Pfizer

Immediately after vaccine administration, patient reported he felt faint. Had flushed cheeks and increased blood pressure. Had patient recline and was monitored for 20 minutes and felt better.

Fifteen minutes after receiving vaccine, patient became syncopal upon standing after his observation period. He fell to the ground, hit his head. Patient was diaphoretic and pale afterwards, and taken to the emergency room for evaluation due to fall.

After receiving COVID vaccine around 1720 and being observed post vaccination pt returned at 1807 to observation area with complaints of feeling anxious, pt noted to have flushed face and sweating. BP was 160/88 and HR 108, pt observed for additional time flushing and sweating resolved, pts BP and HR decreased to 137/73 and 73. Pt declined further evaluation in ED

Symptoms developed 16 hours after injection of the 2nd dose (booster). Symptoms included body aches, nausea, chills, fever, headache, chest tightness. All symptoms resolved within 24 hours with the exception of chest tightness which fully resolved 8 days after the shot.

Symptom onset approximately 24 hours after 1st dose given. Experienced sudden onset orthostatic hypotension, weakness, and nausea for 36 hours.

Runny nose; tachycardia; Weakness; flu like symptoms; Sore/dry throat; Sore/dry throat; nausea; This is a spontaneous report from a contactable nurse (patient). A 26-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscularly on the left arm, first dose on 18Dec2020 (lot number: EH9899) and second dose on 08Jan2021 08:15 (lot number: EL3246), both at a single dose for COVID-19 immunization. Medical history included COVID prior vaccination. Concomitant medications were not reported. Patient did not receive other vaccines in four weeks prior to vaccination. The vaccine was given at a hospital. The patient reported sore/dry throat and nausea started Sunday (03Jan2021), weakness and flu-like symptoms on Monday (04Jan2021), then runny nose and tachycardia on Tuesday (05Jan2021). No treatment was received for the events. Patient has not been tested for COVID post-vaccination. Outcome of the events was not recovered.

10 minutes after the second dose, patient developed headache, lightheadedness, dizziness, shortness of breath/anaphylaxis. Transferred to ED, and experienced chest pain, SOB, tightness in throat. Patient was sent to the emergency department. Received 25 mg Benadryl prior to arrival as prophylaxis. Received Combivent in the ED, and symptoms improved. Patient was observed for 4 hours in the ED. Eventually patient was discharged home.

1/28 - First dose of vaccine received. Arm felt heavy, not sore. Throughout the day, fatigue gradually increased. Before bed time, had cold sweats and shakes. 1/29 - woke up feeling perfectly fine. 2/17 - Second dose of vaccine. Arm felt sore and was sore two days after. From 2/18-2/20, I noticed the effects of the Cymbalta were gradually decreasing and was experiencing side effects (shocks from toe to head every step). Turns out that even with taking my regular dose of the Cymbalta, my body after 2 hours feels like I had never taken it. 2/20 - After experiencing heavy shocks, shaking, and heart racing, I went home after coming into work 3 hours later. 2/21 - Woke up today feeling dizzy, fatigued, and weak. I know that operating a motor vehicle will not be possible for me.

Patient lost consciousness while in the waiting area about 5-10 minutes after vaccination. Gave patient water and he laid down for several minutes and then started to feel better

chills; slight headache; mild nausea; elevated heart rate; This is a spontaneous report from a non-contactable other hcp. A 26-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscular into Left arm on 15Feb2021 11:15 at SINGLE DOSE for covid-19 immunisation. Medical history included Allergies to medications, food, or other products: shellfish, plant pollen. Historical vaccine included first dose of bnt162b2 on 27Jan2021 11:00 AM Intramuscular into Left arm for covid-19 immunisation. Concomitant medication included estradiol, bicalutamide, progesterone. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. It was reported acute onset of chills and slight headache beginning 13 hours after injection, followed by mild nausea and elevated heart rate lasting 3+ hours, events started on 16Feb2021 12:15 AM. No treatment received for the events. The events were reported as non-serious. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The outcome of the event was recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Patient stated to RN at observation that " he wants to lay down". RN stated that "she held his head" as he experienced a syncope event. RN notified Nurse Practitioners . EMS activated. Patients assessed and found to be alert and oriented to place and person. Patient stated that he felt dizzy. Vital signs monitored and patient found to be hypotensive, diaphoretic, and flushed. Epinephrine administered X3 with vital signs monitored in between. Vital signs stabilized and patient transferred to hospital with EMS.

1 week after 2nd dose exactly (3/3/21)- Increased heart rate, hard to breathe, sweating without fever, nausea, headache and fatigue. From approximate 9:00 am - 12:00 pm 3/4/21 - Severe chills, fever 102.3, nausea, body aches, insomnia, severe headache frontal lobe and back of head, chest pain when inhaling deeply. 5:00 am - 7:00 pm; got tested for covid and flu this day both came out negative. 3/5/21 - Headache, fatigue, difficulty breathing, nausea, loss of balance.9 am - 1:00 pm. Got plenty of rest the night before should not be tired at all. 3/6/21 - chest pain on left side. 1 am ~ 3 am.

Loss of consciousness, throwing up, pounding headache, diarrhea, stomach bloating and cramping, and body chills within 30 minutes of first dose.

ten mins after shot left arm started going numb. started having chest pain, nausea, didn't feel like himself bp started going up

Started to experience chills, headache, as well as sensation of chest tightness. The chest tightness feels the same as what I experienced when I had Covid. It is mild, and I do not have a cough. The chest tightness that I had from Covid went away about 3 weeks after my positive test. It had been gone for about 5-6 days when it came back after getting my Pfizer shot.

Vision blurring, cold sweat, racing heart rate, flushing and syncope 5 minutes post-injection. EKG showed ventricular arrhythmia which converted to normal sinus rhythm with regaining consciousness approximately 5 minutes later.

Patient was sitting down for a few minutes after their vaccine and then got up to tell the pharmacy staff he wasn't feeling well. He walked back to the waiting room and fell onto the bench. I went out to sit with him and held onto him as he passed out/lost consciousness for approximately 20 seconds. We gave him water and called 911. The paramedics arrived and checked his vitals. He was fine after that and stayed for about a half an hour before he left.

About 30 minutes after dose he passed out and had a seizure that lasted 10 -15 seconds. This happened a couple times. He went to hospital had low blood pressure and oxygen. He stabilized and was released. He has a follow up appointment with his primary care doctor.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: COLD TO TOUCH AND SWEATING, DIFFICULTY HEARING-Mild, Systemic: Flushed / Sweating-Medium

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Hypotension-Mild, Additional Details: Patient fainted, unfortunately did fall, however despite some bruises was ok. Waited for family to come to get him and was able to leave under his own power. Ambulance was called and he was checked, no issues found and did not leave with ambulance.

5-7? after vaccine, had a fainting episode- fell out of his chair, hit forehead on the floor. Vitals taken immediately after the event and again 10? after event. Vitals stable both times. Patient lay in a cot and drank water to recover. Felt well after 35? and left clinic.

Throbbing sharp chest pain near heart at wake up, 18 hours after first dose of Pfizer vaccine, duration 2 minutes, severity 8/10 Is it possible this was the induction and dispersal of the vaccine by my heart? Has anyone else experienced chest pain 18 hours after their Pfizer vaccine? Thanks!

While in observation for 15 minute post vaccination observation period, recipient complained of dizziness, numbness, light headed, tight chest

Patient was waiting for the 15mins post vaccine. Three minutes into waiting, patient slumps and falls out chair. He hit his head and turned face down, he then began to start seizing. During this time we held his head, to ensure he did not continue to hit the floor. A team was called, and the team attended to the patient. Patient's vitals were taking and he was stable. To take precaution, he was placed on oxygen to ensure he was comfortable during transfer. When picking the patient off the floor with the staff, patient began seizing once more before being transferred to the ED.

Patient after receiving COVID vaccine and was waiting the required 15 minutes, patient fainted while getting up. First blood pressure was 100/60 while laying down. Patient was conscious, just said he got dizzy and lightheaded. Patient indicated he had not ate in the morning. Second blood pressure was 118/78. Patient does have history of syncope

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: ANXIETY, monitored 1 hour post incident -Severe, Systemic: Flushed / Sweating-Severe, Additional Details: Prior to injection patient fainted/syncope, and slowly made his way to the floor with assistance of RN. Pt. was \"out\" for 3-4 sec. aRevived with gentle shaking. Pt was face down taking slow breaths, patient was completely diaphoretic and lost control of his bladder. Paramedics arrived on scene with in minutes and monitored vitals. Pt reported feeling fine but embarassed and still wanted his shot. vaccine given, with paramedics present. pre-syncope rxn., due to anxiety, but fully responsive.

30 minutes later he developed somewhat of a sore throat that he describes as a throat tightness accompanied by very slight chest tightness. He denies any angioedema, SOB, DOE, wheezing, rash, itching, or hives.

