES: no eye, eyelid, or orbital abnormalities identified. EARS: BILATERAL TMs pearly gray without erythema, effusion, or purulence; EAC with normal amount of cerumen bilaterally, no mastoid erythema or tenderness. NOSE: patent nares, congested, clear rhinorrhea. MOUTH/THROAT: moist mucous membranes, uvula midline, mild pharyngeal erythema without tonsillar exudate, no soft palate lesions, no trismus, no soft palate swelling or erythema, no difficulty swallowing or drooling. NECK: supple, non-tender, FROM. CHEST: normal shape, good expansion, no visible lesions/abnormalities, no tenderness, no retractions, no grunting, no stridor. HEART: no murmur, RRR. LUNGS: clear to auscultation, prior to administration of inhaler, diffuse wheezing and rhonchi throughout, post inhaler, improved air movement with focal rales in RIGHT poseterior middle lung field around T5. ABDOMEN: soft, no tenderness, no masses palpated, normoactive bowel sounds, non-distended. NEURO: alert, non-focal exam. SKIN: warm, dry without rash, petechiae, or purpura. Pneumonia of right middle lobe due to infectious organism Start Albuterol (Eqv-Proventil HFA) aerosol, 90 mcg/inh, 2 puff(s), inhaled, every 6 hours, 30 day(s), 1 Start amoxicillin tablet, 500 mg, 2 tab(s), orally, 3 times a day, 10 day(s), 60 Imaging:XR CHEST 2 VIEWS PA AND LAT Notes: History and exam are consistent with Community Acquired Pneumonia. CXR final read indicates RIGHT middle lobe bronchopneumonia. Suspect that pneumonia is unrelated to COVID vaccine. Pneumonia is an inflammation of the lungs caused by infection. Antibiotics are used to treat bacterial pneumonia. Other medications may help improve breathing and relieve symptoms in bacterial and viral pneumonia. Start and complete entire course of antibiotics. Increase fluids and restas much as possible. Patient informed to return if not improved or go to ER if worsening sympmtoms, SOB, or increased chest pain. Should be rechecked in 2-3 days by PCP. Discussed side effects and risks of medications with the patient. Patient expressed understanding and a willingness to participate in the plan. Patient left the UC in a stable condition with all questions answered at this time. Cough Imaging:XR CHEST 2 VIEWS PA AND LAT Notes: Discussed cough in clinic. Will plan to treat with albuterol PRN cough/wheezing every 4-6hrs and Stiolto Respimat 2 inhalations QD after discussion with Dr. First dose of Stiolto given in clinic with improvement in symptoms and improved aeration. Focal findings now appreciable. Discussed close follow-up and when to return to clinic. Will report symptoms to VAERS. All questions and concerns answered and addressed.

Seizure; Felt dizzy; Eye sight was blurry; Shake and jerk; Shake and jerk; Skin turned pale; Heart rate was high; Nauseous; This is a spontaneous report from a contactable consumer. A 17-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in left arm on 28Apr2021 16:00 as unknown, single for covid-19 immunisation. The patient medical history was not reported. Concomitant medications included fish oil; magnesium [magnesium citrate]; vitamin d [vitamin d nos]; probiotic [bifidobacterium lactis]; vitamin b complex (VITAMIN B). The consumer stated, approximately 20 minutes after receiving the vaccine (28Apr2021 16:15) the patient felt dizzy, eyesight was blurry, and he began to shake and jerk. It resembled a seizure. His skin turned pale, heart rate was high, and he felt nauseous. It took him approximately 5-10 minutes to feel "normal" again. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The adverse event result in emergency room/department or urgent care. There is no treatment for AE. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was resolving. Information about Batch/Lot no. has been requested.

Patient given vaccine, within 30 seconds became sweaty, shaky, pale, dizzy, complaining was dizzy and nauseous, had shallow breathing. EpiPen was administered within 2 minutes and 911 was called. Paramedics arrived, patient's BS and BP was good. Had nothing to eat or drink prior to the shot. Was deemed okay but taken to Salem Hospital anyways. Had no car but patient was taken with paramedics to hospital.

Patient fainted after leaving vaccination administration room and passed out on the floor. Patient was conscious and 911 was called and arrived. Patient did not leave in ambulance and was doing fine.

Patient was the 4th person to receive today?s vaccine of Pfizer. This was his second dose. He did fine the first dose. Patient sat down in the chair and rolled sleeve up. Chose L deltoid for injection site. He was talking with a friend and writer gave injection. Placed band aid. Patient was quiet and looked like he was going to get up but fell forward out of the chair. He hit his L forehead on side of wall. Writer caught patient and sat him up on the ground. Eye?s were dilated, he was diaphoretic, zoned out and not responding initially to voice, but eyes were open. Eventually got patient up to a wheelchair and taken to office area to lay down and monitor. Father was notified and sat with us after he arrived at the school. Patient drank 1 full 120cc orange juice and approximately 6oz of water. Throughout monitoring patient gradually felt better. Pupils corrected to normal, wasn?t diaphoretic anymore, and vitals improved. He stated this has happened before with lab draws and shots, but not this severe. Writer and colleagues informed him to notify people that are going to give him shots or lab draws about his history. Also informed him to notify his teachers if he feels anything out the ordinary for the rest of the day. Make sure he hydrates. Patient then sat up and walked in the room. He stated he felt fine like before getting the shot. Patient left stable and under his own power.

Intense headaches the day after taking the shot, back pain from the waist up. 2 days later I woke up with chest pain and the lingering headache, my chest feels heavy and maybe shortness of breath. I did a bunch of research however I did not find anything about chest pain related to the second dose of Pfizer. I am not sure if it is some type of tissue or muscle pain or something more serious. When I massage my chest it does not ache like the muscle pain from my shoulder so id assume it has to do with maybe my lungs or heart.

came to see me 3 days after his first Pfizer Covid vaccine and had been having a subjective fever, bad headache and stomach ache since the day the vaccine was administered. He incidentally had some weight loss noted at the visit over the previous 6 months for which I did some lab work. The lab work was normal except for his platelet count which was 111,000. A repeat platelet count done a week later was normal at 273,000. Because of the transient decrease in platelet count and the 3 days of bad headache after the vaccine, I decided to hold off on getting a second Covid vaccine. Additionally and possibly of no significance, his mother apparently had a history of ITP during her childhood.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Weakness-Medium, Additional Details: patient felt dizzy and lightheaded and fainted off the chair. never lost consciousness. recovered after staying in laying down position with knees bent, then had a bottle of water and another drink. walked out after 40 minutes with mom

After 1st shot; Patient developed multiple blood clots (lungs and legs) about 10-11 days afterwards. All tests for cause of clots were inconclusive. Patient received his second dose and with in 48 hours was hospitalized for appendicitis. If it was a reaction after just one shot, I would normally think it was a coincidence. With him have severe reactions after both shots, it seems very suspicious!

Systemic: Fainting / Unresponsive-Mild, Additional Details: patient had second vaccine in series and fainted. fell face forward from chair and hit cheek and left eyebrow area. patient was laid down and told to put feet on chair. blood pressure and heart rate were lower than noraml. patient was monitored for blood pressure and heart rate until vitals normalized. patient and careprovider declined emergency services offered.

Patient presented 4 days after the start of symptoms, which started 14 days after the second dose of the vaccine. Patient presented with fevers with a Tmax of 102, chills, conjunctivitis, stocking glove rash to the hands and feet and to the extensor surfaces of the extremities, and a geographic tongue.

17-year old M with history of recurrent ear infections requiring PE tube placement who was in his usual state of health until 5/5 when he noticed a new itchy hive-like rash. He was short of breath 5/6, and developed fevers that night along with vomiting. He was seen 5/6 with negative COVID19 PCR and documented fever to 104. Fevers continued, and he was admitted the evening of 5/10 with concern for myocarditis. See below for hospital course. Additional information for Item 18: ...Screening labs were notable for mild lymphopenia, hyperbilirubinemia, hepatitis, and elevated inflammatory markers. Given prior COVID infection, rash, and systemic inflammation, additional studies including troponin, D-dimer, BNP, and EKG were obtained. EKG was reassuringly normal, however the D-dimer (2.48), troponin (1.27), and BNP (469) were elevated. Other work-up included chest x-ray which was unremarkable, and right upper quadrant ultrasound with incidental cavernous hemangioma of the liver. He was started on milrinone (5/11-5/12) after initial TTE was concerning for severely diminished LV function. Follow-up TTE 12 hours later was normal (on milrinone), and remained so after milrinone was discontinued 5/12. Follow-up TTE after discontinuation remained normal. Cardiac MRI was completed 5/14, although read remains pending. He received IVIG on 5/11, and was started on methylpred 50 mg IV BID, Anakinra 100 mg SQ BID 5/14, and transitioned to prednisone 30 mg PO BID with clinical improvement, down-trending troponin and systemic inflammatory labs. Subsequent CBCs have been notable for rising leukocytosis (5/16 WBC 56.3) and thrombocytosis (5/16 plts 690) and 4+ spherocytes (with no known personal or prior history of spherocytosis). He will likely be discharged 5/17. Infectious evaluation was unrevealing including cultures and viral studies. COVID spike and nucleocapsid antibodies were sent, but remain pending. Pt. initial COVID-19 infection was diagnosed October 2020, with positive saliva PCR testing. He was symptomatic for 3-5 days. He received his second dose of the Pfizer COVID19 vaccine 4/27 in his left arm; denies any significant reactions (arm swelling, injection site redness, lymphadenopathy, myalgias, fatigue, or fever). He has had passing contact with school classmates who have recently been diagnosed with COVID19.

PATIENT FAINTED FEW MINUTES AFTER RECEIVING THE VACCINE. HE LOOKED LIKE HE WAS HAVING A SEIZURE. IT LASTER FOR A BOUT 15-17 IN MY ESTIMATE. HE WAS ALERT AFTER AND ANSWERING QUESTIONS ABOUT HIS NAME, DOB AND WHERE HE WAS. TOOK HIS BLOOD PRESSURE TWICE-5 MIN APART AND IT WAS LOW. 113/58 AND THEN 102/50 TO MY RECOLLECTION. PARAMEDICS WERE CALLED IMMEDIETLY AND PATIENT HAD HIGHER BLOOD PRESSURE WHEN THEY WALKED IN. IT WAS "NORMAL". PATIENT TOLD US HE HAS A HISTORY OF VASOVAGAL SYNCOPE AND HE FAINTED BEFORE WHEN HIS BLOOD WAS DRAWN. HE SAID THAT IT SEEMED LIKE A SEIZURE BEFORE BUT CHECKED WITH NEUROLOGIST AND WAS NEVER DIAGNOSED WITH EPILIPSY. PT LEFT IN A STABLE CONDITION

Pfizer-BioNTech COVID-19 Vaccine EUA ; On 5/11/21, Patient experienced tingling in left arm minutes after the vaccine was injected (4:07pm). Patient became nauseous. While in the vehicle to go home, patient's breathing quickened. After this, patient's vision became blurry and he was unable to see. Patient also experienced hearing loss with ringing in ears. The father of the patient pulled the car over in case medical attention was needed. Patient eventually passed out for about 30 seconds (about 4:22). Patient recovered, but complained about fogginess (thinking was unclear and unfocused). The next day, on 5/12/21, the patient experienced chills and nausea without a fever. Currently, the patient is doing fine with no further symptoms.

17 y.o. male with non contributory PMHx presents with chest pain. Patient began not feeling well on Monday May 3rd with muscle aches, sore throat, dry cough, and headache. Received COVID vaccine on Apr 30. He woke up Friday May 7 he developed a fever to 102F. Went to urgent care yesterday was diagnosed with strep based on suspicion (negative rapid, culture pending) and started on amoxicillin. Rapid covid was negative at that time as well. Now presents for chest pain. He has woken up that last two mornings with chest pain (worse when laying flat), pain is substernal, sharp/throbbing, radiates to the left arm. Belching a lot. Palpitations and one episode of emesis prior to arrival. Suspected symptoms were from gas so took charcoal tablets prior to arrival without relief of symptoms. Has been taking ibuprofen for discomfort (400 mg every 4-6 hours for > 7 days). No shortness of breath. No abdominal pain. No diarrhea. No hematuria or dysuria. No family history of sudden cardiac death or significant for CAD. No known tick bite. Of note, received Pfizer dose 2 3d prior to symptoms starting. Presented to ED earlier tonight where exam was notable for: Low-grade temp, mildly hypertensive with otherwise stable vitals, appears uncomfortable, belching, neck is supple without meningismus, bilateral tonsils 1+ with exudate, oropharynx is erythematous, uvula midline, no trismus, no swelling, lungs clear, regular rhythm mild bradycardia, no murmurs rubs or gallops, abdomen is soft and nondistended with mild tenderness in epigastrium and right upper quadrant they did ECG, bedside Echo, Strep PCR, zofran, maalox, pepcid, IVF, tylenol, and labs which were notable for elevated troponin -> 13.58 d/w YSC Ped ED and tx Assessment: Patient is a 17 y.o. male previously healthy who presents with 1 week of malaise, and 3 days of intermittent substernal chest pain (now resolved), found to have elevated troponin and ST segment elevations in I and lateral leads c/f myopericarditis. Etiology is unclear at this time, likely viral vs post-vaccine. Exam notable for exudative pharyngitis, however Strep and CMV neg. EBV serology with positive EBNA only. Labs otherwise notable for elevated CRP 180, ESR 38, some transaminitis, ferritin/D-dimer wnl. COVID RNA neg, spike Ab positive c/w recent COVID vaccination. Normal function on ECHO. CRP continues to downtrend. Troponin has started downtrending again and pt remains asymptomatic. Plan Plan: #Myopericarditis - Repeat echo today - q8 troponin, AM CBC, CRP, ferritin - Motrin 400mg prn - steroid taper per Rheumatology recs 30mg PO BID for 7 days 30mg PO qday for 7 days 15mg PO qday for 7 days 7.5mg PO qday for 7 days 2.5mg PO qday for 7 days Off - f/u ID and rheum labs - continuous telemetry: patient at high risk of arrhythmia #FEN/GI - Regular diet - strict I/O - Pepcid 20mg BID #dispo - steroid taper sent for delivery to bedside - upon d/c start ASA - f/u cardiology - If echo today reassuring and troponin continuing to downtrend will plan for discharge this afternoon

PT FINISHED WITH OBSERVATION, WALKING AROUND, STATED NOT FEELING WELL AND FELL TO THE FLOOR, CODE CALLED, PT LOOKED PALE, VSS, PROVIDED WATER AND SNACK, SX IMPROVED, NO TRANSPORTATION

Pt received 1st dose of Pfizer vaccine. Per safety officer to this writer: Pt sitting in post observation and c/o chest tightness without difficulty breathing. Pt denies other symptoms. HR and oxygen sat WNL. Pt states symptoms resolved on own after 10 min. Pt instructed to seek medical care if symptom persist. Pt exited facility in company of Pt.