ED Note: At 1650, patient was observed following another nurse to the observation area, when he began swaying from side to side, lost consciousness and landed on his right side. This nurse approached the patient while other co-workers were assisting him to a chair. The patient was regaining consciousness. The patient's vital signs were as followed: 112/96, pulse ox 99%, pulse 46. This nurse gave the patient water and the patient was alert and oriented X 3. The patient c/o left knee pain but denied any other symptoms. This nurse again checked his vital signs at 1655: 85/52, pulse ox 100%, pulse 86. At this point, rapid response was called and report was given. This nurse moved the patient to a wheelchair to prepare for transport to the E.R. The patient denied any further symptoms at this time except pain in his left knee. This nurse checked his vital signs at 1658: 102/64, pulse ox 100%, pulse 59. Rapid response arrived and this nurse gave report to them. Patient was transported to the E.R. via stretcher. No further issues noted at this time. Pt reports he has a history of getting nervous and "passing out" when getting blood drawn or getting a shot. Pt stated that when he stood up after getting his covid vaccine he felt lightheaded and passed out. ED staff responded to vaccine clinic At 1658 where pt's VS were as follows: 102/64 HR: 59 Sats 100% At present time, pt reports feeling "totally normal" and does not feel that he needs to stay to be seen in ED. Pt comfortable with being monitored by RN for 10 min. Pt still does not want to be seen in ED, wants to leave. Pt ambulated out of ED without difficulty.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Nausea-Mild, Systemic: Weakness-Mild, Additional Details: PATIENT STARTED FEELING NAUSEATED AFTER SHOT BECAME PALE ,STUNBLED HAD DIFFICULTY BREATHING AND HE LAID DOWN X 30 MINUTES . AFTER WE CALLED 911 HE SAID HE DIDNT NEED IT BECAUSE HE HAS A REACTION AFTER EVERY IMMUNIZATION

3/24/2021 9:59 AM VACCINE AT 9:30 AM - SYNCOPE- COLD CLAMY, VASOVAGAL RESPONSE CAME TO WITH REPONSE. BP TAKEN NO MEDICAL PROBLEMS.

ON ARRIVAL TO OBSERVATION AREA SEVERAL MINUTES POST VACCINATION, PATIENT OBSERVED AS PALE AND COMPLAINED OF FEELING FAINT. NP HELPED HIM TO THE FLOOR TO SIT. TRANSPORTED TO TRIAGE 1 VIA WHEELCHAIR. DR. ON SITE WITH PARAMEDICS. THIS REPORTING NP ALSO ONSITE WITH NP FROM OBSERVATION AREA. PATIENT'S MOTHER ALSO IN TRIAGE AREA FOR DURATION OF ASSESSMENT AND STABILIZATION. VITAL SIGNS TAKEN AND OBSERVED WIDENED PULSE PRESSURE INITIALLY. PATIENT REMAINED FULL ALERT AFTER 10 MINUTES. hE WAS OFFERED ORAL FLUIDS INCLUDING WATER AND APPLE JUICE. PATIENT WAS RELEASED TO LEAVE FOLLOWING SITTING UP FROM GUERNEY WITH FEET DANGLING THEN GRADUALLY STANDING FOR A MINUTE OR SO BEFORE BEING RELEASED TO LEAVE WITH HIS MOTHER WITH HIM. HE WAS ADVISED REGARDING VASO VAGAL REACTION TO INJECTION AND THAT WE WILL TAKE PRECAUTION WITH SECOND DOSE OF COVID-19 VACCINE.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: Pt was pale and stated that he felt as if he was going to pass out, Pt given orange juice and cool paper towel and monitored. Symptoms improved within 10 minutes and pt was able to leave store unaided.

Patient vaccinated and within a few minutes after vaccination, patient with syncope. Able to stabilize patient in chair and bring to first aid. Patient recovered quickly. MD at bedside. Discharged without difficulty.

Had onset of a headache about 2 hours after vaccination on Saturday, 20 March. On Tuesday 23 March, at about 11 AM began having a migraine headache (had a past medical history of migraine headaches as a teenager). About 3:10 PM on Tuesday 23 March, began to have tingling and numbness in right hand (he is right-handed). Taken to ER where he could not remember his name. He was admitted and found to have four infarcts in three lobes of his left hemisphere (parietal, frontal and temporal). CT, MRI and cardiographic exams with contrast revealed a patent foramen ovale. Discharged on 40 mg Lipitor and ASA 81 mg, and referred to UCSF Neurology for followup.

In observation area, patient was beginning to slouch in chair. Nurse approached patient and caught him from falling. Had second syncopal episode that lasted approximately 20 seconds, while nurse was holding him. Blood pressure 121/63, blood sugar 112 mg/dl.

Systemic: Fainting / Unresponsive-Mild, Systemic: Seizure-Mild, Systemic: Shakiness-Mild, Additional Details: patient was administered vaccine, was feeling well and walked to waiting area. patient \"lost balance\" and fell to floor, hitting his face and began bleeding from his nose and upper brow area. Technician retrieved an ice pack from pharmacy, and in the meantime, worker aided patient to sitting position, which was when patient began to seize. worker called EMS while holding patient's head steady. Patient regained consciousness and EMS arrived. Whole event lasted around 5 minutes.

26by/o male, c/o lightheaded ness, dizziness, buzzing in the ears, stated ?I think I passed out?. Pt was pale, cold, clammy, diaphoretic but able to answer questions appropriately. PARAMEDICS came to check pt. V/S HR 51, BP 107/70, O2 sat 98%. NS BOLUS GIVEN, sent to HOSPITAL FOR FURTHER EVALUATION.

Pt arrives to the observation area after feeling faint following the vaccine administration. he arrives pale/pasty in color and diaphoretic but alert and oriented. he states he has passed prior when having blood drawn 1700 BP 110/56 HR 56 oxygen sat 100% room air given 120 cc of apple juice tolerated well 1710 BP 115/61 HR 47 oxygen sat 96% room air color is better in the patient 1715 patient given another 120 cc of apple juice 1720 patient states he runs 15 miles a week and that hus resting heart rate is 46 1725 patient sitting on the edge of stretcher feeling better bp 124/62 hr 45 oxygen sat 99% room air 1730 pt discharge home with self and taken to exit via wheelchair

Fatigue, lymph node swelling, night sweats and fever, chest tightness, muscle ache and pains (full body). All symptoms persistent and ongoing, beginning after second dose.

Pt. had an episode of fainting in the observation hall 5 mins after receiving the pfizer biontech covid-19 vaccine. he regained full consciousness after 15 seconds, was verbal. V/S - bp 131/87, rr 14, hr 64, temp 96.3, pulsox 99% RA. He was assisted to a wheelchair and wheeled to a cubiclePt where he was asked to lay down on a cot for further observation and monitoring Pt was offered water and apple juiced - 625 mls and he finished the fluids. The ambulance team called when the incident occurred arrived but left soon after when the pt. refused to be taken to the hospital At 2:35 pm pt walked out of the premises unassisted. no c/o pain or any injuries resulting from incident noted at the time.

Patient sat down for the 15 minute observation period, after about 3-5minutes fainted, falling face forward. Episode lasted less than 2 minutes, sat up and stated felt better. Patient stated they have fainted before and tasted blood however mouth had no signs of bleeding. 911 was called and came within 5 -10 minutes. Patient left with first responders

The patient received vaccine at 1245. At 1246 patient started having an adverse event. The RN noticed that the patient started to get white and pale. The RN asked him if he was okay. He stated yes and then he started to faint. The staff gently got him on the floor. They checked his vital signs. His vital signs were within normal limits. They monitored patient for 15 minutes while he was lying on the floor and another 15 minutes in a seated position. They took him to their observation area where they monitored him for another 30 minutes. The patient's mother came in and stated that this happens every time the patient gives blood or receives an injection.

About 10 minutes after receiving vaccination, patient started experiencing cold sweats and he felt like we was about to pass out. I took him into the clinic room and allowed him to lay down and began to fan him down for him to cool off. After 1-2 minutes, we put him on his back and elevated his feet. While he was laying down, I checked his blood pressure and it was low. I let him lay down for 5 more minutes and he started to feel much better and was cooled down. I slowly got him up and allowed him to sit and checked his blood pressure again. The blood pressure began to normalize. After 5 more minutes, I told him to get up and slowly walk to another chair in the room. Once he was rested there for about 5 minutes, I checked his blood pressure a 3rd time in the opposite arm and it was normal. He no longer felt the light headed feeling and was cooled off. The patient's partner then informed me that he has a fear of needles and the last time he received a vaccination about 7 years ago, the same reaction happened.

few minutes after injection, developed chest pain with tightness. brought to obs, resting on stretcher, given water, states 6/10 chest pain intitially. 1020a bp 158/89 hr 63 rr 18 sats 97% on ra. denies hx of htn. 1025a bp 154/89 hr 67 rr 18 sats 99% on ra, states cp and tightness improving to 4/10. denies other s/s. 1035a bp 138/82 hr 72 rr 18 sats 99% on ra. improving s/s per patient. 1055a bp 147/86 hr 62 rr 18 sats 99%. says feeling much better and tightness/pain almost completely resolved. 1056 standing bp 155/89 hr 60 rr 20 sats 99% on ra. discussed further eval at ed but patient resistant. instructed to seek futher intervention if s/s return or worsen. escorted to private vehicle without issues.

Site: Pain at Injection Site-Mild, Systemic: Chills-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Additional Details: Patient experience Syncope

Client reported sweating and blurry vision 3-4 minutes after vaccination. Client visibly pale. BP 92/60. On site EMS provided care, fluids. Monitored for 25 minutes. BP received 108/64. Client stated "I feel better, it happens every time I get a shot."

patient occasionally faints after shots. layed down on mat for 20-25 minutes after short fainting spell. BP 102/70

Patient was sitting for his 15 minutes. At about 5 minutes after his vaccine he passed out and fell off his chair to the floor. The Pharmacy intern noticed that the color of his skin was like a purple and he was passed out. When she started to approach him he started slowly moving his head and adjusting his eyes. He said he felt really dizzy and we had him lay down. He was very sweaty and was shaking a little bit. I took his blood pressure at 11:53 and it was approximately 124/93. He was responsive but feeling dizzy and warm and I stayed with him until the paramedics arrived at about 11:54

Soon after receiving the vaccine, heart rate increased, and sweating began. Vision then began to fade to white and ears ringing. This persisted for about 15 minutes, improvement began after 5 minutes. After vaccination, patient was very tired. Sore arm for 5 days. Hot/cold flashes days 3-5. Consitent tiredness 5 days. Muscle aches and cramps days 3-5. After 5 days side effects ceased. Concerns about initial effects

Patient received Pfizer vaccine with no issues. Walked to observation area and sat in chair. Observer noticed patient stiffen in chair. RNs helped patient to the floor. Alert but slightly confused. Patient said he felt "weird", was sweaty and pale. EMS was called who came onsite and evaluated the patient. Patient went to the Emergency Dept. for evaluation.

Patient with a history of cardiomyopathy had an episode of chest tightness and shortness of breath after receiving the vaccine.

Fainted on April 9, waking to racing heart and shortness of breath. Chest pain and shortness of breath persisted. Visited Emergency Room evening of April 11. Multiple tests revealed diagnosis of pulmonary embolism. Was immediately transferred to hospital early April 12. Received blood thinning treatment and catheter operation. Discharged April 15, with prescription of Eliquis for continued blood thinning.

Client in Observation area post vaccine, client reported feeling dizzy and lightheaded fainted and landed face down on cement. Client responsive within seconds. EMT and MD on site, assessed client. Vitals taken BP 132/73, HR 80, O2Sat 99% Blood Sugar 87. Client reports did not eat or drink anything this am. Client assisted to chair, was provided gatorade and pretzels. EMT assisting with providing care to scrape to forehead.

Assessed by provider. Given OJ and crackers due to patient report that he has not eaten since lunch. Syncope/dizziness; BP 131/95; HR 82; RR 18; SpO2 99%

Vagal reaction. Patient was diaphoretic, altered, hypotensive, bradycardic and oxygen sats were in the low 90's. Patient was responsive but not answering questions appropriately. 911 was activated by myself and Ambulance responded. They evaluated the patient who's vital signs improved and patient signed a refusal to be transported to the emergency room.

Immediately following vaccination pt felt like he was going to pass out. Pt experienced LOC in the chair with significant other at side. Pt was safely lowered to floor by staff. Pt regained consciousness while on floor. Per staff LOC duration was 10 sec. Pt then transported to med obs at 0943 via stretcher. Pt reports dizziness and nausea. Pt placed in reverse trendelenburg position. Pt was slowly transitioned to a sitting position. Water and goldfish given. Nausea returned. Pt back to lying position. Pt feeling better and again slowly transitioned to a sitting and then standing position. Pt reports feeling fatigued but all other symptoms resolved. Pt released to home with significant other driving at 1054. Pt escorted to exit by staff and significant other with no further issues. Vitals as follows: 0945 BP 128/78 HR 57 SPO2 99 0950 BP 134/82 HR 56 SPO2 100 0955 BP 124/82 HR 76 SPO2 100 1002 BP 129/85 HR 62 SPO2 99 1001 BP 126/85 HR 64 SPO2 100 1015 SITTING BP 131/74 HR 69 SPO2 100 1030 SITTING BP 134/87 HR 73 1050 STANDING BP 121/82 HR 80 SPO2 100

Patient presented to ems with light headedness. Patient taken into hallway for evaluation, patient stated they started to feel dizzy and lightheaded. patient history of anxiety, patient thinks it may be due to anxiety but would feel more comfortable getting evaluated. First set of vitals patient was hypertensive 153/99 & tachycardic 120, all other vitals within normal limits, patient layed on stretcher and was given water, after conversating with the patient to try and get his mind off the vaccine scenario, patient vitals reassessed every five minutes, blood pressure and heart rate started going down to his normal range, patient states he has a history of high blood pressure & does not take any medication to control it, patient states he is feeling better & is comfortable enough to walk out and drive home, patient declined further monitoring, patient explained if anything changes to seek medical help. Patient states transport not necessary at this time.

Patient received vaccine at 1440. Patient eyes were opened but claimed to black out and was not responsive to his name. Nurse assessed and patient was clammy and pale. Patient was alert after 1 minute and stated he was dizzy. Medics were called on scene and patients blood pressure was 84/65, heart rate was 45. Medics started an IV with normal saline. Blood pressure 96/64. Patient was transported to hospital.

Patient unresponsive; presented with seizure like activity; Patient fall from chair within 15minutes of receiving Pfizer vaccine dose 1; pale; diaphoretic; nausea; Full body clonus; This is a spontaneous report from a contactable nurse. A 26-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) (at 26 years of age), dose 1 intramuscular, administered in arm left on 03Apr2021 10:45 (Batch/Lot Number: ER8737) as a single dose for COVID-19 immunisation. The patient's medical history included penicillin allergy. The patient's concomitant medications were not reported. The patient had no other vaccine prior to Covid vaccine. He was not diagnosed with COVID-19 prior to vaccination. It was unknown if patient has been tested for COVID-19 since the vaccination. It was reported that the patient fell from chair within 15 minutes of receiving Pfizer vaccine dose 1. Patient was unresponsive, pale, diaphoretic. Awakened within minutes, placed in recovery position on left side. Patient complained of nausea then presented with seizure like activity. Full body clonus. 911 notified. Patient woke within seconds able to state, name, location, date of birth accurately. He was placed on stretcher. EMS arrived. VS 154/80 HR 84, POx99% 2LO2. He continues to be pale. Family of patient notified of event at patient's request. He was transferred to ED via EMS. The events started on 03Apr2021 at 10:45 AM (as reported). Therapeutic measures were taken as a result of the events. The outcome of the events was unknown. Additional information has been requested.; Sender's Comments: Bases on the information in the case report and a strong temporal relationship, A causal relationship between adverse events Unresponsive to stimuli, Seizure and suspect product BNT162B2 cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

Thrombocytopenia with Platelet count of 2 with development of petechial rash and spontaneous bleeding from gums noted 3 days after immunization. Patient was evaluated in the Emergency Room and admitted to the hospital requiring IVIG infusion and IV steroids with slow up-trend in platelet count over 4 days of hospitalization prior to discharge with Platelet count of 49.

NEAR SYNCOPE, DIZZY, ABNORMAL FEELING IN THROAT Primary/secondary assessment / observation Vital signs stable, lung sounds clear through out, warm dry skin w/ regular bi lateral radial pulses Patient denied any CX pain, SOB, dyspnea, headaches, visual disturbances, N/V while in observation, patient informed provider he began to feel better & was able to leave. Patients vital signs presented with out any abnormal findings Patient was advised to seek emergency medical treatment if any adverse reactions presented

Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Systemic: Seizure-Mild, Additional Details: Patient was found unresponsive on the floor by bystanders with ? siezure like activity, this RN and RN responsed. EMS called to store and was sent to the ER.

Pt received vaccine and as patient began to schedule second appointment, they experienced a syncopal episode. Pt relaxed back into chair and became unresponsive. Pt was assessed immediately and EMS was called. Heartbeat was palpated and patient was breathing. Within thirty seconds of syncopal episode, pt roused and began to answer questions. Pt was moved to side of the room where they were assisted to a supine position with their legs propped up on a chair. BP 107/80 HR 70 O2 Sat 99%. EMS arrived at 1435. Pt denied feeling dizzy or faint and refused EMS services. Pt remained supine until 1445 at which time pt denied having any symptoms at all and was escorted out of the building.

"Administered - 14:30, Adverse event started - 14:38. Patient had syncope, flushing/sweating, dizziness. History of ""blackouts during blood draws"". BP 92/53 -- > 93/58y, HR 74 -- > 68, RR 18 -- > 18, O2 97% -- > 98%. Patient stable, released from vaccination site."

This RPH was called to assist patient at 11:27a. Patient stated he felt dizzy and I assisted patient to the floor. Once laying on floor I elevated patient's feet above his head. By stander reported that patient appeared to have blacked out right before I arrived on scene. Patient stayed upright in chair during blackout which only lasted a few seconds. Patient stated he did eat breakfast but had not slept due to working overnight. Patient was assisted to sitting position on floor at 11:33a at which time he drank a bottle of water. After finishing bottle of water he stated he felt dizzy again and I assisted him back to a laying position on floor. After 10 minutes I assisted patient back to a sitting position. After sitting for a few seconds patient stated he felt like he would get sick. Before I could return, patient vomitted on himself and over the floor. Patient continued to vomit/dry heave into trashcan for a few minutes. After patient was done getting sick, he drank another bottle of water. He sat for a few minutes prior to standing. At this time patient's mother-in-law had arrived at store to take patient home. Patient wanted to leave store immediately as he felt it was making him more uncomfortable due to current condition. Patient left store approximately 12p.