Patient is a 17 yo male with no hx asthma who presented to medical center ED as transfer from facility with pleuritic chest pain and fever x1 day. Recent history of second covid vaccine on Friday (5/14). Patient reported associated fatigue, headache and muscle aches late Friday into Saturday (5/15). Sunday patient reported a fever (101 F) and chest pain with deep inspiration. No associated SOB, increased work of breathing or abdominal pain. Was seen initially at urgent care and then referred to facility for "an abnormal EKG." Pertinent findings at facility: troponin 0.31, EKG wnl, rapid covid negative, ESR 9, CK 134, D-dimer <150, WBC 12.4 w/ left shift. Transferred to medical center for further workup. While in medical center ED, troponin 1.59. EKG rSR' leads V1-V3 w/o ST segment elevation. MISC tier 1 studies drawn. Cardiology consulted - admit for observation, myocarditis infectious workup, echocardiogram and During his time in the ED, patient continued to have pain with deep inspiration as well as when he had to yawn. He other wise felt fine. Vital signs normal throughout out time in ED. His troponin continued to rise, with max of 14, so decision was made to start IVIG and steroids. His troponin fell over the next day. He remained stable from a clinical standpoint, and symptoms had resolved by the morning of 5/18. At time of filing, patient is still hospitalized at medical center, with further labs and imaging pending.

Presented on 5/15 with chest pain and diffuse ST segment elevation consistent with perimyocarditis. He received his second COVID vaccine (5/11) 4 days ago- reports 3 days ago feeling sinus inflammation, throat felt swollen, and laid in bed all day, 2 days ago- he reports just having sinus inflammation sensation, 5/10- he reports feeling like every muscle including his neck hurt. No headache, vision changes, weakness, tingling. No cardiac history, leg swelling, rash, rhinorrhea, or recent illness.

Symptoms began around 10 hrs after administration of shot, first a racing heartbeat for a few moments followed by an intense ringing in the ears and legs felt wobbly, quickly progressed to chills feverish for 9 hours. Headache then began for several hours. Tylenol administered by parent/guardian. General malaise and bed rest followed by congestion. Malaise and some nasal congestion lasted for additional 24 hrs. Thirst treated with electrolyte based-drink and water.

17 y.o. male who presents with chest pain, elevated troponins and diffuse ST elevations concerning for pericarditis vs myocarditis admitted for cardiac monitoring and evaluation. Pt states he has had 1 day of sudden onset L shoulder pain and chest pain. Endorses dyspnea due to pain with deep breaths, denies tachypnea, nausea/vomiting, diaphoresis. Endorses mild chills and aches after COVID vaccine 3 days prior to onset of symptoms, denies any fever, URI symptoms, diarrhea, rash, known COVID contacts. Pain continued to worsen and spread across his chest, causing presentation to ED this afternoon. No history of PE, DVT, long travel, recent surgery, malignancy, alcohol or cocaine use. Significant cardiac history in family: dad with CAD w/LAD blockage, both parents with hypertension. At ED, labs notable for elevated troponin 0.456, repeat 0.67 and diffuse ST elevations on EKG concerning for pericarditis. COVID neg, CXR unremarkable, blood cx drawn, no abx started. Patient was given toradol for pain with minimal improvement. Peds cardiology was consulted and patient was transferred to different ED for further care. At different ED, repeat EKG showed similar diffuse ST elevations in I, II, aVL. Repeat troponins uptrending (4.91), proBNP 562, ESR 43, CRP 18. Mildly tachycardic but otherwise hemodynamically stable. Given tylenol for pain. Cardiology recommended admission for trending troponins, echo and cardiac monitoring. CV: Troponins were trended every 12 hours with a max of 4.91. His last troponin checked on the morning of discharge was 0.41. He had an echo that showed normal cardiac function, an MRI that indicated normal ventricular size and function, with minimal or healing and inflammation or mild myocarditis. During his admission, he had continuous cardiorespiratory monitoring, that did not show any arrhythmias. Resp: On 2L NC for comfort, no respiratory distress or hypoxia. FENGI: Regular diet Neuro: Ibuprofen scheduled and tylenol PRN for pain. He was initially started on ibuprofen 800 mg every 8 hours, but was starting to have pain prior to being due for medicine every 8 hours so his regimen was changed to 600 mg every 6 hours which controlled his pain adequately. ID: Myocarditis panel sent with some results still pending. Thus far, he is CMV negative, EBV IgG was positive but not IgM. RVP was negative. This all occurred in the setting receiving the Covid vaccine 3 days prior to presentation, which has been reported as a rare reaction to the Covid vaccine. At the time of discharge, labs pending results include mycoplasma pneumonia, coxsackie, parvovirus, enterovirus. Etiology of myocarditis remains unclear at this time, could be related to infectious etiology not yet clear to us, vs related to his COVID vaccine prior to admission.

The patient presented to the emergency department on 5/8/2021 with 2 days of chest pain. He had ST segment elevation on ECG consistent with pericarditis. A troponin was elevated at 9.9 ng/mL. He was admitted to the hospital from 5/8 to 5/10 to observe on telemetry. Echo was normal without pericardial effusion. Troponin trended downward. He was discharged home on naproxen and colchicine with scheduled follow up.

Developed chest pain and diagnosed with myopericarditis based on EKG and elevated troponins. admitted for monitoring

5/14/21 - day 1 after vaccine dose #2 - had fevers, body aches, chills, fatigue. 5/15/21 - day 2 after vaccine dose #2 - began to have chest pain that started out at 5/10 and then became constant and persistent sharp, 10/10 chest pain that was worse with lying back and improved with sitting up and leaning forward. Pt went to Urgent Care, had ECG done and demonstrated ST wave changes where he was brought to ED and ECG confirmed ST/T wave changes and Troponin T was elevated to 1.62 - thus with these findings and the chest pain that was consistent with pericarditis - diagnosis of myopericarditis was made.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted a few minutes after getting shot but regained concisousness in less than a minutes

After patient received the vaccine, went to sit on a chair for observation, he fainted and fall on the floor. He reported to fill dizzy and sweaty. Applied cold pack in the neck area on the back. The ambulance was called and patient was taken to the hospital for further treatment.

Patient developed severe chest pain and was found to have myopericarditis. This occurred 3 days after receiving his 2nd Pfizer covid vaccine. Prior to this event, he was in his usual state of health and denied any viral prodrome or illness. In the hospital, he received NSAIDs and supportive care with significantly clinical improvement. He was discharged with cardiology follow up.

Left sided chest pain few days after second shot. Noted troponin to be elevated. Troponin: 1.27 -> 1.62 -> 1.74 -> 1.62->1.05 -> 1.06 -> 0.99. Normal ECHO. Normal EKG. Dx with myocarditis. Patient's pains symptoms resolved in 1-2 days; observed in hospital until troponin trended down.

About 18 hours after the vaccine was given, the patient developed chest pain. The chest pain progress over about 24 hours to 9/10. He presented to the ER where he was found to have elevated troponin (up to 15) and ST changes on EKG. Echo was normal x2. He was treated for myopericarditis with NSAIDs and colchicine. He quickly improved. No clear etiology of his myopericarditis was identified, raising suspicion that it may have been an adverse reaction to the vaccine.

Fainted; Dizziness; Sweaty palms; Heart rate dropped; Weird burning sensation in the back of his neck with tension; Weird burning sensation in the back of his neck with tension; Disorientated; Lost his color; Weird sensation in throat; Headache; Had pressure in his ears; Gassy; This is a spontaneous report from a contactable consumer (mother of the patient). A 17-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: ER8731; Expiration date was not reported) on 15Apr2021 (15:00) as a single dose, with route of administration unspecified, for COVID-19 immunization at the clinic (not a military facility). The patient had no relevant medical history and concomitant medications. On 15Apr2021, after the first dose of vaccination, the patient had fainted; dizziness; sweaty palms; heart rate has dropped; had weird burning sensation at the back of the neck with tension; was disorientated; and had lost his color. In Apr2021, the patient had weird sensation in the throat; headache; had pressure in his ears; and was gassy. The outcome of the events was unknown for 'lost his color'; was not recovered for 'headache'; and was recovered on an unspecified date in 2021 for all the other events. Information on lot/batch number was available. Additional information has been requested.

Pt experienced an unwitnessed syncopal episode after first dose of Pfizer vaccine. After regaining consciousness pt produced small amount of emesis. Vitals were all within normal limits. Pt refused transport AMA.

Patient was anxious about shot. After receiving vaccine approximately 15 minutes patient was walking and fainted. Called 911 and was evaluated by EMS. EMS state his blood sugar was low and was given a snack and stated blood pressure was coming down. EMS released patient to parent.

17-year-old male with a past medical history notable for autism who presents with 3-day history of worsening tachypnea, shortness of breath tachycardia. Patient presents with elevated BNP and troponin as well as severely depressed LV function on echocardiogram with associated EKG changes. Echo on admission with EF 22% and severe acute LV systolic and diastolic heart failure. Now on milrinone 0.5 mcg/kg/min, Lasix 20 mg IV q8h. Repeat 5/18 today continues with severe dysfunction, EF 28%. Troponin 0.09, BNP 616. Started carvedilol 5/19.

Within a few minutes of receiving the vaccine, the patient turned pale and clammy. He became confused and lost consciousness for several seconds, his head fell back and he made gurgling noises. When he regained consciousness, he couldn't remember our conversation. He said he was hot and his head hurt for a few minutes, he remained pale and sweaty for several minutes. After 10-15 minutes he said he felt fine.

Patient fainted approximately 5 minutes after receiving his second Pfizer vaccine. He was observed to have tonic-clonic jerking but this was not seizure nor does the patient have a history of seizures. His mother reported fainting previously during stressful situations. Ice pack was given and BP was taken at 11:20 and was 100/65 and pulse was 101. When EMS arrived, patient's BP was 134/80 and pulse was 83. Patient reported stomach pains post-fainting. EMS cleared patient to leave and he signed off that he did not want to go to the hospital.

Less than a minute after administration patient started to feel not well. Patient displayed symptoms of possible syncope. Eyes were unfocused and unable to sit up straight. Epipen was administered immediately. EMS was called. Patient's blood pressurewas taken multiple times and was low at each reading . Patient's blood pressure would also drop upon standing up. After about half an hour of not resolving EMS took patient to hospital for further evaluation.

COVID-19, mRNA, LNP-S, PF (PFIZER-BIONTECH) 5/19/2021 (17 Y) , 4/28/2021 (17 Y) Severe chest pain, Requiring hospitalization for pain management and MI/Myocarditis therapy.

Acute chest pain; Elevated troponin 16; This is spontaneous report received from a contactable Healthcare professional. A 17-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) intramuscularly on 08Apr2021 13:15 (Batch/Lot Number: EW0151) (at 17-year-old) as first dose, single in arm left for COVID-19 immunisation. Other unspecified Pfizer vaccine was received via an unspecified route of administration on 08Apr2021 (Batch/Lot Number: EW0170) as second dose, single in arm. Medical history included ongoing hospitalization (Vaccine received during existing hospitalization). The patient's other concomitant medications were not reported. No other vaccines within 4 weeks prior to the COVID vaccine. Other medications received within 2 weeks of vaccination was reported as unknown. On 02May2021 04:00 AM, the patient experienced acute chest pain and elevated troponin 16, he was admitted to hospital. It's reported AE resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Prolongation of existing hospitalization (vaccine received during existing hospitalization). Prior to vaccination, the patient was not diagnosed with COVID-19. On 02May2021, PCR Nasal Swab was performed and showed negative. Ketorolac tromethamine (TORADOL) and ibuprofen (MOTRIN) were received as treatment. Duration of hospitalization was 4 (discharged on 06May2021). The outcome of the event was resolved in May2021.; Sender's Comments: Based on the strong temporal relation, the association between chest pan, troponin increased and vaccine administration cannot be completely ruled out with the information available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

5/13 began as flu like , 5/14 6:00 pm couldn?t get full breath, went to Patient 1st, chest X-ray nothing , 5/15 4:00 am shoulder pain, couldn?t get full breath, Went to Hospital ER, Ekg progressively abnormal, Troponin and C reactive values increasing, transported to Medical Center ICU pediatric cardiology, physician and cardiologist, she diagnosed myocarditis and pericarditis. 5/18 discharged and home improving.

Low platelet count, 50, *way* below normal. Bruises easily. We will seek care from a blood specialist and a liver specialist.

Syncope- pale, nauseous, initially disoriented when regained consciousness, sweating. Patient was taken to ED. Escorted out by EMS.

Client Fainted ~5min after the vaccine. BP 86/42, repeat 97/40, HR 71, 99% pulse ox. Patient lowered to the ground, vitals obtained, wheeled to Health office.

Patient complained of chest pain 3 days after his second Pfizer COVID vaccine and was diagnosed with Myocarditis.

17 y/o M with no PMHx presenting to ED from another ED for work-up of acute onset chest pain. Patient experienced this pain at approximately 2200 on 5/23 and this prompted ED visit. His chest pain was 8/10 at that time. Did not radiate. He mentioned pain with deep inspiration. Prior to Sunday night he describes feeling tired, malaise on Saturday. He says he had a fever on Saturday. Temperature at that time unknown. Otherwise patient was in usual state of health. Of note, Friday 5/21 was his second dose of the COVID-19 vaccine. He denies having any adverse effects after vaccine #1. Patient diagnosed with acute pericarditis at this time thought to be due to COVID-19 vaccine

Chest pain (midsagittal), feeling similar to heartburn, pain felt midsagittal throughout chest, but especially immediately below heart. Diaphragm movements when breathing increased severity of pain. Symptoms subsided within 12 hours with use of Kwan Loong Pain Relieving Oil. Unlike heartburn, nothing worked to relieve pain immediately. This was in addition to known side-effects that were present including: fatigue, slight fever, headache, muscle pain, and soreness at injection site.

Woke up on 5/7 with pleuritic chest pain, and admitted to the PICU on the same day. Found to have myopericarditis confirmed by MRI, now with residual low-normal EF of 56%. Discharged from hospital on 5/11.