PT SEEMED TO BE AFRAID OF NEEDLE HE CLOSED HIS EYES AND LOOKED AWAY WHILE PRIMARY NURSE DID INJECTION AFTER INJECTION HE STATED "I FEEL SOMETHING" HIS BODY THEN WENT LIMP SECONDARY NURSE WAS BY HIS SIDE ALREADY HELP HIM UP AND CODE GREEN WAS CALLED. PT WAS TRANSFERED TO SUPINE POSITION CONSCIOUS AT THIS POINT WHEN LAYED DOWN. VSS WITH EMT. PT WAS MONITORED X30 MIN WAS COHERENT, WHEELED TO CAR PARTNER DROVE HIM HOME, REFUSED HOSPITAL.

Dizziness outside of normal with POTS, fainting for first time today (4/22). Also experiencing GI distress outside of normal with IBS. I have constipation type IBS but have been having diarrhea for several days

Patient with severe, cyclical vasovagal syncope with urinary incontinence, full LOC x at least 3 witnessed episodes, and inability to protect the airway. The patient was stabilized with the assistance of EMS with positioning and IV fluids. The patient has a history of similar episodes as a child with injections, though remote. We discussed compensatory approaches for the second dose. After intensive monitoring, the patient had returned to baseline and was returned home with his mother as the driver.

Patient's mother called us around 10 am and told us that his son fainted at home after he got home after receiving his second covid shots. Patient did stayed in our pharmacy for 15 minutes after his shot and he felt ok at that moment. Patient was awake and was resting on bed when his mother called his. According to his mon, he was given banana after the event. After further inquiry, his mother mentioned that he did not eat anything in the morning, and was on empty stomach when he came to receive his shot.

Situation: patient was administered 1st dose of COVID-19 (Pfizer) by certified tech. Post-administration, patient was instructed to sit for observation. Technician stated that approximately 2 min or so after patient sat down, he came up to her at the window to state that he was feeling lightheaded and weak. Consequently, while in conversation with her, patient gently collapsed onto the floor. He was alert and conscious the entire time; temp was 97; patient was noted to be pale and sweating profusely. Patient was provided water, ice pack and orange juice. Ambulance was offered and he was taken by paramedic for further evaluation.

First noticed symptoms after waking up during the night roughly 14 hours after receiving the 2nd dose of the vaccine. Felt EXTREMELY fatigued and my heart was racing. Fell back asleep and woke up again around 8am. Symptoms persisted. Extremely tired and fatigued and heart was beating fast. Resting heart rate of around 100bpm which jumped to 120bpm when I moved at all (including just rolling over in bed). This persisted throughout the day, and I stayed in bed. In the early afternoon (about 24 hours after 2nd vaccine dose) I started to feel aches in neck and back and started a headache. Took my temperature and had a fever (101). Aches/headache continued to get worse throughout the afternoon. Finally around 4:30pm I found my Tylenol and took a dose. This substantially helped reduce all my symptoms; although I was still tired, it was much less than earlier in the day. Took a dose of Advil around 7:30pm and went to bed about an hour later. By morning, my symptoms were practically all gone, I was just slightly more tired than normal that day (2nd day after vaccine). I did not take any more medication.

Swelling underneath my left arm pit which may be a possible blood clot; Swelling underneath my left arm pit which may be a possible blood clot; This is a spontaneous report from a contactable consumer (patient). A 26-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number and expiration date were not reported) on the left arm on 08Apr2021 (16:15) as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On 09Apr2021 (05:45), the patient had swelling underneath my left armpit which may be a possible blood clot. The patient did not receive any treatment for the reported events. The outcome of the events was not recovered. The patient did not have COVID-19 prior to vaccination, and had not been tested post-vaccination. Information on the lot/batch number has been requested.

Passed out; felt dizy; hit my head and injured my ankle; fallen; hit my head and injured my ankle; This is a spontaneous report from a contactable consumer (patient). A 26-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Lot number was not reported) via an unspecified route of administration, administered in Arm Right at the age of 26-year-old, on 12Apr2021 10:30, as SINGLE DOSE for covid-19 immunisation. Medical history was not reported. The patient's concomitant medications were not reported. The patient did not receive vaccine in four weeks nor was the patient tested for COVID post vaccination. On 12Apr2021 at 11:00, the patient felt dizzy and then the patient passed out. When the patient woke 3 minutes later, he had fallen and hit his head and injured his ankle. The patient was taken by the ambulance to the local ER and was released later that day as his vitals had returned to normal. Therapeutic measures taken in response to the events included IV fluids. They advised that the patient reach out to see if he can receive my second shot on 03May202. Outcome of the events was recovering at the time of the report. Information about lot/batch number has been requested.

Visit 4/29/2021 Patient is a 27-year-old male comes in today with a recent Covid vaccination, Pfizer 4/20/2021. Patient was originally seen 7 days ago for symptoms of shortness of breath and high anxiety after having the vaccination. Since that time, patient has been doping his own research and feels that his is having an adverse reaction to the vaccine. He is complaining of 4 days of CP intermittent dull and tightness in nature, lasting < 1 min up to 30 times daily, Chest discomfort last throughout the day, nothing makes it worse or better, which also increases his anxiety and to panic. Visit on 4/21/2021 Patient states that after he received the vaccination he had some brief interval of shortness of breath, high anxiety that lasted approximately 30 seconds to 1 minute and then resolved. Patient scared that he was having an allergic reaction. Patient denies any other symptoms, SOB, wheezing, coughing, chest pain, nausea, vomiting,diarrhea, redness to site or red streaking, enlarge lymph nodes. All sx. resolved same day

4/13/21: 26 y.o. male who presents with central nonradiating chest pain and dyspnea for the past 2 mornings. Seen in urgent care and sent here for elevated troponin. EKG nonischemic. No symptoms currently. Repeat troponin slightly elevated. BNP elevated but no clinical evidence of heart failure. CRP elevated, sed rate normal. Respiratory viral panel negative. CTA PE study negative for PE or other acute pathology. Echo normal per cardiology prelim report verbally. Patient hemodynamically normal. Respiratory viral panel including Covid negative. Concern for possible vaccine reaction. Will be reported by pharmacy. Seen by cardiology in the emergency department. Will be admitted overnight for observation given concern for troponin still climbing as well as monitoring for arrhythmia. Patient concerned about being admitted but willing to stay after further conversation.

Patient immediately felt dizzy after injection. He then passed out in his chair and we put him down on the floor. He then had a seizure lasting a couple seconds. The entire episode lasted less than a minute and he then regained consciousness and was responsive. Emergency services was contacted at the first sign of the seizure and upon arrival, they checked that he was alert and oriented x4. Patient did not go to the hospital but he did go home with a family member.

Slight chest tightness and very slight difficulty breathing as if he was experiencing allergies; Slight chest tightness and very slight difficulty breathing as if he was experiencing allergies; Slight chest tightness and very slight difficulty breathing as if he was experiencing allergies; fatigue; muscle soreness; injection site soreness; mild nausea; slight nasal congestion; headache; This is a spontaneous report received from a contactable consumer (patient). This 26-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 12Apr2021 01:15 PM in left arm at single dose (lot number=EN6204) for COVID-19 immunization. Medical history included Attention Deficit Hyperactivity Disorder, Obesity, Temporomandibular Joint Dysfunction, Ocular Migraines. No allergies to medications, food, or other products. Concomitant medications included cannabis sativa. The patient previously received first dose of BNT162B2 (Lot number=ER8730) on 22Mar2021 01:00 PM in left arm for COVID-19 immunization. On 13Apr2021 07:00, the patient experienced fatigue, muscle soreness, injection site soreness, mild nausea, slight nasal congestion, headache. Slight chest tightness and very slight difficulty breathing as if he was experiencing allergies which started 14Apr2021 at around 07:30 am while he was setting up for work and had come and gone. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient did not diagnosed with COVID-19. Since the vaccination, patient had not been tested for COVID-19. No treatment received for the adverse events. The outcome of events was recovering. No follow-up attempts needed. No further information expected.

Intermittent sharp chest pain beginning approximately 10 minutes after vaccine administration. Symptoms subsided after several hours without treatment.

After receiving the COVID vaccine (2nd shot), the patient experienced some lightheadedness and lost consciousness and then regained consciousness after a couple of minutes. This has occurred in the past with other shots. A rapid response was called, the patient was evaluated and did not wish to go to the ED. Vitals were taken and were within normal limits. Patient remained in observation for 30 minutes and left.

Vitals dropped and lost consciousness about 5 minutes after injection. I wasn't anxious nor dehydrated. Afterwards I couldn't sleep because of a racing heart rate when I returned home after about an hour. Heard rate stabilized and I was able to nap after another hour. I had a serious brain fog, vertigo, dizziness, wandering eyes (can't focus them, going cross-eyed a lot), memory loss (unsure if I completed a task or not), and faint hearing (this improved on day 2). I'm currently on day 3 and I am trending upward but not 100% yet.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Numbness (specify: facial area, extremities)-Mild, Additional Details: numbness in arms

Pfizer-BioNTech COVID-19 Vaccine The patient received the vaccine in his left arm, and 5 minutes later lost consciousness/passed out for several minutes then woke up feeling weak and tired

Initial event was hives that didn't itch appearing on elbows, they continued to spread for about a day. The doctor said to start Zyrtec, pepcid and ibuprofen. Hours later vomiting, diarrhea, and a blackout followed along with a fever of 102. This time ER gave IV fluids, acetaminophen, ketorolac, ondansetron, and sodium chloride .9%. At this time no mention or notice was made of the hives previously looked at. After this Zyrtec, Pepcid and acetaminophen were being taken regularly. Throughout the rest of that day the hives got worse along with pretty severe angioedema. Also, a feeling of swollowing around a lump in my throat. No change through the night into next day (Friday) for the hives,swelling and lump feeling in throat. Went to walk in clinic where I was prescribed prednisone tapered for 16 days. After the first day of steroids not much change. After 2 there was some improvement. As of today one week after receiving the 2nd dose of the vaccine approximately 90% of the hives are gone, only mild swelling and some muscle fatigue and pain left.