17-year-old male with no medical history, no allergies and no surgeries presented to the ER on 5/22 at 11 PM with concern for chest pain. The patient received his 2nd COVID-19 Pfizer vaccine on Thursday, 05/20/2021 in his left arm. The patient developed a temperature of a 102.5° with aches, chill, and pain overnight. The symptoms subsequently dissipated. Around noon on 5/22 he began to experience an achiness and pressure beneath the sternum and it has been constant since. The pain does not radiate into the back. No associated ripping or tearing sensation. No shortness of breath or difficulty breathing. In ED, EKG showed normal intervals, no ST changes and no STEMI. The patient underwent a CT angio of the chest and abdomen and did not show any dissection of the aorta. The left and right proximal coronaries are visible, however their path could not be seen on the studies performed. No pneumomediastinum both pneumothorax was observed. He had an elevated troponin of 3.1 and it increased to 7.3 prior to transfer to the ICU. VS were stable with HR 80 - 90 and normal BP. Repeat ECG was normal but his troponin increased x 2 with maximum of 16. His CRP was mildly elevated and BPN upper limits of normal. Echo was normal. Cardiologist consulted and pt diagnosed with myocarditis. As of 5/24/21, patient remains hospitalized as troponin was 13.1 at 9:00 am.

Symptoms of heart beating faster, louder and harder with mild pleuritic chest discomfort starting about 5 days after second COVID vaccine, ongoing but improving. Got his second COVID vaccine on 5.13.2021. Feels like heart is beating out of his chest, constant throughout the day, worst when laying down. Heart rate up to 100 at home. intermittent shortness of breath. No chest pain. After the vaccine, he developed a high fever for 2 days, a sore arm and tiredness. vitals normal at time of clinic exam today, May 24, 2021 RX: slow breathing, albuterol inhaler, reading recommendation: Breathe by hcp

Patient fainted (loss consciousness) a couple of minutes after receiving injection. Mom caught him and called for help and reported his eyeballs rolled up and he started down when she caught him. by time Pharmacist and store staff got there (less than a minute) he had regained consciousness but very lightheaded. No breathing difficulty. So got a chair and had him sit with head down and store staff observing. After another 10min he still reported lightheaded and nausea, so ambulance was called. When they arrived and checked him out everything checked out normal and he was feeling better so they released him to his parents care. Called on 5/24/21 at 10:10am and spoke to mom who reported he was doing fine and no apparent after effects.

Patient reported they couldnt stand the sight of blood and had fainted during draws before. Father was present in the vaccine office as well. Immediately fooling the administration of the vaccine patients eyes glazed over and he fainted. A few seconds later he began to have a spastic seizure that was short in nature, followed by a voiding of his bladder before he regained consciousness. Patient was given water, glucose tablets, and instructed to lay on the floor of the room with his feet elevated while a member of the staff stayed with him to treat and watch him. Followed up with patient and doctor soon after to learn this was the only time it has happened, patient fully recovered.

Patient received 2nd Pfizer COVID vaccine on 5/21/21. He had fever and headache for about 24-36 hours, which he had also had after the first dose of the vaccine. On 5/23, he woke up with constant substernal chest pain, which worsened with exertion and deep inspiration. The pain increased throughout the day. In the ED, he was found to have elevated troponin ,CK-MB, elevated CPK, and elevated liver enzymes. EKG was concerning for ST elevation initially. Bedside echocardiogram showed low-normal function, normal coronaries, trace effusion, and no evidence of RV strain. Troponin and NT pro BNP were increased upon admission to our facility. Repeat ECHO showed borderline global hypokinesis of the LV with an LVEF of 51%. He received IVIG on 5/24/21 and also was started on ketorolac on 5/24/21. Troponin and CK were trending downwards at the time of this submission.

Patient presented with one week of back, right leg and right groin pain. Right lower extremity swelling and was diagnosed with deep vein thrombosis from right popliteal vein into IVC involving a renal vein. He is on anticoagulation currently and going for catheter-directed thrombolysis today. Patient has been in hospital two days and hospitalization is ongoing at the time of this report.

Patient received his first dose of the Pfizer vaccine on 5/7/21. On 5/13/21 he began to feel feverish (unsure Tmax, never took temperature) and was intermittently febrile until hospital admission on 5/20/21. On 5/18/21 he was seen in the ED for fever and tested positive for strep throat and started on amoxicillin. His inflammatory labs were elevated at this time and did not notice improvement on amoxicillin. He returned to the ED on 5/20/21 at which time patient reported headaches on the right side, sharp 7/10 pain which come and go with the fevers as well as fatigue, muscle/body aches, and sweats in addition to persistent fever. He also noticed maculopapular rash on palms and soles and on distal extremities which was not pruritic or painful on day of hospital admission. All infectious workup was negative and patient did not improve on broad spectrum antibiotics. Given his persistent fever, hypotension, and inflammatory labs without other cause, patient was empirically treated for MIS-C and was given IVIG and methylprednisolone as well as being started on prophylactic dose enoxaparin for his elevated D-dimer. Repeat echocardiogram identified a new coronary aneurysm, supporting the diagnosis of MIS-C. Following IVIG and steroids patient remained afebrile and inflammatory markers down trended, however liver enzymes remained elevated at time of discharge. He improved and was discharged to finish steroid course at home with close follow up.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Tachycardia-Mild, Systemic: Weakness-Medium, Additional Details: Patient and his father sat down in the observation area post vaccination. Within less than 5 min, the father called for help and pharmacy clerk notified the pharmacist that the patient needed attention. Patient had turned white and started to twitch lost consiousness for less than 30 seconds. Epipen was administered by pharmacist (pt was conscious, alert, and oriented nearly immediately after Epipen) and patient was reclined on his back on the floor. BP/ HR monitored while waiting for 911

Patient received the Pfizer vaccine in the morning, then woke at about midnight. He went to get a drink of water, and was holding a glass of water in his hand. He started to feel as if the room was spinning, became very sweaty, had ringing in both ears, and lost consciousness, striking his head on the counter. The event was unwitnessed. He reports waking approximately 1 hour later with a bad headache. He had a headache and felt disoriented. He denies urinary/bowel incontinence or tongue biting. He was able to walk back to his room without difficulty, took ibuprofen, and went back to sleep. He woke the next morning with nausea and vomited, but this did not impact his headache. He has not had any notable neurologic symptoms since that time, but continues to have a minor headache. He has not had any further vomiting. Headache has not subsequently woken him from sleep and does not worsen with recumbent positioning. He denies visual changes, memory changes, difficulty swallowing, shortness of breath, ringing in his ears, or dizziness. He says his headache is located mostly around his forehead and at the top of his head that is now mild and feels like pressure ?like a tension type headache.? His mother is a nurse, and evaluated him the next day. The family did not feel that he needed to be seen in the emergency department, or prior to this visit. He has not had any previous episodes that were similar. Patient was evaluated in my clinic. Complete neurologic exam was within normal limits. He has been referred to neurology for further assessment.

A 17 Year old boy, received his first dose of COVID -vaccine, Pfizer. He walked out of the health room feeling fine. Stood outside in the waiting room talking to his mom during his 15 min observatory period. within 10 mins, he fainted and fell on his face on the floor. Till the pharmacist came out to him, the pharmacist kept tapping his shoulder and called his name out loud, he recovered and woke up. pharmacist checked his BP and was 121/71 and 68 HR. 911 was called , and paramedics came in, checked his vitals and all were normal . He just hit his chin when he fell, and bled from his gum, no loose teeth reported and a chin wound that might need glue stitches per paramedics. Patient was fine and talking when paramedics transported him to the hospital.

Patient fainted 10 minutes post-vaccination and reportedly had shaking/seizure-like activity. Patient felt cold and dizzy and requested transport to ER. Transported to medical center by EMS.

DAY 1: shaking jaw and body, chills, feeling cold, numb hands all came on suddenly at 10pm. Next day, headache and somache ache all day. Next day recovered except chest feeling weak and hard to breathe deeply.

chest pain, nausea, sweating w/ alternate chills, and headaches onset at approximately 10-11 a.m. Sunday, 5/23/21. Because he was reporting for work to a camp, he reported to the camp nurse. After conferring with parents, he reported to Hospital for testing. EKG there was normal; minimal labwork performed - Troponin test requested by parent came back at 0.03. Advil taken earlier had resolved pain at that time, but pain was persistent the following day. Parent retrieved patient, and he reported to his pediatrician at the PCP Clinic and more labwork was performed at approximately 10 a.m. Troponin level had increased to 14, with other inflammatory markers elevated and abnormal EKG result. Pediatrician consulted with pediatric cardiologists, and parents were advised to proceed to the ER. Mother arrived with Hospital at approximately 5:30 p.m. Troponin results from 6:45 elevated to 16. Ped. Cardiologist performed echo-cardiogram, which showed no abnormal heart functioning. Ped. Cardiolgist diagnosed myocarditis and prescribed 15-hour IVIg infusion. As of Wednesday, 5/26, at noon, troponin level had decreased to 10.8 and other inflammatory markers were improving. Patient is currently still hospitalized in the ICU Step Down Unit at Hospital.

BLE and BUE went into abnormal extension; facial tics; shaking of the BUE; Pt was pale, diaphoretic, and verbalized "I am OK" three times in a row without being asked; Pt was pale, diaphoretic, and verbalized "I am OK" three times in a row without being asked; Pt was pale, diaphoretic, and verbalized "I am OK" three times in a row without being asked; nausea; This is a spontaneous report from a contactable consumer (patient). A 17-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in right arm on 05May2021 13:50 (Batch/Lot Number: EW0167) as single dose for covid-19 immunisation. Medical history were none. Prescriptions, over the counter medications taken were none. Allergies to medication, Food or other products were none. Other illness at the time of vaccination and up to one month prior were none. Chronic or long-standing health conditions were none. The patient's concomitant medications were not reported. 5 minutes following the vaccination, patients BLE and BUE went into abnormal extension immediately followed by facial tics and shaking of the BUE patient was pale, diaphoretic, and verbalized iam ok three times in a row without being asked. patient stated that he was unaware of what had just happened then verbalized feelings of nausea. Airway breathing, circulation intact. patient was placed on gurney, side rails upx2, and transported to ED. The patient never had an adverse event following any previous vaccine. Event start date was 05May2021. Medical tests and laboratory results related to the adverse events included: Vital signs, EKG, CT of the head. Emergency room/department or urgent care visit. Outcome was recovered. Follow-up attempts are needed. further information is expected.

Site: Bruising at Injection Site-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe

complained of chest pain, heart palpitation, jaw pain, tingling on fingers on both hands after waking up at 7:00AM 05/26/2021, denied nausea/vomiting

Patient hospitalized for overdose. Patient found to have potential myocarditis. Patient overdosed on antihistamines loratadine and doxylamine. Found to have rhabdomyolysis. CK levels have been trending downward. Patient found to have elevated troponin and ECHO showed decreased EF raising concern for myocarditis. Also with EKG changes. Patient is asymptomatic without chest pain or palpitations. Cannot differentiate cause of myocarditis, can be due to over dose and related to rhabdomyolysis or other causes.

myocarditis with elevated troponins, findings on cardiac MRI. No treatment required, self-resolved. Admitted for close monitoring

After 10 minutes of administration the patient fainted. He was lowered to the floor and awakened almost immediately. BP was 127/65, pulse was 63. He was pale. A physician was in attendance the entire time. Once he was better he was transferred to a stretcher. Mother stated he had been at an overnight sleep over, she had picked him up from there and came directly to the clinic. He stated he had nothing to eat or drink that morning. he was given water and some snacks.. MD released him when he appeared to be back to baseline. He was seen in the pediatician's office on the 5/24/21 as a followup at the parent's request at which time no issues were found. Patient's father had asked the pediatrician's office to see the patient following the innoculation that day which the office deferred as an MD was attending this patient in the clinic.

Client became lightheaded and clammy. Responsive to verbal and tactile stimulation. No loss of consciousness. Alert, aware and responsive. Skin noted to be moist and clammy to touch. Pale complexion. Dad was present during event. Dad stated client was recovering from COVID-19. Had his last negative test on 5/14/2021. Dad did not want 911 services activated, however, he stated and nursing also advised that he take client to see his PCP. Upon exit, client was alert, verbal and ambulatory. No sign of acute distress. Exit at 3:47pm.

Pt reported he was "aware of his heart" and that it "felt like when adrenaline is running through his body" that began approximately 24 hours after vaccination, and resolved 48 hours after starting. He reported this information at his second dose appointment 21 days after vaccination. He says his symptoms were hard to describe, but he overall felt poorly and says he could feel his heart beating more than normal. He denied chest pain, racing heart, excessing sweating, headache, agitation. Patient has no history of cardiac issues. After 48 hours his symptoms resolved with no intervention.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild, Additional Details: AFTER GETTING PFIZER COVID VACCINES,PATIENT GIVEN INSTRUCTIONS TO SIT DOWN FOR 15 MIN TO MONITOR,AFTER 2 MIN,PHARMACITS (MYSELF) OBSERVED THAT HE IS FALLING DOWN,HE FELT DIZZINESS,I WAS ABLE TO REVIVE HIM IN 3O SEC,HE WAS RESPONSE AND TALKING,I LET HIM SIT DOWN ON A CHAIR,HE ASKED FOR WATER,GAVE WATER,HE FELT VERY GOOD,HE LEFT THE PHARMACY AFTER 40 MINUTES,THEY DIDNT HAVE A PRIMARY CARE DR YET,BUT SPOKE WITH DAD,AFTER 6 HRS,PATIENT DOING VERY WELL,DIDNT HAVE TO GO TO HOPSPITAL!

Patient was administered vaccine. While waiting 15 min, patient became unresponsive and extremely pale. I called EMS. Administered one dose of epinephrine 0.3mg . Patient became responsive. After taking vitals, the EMS said pulse was low and recommended going to hospital.

Patient felt very dizzy couple minutes after receiving the Pfizer Covid Vaccine. he felt tire, could not hear well, and was very pale. His blood pressure was 80/47, pulse was 49. 911 was called and his blood pressure went up slowly to 90s/70s.

Patient passed out after receiving Vaccine. I called the paramedics they observed the patient and released him to his father.

Patient evaluated at local hospital for concern for meningitis / encephalitis, transferred to our facility and was able to get studies (detailed below some of which are still pending). Initial symptoms presented with rhinorrhea, then severee headache, neck pain, and fever (tactile). Had sweats and chills. Began to experience diarrhea, dysuria, diffue body aches and myalgias. Severe pain in his neck / posterior occiput. Denied any mental status changes at the time. Studies largely negative for an identifiable bacterial process so presumptive diagnosis is aseptic meningitis. Unclear if from vaccine or other etiologies. Outside hospital had started antibiotics but this was stopped and patient symptomatically recovered with only symptomatic care.

pericarditis 5/30/21 Tested + for rhinovirus/enterovirus on PCR Resp Pathogen Panel at time of admission, so unclear if from rhinovirus (more likely)

Chest pain w/elevated troponins and small ST elevations in infero/lateral leads concerning for myocarditis

chest pain Saturday morning actually resolved, but had troponins 3800 then 4160, trending down. Telemetery and check labs going down. Our ECHO and EKG were fine, as was proBNP, d-dimers.

Critical thrombocythemia, causing anemia due to nose bleeding, GI bleeding and metrorrhagia. Elevated WBC. Acute kidney failure. Pancreatitis. Admitted with Dx of Tumor lysis syndrome required blood and platelets transfusion

Pt was given second dose of Pfizer vaccine on 6/1/2021 at 1050, pt complained of feeling dizzy, lightheadedness, and diaphoretic at 1057. Pt was observed- pt was pale, diaphoretic, drowsy but arousable, pt oriented x4. Vital signs were taken immediately: BP 62/33 (44), HR41, SpO297% RA, vital signs were repeated at 1105 as followed BP 68/28 (41), HR 41, SpO2 97% RA. RN STAT and 911 were called. Ice pack was applied to back of neck, ammonia was used for pt to smell, pt states he had breakfast in the morning but did not drink a lot of water. RN tried to take manual BP, attempted twice, unable to obtain bp. RN STAT nurse arrived, report given to RN STAT, pt placed in gurney to be taken down to treatment room. At treatment room, pt looked "regained his color, not as pale as before" according to patient's mother. Mother at bedside throughout whole event. Vital signs were taken once arrival to treatment room at 1116: 117/41 (72), HR50, SpO2 97%. EMS arrived to treatment room, EKG taken- sinus bradycardia shown on screen, pt's mother unable to verify pt's resting HR. Pt states he is an athlete, runs track in school. Blood glucose 98. Pt stated he felt back to normal, mother said she would monitor him from home.

PT PASSED OUT. HAD HX OF PASSING OUT AT SCHOOL WHILE IN CLASS. PARAMEDIC CAME, HYDRATION OFFERED. SX RESOLVED, NO TRANSPORT.

myo-pericarditis . TTE showed normal LV function, no pericardial effusion, Troponins elevated to as high as 15.8 (still rising) with cMRI confirming myocardial inflammation.

Vaccinating nurse noticed patient became pale and fixating his eyes after receiving first dose of pfizer covid-19 vaccine. Vaccinating nurse asked patient if he was okay and the patient responded "I feel lightheaded. I think I will faint." Vaccinating nurse guided patient to the floor and elevated legs on chair. Lead nurse and EMT responded to the patient in nurse station. Patient was alert and oriented x 4 during whole interaction and stated he felt better within two minutes. Patient was able to sit up against wall and was offered water. Vitals were taken: BP 130/90, HR 67, O2 SAT 98%. Patient offered gravity chair and patient stated he was ready. Patient was stood up with two person assist and after 10 seconds of standing patient was able to verbally state "I feel fine now, I can walk to the room." Lead nurse directed EMT to monitor for 30 minutes in gravity chair and take final vital signs and escort patient with father to car.

Patient felt lightheaded, dizzy, popping and ringing in ears, blurred vision, and fainted for a few seconds. This occurred about 5-10 min following vaccination. Most likely a vasovagal syncope reaction. No history of allergic reactions nor syncope. After laying patient down and elevating his legs, he felt much better. Patient remained in this position for about 15 minutes. He then sat up, ate a snack, and drank water and was observed for an additional 15 minutes. Vitals were within normal range. Patient stated feeling"normal" and "fine" after this and he was able to go home without additional issues.

Systemic: Fainting / Unresponsive-Severe, Systemic: patient had a seizure about 5 mins following adminstration-Severe, Systemic: Seizure-Severe, Additional Details: ems was called and patient was evaluated and pt was cleared with normal vitals and alert from ems parent refused to go to er i tried calling to follow up with patient and now answer on best contact number

17-year-old male with past medical history of vitiligo presenting with chest pain in the setting of acute myocarditis. Patient refers history of pressure-like chest pain which started suddenly on the morning of presentation, retrosternal, nonradiating, 4/10, with no exacerbating factors, relieved with a p.o. dose of metamizole, which prompted a visit to Hospital. He developed a dry cough in route to the hospital. At the hospital, CBC, BMP, and CRP were done and unremarkable. U tox, SARS-CoV-2 PCR, and rapid strep were done and unremarkable. Total CK (317), CPK-MB (13), troponin I (3.34), and myoglobin (168) were done and elevated. Repeat troponin I 2 hours later was higher at 4.85. EKG revealed sinus bradycardia and sinus arrhythmia. Chest x-ray was done and unremarkable.

myocarditis; myocarditis; chest pain; shortness of breath; This is a spontaneous report from a contactable physician. This physician reported similar events for two patients. This is the second of two reports. A 17-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 01May2021 (Batch/Lot number was not reported) as 2nd dose, single dose (at the age of 17-years-old) for COVID-19 immunization. Medical history included myocarditis from 2019 to an unknown date. The patient's concomitant medications were not reported. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as 1st dose, single dose for COVID-19 immunization. Patient admitted to hospital with chest pain and shortness of breath, diagnosed with myocarditis on 05May2021. The patient was hospitalized for 6 days. Treatment received for the adverse events include metoprolol, amiodarone, ketorolac, IVIG. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 05May2021. The outcome of the events was recovering. The events were considered as serious (hospitalization). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19. Information on the lot/ batch number has been requested.; Sender's Comments: Myocarditis is not uncommon disease in young population. This 17-year-old male patient had medical history of myocarditis from 2019. Based on information available, the reported recurrence of myocarditis with symptoms of chest pain and shortness of breath was not considered as causally related to the bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE). The case will be reassessed should additional information become available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics committees and Investigators, as appropriate.,Linked Report(s) : PFIZER INC-2021565225 same reporter/AEs/vaccine, different patient.

pt had suffered a reported syncople episde according ro rn staff administering shot. pt was with mother/\. pt was pale but responsive and ao*4. pt vitasl were taken and pt was considered stable. pt had been eating a cracker and drinking water at time of ems crew arrival. pt then claimed to be "feeling better" pt was considered stable and no indication or report of pt hitting head. pt reportedly "slythered" to the ground by rn staff. pt was deemed stable, however twice more requested ems evaluation. pt and pts mother was advised to accept ems transport. pts mother consented to er rescue transport and pt was transported to hospital by ems.

Approximately 10 minutes after receiving 1st covid Pfizer shot, patient reported feeling light headed and dizziness. He reported blurry vision,ringing in ears and was looking very pale. He was evaluated and monitored any other symptoms until paramedics came. Water and ice was given to patient while he waited. paramedics came and monitored patient and left

Patient began with substernal chest pain 8 out of 10. Patient was taken to emergency room. At the outside hospital patient was given Motrin with improvement of pain. Patient's troponin at outside was 34.5. CK-MB was 41.6. CK was 523. CBC was unremarkable. Sed rate was 15. CRP 1.46. Patient had chest x-ray that showed no acute process. EKG at outside hospital shows sinus rhythm with occasional PVC. Mild diffuse settle ST elevation and no PR depression. Upon arrival to the floor patient had no significant pain. On telemetry patient was found to have an episode of nonsustained ventricular tachycardia. Patient denies recent cough, congestion or fevers. Patient does have 2 parents and a dog at home. Of note patient got first dose of pfizer Sars-Covid-19 vaccine on April 14. Second dose of Pfizer vaccine was given on May 14. Initial troponin i-STAT presentation was 11.03. Patient also experiencing nausea and vomiting on 5/20.

patient had vasovagal reaction, blood pressure dropped 2-3 minutes post vaccine. he was fine with first dose. he had similar reaction with a meningococcal vaccine when he was 11.

Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Mild, Systemic: fast heartrate-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Weakness-Mild, Additional Details: patient was not feeling well sitting, so he laid on ground. went to check up on him, he felt clammy sweaty, but responsive. mom was there but not terrible concerned, declined 911 call. gave patient water and he was okay half hour later

Patient passed out at the discharge table 15 minutes after Pfizer COVID-19 vaccine. Medical assistant at discharge table able to catch patient and patient was assisted to ground by clinic staff. Patient skin warm to touch and pale. BP @ 1700 147/77, HR 68, RR 16, O2 saturation 94 % on roomair. Patient complains of dizzyness and numbness tingling sensation to vaccinated left arm. Patient verbalized eating a small meal this am, exercising , and not drinking fluids. Ice pack applied to patients neck. Patient drinks water and sports drink. Doctor present to assess patient. Patient observed in discharge area an additional 30 minutes. Patient ambulated for 5 minutes in the discharge area per physician instructions. Patient stable, denies any dizzyness, or numbness to left arm. BP @1727 was 149/85, HR 76, RR 18, O2 saturation 96% roomair. Patient ambulated independently to exit with family.

Patient presented to Urgent Care and then was sent to the ED for evaluation. Found to have pericarditis on EKG. Labs including troponin reassuring. Patient discharged home with referral to Cardiology for outpatient follow up.

Day 2 - fever and muscle aches Day 3 - chest tightness and discomfort; tingling and numbness in both arms and hands

Reported by mother. When he got his vaccine, he went home and had no reaction. The next morning he had a fever of 103, and gave her Tylenol chewable. The following day he has no fever, in the early at 4:00 AM he woke up with pain on his chest. He said that he felt weird, tightness on his chest and he could not actually describe it, said it was in the middle of his chest. It was uncomfortable but uncomfortable and was worried. They observed him, the pain didn't go away, just on the chest. If he tried to sit up he felt better, but when he laid down the pain was always there. Around 3:00 PM she brought him to the ER and had tests run, and all tests were okay. His EKG showed ST-elevations and inflammation of the heart. He had an US of the heart and was discharged home this morning. He has to be seen by his PCP to be referred to a cardiologist. He was given some medications and is sleeping right now. He has an APT with his PCP on 6/9/21. He was sent home to take Ibuprofen.

First shot received on 4/3/21, and second received on 4/24/21. Symptoms of cold, tingling, and numb left toes and left foot noticed about 2 weeks after 2nd Pfizer dose. Went to ER and blood clots were found in arteries in left knee and ankle, and clots in the vein in left calf. Four procedures performed by Intervention Radiology (IR) at Hospital on 5/25/21, and was treated with Heparin and TPA. Released from hospital with clot remaining in left calf vein and is taking Eliquis. Continuing treatment with hematologist post release from hospital.

Approximately 4 minutes after the COVID vaccine the patient said he was cold then passed out while sitting in a chair in the pharmacy waiting area. His mom was nearby and tapped him and called his name. When I arrived Patient was pale, unresponsive and had a pulse of 66 and his skin was sweaty. His dad called 911. Over a four minute period Patient slowly began to regain color in his face. He knew where he was as well as the day of the week. 911 arrived and all of his vitals were good. The family declined going to the hospital because Patient felt much better.

Client became light headed and clammy. Responsive to verbal and tactile stimulation. No loss of consciousness. Alert, aware and responsive. Skin noted to be moist and clammy to touch. Pale complexion. Dad was present during event and stated client was recovering from COVID-19, had his last neg. test obtained on 5/14/21. Dad did not want 911 services activated, however, he stated and nursing also advised that he take client to see his PCP. When exit, client was alert, verbal and ambulatory; no sign of acute distress. Exit at 3:47pm.

6-4-2021 15:30. Subjective: This 17 y/o male pt presented to the vaccine administration site and was administered his first dose of the Pfizer Covid-19 vaccine. Prior to receiving the vaccine the patient had made a comment in regards to not liking needles. Following vaccine administration the pt stated that he began to feel dizzy and ?then things went dark.? The patient was seated vertically in a chair and had fallen forward onto the ground. Patient care was immediately administered and the patient was moved supine with his lower extremities elevated. The patient regained consciousness immediately and asked if he had ?fainted?? The patient then stated that he was very warm and had not eaten or drank very much today. The patient attempted to then sit up rapidly from a supine position causing him to have a second vasovagal syncopal episode. The patient was placed in a supine position following this and cold packs were administered as well as vitals were taken. The patient remained A&O X4 with a GCS of 15 for the remainder of patient contact. EMS was called and the patient was then transported with consent of his legal guardian to the nearest E.D. Objective: Pt was noted to have two consecutive vasovagal syncopal episodes following his first dose of the Pfizer Covid-19 vaccine. The patient stated he had not eaten or drank very much today. Assessment, PE,VS: The patient was noted to have a small abrasion to the right side of his face secondary to his glasses striking him after he had fallen. The patient's BP was noted to be 100/60 mmhg with a pulse of 64. The patient was A&O X4 with a GCS of 15 following his two separate syncopal episodes. HEENT: All findings normal, pt?s pupils PERRLA at 4mm. Cardiac: Normal Pulmonary: Normal, however verbal respiratory rate control was advised to the pt. Abdomen: Normal, cold compress applied. Extremities: Normal, Cold compress applied. Plan: Pt was continuously monitored and transferred to EMS care for transport to the nearest

Heart chest pain; Diagnosed within 4 days with Myocarditis Hospitalized; This is a spontaneous report received from a non-contactable consumer (patient). A 17-year-old male patient received 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, LOT/Batch number and expiration date unknown) via an unspecified route of administration at arm right on 02May2021 at 12:00 AM at age of 17-year-old at single dose for COVID-19 immunization. Medical history included known allergies to Sulfa. Patient also had known allergies to amoxicillin. Other medical history was none. Patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient didn't receive any other medications within 2 weeks of vaccination. Concomitant medication was none. Patient experienced heart chest pain on 06May2021 at 07:00 AM, and was diagnosed within 4 days with Myocarditis and hospitalized. The events resulted in emergency room/department or urgent care visit and hospitalization. Patient was hospitalized for 6 days. Patient performed echocardiogram and MRI, both with unknown results. Patient received antibiotics and steroids as treatment for the events. Outcome of the events was recovering. Prior to vaccination, the patient wasn't diagnosed with COVID-19. Since the vaccination, the patient hasn't been tested for COVID-19. No follow up attempts are possible. Information about lot/batch number cannot be obtained.

Heart problems; Diagnosed him with pericarditis that's the inflammation of the heart; This is a spontaneous report from a contactable consumer. A 17-year-old male patient (reporter's brother) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EW0153), via an unspecified route of administration on an unspecified date (at 17-year-old) as 2ND DOSE, SINGLE DOSE for COVID-19 immunisation. Medical history was reported as none and no concomitant medications. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number unknown), via an unspecified route of administration on an unspecified date (at an unspecified age) as 1st dose, single for COVID-19 immunisation. On an unspecified date after the second dose of vaccine, the patient had heart problem and doctor diagnosed him with pericarditis that's the inflammation of the heart. Lab test: He went under test after he had the symptoms multiple EKGs, multiple blood test, CT scan, and he also did ultrasound for his heart. Treatment: For the side effects he took some Motrin, for the heart problems the cardiologist told him to take some Motrin, it's Ibuprofen and that's for the side effects. The outcome of the event was unknown. Information on the batch/lot number has been requested.