Client received the Pfizer Covid-19 Vaccine (Lot #EW0167 Exp. 08/2021) at 10:58 AM. Client was in the presence of his sister when he requested to sit outside for fresh air during his 15 minute observation. EMT acknowledged his request and the client sat outside near the entrance while EMT stood near the entrance. Client was with his sister and mother and was checked on every 5 minutes by EMT to see how he was feeling. Client's family seemed unconcerned and the client stated that he had a fear of needles. However, after 10 minutes, client began to complain of feeling like "fainting." Client was a 26 year old male alert and tracking and anxious. Client had a chief complaint of a low heart rate. This was the client's first dose of the Pfizer vaccine and he denied any chronic illness or allergies. Clients blood pressure while sitting up was 88/38 and heart rate was 48 and regular at the radial. Client had no swelling, hives, discoloration, shortness of breath or other signs of anaphylaxis. Client's airway, breathing and circulation were intact and was alert and oriented to person, place, date and event. Client's remaining vitals were respirations 14, eyes 5mm and sluggish, O2 saturation 98%, lung sounds clear bilaterally and temperature 98 degrees f. EMTS brought an observation bed outside to allow the client to lay down and continued to taking vitals at 5 minute intervals. Client's blood pressure improved to 108/72 but heart rate continued to remain low and hovered at the high forties. At 1133 client consented to having EMTs call 911 due to his low heart rate. 911 was called at 1137 and arrived at 1142. Vitals were continuously monitored until firefighters arrived and were as follows: 1123 - 108/76, 52, 14, 02 98%, 1128 - 108/72, 52, 14, O2 97, 1133 - 108/68, 48, 14, O2 98%, 1138 - 108/68, 48, 14, O2 98%, 1138 - 108/72, 48, 14, O2 98%. Paramedics and the fire department assumed care at 11:42. Client was assessed by paramedics and firefighters while on site and it was at this time that client revealed he was under the influence of "edibles." Client consented to EMS transport and departed with Paramedic unit 6 and Fire Engine 7 at 1151. Client transported to Hospital. Registered nurse remained with the patient's mother and daughter to answer their questions and provide emotional support. VAERS completed, confirmation number .

Patient received his first dose tonight. Shortly after he came to the counter complaining of being light headed. He was instructed to sit down and take some deep breaths. Within seconds he tipped his head back and had passed out. EMTs came on site shortly after he came to. He was checked out and given the all-clear.

26 you male patient reported "lightheadedness" about 15-20 seconds after receiving IM injection. He then lost consciousness for approximately 30 seconds. Patient was seated in a chair and supported by RN until he regained consciousness. He became diaphoretic upon regaining consciousness, but otherwise reported "feeling better" over the next 1-2 minutes. His vital signs were assessed & wnl. BP 100/55, 99% O2 sat, HR 58, RR 16. Patient stated he's an athletic trainer and had come directly to the vaccine clinic from a workout. He stated he had eaten earlier in the day and believed he was well-hydrated. He was offered additional fluids and walked to another area about 5 minutes after syncope, where he remained in observation for an additional 10 minutes. He then transferred to the general observation area for another 10 or so minutes before feeling well enough to leave. He reported no further symptoms.

Patient felt dizziness and fainted for about 30-40 seconds. Called 911 . By the time EMT arrived patient was fully awake and alert. He refused medical treatment.

Patient received vaccine and immediately became diaphoretic and passed out. Patient regained consciousness within a minute and VS were obtained and were stable. Patient states he has a history of this with vaccinations but had not done this with the first dose. Patient returned to baseline within 15 minutes. Patient refused EMS care at site.

Patient was sitting in chair after vaccine waiting the required 15 minutes. He states he was staring sown watching his phone and he felt hot and then woke up on the floor with people around him. He fainted. He felt hot and sweaty afterward. Episode seemed to pass within about 10 minutes all together. Paramedics came and checked him out since he hit his head when he fell. Patient didn't want to go to hospital and was picked up from the store by family member.

within fraction of seconds I fell down (lost conscious); After sometime i woke up I barely could see; On the same night, my left arm (where shot is injected) started paining; This is a spontaneous report from a contactable consumer (patient). A 26-year-old male patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in Arm Left on 20Apr2021 17:45, at the age of 26 years old, (Batch/Lot Number: EW0170) as single dose for covid-19 immunisation. The patient medical history was not reported. There were no concomitant medications. The patient previously took Tetanus shot and after 5-10 mins of it he lost conscious for a while. The patient experienced lost conscious on 22Apr2021 07:45 with outcome of recovered, vaccination site pain on 20Apr2021 with outcome of recovered, vision blurred on 22Apr2021 with outcome of recovered. The clinical course was as follows on the same night of vaccination the left arm (where shot is injected) started pain and became pain relief after a day i.e., 21Apr2021. The next day on 22Apr2021 he woke up and went to bathroom for his daily routines. He stepped in shower and stood under water for sometime then he removed the band-aid from the left arm (where the shot is given) within fraction of seconds he fell down (lost conscious) on the left hand side from the bath tub (him legs still in the bath tub) after sometime he woke up and now fell in the bath tub. After sometime he woke up, and he barely could see, tied him towel and came out to him room and laid down for a while. Then everything went back to normal. The patient didn't receive treatment for the events.

passed out/unconscious; This is a spontaneous report from a contactable consumer (patient). A 26-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 1 via an unspecified route of administration, administered in Arm Right on 30Mar2021 06:00 (Lot Number: ER8732) as SINGLE DOSE and dose 2 via an unspecified route of administration, administered in Arm Right on 22Apr2021 06:00 (Lot Number: ER8736) as SINGLE DOSE for COVID-19 immunization. Medical history included penicillin, amoxicillin and sulfa drugs allergy from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. It was reported that after both doses of the vaccine, the patient had a regular evening and a full night's sleep. On 31Mar2021 07:00, the patient stated, "When I woke up and walked to the bathroom, I passed out both times. I was unconscious for a minute and was helped up, but passed out again and woke up a minute later. Emergency medical services were contacted both times". The events resulted in visit in emergency room/department or urgent care. The outcome of the event was recovered on unspecified date. No follow-up attempts are needed. No further information is expected.

Pt reports that he waited for about 20 minutes after being vaccinated. During that time he felt a little hot and drank some water, but says he otherwise felt fine. He states that he stopped for gas after leaving the clinic and has no memories after that until he was being pulled from his car by a paramedic. He states that he was told he had a seizure and crashed his car. After the motor vehicle accident he says he was transported to the hospital, where they told him he had had a seizure, did some tests, and then released him. Pt states his heart rate and glucose were both elevated when he was at the hospital, but that his CT scan was normal. He states he was feeling fine we he got gas, and says he feels fine now (5/10/21: three weeks and two days later). He saw his primary care provider last week (5/5/21) and was referred to Neurology. He had an MRI done, which he reports was normal, and an EEG, which he says he is still waiting on results from. Pt reports no history of seizure prior to 4/17/21.

Patient became diaphoretic, pale "gray". B/P 106/64, P-44, O2 sat- 100% on room air. Assisted patient to floor elevated legs. At 10:00am patient states feeling better. At 10:08am B/P- 115/72, Blood sugar 114. Patient left at 10:20am.

Patient passed out after administration. While he was unconscious he also urinated. After a minute he came to and was able to walk away without assistance

Onset of lightheadedness, sweaty and nausea. Non-syncopal event that was self-limiting. Vital signs stable throughout. No orthostasis. Mild vasovagal event.

Patient received second vaccine dose at 12:52pm, then walked into the observation area and sat down in a chair. At 12:58pm while still sitting in his chair, patient was noted to fall out of his chair hitting his right shoulder, right knee and head on the floor. EMT in observation area immediately went to the patient who was laying on the floor. Charge nurse and EMS staff also at patients side. Patient was noted to be pale, and stated he was dizzy. VS stable, Pt stated he usually "passes out" with bloodwork but not with vaccines. EMT's recommended patient be transfered to the hospital due to a potential head injury. Patient consented to transfer to via ambulance. This RN observed a small nickle sized abrasion to patients right knee from fall. Patient was transfered to at 1:06pm.

Dizzy, lightheaded, felt faint. Vasa vagaled. HR in 40s. Patient placed himself in supine position,

Patient got his vaccine and was waiting in the waiting area and about five minutes later, he temporary loss consciousness for about a minutes. After about a minute, he full regained consciousness and EMS was called. He was taken to the hospital for further evaluation.