He experienced chest pain on the left side of this chest (pain 8 out of 10), had difficulty breathing, and felt his heart was beating really fast and coming out of his chest.

On Monday, May 31, 2021 at 1:20am pt. woke up with intense chest pain and labored breathing. He was able to fall back to sleep and woke up two hours later (3am) with the pain escalating. He did fall back to sleep again and once again woke up at 9am only to learn the pain was even worse and was barely able to breathe. He called me, his mother, and I raced him home and straight to our local Emergency Room. The ER originally thought it was a collapsed lung. After the x-ray came back negative for a pneumothorax, they continued testing. The very last test they did showed extremely elevated Troponin numbers at 1.05 and C-reactive Protein (CRP) numbers at 5.42. We were transferred by EMS/ambulance to the hospital 40 minutes away and checked into the Pediatric Intensive Care Unit (PICU). Pt was admitted in the afternoon of May 31st and was released on June 3rd at 1:30pm. June 1st his Troponin was 0.26 and CRP was 6.10. June 2nd Troponin was .45 and CRP was 3.54. The day he was released from the PICU (June 3rd ), his Troponin was .45, and the CRP was down to 1.83. Pt received daily EKGs, 24-hour heart monitoring, constant blood pressure tests, as well as blood oxygen levels. Once released from the hospital, Pt will be on light duty for at least a week, if not more. First follow-up Cardiologist appointment was June 8th at 10:30am. Echocardiogram, EKG, and blood work was ?normal.? Pt was put on a 72 hour heart monitor on June 8th and will be removed June 11th. Will start weaning off Ibuprofen and acid reducer, Pantoprazole, the next three weeks. Will continue to take Colchicine for three months, as well as light movement and exercise, nothing strenuous (swimming, running, etc.). Follow-up with cardiologist in one month (beginning of July).

5/2/21: After playing soccer, got home, ate dinner, then ~9p had sharp left chest pain and pain above clavicle with deep breatning. Took one 500 mg Tylenol, then 10 mins later took ProAir (albuterol) 2 puffs felt better 10-15 mins after, so unsure which helped, or if resolved spontaneously 5/3/21: ~7p c/o fast heart rate (mom read 72 bpm on home BP monitor). Took ibuprofen 200 mg and 2 puffs ProAir, felt somewhat better, and went to evening soccer practice. When picked up, c/o occipital headache and chills (which he experienced post-exercise for weeks prior to vaccination, calls it his "normal chills"). Took Tylenol 500 mg and Advil 200 mg, went to bed, felt better in am.

after injection. patient stood up and fainted. the patient hit his head on the floor. staff elevated legs on chair. patient regained consciousness. LOCx4., responsive, warm to touch, Denies headache, SOB, lightness and dizziness. EMT arrived at 0906: vital within normal limits. 0910 Fire EMT arrived. patient's mother refuse to go hospital. Vitals: @0906 1st, 130/62, 96% O2, 77 HR and Glucose: 105. 2nd vitals @ 01917: 130/64, 99% O2, HR 93. NP; NP reassessed and released patient after 30 minutes inn observation.

Patient presented with myopericarditis. Woke up at 230 am with vomiting and then developed chest pain. Came to ED immediately. ECG showed widespread ST elevations. Troponin at 25, peaked at 44, now downtrending. Admitted to cardiology, had run of Vtach and then admitted to PICU on Day 2.

Myocarditis with chest pain and ST segment elevation. Elevated troponin. Runs of ventricular tachycardia. Hospitalization to pediatric cardiac intensive care unit. Presented to ED 6/9 and currently in the intensive care unit.

Client started getting pale and sweating. He would not talk. Had his head down. Got him water. Took vitals his heart rate was in the 30's and at times oxygen sats were in the 70's. Put a cold wet wash cloth on his neck. No rash noted. Heart rate and oxygen slowly started to go up. He started talking and being "himself" again.

within 1 minute of administration pt felt dizzy and was helped to a chair. He went pale and eyes rolled back. He had trouble holding his head up, he continued to wobble his upper body around while seated. Mom reported he shook/seized. We gave him a bottle of water and monitored. He continued to appear pale and his head rolled back, and onto a merchandise shelf. 911 was called. In < 10 minutes from initial symptoms EMS arrived. Pt sysolic bp was 80 per EMT. pt was taken to ER for further evaluation

elevated Troponins, CK, CK MB, EKG showed ST segment elevation, trivial effusion, normal coronaries, and low to normal function; elevated Troponins, CK, CK MB, EKG showed ST segment elevation, trivial effusion, normal coronaries, and low to normal function; elevated Troponins, CK, CK MB, EKG showed ST segment elevation, trivial effusion, normal coronaries, and low to normal function; elevated Troponins, CK, CK MB, EKG showed ST segment elevation, trivial effusion, normal coronaries, and low to normal function; elevated Troponins, CK, CK MB, EKG showed ST segment elevation, trivial effusion, normal coronaries, and low to normal function; Myocardial Injury; sudden chest pain that woke him up and got worse; This is a spontaneous report from a contactable physician. A 17-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration on 21May2021 (Lot Number: EW0618) (at the age of 17 years old) as 2nd dose, single dose for COVID-19 immunisation. Medical history allergies, compromised immune status, respiratory illness, genetic/chromosomal abnormalities, endocrine abnormalities (including diabetes) and obesity from an unknown date. The patient's concomitant medications were not reported. No reported family medical history relevant to adverse events (AE), no reported cardiac arrhythmias, myocardial infarction (MI) under 50, no early deaths, nor any pertinent history. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EW0619) on Apr2021 for COVID-19 immunization. The patient experienced myocardial injury on 23May2021, 2 days after he received his second Covid vaccine with possible association. It was stated that the patient came in to the emergency room (ER) about 28 hours after his second vaccine with sudden chest pain that woke him up and got worse. Further stated that the patient was seen at an outside emergency department (ED) and had elevated troponins, creatine kinase (CK), creatine kinase-MB (CK MB), electrocardiogram (EKG) showed ST segment elevation, Echo showed trivial effusion, normal coronaries, and low to normal function. It was reported that he was admitted for monitoring due to potentially decompensating. Stated that he was consulted because of the association with the vaccine, and viral testing was done; the patient was tested for enterovirus, adenovirus, cytomegalovirus (CMV), epstein-barr virus (EBV), and parvovirus, all were negative. Treatment received was intravenous immune globulin (IVIG), pain medication and general support. States that the patient did receive IVIG while he was there, a one time dose, because the cardiologist was concerned with the way his troponins were trending, no decompensation. Further stated that the patient did not receive any pressors at any point and that the patient was still in the hospital but he was being transferred to the floor and they were trending labs, but he was not on any pressors or anything and he seemed like he has been doing well. There were no additional vaccines administered on same date of the Pfizer suspect. Chest pain and myocardial injury required a visit to Emergency Room on 23May2021. No prior vaccinations (within 4 weeks). No or unknown AE following prior vaccinations. As per the reporter all events seriousness criteria reported as medically significant, hospitalization. The patient was hospitalized from 24May2021 and ongoing at the time of the report (also reported as 2 days and counting). The outcome of all the events was recovering.; Sender's Comments: Based solely on chronological connection to the vaccine causality between reported events and BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) cannot be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Approximately 24 hours after secondPfizer dose, 17 year old male awoke in the morning and was complaining of intense throat pain radiating into the upper chest relieved by sitting up. NSAIDS not helpful, went to narcotic med to relieve, which it did with single tab of medication. Other symptoms, fatigue, body aches, low fever. Waxed and waned over 48 hour time period from onset, with another intense episode of throat/chest pain 24 hours in from onset requiring narcotic pain med to relief. Again this was in the morning. One episode of vomiting during second intense period with what looked like water that just hadn't gone down his throat, and following this he reported some relief from what he described as a radiating burning sensation up under the lower jaw and radiating into the upper chest. No shortness of breath ever. Burning sensation in throat and chest resolved by 72 hours with no more episodes of the acute throat and chest pain after the two episodes. While ED was considered due to the distress being experienced, we decided against since the narcotic med was helping and no shortness of breath was being experienced. I did try to get on with the CDC to report my concerns when it was happening to see if others were reporting this, then because it was a concerning reaction, but site was difficult to navigate and I was trying to monitor. I did not call the pediatrician at that time as I am a health care worker and felt I could assess and make decisions based on findings. Following the recent reports of myocarditis in teens, especially males, I felt obligated to report this experience. This child has no history of heart ailment. No tests were done to assess what might have been the cause. I assumed it was an outside-the-box reaction to the second Pfizer dose.

Patient received his second dose of the Pfizer vaccine in the mid afternoon of April 21st 2021 and by the mid afternoon on April 24th he complained of severe pain in his chest. I took his vital signs with a pulse oximeter and his saturation was in the high 90's and his pulse was normal in the 80's range. He pointed to his chest and he said it hurt him and for about three hours he appeared to experience moderate to severe pain. I called the pediatrician who said these symptoms were not uncommon. I can't remember if I gave my son tylenol or advil to help alleviate symptoms. His symptoms appeared to resolve within 3-5 hours. Also, he had felt feverish and sluggish after the administration of the vaccine for the three days leading up to the symptoms of chest pain.

not able to function; sleeps all day; lost 14 pounds since the second dose of the vaccine/lost another 4 pounds over the weekend; chest hurt; Shortness of breath; fatigued and very weak; fatigued and very weak; Headache; cannot focus on school online; blood pressure goes up and down; heart rate goes up and down; Dizziness; muscle mass depleting; This is a spontaneous report from a contactable consumer (patient's parent). A 17-year-old male patient received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine), dose 2 via an unspecified route of administration, administered in the right arm, at age 17 years, on 12Apr2021 (Batch/Lot Number: EW0158) as 2ND DOSE, SINGLE DOSE for COVID-19 immunisation. Medical history included pressure in his eye from an injury, asthma (diagnosed when the patient was about 2) and has family members with asthma and heart conditions. Patient is in perfect health, he works out 6 days a week, and does football conditioning 5 days a week. 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) was none. Concomitant medication included timolol taken for pressure in his eye from an injury from an unspecified start date to 20May2021. Additional vaccines administered on same date of the Pfizer Suspect was none. The patient historically received first dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine, Lot Number: EP7534) at the left arm at age 17 years on 22Mar2021 for COVID-19 immunization. The patient got his second dose of the vaccine on 12Apr2021 and shorty after on 19Apr2021, he became very fatigued, very weak, his chest hurt, and he had shortness of breath. On Apr2021, patient had dizziness. The patient used to have bulky arms and now you can see his muscle mass depleting in Apr2021. The patient cannot focus on school online because of the headaches from 19Apr2021. The patient's blood pressure goes up and down from 19Apr2021. For days from 19Apr2021, the patient's heart rate will be fine in the 60s and it goes up to 120 or 130 with chest pain, it fluctuates depending on the day. The patient visited the emergency room on 05May2021, but was not admitted and no one knows what was going on with the vaccine. It was also reported that the patient lost 14 pounds on 25Apr2021 since the second dose of the vaccine. They knew the patient has already lost 10 pounds and then yesterday, 25May2021, the patient weighed himself and noticed he has lost another 4 pounds over the weekend. Patient had bloodwork on 20May2021 and it was all negative. The primary care provider was concerned about the weight loss so she ran a bunch of blood work. The patient is negative for COVID test and chest x-ray on 21May2021 and he has had multiple tests done. The patient went to his primary care provider on 25May2021 (yesterday from the time off reporting) and the reporter mentioned that maybe can they look at this as being a side effect from the vaccine. The patient's doctor laughed and said nothing has been proven yet about this. The reporter felt that this is a reaction to the vaccine. At the time of reporting on 26May2021, the patient was not able to function and sleeps all day. The patient also underwent lab tests and procedures that includes being tested negative for mono twice now (on unspecified dates). Clarified that they have not filed a safety report with Pfizer on the patient's events. The outcome of the events 'dizziness', 'lost 14 pounds since the second dose of the vaccine/lost another 4 pounds over the weekend', 'muscle mass depleting', 'cannot focus on school online', 'not able to function' and 'sleeps all day' was unknown; while for the other events, it was not recovered.

2 days after 2nd Pfizer dose sudden severe chest pain with SOB, nausea, palpations. Unrelieved by OTC IB or rest.

Chest hurting sharp pain left side of chest he also complained of shortness of breath while working outside at store as a cart attendant this happen around 6pm June 11,2021

The minor patient was at the pharmacy to receive a second Pfizer Covid vaccination. Upon review he stated he had experienced dizziness with previous vaccinations years ago, but never fainted. The technician administered the vaccine and the father knocked on the window to get my attention. I ran out front as the patient was stating his vision was becoming blurry. The technician and I lowered him to the ground as he lost consciousness. We elevated his feet and he immediately regained consciousness. He started to stand and we advised him to remain seated. We laid him back down and after several minutes he requested water which was given. A few minutes later he was able to stand and took a seat in the waiting area for 30 minutes. He was feeling better and had no other compaints.

Within 24 hours of receiving his 2nd vaccination, my son began complaining about heart pain. He described them as sporadic, and mild in nature - mostly an annoyance. The pain was not associated with increased heart rate or increased/labored breathing. He has never experienced anything similar in the past and is in exceptionally good health (He runs long distance cross country and track for his high school). Three days from his vaccination, I took him to his primary care physician where the performed and ECG which the doctor interpreted as "normal", and most likely not Myocarditis. He recommended Advil (3 tablets up to 4 times a day) for a few days, to reduce any potential inflammation, which he began immediately. Once he began the Advil regiment, his conditions ceased to come back and he has not experienced any further episodes even after he stopped taking Advil. Is is now exactly 7 days after his 2nd vaccine.

He had the second shot, had very mild headache, and then woke up approx 48 hours after 2nd dose, complaining that his " chest hurt", I asked him to explain the " hurt", he said his chest felt tight, heavy pressure, like weight on his chest, uncomfortable. He said it went away after a few days... I didn't realize the inflammation of the heart was a side affect, until I recently heard that was coming up, so I put 2 and 2 together, and thought I had better report.

Pfizer-BioNTech COVID-19 Vaccine EUA: Myocarditis Per COVID-19 Vaccination Card patient received Pfizer vaccine dose #1 on 5/19/21, and Pfizer dose #2 on 6/9/21. Patient presented to Hospital on 6/11/2021 and was transferred. On the evening of 6/9 patient began to experience mild chest pain with headache. On 6/10 the pain increased to an intesity of 8/10, and on 6/11 the pain became unbearable. Pain is described as sharp, squeezing, and constant.

home by parents for symptom control. Chest pain started on 6/13, fever 103, vomiting continued. Sought treatment in the ED. See attached ED provider note for more detail

Approximately 6-7 days after the first dose of COVID vaccine (Pfizer) patient had low grade fever (100.8) malaise, and not feeling well. Progressed to chest pain and slight SOB. Continued low grade fever controlled with Tylenol and Motrin. Was seen in urgent care and tested for COVID. COVID PCR negative. EKG done (abnormal). Suggested covid 19 pneumonia and follow up with PCP. Was seen in ER that evening for increasing chest pain, SOB. Chest xray done. EKG not done. No labs sent. COVID PCR done. Negative. Improved at home with rest, Tylenol, Motrin. Sunday afternoon, was taken to ER for chest pain, increased SOB, and not feeling well. BP elevated, CXR done, EKG done, and bloodwork done. Troponin negative, D Dimer negative, labs WNL. No acute MI. Suggested pericarditis based on EKG results. Follow up suggested with cardiologist. Echo and EKG done on Tuesday May 4. Improving pericarditis/myocarditis. Final EKG done on Friday 5/7.

Vaccine administered at 1215 pm. In waiting area around 1225 pt felt very faint sitting in chair next to grandmother. Patient appeared to have seizure like activity and paramedic called immediately. After 1 to 2 minutes patient started responded well and just stated she felt very faint. Paramedics arrived and waiting for patient to fully recovered. They did state her blood pressure decreased to below baseline but quickly came back up to normal as patient started feeling better. They deemed patient to be stable and didn't think it was from the vaccine itself versus receiving an injectable vaccine as patient often feels faint after giving blood. They walked patient and grandmother to their personal car so she coudl be taken home.

6/15/2021 17 y/o with past medical history of cardiac murmur who presents with itching, redness and hives to the left arm post vaccination. Patient states that this is the second dose in the two-dose series. Patient denies previous reaction to first vaccination. Patient states that vaccination was placed to the left arm. Patient denies sore throat, difficulty swallowing, difficulty breathing or chest pain. NP and Paramedics at patient side. Patient left posterior upper arm above the elbow with macular blanching erythema present and three dime sized hive-like rash present, patient with some itching. Patient given 25 mg Benadryl PO x1 and a bottle of water provided. Patient vitals with elevated BP noted (159/81). All other vitals obtained and within normal limits (134-148/72-87 BP, 100% RA, 68-73 HR). Patient observed for 40 minutes with resolution of symptoms. Macular erythema and itch resolved. Mother and patient aware of worsening and concerning symptoms that may present as time passes and advised Benadryl PRN. Patient and mother verbalized understanding and patient discharged in stable condition.

History of prior COVID19 infection in March 2021, mild symptoms. Vaccine #1 on 5/14/21, Vaccine #2 on 6/11/21. Acute onset chest pain/pressure on 6/13/21 in the early morning. Chest pain slowly improved throughout the day. Treated with NSAIDs and colchicine due to concern for myopericarditis.

5/27/2021: Patient developed chest pain, fatigue and headache for about 2-3 days. Symptoms improved, but chest pain has continued. Chest pain is at night time or when patient is laying flay. Improves with leaning forward or sitting up.

I gave the Pfizer vaccine first dose to patient and consulted patient waiting in the store for 15minutes and told him common side effects. After 10 minutes sitting down, his mom notified us the patient fell on the floor. He hurt his right eye brown and caused bleeding and we called 911 . I took the patient sat on the chair in the lobby and tried to clean his opened wound on the eye brown. We gave him drink some water and he felt tired and light dizziness.After 20 minutes, 911 came and checked his pulse, oxygen, and clean his wound. After 30 minutes, patient felt okay and no longer having dizziness and he refused to go to Emergency. He still had pain from hurting eye brown.

Chest pain, went to ER. DX with Myocarditis. Treated with pain medications in the hospital. He was then transfer to Hospital were again dx was Acute idiopathic myocarditis and elevated Troponin level. Was given discharge instructions to Follow up in 1 week with Cardiology, lab draws to repeat Troponin levels before Cardiology visit. No heavy lifting or physical activity until after visit with cardiology.

The pt received the Pfizer vaccine and after 1-2 minutes of sitting the pt fainted and bumped his head on the concrete floor. The pt was sweating and not responding for about 5 minutes, after the pt was awake and the EMS saw him the pt started feeling much better and did not wan t to go to the hospital. The pt only had juice and it was after 1:00pm so this could have been a contributing factor. The pt stayed 30 more minutes with me after the EMS left and he was completely fine. I also think the pt since he was a minor was really nervous.

Symptoms: (05/01/21) Woke up with sore throat. Shortly developed stabbing chest pain that got progressively worse. Treatment: (05/01/21) taken to ED, was given morphine for pain. EKG showed STEMI. Troponin levels were in the 20s . Was also given 325mg of Aspirin. Troponin levels finally decreased to ~6 on day three (05/03/21). He was discharged that same afternoon on 5/3.

Patient is a 17 year old male presenting with post-vaccine myocarditis. He had his second dose of his Pfizer COVID vaccine 3 days ago (6/11/2021) and that evening felt some mild burning central chest pain. States that the pain has been intermittent since then, non-pleuritic, non-exertional, but last night he had a severe episode that woke him from sleep, so his mother called the pediatrician who recommended he come to the ED. ED Course: Vitals - T: 36.7 °C, P: 79, R: 20, BP: 119/73, O2 SAT: 98% RA EKG - NSR 74, no acute abnormalities CXR - no acute process Trop - 32 Echo - normal PICU Course Cards: Troponin downtrending from 32.7 => 25.3 => 22 => 23.1 at time of discharge. Has been without chest pain during admission. Cardiac MRI demonstrating "Subepicardial delayed gadolinium enhancement in the mid inferolateral wall consistent with suspected diagnosis of acute myocarditis. Normal biventricular size and function with no hypertrophy. Normal valve function and structure." He will follow up with cardiology on 7/12 with repeat troponin on 6/18. EKG and ECHO unremarkable. ID: CBC, CRP unremarkable. Enterovirus PCR and RPP Negative. COVID-19 PCR Negative. COVID-19 IgG negative. Afebrile though out admission.

The patient with a past medical history of Hypertension presented 3 days after receiving the 2nd dose of Pfizer vaccine with chest pain. The patient initially received pain medication for symptom relief. An echocardiogram showed a low normal ejection fraction. Cardiac MRI showed evidence of myocarditis. COVID antibodies were positive. RVP and Lyme panel for myocarditis negative. The patient received a total of 2g/Kg of IVIG over 2 days then was discharged on colchicine, ibuprofen, Aldactone, and lisinopril. In follow up appointment patient endorsed having gotten back to baseline activity and function

The patient was walking around the store with parent waiting their 15 minutes to see if there was a reaction to the vaccine, The patients parent then yells out for help and yells that the patient has passed out and just received the vaccine. I ran over to make sure the patient was alert and he tried to stand up after falling so we escorted him to a chair and called 911. I waited with the patient until the fire department arrived, the patient was sweating, pale, and seemed to be breathing normally.

The day after the second dose of the vaccine my son 24 hours after the vaccine. He looked terrible with an ashy color and he had a very sore throat. He had other flu-like symptoms but he said it was difficult for him to swallow. He still had a fever of 100.9 and it lasted until the fourth day. The following day it was not much better so we went to the doctor and all tests were negative. It was still sore until the fifth day and then it subsided. We tried some Tylenol and Ibuprofen and it helped the fever but not the sore throat. It has been six days and he is fully recovered.

Systemic: Fainting / Unresponsive-Mild, Systemic: Tinnitus-Mild, Additional Details: The patient fainted about 3 minutes after receiving second dose of covid vaccine. He came around within 15 seconds then fainted again for a few seconds. An ambulance was called. He was given water and orange juice and let rest. She said his ears were ringing but that subsided quickly. The paramedics came and checked vital signs and all was normal so he did not go to the hospital. He said he was feeling fine and left after resting about 40 minutes.

myocarditis with fever, tachycardia, pleuritic chest pain, elevated troponin, accelerated junctional rhythm, normal echo, tachycardia. MRI and two day hospitalization and follow-up with pediatric cardiologist.

SARS CoV2 Pfizer vaccine 1 given at CVS in 4/2021. Day of vaccination, pt developed hematuria which self resolved in 2 days. Pt o/w asymptomatic. Dose 2 of pfizer vaccine given at PCP's office. Few days after, pt developed hematuria which progressed until presentation 2 weeks post vaccination. At presentation pt was found to have hematuria, hypoalbuminemia, proteinuria, HTN, and AKI. Dx by biopsy determined IgA nephropathy.

presented to the hospital 6/14/2021 with chest pain and troponin leak (peak of 14.9 after 2nd Pfizer vaccination (6/11/2021) with ST elevation on EKG and ventricular ectopy with non-sustained ventricular tachycardia, PVCs. treated for suspected myocarditis. remains hospitalized

Patient was administered the COVID19 vaccine and 5 minutes later, while in the observation chair, fainted and fell to the ground. His mother was present with him and the pharmacy staff rushed over to help. He came to after a minute or 2, but the paramedics were called immediately. Patient was a sweaty, hot. Paramedics arrived, did some test and said his blood pressure was low. They proceeded to take him to the hospital. Mom called around 3pm 6/17 and informed the pharmacy staff he was administered fluid, they ran more tests and he was waiting to be released.

He had sharp chest pains that would come and go in left side near ribs beginning around noon on 6/17/2021. They seemed to worsen throughout day & with laying down. Then, increasing pain along left side of body into hip and leg around 5:30pm. He experienced very "bad, cramp-like" pain in left calf area around 6:30pm. Sharp Chest pains intermittent at "10 pain level" & lower left leg at "8 pain level". Some nausea and vomited once at this point. We called the urgent care line for our doctor's office and spoke with nurse who instructed us to go to the ER. They performed ECG and Chest XR. Labs were BMP, CBC, CK, D-dimer (quantitative), & Triponon-I. They gave 800mg Motrin, IV fluids and keterolac in IV. They said they "did not identify a specific problem" but to rest, take ibuprofen, and follow-up with doctor and cardiologist. They said it was most likely related to the Covid-19 vaccination but could not give causation. Patient seems fine so far today, but still has medication in system.

My son got both his 2nd dose of the Pfizer COVID-19 shot as well as a booster for Tdap. (Unsure of which Tdap or lot#) at 11:30 pm 6/18/2021 he was fine. About 30 mins later he was hit hard with side effects. Said he was very shaky and felt hot and cold at the same time. He did not let me know about this until this morning around 7:50 am 06/19/2021 about how he was feeling and he was still feeling very bad, advised him to take tylenol and he took that and went back to sleep. Around 12:00 PM 06/19/2021 I was finally able to check his temperature and other vitals. His temperature was normal, but his heart rate was 138 bpm. I made him sit down and relax for a bit and heart rate leveled out to normal. He also reported he is afraid to eat that he feels nauseous. As of this afternoon 06/19/2021 he seems to be feeling better.

Chest pain for 2 weeks with fatigue, found to have Perimyocarditis, admitted to the Pediatric ICU. Seen by pediatric cardiology, Started on ibuprofen, IV Immunoglobulin, IV steroids. Troponin continuing to rise. Serial EKGs with ST Elevations(v2-v6) and PR depressions (lead I), which normalized then developed lateral T wave inversions (v3-v6) Admitted on 6/16 Patient is still admitted at time of filing.

Patient admitted to hospital on 6/16/2021. Patient was experiencing chest pain with intermittent shortness of breath for two weeks prior to presenting to emergency department. Troponin on admission 0.98, increased to 1.35 on following day then decreased to 0.85. ECHO was within normal limits. Patient discharged on 6/18/2021 and will have repeat troponin/ECHO in 4 weeks. Patient received Pfizer Covid vaccine on 4/26 and 5/17/2021.

Patient received vaccination and shortly after patient started to feel dizzy. Patient then fainted for about 30 seconds then regained conciousness. Patient reported to feel hot after waking up. Otherwise back to normal.

Got the vaccine on 6/13. Developed fatigue, sore throat, runny nose within 24 hours on 6/14. Was stable, but on 6/17 developed high fevers up to 101-102, erythematous rash on his neck, bilateral conjunctivitis and runny nose. Presented to the ED under my care on 6/18 due to ongoing fever, dehydration and neck pain. Currently undergoing full evaluation: COVID19 PCR positive. ESR, CRP, procal elevated. ALT/AST elevated High sensitivity troponin elevated. BNP normal. CBC with neutrophilic predominance, platelets clumped - repeating. RVP pending. Evaluating for MIS, COVID reinfection, post-vaccine reaction, different viral illness, post-covid reaction + development of a cellulitis.

On day 2 nd and day 50 got high pulse rate . Pulse went to 150. Did EKG and nothing came out in that

Patient received his first dose of Pfizer vaccine via IM in left arm. Patient was waiting in the waiting area post Covid vaccine accompanied by his father when his vision started to become blurry. As patient was raising his hand for assistance, he lost consciousness for a couple seconds and hit his head on the wall behind him while remaining in his chair. RN stat was called. Vital signs were taken with blood pressure low. Patient visibly diaphoretic. 911 called at 518. Patient transferred from wheelchair onto stretcher via patients father. Patient has no history of allergies or on medications at this time. When paramedics arrived, patient stated feeling better. Ortho static vital signs taken. Blood sugar checked via paramedics and was 98. Patient stating vision is back to normal. IV fluids started for patient via paramedics. Patient was then transferred via ambulance out of clinic at 1745.