Systemic: Fainting / Unresponsive-Severe, Additional Details: pt fainted and fell to floor, was bleeding from nose- was picked up by ambulance following

Flu like symptoms; Headache; muscle aches; nausea; elevated heart rate; This is a spontaneous report from a contactable consumer (Patient himself). A 26-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection), dose 2 via an unspecified route of administration, administered in Arm Right on 16Feb2021 11:30 (Batch/Lot Number: EL3247) as 2nd dose, single for covid-19 immunisation. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 1, administered in Arm right (Batch/Lot number: EL3247) on 26Jan2021 12:30 PM as 1st dose, single for covid-19 immunisation. Medical history included none. There were no concomitant medications. The patient had no known allergies. The patient did not receive any other vaccines within four weeks prior to the vaccination and did not receive other medications in two weeks. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 16Feb2021 23:30 the patient experienced flu like symptoms, headache, muscle aches, nausea, elevated heart rate. No treatment was taken for the event caused. The patient underwent lab tests and procedures which included heart rate results elevated on 16Feb2021. The outcome of the events were recovering. Follow-up (24Feb2021): This is a follow-up spontaneous report received in response for the first awareness date of the adverse events caused by Pfizer COVID-19 vaccine and the response included with event onset date. (16Feb2021).

Presented with chest pain and dyspnea. Admitted to the hospital. Initially, the diagnosis was NSTEMI. Further testing showed myocarditis.

Became pale and clammy. Felt "light-headed." He asked for water. Lied down on mat, feet elevated. Feeling of light-headedness passed after 5 minutes (1848). Right deltoid site benign. Monitoring changed to 30 minutes. Sat up at 1852. Color better, no longer clammy. Given water and juice. Tolerated well. Feeling better @1858. Will wait 30 minutes at next vaccination, educated & states understanding.

administered first dose of Pfizer to patient. Patient was waiting 15 minutes post vaccine and when we went to check on him before closing for lunch, patient reported SOB and difficulty breathing. He stated he was currently a Nurse and requested administration of Epipen. administered 1 dose of EpiPen. Patient requested a second dose of Epipen but did not appear to need another dose and reported tightness lifted off chest but still SOB noted. called 911. administered patient 25 mg Benadryl liquid dose as secondary measure per protocol. Patient consumed 2 bottles of water prior to Ambulance arriving about 25 minutes after calling 911. Patient refused to lie down in supine position. He reported to EMTs that he had allergy to NSAIDs and Zoloft, so updated patient's PQCF form to reflect since patient originally reported NO to DRUG ALLERGIES. Patient left with EMTs on stretcher but reported SOB improving but still present.

Woke up feeling weak and tired; Woke up feeling weak and tired; Lost consciousness/passed out for several minutes; This is a spontaneous report from a non-contactable consumer (patient). A 26 years-old male patient received the first dose of BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Lot. EW0173) in the left arm, at single dose, on 04May2021, at 08:45 AM, for COVID-19 immunisation. COVID-19 vaccine was administered at Pharmacy or Drug Store. The patient had not received any other vaccines within 4 weeks prior to the BNT162B2 vaccine. The patient had not received any other medications within 2 weeks of vaccination. Prior to vaccination, was not the patient diagnosed with COVID-19. Relevant medical history and concomitant medications were unknown. It was reported that the patient received the first dose of vaccine in left arm, then 5 minutes later, on 04May2021, lost consciousness/passed out for several minutes. Woke up feeling weak and tired on an unspecified date. Emergency Room Visit /department or urgent care required. Post the vaccination, the patient has not been tested for COVID-19. Clinical outcome of the events was unknown at time of this report. No follow-up attempts possible. No further information expected.

The patient was unresponsive, pale, and diaphoretic when I arrived at their vehicle. The patient rapidly regained consciousness and was alert. The patient was repositioned with legs elevated. Hydration was given. There was one episode of emesis, which resolved the patient's nausea. This was a vasovagal episode with true syncope. The patient improved rapidly with supportive care, increased monitoring, and hydration. He was returned home with his father as the driver.

Patient was asked to remain in pharmacy observation after receiving vaccine; he left to go up to front of store at which time he blacked out and felt faint; he states that this happens to him whenever he receives a vaccination; we were notified by the store manager as to his location; he was drinking Gatorade; it is now 1:20 pm and he is under observation currently; does not report anymore symptoms and feels better

Syncopal Episode Vital Signs: BP 92/64 HR 60 Resp 14 O2Sat 98% Skin Signs: Clammy, diaphoretic Circulation: Cap refill 4-5 sec Respiratory: Breath sound clear bilaterally Initial Treatment: Patient received vaccine, fell to syncope - responsive after 5 seconds. Patient hit concrete floor with a loud sound. Patient awake after 5 seconds. A/Ox5 Patient moved to L lateral position with manual spinal check. 11:50 AM Vital Signs: BP 99/60 HR 78 Resp 18 O2Sat 97% Skin Signs: Diaphoretic Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally Follow up Treatment: EMS on scene. Patient assessed by EMS. Spine cleared by EMS. Patient moved to superior posterior. Patient refused further transport to hospital. 12:00 PM Patient discharged home, escorted by EMS and significant other.

Patient stated he became ill and suffered syncope a day after receiving the vaccine. He experienced what he described as palpitations. He went to the ER and given an EKG and "tests". The findings did not indicate any type of dysrhythmia. He was referred to a cardiologist appointment for next week as a follow-up and precaution.

This is a spontaneous report from a contactable consumer (patient's parent). A 26-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on an unspecified date (reported as "this afternoon") (Batch/Lot number was not reported) (at 26-year-old) as first dose, single for COVID-19 immunisation. The patient's medical history was reported as no. Concomitant medications were not reported. Couple minutes into that he got light headed, his vision got blurred and then he had a complete vision loss. They cleared the room and called the paramedics. The paramedics came and said that both of his eyes were dilated and his blood pressure was high. They sat him for couple of minutes, then his vision return. So if they ask them make the total of vision loss lasted for seven minutes. His blood pressure went down. They kept him there and had a given a bottle of water and two container of fruit juice to bring his sugar level up. They made sure everything seems alright. And paramedics left and said that they thought it would be cause from some sort of blood reaction and allergic reaction to vaccine. And told them not to get the second shot. And let us want to he felt ok that it would be alright to go home. They did keep him there for about half an hour longer just to make sure he was alright and then sent him home. That was just a reaction and he should be ok now. No treatment received. The outcome of the events was resolved on an unspecified date. Information about batch/lot number has been requested.

Chills and fever started at 2:00 am almost after 11 hrs of taking the vaccine. Chills subsided after 20-30 minutes and fever was around 100.2 F. Heart Rate slightly elevated at night but in normal rane i.e below 100 BPM. Right arm soreness constant. Extreme headache and leg pain in the morning around 9:30 am.

He received his second dose of Pfizer vaccine 12 May 2021 and had expected symptoms of fever, chills, and sweats. He woke up at 0530 the following morning to take Tylenol and lost consciousness while getting out of the bed. He was taken to the ER for eval, had labs performed and EKG completed, reports normal. Also given fluid boluses and observed for a few hours then discharged. He has not had any reoccurring episodes and has returned back to his baseline.

after receiving his shot, pt walked to his chair to wait his 15minutes. shortly after sitting down, pt lost consciousness and fell out of his chair. the patient regained consciousness seconds after falling to the floor. breathing and pulse were normal. pt had some water and was taken home by his stepmom

A 26-year-old male with no past medical history presents to the emergency department (ED) with an acute episode of chest pain. He reports initially mild dull substernal chest pain for a day prior to an episode of acute sharp chest pain that radiates to his left neck and left shoulder accompanied by diaphoresis leading him to present to the ED. He had received the second dose of the Pfizer-BioNTech mRNA COVID-19 vaccine three days prior to presentation and reported myalgia and weakness beginning within 24 hours of vaccination. His blood pressure on arrival was 126/83 mmHg and pulse was 61 bpm. Electrocardiogram (ECG) on admission showed diffuse upsloping 2mm STE, no reciprocal changes, and PR elevation in aVR. Troponin-I on admission was 6.03 ng/ml prior to peaking at 21 ng/ml while initial CRP was 56.8 mg/L. Transthoracic echo (TTE) showed left ventricular ejection fraction (LVEF) of 55-60% with hypokinesis of the basal lateral wall. Cardiac magnetic resonance imaging (CMR) was consistent with myocarditis showing subepicardial late gadolinium enhancement (LGE) in the basal inferior wall, no edema on T2 sequences, and a mildly reduced left ventricular systolic function with an LVEF of 51%. He was started on colchicine, low dose beta blocker and losartan and improved symptomatically along with resolution of the EKG findings prior to being discharged with plan for close outpatient follow-up and repeat imaging. In addition, a respiratory viral PCR panel was obtained which was positive for Rhinovirus/Enterovirus on nasal swab. Although it is possible that his presentation was secondary to enteroviral myocarditis, the temporal relationship to the second dose of Pfizer-BioNTech mRNA COVID-19 vaccine suggests the possibility of myocarditis secondary to immunologic response to COVID-19 vaccine itself.

Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hyperventilation-Severe, Systemic: Seizure-Severe

9:05am pt had just received 1st dose Pfizer vaccine and lost consciousness at the table with seizure like activity. Pt was lowered to floor with assistance of several staff members. Pt very diaphoretic with decrease in skin color. Didn't hit head. Pt mother called per pt request and states him having no hx of seizures and NKA. BP 94/60 and HR 84. 9:20 am pt assisted to stretcher with heavy assist. 9:24am A&O when EMS unit arrived to transport pt to hospital for further evaluation and care.

I have had occasional brief chest pains, like a painful tightness around my heart that lasts a couple seconds at a time. They have been random and infrequent enough I have not done anything about it (also, I am currently uninsured), but v-safe suggested I should submit a VAERS report of it anyway. Obviously I cannot be entirely sure it is related, but it is not something I have experienced before.