Patient given vaccine then mother was given her vaccine. After RN administered vaccine to mother, patient reported he "felt weird." Patient suddenly got very pale in his face, so RN able to get patient to lie down and elevate feet. As patient was getting into supine position on exam table, patient passed out and was unconscious for one minute. A second RN entered room at the time and obtained vitals. Patient had strong pulse and was breathing upon assessment. Pulse ox upper 90s the entire time. Initial HR 50s, BPs 80s/40s. Within 10 minutes, HRs 60-70s and BPs 100s/50s. Patient was able to sit up independently, answered questions appropriately. Patient able to eat crackers and drink Gatorade with no issues. Patient able to stand without assistance and then escorted to observation room to be observed for an additional 30 minutes. Patient left with family with no further complications.

patient is a 17yo male who experienced a syncopal event approximately 10 minutes after receiving his first dose of the Pfizer covid-19 vaccine. while sitting in the observation area with his mother, patient began to feel light headed and nauseous. patient was assisted to yoga mat on ground with lower extremities elevated. Per pt and mother, patient has a significant history of anxiety, and also becoming light headed and nauseated, in association with medical procedures, specifically when involving needles. patient's mother also reports patient has "passed out" previously when he experienced a hypoglycemic episode. Patient reports only having eaten a cookie and a slice of bread for the entire day. Upon initial assessment, no acute distress noted, AOx4, verbal, able to make needs know, and answers questions appropriately. Respiration even and unlabored, lung sound clear to auscultation. after approx <1 minute, noted progressive decreased level of consciousness, patient was minimally responsive for <15 seconds. Noted patient with significant diaphoresis, patient skin and lips were slightly pale & intact. Respiration remained even and unlabored, lung sound clear to auscultation. no sx/sx of allergic reaction. patient's mother Denied any significant past medical history, or allergies. Patient was assessed while laying on yoga mat on ground with bilateral lower extremities elevated, in observation area. Physical examination and past medical history obtained simultaneously. Initial vital signs @ 1845 95/32 hr 49 O2sat 99% rr17. Patient started to regain consciousness after <15 seconds, with progressive alertness. After approx 1 minute patient was AOx4, verbal and able to make needs known. Patient was provided with a gatorade drink, and encouraged to finish entire drink. Continued to observe patient for an additional 30 minutes. No acute distress noted throughout that time. Respiration remained even and unlabored, lung sound clear to auscultation. denies dizziness, light headedness or other symptoms. Skin warm, dry and color appropriate for ethnicity. V/S@ 1853 111/51 hr 90 O2sat 99% rr18 , AOx4, no acute distress noted. @ 1900 Patient reported ?feeling better?, denied lightheadedness or nausea. V/S @ 1900 128/66 hr 92 O2sat 99% rr 18. Instructed patient's mother not to leave patient unattended for remainder of day, and encouraged oral hydration. Instructed to call 911 if experiencing return of initial symptoms, difficulty breathing or loss of consciousness. Educated patient and his mother on sx/sx of allergic reactions, and anaphylaxis. Encouraged patient to follow up with his PCP. patient and his mother expressed understanding of all instructions and education. V/S @ 1930 135/72 hr 83 O2sat 98% rr18, no acute distress noted, patient denied any symptoms at that time. Patient left home with mother @ 1930.

Previously healthy male presented with severe chest pain 2 days after 2nd dose to Emergency Dept (no records obtained), transferred to another Hospital and admitted for < 48 hours.

S/p COVID-19 vaccine and COVID-19 test uc reports "not feeling well" upon questions with Childcare translator. UC verbalized feeling dizzy, rapid HR, and weak.

c/o "feeling sick for a week"; treated at clinic Saturday, 6/19, for UTI and prescribed antibiotics; c/o generalized muscle pain/aches since 6/16/2004; positive for diarrhea and fever. Received an EKG, labs, and chest Xray. Diagnosis of Obstructive jaundice and SIRS. Transferred to higher level of care with specialty in house.

Patient felt dizzy after receiving his vaccine upon walking to observation room pt fainted and was guided to the floor by his mother. Patient came to by the time the nursing staff reached him. vitals were assessed and were as follows bp 52/23, hr 58bpm, O2 sat 100% temp 97.2, respirations 16. Patient was given fluids and the site MD was contacted. MD came to see patient and gave more fluids and considered him ok as his BP began to slowly rise. Patient reported that he gets faint like that every time he gets shots or blood draws. Patient also stated that he didn't eat much today (a bite of chicken). Pt has a history of spitting out food and poor eating habits.

Heart Palpitations, tachycardia, irregular heart beat and sharp constant 5/10 left sided chest pain since receiving COVID shot. SOB. PFIZER COVID shots 3/23/2021 and 4/14/2021 with symptoms coming on immediately after shots.

17 y/o male presented to ED (6/21) after experiencing "chest pain" with exercise (playing basketball). This occurred 5 days after receiving his 3rd dose of his Pfizer vaccine (6/16). He received a 3rd dose at the recommendation of his PMD after being informed that his 2nd dose was expired at the time when he had received it on 6/7 Following this vaccination he "slept for 18-20 hours" and had subjective fevers which self-resolved after 24 hours. He developed dyspnea, acute onset of R-sided/mid chest pain and the sensation that his heart was racing. He presented to the ED and was admitted to the PICU for monitoring. Labs revealed elevated troponin (240 ng/L) which downtrended to 89 ng/L by 6/23. Concern for myocarditis vs pericarditis in setting of recent Pfizer COVID-19 vaccine; started on ibuprofen 400mg PO q6h.

began 6/13 with chest pain and SOB, mild dizziness and sob. Sx persisted -went to urgent care- EKG showed ST segment changes - sent to ED for eval . In ED vital stable, labs showed elevated troponin of 81 Echo in ED normal ventricular function- CXR nl - admitted sx myopericarditis

With in 3 minutes of receiving vaccine patient got dizzy and was brought the EMT on site. He sat there for about an hour due to dizziness and high blood pressure before I drove him home. Then nex day while driving he got dizzy and high blood pressure. Numbers were ranging from 150-170 over 99-108. Due to this he has several panic attacks and on medication for high blood pressure. He will not drive, work, or go many places since this vaccine and the panic attacks.

Pt received first dose of Pfizer vaccine around 1843. Pt and father report that after about 30 seconds post vaccination, patient felt dizzy, became diaphoretic and pale. At 18:45 a RRT was called. B/P 80/50 and heart rate 60. Patient moved to stretcher and given ice pack applied to posterior neck. Patient transported to ED via stretcher with father and Nursing Supervisor.

Patient had a syncopal episode within 15 minutes of vaccination. He then had seizure-like activity. He rested and felt better; patient was released to home.

6/22/21 Awoke with chest pain and stomach pain. Chest pain persisted. Went to Urgent care on 6/23 then seen by cardiology and referred to emergency department and admitted to PICU 6/24 after having positive troponin test. Chest pain improved on ibuprofen. Discharged on 6/25/21 on motrin and following with cardiology.

ER Note: 17 y/o with no prior significant medical history presented to ER with onset 6/20 am of chest pain. None exertional, constant, or aggravating or relieving factors, not associated with any palpitations, breathing difficulty, dizziness, or syncope . No fever. Feels well generally. Cardiologist consulted for concern of COVID vaccine induced myocarditis. Admitted

Pfizer vaccine given. Patient was waiting 15 minutes after vaccine before departing. Patient was accompanied by father and two siblings. Patient fainted while sitting.

had his second shot on 21Apr2021 and was in the hospital for chest pains/pressure on April 23-25, diagnosed with Myocarditis,; Myocarditis; had his second shot on 21Apr2021 and was in the hospital for chest pains/pressure on April 23-25, diagnosed with Myocarditis,; This is a spontaneous report from a contactable consumer (patient). A 17-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: EW0162), via an unspecified route of administration in left arm on 21Apr2021 (at the age of 17-year-old) and as single dose for COVID-19 immunisation. Medical history reported as none, patient had no known allergies. Concomitant medication included escitalopram, dose: 10 mg taken for an unspecified indication, start and stop date were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: ER8732), via an unspecified route of administration in Arm Left on 31Mar2021. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Reported that patient received Escitalopram 10 mg within 2 weeks of vaccination. Patient was not diagnosed with COVID-19 prior to vaccination and patient did not test for COVID-19 since the vaccination. It was reported that patient had his second shot on 21Apr 2021 and was in the hospital for chest pains/pressure on April 23-25, diagnosed with Myocarditis. The patient was hospitalized for the events for 2 days on 23Apr2021 to 25Apr2021. On 24Apr2021, the patient underwent lab tests and procedures which included blood test for covid test and result with negative. Patient received treatment for events with 10+ ekg's or so, ibuprofen. The outcome of the events was recovered on an unspecified date in 2021.

Patient with 1 day of chest pain, leading to ER visit that same day and admission to hospital with concern for myocarditis. Currently admitted to hospital awaiting further workup.

BP 101/60 (BP Location: LA-LEFT ARM, BP Patient Position: LYING, Cuff Size: Standard Adult) | Pulse 59 | Resp 16 | SpO2 99% Location of event Vaccine Center Description of Event: Pt appeared pale and nurse asked if he was ok. Pt slumped over and didn't respond to questions momentarily. When pt finally did respond he said he was ok but looked pale and diaphoretic. Interventions: Given water, juice, brought to gurney, assessed, vitals taken. Medications administered: None Response to interventions and/or medications given: Improved to baseline Additional information: Mom was present for whole event. Disposition: Home Treatment

initially numbness of right arm reported on day of second vaccine. noted to have muscle aches and pains on day one after second vaccine dose. two days after vaccine, was complaining of severe chest pain, so was taken to ED.

Patient had shallow breathing and mentioned pain with each breath, otherwise no other symptoms. Care team was in the room providing discharge assessment. Provider and patient verbally confirmed agreement to receive vaccine despite pain. Shortly afterwards, patient complained of shortness-of-breath but maintaining SATs and tachypneic, patient complained of not being able to feel upper extremities despite pressure on fingers. Non-rebreather was placed. Patient then became unconscious, sternal rubs were provided without response. The code team was called and patient began to seize. Ativan was administered and patient was prepared for intubation. Patient was intubated on the floor and subsequently transferred to PICU (Pediatric Intensive Care Unit).

PATIENT FAINTED ABOUT 2 MINUTES. PATIENT WAS PALE, SWEATING, NAUSEOUS, & DIZZY. PATIENT'S BLOOD PRESSURE WAS TAKEN 2 MINUTES APART UNTIL EMT ARRIVED. PATIENT WAS ASSESSED AND EVENTUALLY WAS ABLE TO LEAVE WITH PARENT.

Fever, chills, and throbbing head pain on the left side of head. Light headed and very pale. He could not move or head will be throbbing and very painful.

Had acute onset severe abdominal pain. Found to have significant elevation of liver enzymes (AST, ALT in the 900s) and INR (1.40), also had elevated high-sensitivity troponin with normal cardiac echo and EKG. Liver enzyme elevation resolved and patient did not experience any symptoms of liver failure.

Pt pale and diaphoretic, unable to speak for a few seconds, with shallow resp. 911 called Laid down on cot bed, obtained vs, and monitored pt. until paramedics arrived on scene. Pt evaluated returned to baseline with VSS on RA, released to mother, who took pt to urgent care for further evaluation via private vehicle

On 06/02/2021, (23 days after vaccine) the patient and his identical twin brother were at dinner when patient had shortness of breath and chest pain. They brought the patient to Medical Center where a CT of the chest was performed to rule out a pulmonary embolus. No pulmonary embolus was identified and patient was transferred the patient via ambulance to Hospital to the intensive care unit. He was noted to have an elevated troponin, an elevated BNP and a left ventricular ejection fraction of 35%. He underwent a cardiac MRI on 06/04/2021 documenting delayed enhancement in the inferior and inferolateral walls of the left ventricle consistent with myocarditis. The patient's chest pain was quite severe and was only relieved once he was in the intensive care unit at Hospital. He did well for 2-3 days and did not require inotropes but his troponin vacillated and his ejection fraction remain low. He was given IVIG non 06/05/2021 after his echo showed an ejection fraction between 37 in 45%. He subsequently developed headache emesis and neck pain. On hospital day 5, the father was quite concerned for his son and thought ?he was going to die?. The father shared pictures of the edematous, pale son that he took with his phone. He improved over the next 1-2 days and was discharged from the hospital with an ejection fraction on 06/07/21 of 62%.

Patient presented on 6/30 to the ER after going to PCP for chest pain and neck pain. Had received second dose of Pfizer vaccine on 6/27/21. Was found to have a troponin of 6 and echo with normal cardiac function.

Patient is 17yo previously healthy male that presented to the ED due to a 3-day hx of chest pain in the setting of acutemyopericarditis secondary to the second dose of Pfizer COVID vaccine. On Friday, patient was vaccinated with the second dose of Pfizer COVID vaccine. On Saturday night, he started presenting with headaches, myalgia, a temperature of 100.0F, and chest pain. Such pain is sharp, mid-sternal, non-radiating, a 7/10 at it's worse, and worsened by lying down. For the chest pain he has been taken Tylenol 500mg and Ibuprofen 400mg as needed, with minimal improvement. The next day, his headache, myalgia, and high temperature resolved but he persisted with the chest pain. Today, he took Tylenol 500mg at 7:20am with minimal improvement. Due to persistent chest pain, he presented to our ED. Overall, he denies any UR sxs, trauma, SOB, emesis, diarrhea, abdominal pain, sick contacts at home, and known COVID-19 exposure. Denied any family history for sudden cardiac death, congenital heart disease, or arrhythmia. Currently not taking any medications. No known allergies. VUTD. In the ED, CXR normal. Troponins elevated to 2.8. EKG with sinus rhythm, ST elevation with normally inflected T wave, and normal axis, intervals, and voltages. COVID ID now negative. He was given one dose of Ibuprofen at 11:30am with chest pain improvement to 2/10. In CICU, the patient arrived at RA, hemodynamically stable, with good pulses, cap refill less than 2 secs, and chest pain 2/10. During his hospital course, troponin uptrended to a maximum of 5.09. Repeat level in the afternoon with consistent downtrend at 2.86. EKG with ST elevations consistent with pericarditis but hemodynamically stable, with good pulses, cap refill less than 2 secs, and no chest pain. Echo with no structural abnormalities, no significant valvar dysfunction, and normal LV systolic function. CXR on 06/14 normal and in no respiratory distress. Pain management controlled with ibuprofen 600mg q8hrs and Tylenol PRN. Currently with no chest pain. Mycoplasma IgM and IgM and RPP pending and will be followed as an outpatient. Physical exam unremarkable. Will follow up with Dr. on 06/25/2021. Advised patient and family to refrain from strenous exercise for 2 weeks and no sports for 3-6 months.

Two day after his 1st covid-19 vaccine, he experienced CP and fever and was taken to ER where a bedside US showed possible pericardial effusion. He was hospitalized overnight and an ECHO showed mild pericardial effusion. He was otherwise well, sent home on 10 day course of scheduled ibuprofen with f/u with cardiology in 2 weeks. When I saw him 9 days later he was asymptomatic.