FAINTING EMS WAS CALLED. PARAMEDICS INTERVIEWED THE PATIENT. PATIENT WAS RELEASED WITH NO ADVERSE REACTION.

Had symptoms of tightness in chest high fever chills rapid heartbeat fluttering of heart nausea vomiting difficulty breathing lightheaded and tingling of fingers and lips severe migraine

Chest pain, chest tightness, difficulty breathing, all of which were worse when lying down. Soon developed fever, chills, and night sweats, and eventually tachycardia (resting 160 bpm) with atrial flutter and then atrial fibrillation Original pain was within the week of the vaccine, but the fever came on about a month later and lasted for 2 weeks.

heart was racing; throat getting a little tight; This is a spontaneous report received from a contactable pharmacist via a Pfizer- sponsored program and Medical Information Team. A 26-year-old male patient received first dose of BNT162b2 (COMIRNATY, solution for injection, lot number: EW0153), via an unspecified route of administration on 26Apr2021 as 1st dose, single for COVID-19 immunization. The patient medical history and concomitant medications were reported as none. It was reported that, the patient got the first shot on 26Apr2021, instantly he's heart was racing and 5 minutes after he felt his throat getting a little tight, after 5 minutes still tight, 2-3 minutes it resolved on its own without any medication, no Benadryl and no medical assistance, he was okay after that. Patient confirmed that he did not experienced difficulty of breathing. The patient was advised to go to the doctor's office or hospital for the second shot in case he gets an anaphylaxis or worse reactions to the second dose. He states that the symptoms were resolved in about 2 minutes on the same day. The pharmacist was asking if these were considered as a severe allergic reaction and he wants to know if the patient should get the second dose or not. The outcome of the events heart was racing and throat getting a little tight was recovered on 26Apr2021.

Patient received Pfizer Covid Vaccine (lot #EW0187 exp. 8/31/21) first dose and while walking to the monitoring area he lost consciousness briefly and fell over chair that he was turning to sit in. After being laid flat, he immediately regained consciousness and was awake, alert, oriented x 3. VS BP 110/60, P-70 and pulse ox 100%, R-20. Color pale. He was moved to a geri-chair with his feet up. He refused to go to ER and stayed x 30 minutes to be monitored with no further incidents. VS at end of monitoring period 108/68, P-66, pulse ox 100%, R 20. Color became pinker, was able to tolerate drinking 240 oz. of water and eating a slice of cake. Offered to be transported to ED again but patient refused. Patient was instructed to follow up with ER or Primary Care Provider with any further symptoms.

heart palpitations; fainted while using the restroom and woke on the bathroom floor; more like a sore or a strain; more like a sore or a strain; felt more strange; This is a spontaneous report from a contactable consumer (patient). A 26-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 11May2021 at 11:00 (Lot Number: EW0176, expiration date: Aug2021, at the age of 26-year-old) as 0.3 ml, single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 19Apr2021 about 5:00pm (lot number: ER8731, expiration date: Jul2021, at the age of 26-year-old) as single dose for covid-19 immunisation. When he got the first one, he was fine. The day after he received the second shot, he fainted while using the restroom and woke on the bathroom floor on 12May2021 at 07:30, he was on the floor for a few minutes, 2 to 3 minutes. After that there was no other fainting. Patient had been having heart palpitations since the second dose on 13May2021. Did not particularly remember the time, just that it was in the middle of the day. The palpitations were going away and were less prevalent. He went to the Emergency room (ER) this past Sunday night because it was really working up and he couldn't wait to go to the doctor. Physician office was no. Electrocardiogram (EKG) and blood work were done in the emergency room on unspecified date in May2021 and came back normal. He was supposed to meet with a cardiologist next week. On unspecified date in May2021, he still felt kind of like he senses his heart beating but he didn't usually think about. It felt more strange, than soreness. This was all just so new. Thought it was a sign that he was going to recover and it was going to go away. The palpitations were coming on less and less. Was not so much of an irregular heart beat than last week. On unspecified date in May2021, felt like his heart was getting strong. Felt like his heart was making it's way back and was more like a sore or a strain. It had been going down and he was not feeling his heart in his chest. Treatment was no, not this far. There was not prior vaccinations within 4 weeks. The outcome of the event "fainted while using the restroom and woke on the bathroom floor" was unknown, for other events was recovering.

patient reports having tingling/chills about 90 min after vaccination. No rash/hives/swelling or difficulty breathing. Some lightheadedness and feeling of blacking out. Patient did not have this reaction with the first pfizer shot. Patient was concerned since the onset was so soon after vaccination. Recommended patient rest as much as possible, drink plenty of water and eat some food. Patient may take tylenol if needed for fever/pain. Patient did have a granola bar and water for breakfast and had just recently ate lunch. Recommended no driving or any activity that requires attention/moving due to lightheadedness. Patient does have someone that will be checking in on him to see how he is doing. Advised that patient seek medical attention if condition worsens or if any trouble breathing or swelling

extreme headache resulting in fainting and twitching while unconscious; extreme headache resulting in fainting and twitching while unconscious; extreme headache resulting in fainting and twitching while unconscious; extreme headache resulting in fainting and twitching while unconscious; This is a spontaneous report from a non-contactable consumer (patient). A 26-year-old male patient received BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, lot number and expiry date unknown), via an unspecified route of administration, administered in the left arm on 25May2021 at 11:00 as an unknown dose number, at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. 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. Since the vaccination, the patient has not been tested for COVID-19. The patient experienced extreme headache resulting in fainting and twitching while unconscious on 25May2021 at 20:00. The outcome of the events was recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

I began to experience rapid heart rates to the 140s intermittently starting on the Wednesday following my first vaccination. I also had associated neck pain and "pounding sensation" in my neck, chest, and arms. I had difficulty lying flat at night and developed a dry cough. I went to the urgent care on 4/19/21 and was diagnosed with torticollis. No one at the urgent care listened to my heart or lungs. Given that my symptoms had been diagnosed, I delayed seeking further treatment. My symptoms continued to worsen. I had difficulty walking long distances, exercising. I became short of breath easily. I ended up going to my primary care doctor on 4/26/21 for a second evaluation. He was concerned and did an EKG, it only showed sinus tachycardia. He scheduled me for an echocardiogram and put me on a beta blocker (Bystolic) 5 mg once daily. The echo showed EF 47% with global hypokinesis of the L ventricle. Doctor called me into the office as soon as he saw the results, concerned for myocarditis or pericarditis.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Additional Details: patient received first dose of pfizer vaccine with in 2 minutes passed out parents then told me later he has Aspergers and is very much afraid of needles has had reactions before after getting shots but none quite this severe patient was sitting and when he passed out he did not hit his head mother was beside him and helped him down called ems patient did not want to be transported to hospital left rx 20 minutes later

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

Fatigue, fever, chills starting ~12 hours after vaccination to ~36hours after vaccination But more importantly (which is my motivation to fill out this form): Debilitating worsening of chest pain (associated with my chronic conditions mentioned before), starting with the onset of the other symptoms but gradual worsening for at least 4 days.

Patient blacked out briefly while in waiting area and urinated. Patient was seated the entire time and did not fall to the floor.

I haven?t gone to a doctor. Before any news came out about heart inflammation, I felt my heart beating really fast after this vaccine. Now it?s been 2 months and I still feel like my heart is ?inflamed?. I?m a big believer in science, and I stand by the vaccine, but literally my heart has been hurting a lot more (IT LITERALLY NEVER HURT) before the vaccine. I really hope I didn?t just mess up my body somehow with this. Legitimately the pain is not bad at all (maybe a 2 out of ten) but it has not gone down since I got the vaccine. I notice when I do physical activity I also get tired faster. I run, I?m a relatively healthy person but I?m experiencing some mild heart inflammation after this shot. Please take note. I still stand beside the vaccine, I?m just explaining what symptoms I?m feeling. And of course idk if it?s from the vaccine, but I?ve never had this feeling in my heart before having this vaccine. I hope it goes away.

24 hour history of discomfort between left nipple and costal margin. radiating to back, worsened with position such as lying flat or leaning forward. Diffuse ST segment elevations V3 to V6 as well as 1, 2 aVF. ST depression and subtle PR elevation in aVRort between left nipple and costal margin. radiating to back, worsened with position such as lying flat or leaning forward. 27 yr old with abd and chest pain. ECG only abnormality. Longer time from 2nd vaccination to chest/abdominal pain so ? etiology idiopathic??

day after: all CDC side effects + sore chest + neck pain + sleeping for 16 or more hours 2 days after: all CDC side effects + chest pain + trouble breathing 3 days after: lessening of all CDC side effects to no CDC side effect + trouble breathing through ER prescribed medication (2 inhalers) 4 days - 4 weeks after: intermittent shortness of breath fixed through further prescribed medication (2 inhalers) and steroid given 5+ weeks after: no noticeable side effects

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Additional Details: Pt fainted a minute after recieving his vaccine. Was unresponsive for a few seconds and got up after. Bite his tongue from the fall head first. Paramedics were called and he was quickly evaluated with no vitals out of range. He went home and napped and after follow up call, feels better now 7 hours later. He confirmed had light headache,was tired so napped and also had tingling in his arm and also confirmed he did not drink water or eat anything before his visit. Now he feels fine.