Elevation of the ST in the EKG; pericarditis; Myocarditis; Chest tightening and chest pain; Chest tightening and chest pain; Ever harder for him to laid down so he is no comfortable in sitting up he woke up with a chest pain lying down; This is a spontaneous report from a contactable consumer or other non hcp. A 17-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for Injection, Lot Number: EW0173 and Expiration date was not reported), via intramuscular, administered in Deltoid Right on 04Jun2021 15:00 (Age at vaccination was 17-year-old) as dose 2 single for covid-19 immunization. The patient medical history was not reported. Concomitant medication included no, Vitamins (It is the gummy bear vitamins multivitamins for kids). The patient did not receive any other vaccines within four weeks prior to the vaccination. Historical vaccine included first dose of BNT162B2 for covid-19 immunization. On 06Jun2021the second day they have to go, he woke up with chest tightening and chest pain, and know it was ever harder for him to laid down, so he was not comfortable in sitting up and he woke up with a chest pain lying down. so they had gone to the emergency room and there were some test that they run and one of which the ultrasound of the heart and the EKG in which they saw that that there was elevation of the ST in the EKG and then he was given some medicine she thought it was Ibuprofen or something and then they said that it was fine or it was like pericarditis or myocarditis something like that so when they were advised in the discharged notes that for like more than was whole night they were discharge at the ER on Monday 07Jun2021 around 4 am. The discharge note it says that if you still feel the chest pain or anything or he feel like get sore and feel not much better than they had to go back then and advised to be seen by the primary care doctor or pediatrician which they did on 3 days after on the 09Jun2021, that was the Wednesday seen by his primary doctor so all the paper work was sent and they were advised to be seen still waiting to be seen our current pediatric current in neurology. They do not really know if from the plan of the ER if they know what was going on with his heart hopefully it get resolved or something but then they still do not know firstly was on the ER do not know and there was no medication only in the discharge note if he feel pain or something give him like the Ibuprofen (treatment), Morphine other stuff but a since the time that we were out of the ER, did not give him that because he did not feel the way he did when we went to the ER. The patient underwent lab tests and procedures which included electrocardiogram: elevation of the st on 06Jun2021, ultrasound chest: unknown results on 06Jun2021. Therapeutic measures were taken because of chest tightening and chest pain. The outcome of the events was unknown. Information on lot/batch number was available. Additional information has been requested.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Additional Details: pt fainted after getting second pfizer shot. was placed in supine position/water given later. bp,pulse was normal. emt/911 called and was checked in detain in ambulance.

Chest pain, vomiting after 4 days after vaccine with resultant labs consistent with myocarditis (elevated troponin, ESR, and CRP). Being followed by cardiology.

Pleuritic chest pain lasting for 2 weeks. Started 5 days after second vaccine dose. Pain with inhalation, resolving after a few minutes. Occurring randomly throughout the day, including at rest. 4/10 stabbing pain located in the center of the chest. Worse with deep breathing. No fever, palpitations, loss of consciousness, cough, shortness of breath. ROS was otherwise negative. No illnesses preceding event. Resolved spontaneously. Saw PCP for annual physical, at the end of May at which time the pain had already subsided. Was referred to pediatric cardiology for further evaluation.

A few minutes after receiving vaccination, patient stood up and passed out falling face first to the floor.

At the injection the patient started to faint his mother was there and knew what was needed patient came back around and stayed seated for 45 minutes Mother took him to ER for observations

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Medium, Systemic: Seizure-Medium, Systemic: Shakiness-Medium, Systemic: Visual Changes/Disturbances-Severe, Additional Details: Patient received pfizer covid vaccine in left deltoid. 5 minutes after shot he complained of visual changes. He sat down and said he could not see then lost conciousness and had mild convulsions for about 10 seconds. He regained counciousness but still could not see. pupals very dialated. 911 was called. Patient had temp of 97.8 and osat of 99. vision loss continued for 10-15 minutes but patient was concious. EMTs arrived on scene. blood glucose 102, BP 92/46. very low. recommended he go to ER.

Patient temporarily passed out and looked pale. He was supplied with water and felt better after 15 minutes of sitting.

fever and chest tightness. Onset yesterday. Began after he received the second dose of his pfizer covid vaccine. He has generalized malaise and myalgias. Chest tightness with sob. Ed medications- Ns bolus 1000 ml, toradol 15 mg IV

After patient received vaccine they fell to one side of the chair while sitting down. The patient woke within 10 seconds of passing out. Patient did not report any signs of allergic reaction. Patient was given water and monitored for 15 minutes.

Patient developed chest pain and was found to have elevated troponin and ECG changes consistent with myocarditis. Was admitted and observed on telemetry and given scheduled NSAIDs and troponin trended. Symptoms resolved and troponin improved however remained elevated and patient was discharged with 1 week follow up and cardiac MRI ordered.

Patient is a 17 year old male with only past medical history of anemia at 1 year of age (resolved with iron and vit C supplementation), who presented to an Hospital on 7/7/21 with 2 days of chest pain radiating to his L arm, generalized upper extremity weakness, SOB, vomiting, found to have an an elevated troponin level of 0.626 with ST segment elevation on EKG, echo reportedly normal. Patient reportedly tested positive for COVID-19 on 6/6 and subsequently went into quarantine, was re-tested on 6/21 and tested negative. He arrived on 6/28 and received his 1st dose of Pfizer COVID-19 vaccine on 07/03/21. Of note, he was told he might feel dizziness and arm achiness after the vaccine but denies he was informed about possible inflammation of or around the heart after the vaccine. On 7/5 he was awakened in the morning by chest pain 6/10 and shortness of breath that started in the right lower sternal border and progressively moved to the left lower sternal border and then to his L shoulder and arm which he describes as feeling like he had been "punched" or a constant achy feeling. He took Tylenol x1 on Monday with minimal improvement. He initially thought it was reflux pain and took tums but it did not improve. He had one hour of relief but then the pain returned. He reportedly felt dizzy Monday evening as well. The pain was absent on Tuesday, but he woke up this morning again with the same chest pain and shortness of breath, prompting him to seek medical attention. In the outside ED, he had one NBNB emesis that was not preceded by nausea. En route from Hospital to Hospital he complained of chest pain 7/10 for which he was placed on 2L O2 which reduced the pain to 4/10. During his admission his troponin levels initially up trended and peaked at 5.67 before beginning to downtrend. He was diagnosed with myopericarditis and started on ibuprofen three times a day around the clock. He was discharged home on 7/8 with specific return precautions, follow-up appointment with cardiology, and strict instructions to avoid exercising and strenuous exercising until cleared by cardiology.

Patient lost consciousness. HR and blood pressure were really low. patient was sweating profusely. Patient complained of being dizziness upon regaining consciousness. EMS was called. Patient drank some water and orange juice and began to become more alert and oriented. Patient declined medical transport and walked out of pharmacy with his mother.

History of Present Illness 17-year-old male who denies any major medical problems presents to the ER concern for chest pain. The patient states that he stayed up all night and he woke up this morning around 12:30 p.m., around 1 hour prior to arrival and he was having a tightness in his chest. The tightness is constant, seems to go down his left arm. He has never had this happen before. He received his Pfizer vaccination for COVID-19 on Friday of last week and he feels like he has had some aches since that time. He has been taking Motrin for this and this morning he also took Motrin but there is no significant relief. He has no significant shortness of breath, no nausea vomiting, no diaphoresis. I spoke with him privately and he denies any history of cocaine abuse. Per his mother he has healthy, no major medical problems. He has not recently had any other concerns or recent review systems. No history of having blood clots or DVTs. Medical Decision Making: History examination as above. Patient presents our concern for tightness in his chest with some radiation to his left arm over the past 1 hour. His EKG does show J-point elevation but he has no risk factors, he is hemodynamically stable well-appearing on examination. He has no shortness of breath, nausea, diaphoresis. Differential includes myopericarditis, early repolarization. Feel that the likelihood of STEMI, ACS is low. Will obtain a troponin as a part of his workup, chest x-ray for evaluation of cardiac silhouette size, bedside ultrasound. I do not suspect that he has a PE. He has no tachycardia tachypnea hypoxia. No external findings of suggest a DVT on examination. I do not suspect that he has cardiac tamponade, CHF, pulmonary process such as pneumothorax, pneumonia based on his history. Do not suspect a GI etiology. Will monitor closely here in the ER and re-evaluate. Time 2:30 p.m.. The patient's troponin is elevated at 7. I consult with Cardiology and I spoke with Dr- we reviewed the patient's EKG, his presentation, his history. He feels this is secondary to myocarditis from likely the COVID-19 vaccination. I have added a viral PCR as well as a part of his workup. He does not recommend activation the cath lab, he does not feel this is a STEMI. I do agree based on the history and the patient's appears this time. He recommended a formal echocardiogram as well. -I spoke with the ultrasound technician at bedside and there is no evidence of wall motion abnormality. This is consistent with my examination. -given the patient's elevated troponin we do not have capabilities of caring for him here. Not have Pediatric Cardiology, we do not have a PICU if the patient's condition were to worsen. There for the patient requires transfer to tertiary center. -will consult with another hospital for transfer. Time 3:22 p.m.. I spoke with Dr, he accepts for transfer. No recommendations for medications at this time. The patient is chest pain-free, hemodynamically stable. Spoke with the ultrasound technician there is no evidence of cardiac wall abnormality, pending official interpretation with our cardiologist. -asked for emergent transfer because I do not want the pain to be waiting here in the ER with possible worsening condition, worsening troponin elevation without cardiology consultation at a pediatric specific hospital. I do not want him to have the chance of deteriorating at this facility and therefore I do feel that he warrants emergent transfer as opposed to routine where he could wait here in the ER for hours. I do feel that benefits outweigh the risk and I spoke with the patient and his family about this and they agree. Critical Care: 55 minutes. Emergent evaluation on presentation given his EKG showing STEMI per computer interpretation. Time spent for multiple re-evaluations, discussion with Cardiology and outside hospital consultants, time spent with documentation. Time spent with family. Complex medical decision making. Serious life threatening disease process. Potential for death and increased morbidity. Exclusive of procedure time.

Heart fluttering; Palpitations; Gray skin pallor; This is a spontaneous report from a contactable nurse. A 17-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number and expiration date was not reported), via an unknown route of administration on 09Apr2021 single dose for COVID-19 immunization. The patient medical included Psoriatic arthritis, hypermobile joints, chronic fatigue, hypermobile joints, and Iron dextran complex. Patient previously took first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number and expiration date was not reported), via an unknown route of administration on 19ar2021 as single dose for covid-19 immunization. The patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. The patient concomitant medication included Benzoyl peroxide, clindamycin phosphate (BENZACLIN); Celecoxib (CELEBREX) for arthritis; Loratadine (CLARITIN (LORATADINE)); Secukinumab (COSENTYX); Bisacodyl (DULCOLAX (BISACODYL)); Multivitamin (VITAMINS NOS); Prednisone; Senna acutifolia; Vitamin D3 and Diclofenac Potassium (VOLTAREN). On 30Apr2021, the patient experienced heart fluttering, palpitations, gray skin pallor. Occurs randomly, lasting 20-30 seconds per episode. The clinical outcome of the heart fluttering, palpitations, gray skin pallor was recovered on an unspecified date in 2021. Follow up needed; Information on the lot/batch number has been requested.; Sender's Comments: Based on the available information and known product profile, the causal relationship between the reported Cardiac flutter and the use of BNT162B2 cannot be fully excluded. The case will be assessed further upon receipt of additional information. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Syncopal episode after receiving vaccine. Adult emergency called. Pt awake and alert within 1-2 mins. To ACC for evaluation

COVID vaccine-associated myocarditis. 3 days after his second Pfizer COVID vaccine, pt presented for chest pain and pressure. Troponin was initially elevated to 4.2, EKG showed ST elevations in lateral leads. Over the course of his stay, troponin dropped, then rose to peak of 14, then dropped again. He was treated with Naproxen 500 mg BID and Pepcid 20 mg BID for gastroprotection. As chest pain resolved, troponins improved, and EKGs improved. Echo and Cardiac MRI were done.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Medium, Systemic: Weakness-Medium, Additional Details: After recieving the pfizer covid-19 vaccine, Patient briefly passed out while sitting down less than 5 minutes after the vaccine. Subsequently his mother screamed out for help, I ran over took his pulse, which was present but slightly faint, and almost used the epipen but he came back to consciousness before it was injected. Upon inital observation when I came over the patient was very pale and sweaty. We called 911 and shortly thereafter the medics took him to emergency room.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Shakiness-Medium, Systemic: Weakness-Medium

On April 23, 2021, we flew from one location to another for a visit. Patient became dizzy with vertigo and nausea, which worsened as the day progressed. We had to visit the ER that evening. His heart rate was @ 103 bpm and the ER evaluated him for several hours. The ER prescribed Meclizine. When we returned home patient saw a vestibular specialist @ Hospital and was diagnosed with vestibular neuronitis.

PT is a 17 y/o previously healthy boy who presents with 3 days of moderate-severe, substernal chest pain, dyspnea, and nausea 2 days after receiving the 2nd dose of the Pfizer COVID-19 vaccine. On Tuesday (7/6), PT received the second Pfizer COVID-19 vaccine. The following day (Wednesday 7/7) PT had "flu-like symptoms" with chills, subjective fever, and a sore arm that resolved by Thursday (7/8). He was back to his baseline state of health on Thursday (7/8) and felt fine that whole day. On Friday afternoon (7/9) when he was at work washing dishes where he had some physical exertion he began to notice at 16:30-17:00 that he developed substernal, sharp, 7/10 chest pain that did not radiate, improve/worsen with deep breaths, sitting up, laying down or with movement of his upper extremities. It worsened towards the end of the night and peaked at 8/10 by 22:00-23:00 that same evening. His sister picked him up from work per his regular routine and he went home and took a shower which improved the pain to a 5-6/10 when he went to sleep. He woke up at 3 AM on Saturday (7/10) AM and had one episode of NBNB emesis associated with the chest pain. When he woke up later that morning he felt improved until 10-12 AM he developed mild chest pain again which he took Tums for. He also tried Motrin which did not help his pain at all. On the morning of admission (7/11), he woke up at 6-7 AM with upper right back pain, dyspnea, and nausea along with the persistent chest pain which prompted him to present to MFSH. He does endorse mild sore throat but denies any fevers, recent sick contacts, known COVID-19 exposure or previous history of COVID-19. There is a family history of cardiac disease including a fatal MI in his father. His mother's family also has a history of heart disease and both sides have a history of high cholesterol. He did add Whey Protein recently to his diet to for muscle building, but he DENIES any drug, alcohol, tobacco, vaping, marijuana, THC use. He does not play any sports regularly. He also denies any recent bug/tick bites or rashes.

At 2:25pm patient c/o SOB, increasing heart rate, hard to breathe, numbness all over body, and high level anxiety. Nurse took his blood pressure and tried to help patient stabilize his breathing in brown bag. Requested EMS immediately and patient was transported to hospital. HR: 170 BP: 150/100 Resp: 26