Felt like I had a quick heart attack on 6-19-21. Since then I've been having fluttering, and tightness in my chest.

The patient was given the Pfizer COVID vaccine. The patient immediately felt nausea and dizzy. The patient's wife asked up to call for help and we called 9-1-1. The patient then fainted and had some seizure like activity. The patient woke up immediately after. The patient had no previous history of fainting or seizures but has almost fainted after blood tests. The EMT's came and checked his vitals which were all normal. Then the patient was taken to the hospital.

PATIENT STATED WHILE WAITING IN PHRMACY WAITING SEATED IN ROOM HE WAS FEELING SWEATY /CLAMMY , LIGHT HEADED ABOUT 10 MINUTES AFTER 2ND DOSE OF PFIZER COVID 19 VACCINATION GIVIN AT APPROX 3PM .PATIENT THEN SAID HE STOOD UP TO GET ATTENTION FROM PHARMACY PERSONNELL AND FEINTED . BOTH PHARMACIST AND CLERK SAW PATIENT PASSING OUT AND LOWERED PATIENT TO THE FLOOR. A FEW MINUTES LATER PATIENT REGAINED CONCIOUSNESS. PARAMEDICS WERE CALLED AND WAS TAKEN TO HOSPITAL FOR CHECK UP

Sore / achy; Feverish; Chills; red and tender swollen injection site; red and tender swollen injection site; red and tender swollen injection site; Lightheaded; swollen and tender armpit glands,; Elevated heart rate; swollen and tender armpit glands; This is a spontaneous report from a contactable consumer, the patient. A 26-year-old male patient received his first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: er8735) via an unspecified route of administration on 26Apr2021(at the age of 26 years old) as a single dose, for COVID-19 immunisation. Medical history included COVID-19 on an unknown date. Concomitant medications were not reported. The patient reported that his past drug history included dairy (unspecified). Prior to the vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested positive for COVID-19. The patient experienced sore / achy, feverish, chills, red and tender swollen injection site, lightheaded, swollen and tender armpit glands and elevated heart rate on 26Apr2021. The patient did not receive any treatment for the events. The clinical outcome of the events sore / achy, feverish, chills, red and tender swollen injection site, lightheaded, swollen and tender armpit glands, elevated heart rate were resolving at the time of this report. No follow-up attempts are needed. No further information is expected. Amendment: This follow-up report is being submitted to amend previously reported information: Patient email address added, medical history added (known allergies: dairy), treatment received was ticked as No and updated narrative.

Systemic: Fainting / Unresponsive-Medium, Additional Details: pt fainted approximately 30 seconds after receiving vaccination. Patient was seated but hit is neck on the arm of the chair. He also hit his head on the wall located next to the chair where patient was seated. Blood pressure was taken- 116/68 pulse 78

Heavy chest/heart pain and tightness for around 12 hours. Lungs were burning and had a cough for around 12 hours as well. Slight nausea for around 1 hour.

Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Severe, Systemic: Vomiting-Mild, Additional Details: shortly after receiving vaccination, the patient became unconscious, fell out of his chair and to the floor, and began to seize. Body shaking lasted around 15-20 seconds. Patient then immediately became alert and concscious. Stated after this episode that he has a history of fainting and having seizures after he receives vaccinations. Patient vomited ~15-20 minutes after this episode.

dizziness; lightheadedness; Nearly fainted.; nausea and the feeling may vomit,; This is a spontaneous report from a contactable consumer, the patient. A 26-years-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: er8730) via an unspecified route of administration in the left arm on 26Mar2021 at 04:00 (at the age of 26-years) as a single dose for COVID-19 immunisation. Medical history included factor V Leiden and non-diabetic hypoglycaemia. The patient had no known allergies. Concomitant medications included salicylamide, caffeine, acetylsalicylic acid (EXCEDRIN) and loperamide hydrochloride (IMODIUM) for an unknown indication. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. Prior to vaccination the patient had not been diagnosed with COVID-19. Since having the vaccine, the patient had not been tested for COVID-19. On 26Mar2021, 15 mins after vaccination, the patient experienced severe dizziness, light-headedness and nearly fainted. This sensation came in waves for 2-3 hours, usually accompanied by nausea and the feeling that the patient may vomit, though never did. The patient reported that he still feels slightly lightheaded several days later. The patient did not receive any treatments for the events. The adverse events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care The clinical outcome of the dizziness, light headedness, near fainting and nausea were recovered with lasting effects at the time of this report. No follow-up attempts are needed. No further information is expected.

pt has had history of fainting for vaccines, as it was noted on VAR. Pt got vaccine, got dizzy, and passed out.. he woke back up, was responsive and was able to answer all of our questions. we had him stay still, as to not get dizzy again.

after administration of vaccine, up and about to another chair, next to his friend, to help interpret medical questions. he fainted while sitting on a chair, his friend helped him go down to the next empty chair. pass out about 1 minute, elevated his feet with other chair and applied cool compress on his forehead. awake and alert, gave some water and juice. up and sitting on a chair in the waiting room, friends bought his lunch and was eating. no vomiting and alert and talking.

First day after the second vaccine I experienced chest tightness. I am still feeling this 10 days later.

patient, a 26yo male, was presenting for a 2nd dose Pfizer COVID vaccine. Client reported that approximately 3 days following his 1st dose he began to have transient chest pain lasting a few minutes, resolving and then returning 20-30 minutes later. He stated the transient chest pain has been occurring intermittently since his 1st dose and noticed the pain mostly at night when he would lie down. He reported being borderline hypertensive and denied any other pertinent medical conditions. Client stated he did not have any allergies to medications/environment/foods however, is lactose intolerant. Lead RN took client's blood pressure 158/108 and HR: 60. Client stated he did have periodic palpitations, denied any shortness of breath, dizziness, headache or numbness and tingling. Lead RN consulted with operations Lead RN to approve delaying 2nd dose and recommendation of referral of client to ED or Urgent care to rule out myocarditis. Operations Lead RN approved ED referral and delay of 2nd dose Pfizer COVID vaccine. Lead RN educated client on myocarditis, elevated BP and recommendation to go directly to ED or Urgent care. Client denied any current chest pain, dizziness, palpitations and declined EMS transport to ED. Client agreed with plan and stated he would proceed to nearest ED. He left the site on his own accord with a steady gait.

Since receiving the vaccine, my fingertips underneath the fingernails all felt as though they had frostbite/tingling on and off. This has reduced in effect over time. I have developed strong chest discomfort and a cough exactly 48 hours after receiving my second dose.

On saturday(7/3/2021) the day after the vaccine instatted already having chest pain. Three days(7/6/2021) after the chest pain I started having chest palpations and felt a ball in my chest with tightness. I went to the ER and they diagnosed me with pericarditis. I'm still dealing with it 3 weeks later and cant exercise at all. Before i was a very healthy individual and ran 15 miles a week. Now im not able to jog for 2 minutes without a burning sensation on the left side of my chest. At night i constantly get chest pains. Ive been taking the medication ibuprofin 3 times a day and cholichine 1 time a day. Its gotten slightly better in terms of pain but I am still unable to perform any physical activities that raise my heart rate.

Tachycardia; Intermittent palpitations; Low grade fever/fever; muscle aches; This is a spontaneous report from a contactable physician. A 27-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscularly in unknown arm on 17Dec2020 at single dose for routine mass immunizations (covid-19 immunization). The COVID-19 vaccine was administered at Hospital. Not a military facility. The patient's medical history was reported as none and concomitant medications was none (he was on no other medications). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced tachycardia, intermittent palpitations, low grade fever/fever all started somewhere in the morning of 18Dec2020 and muscle aches on 17Dec2020. Physician assessed tachycardia and intermittent palpitations as serious due to medically significant. Physician stated that one of his workers had the vaccine and proceeded to have tachycardia and low grade fever. He would like to know if patient should get the second dose. The patient had mostly tachycardia with some intermittent palpitations. Patient was seen in his office on 18Dec2020, and got the COVID vaccine on 17Dec2020. He also reported fever and muscle aches, although the fever was subjective and was not documented. Tachycardia improved and sent him to cardiology on 21Dec2020. It was not life threatening and they did an Electrocardiogram (EKG). His initial heart rate was 130. When he was seen again in their office on 21Dec2020, it was 93, which was baseline. It improved. He never got his temperature. The highest in office was 99.5 degrees Fahrenheit. He had some muscle aches. The physician just sent patient to cardiology because he was having intermittent tachycardia and intermittent palpitations. Two visits to physician office. He was seen on 18Dec2020 and again on 21Dec2020. Relevant tests: they did testing for tachycardia but not related specifically. They did thyroid and EKG in office and he did not know if test were back. EKG was ok. The Thyroid, Complete blood count (CBC) and lipid (all were on an unknown date in Dec2020) were not back and were just done to make sure there were no cardiac issues. The outcome of the events was recovering. The lot/batch number has been requested.; Sender's Comments: Based on temporal association, the causal relationship between BNT162B2 and the events tachycardia and palpitations cannot be excluded. This case will be reassessed once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.

Patient presented to receive COVID-19 vaccine (Pfizer) at approximately 1621. Patient waited 15 minutes when asking to leave was asked if she had any symptoms, patient reported headache. NP asked patient to lay down in stretcher and took repeat vitals which showed elevated BP. Patient reported feeling clammy had palpitations. NP made decision to call EMS. EMS arrived and transported patient to ED at 1735.

Within ~5-7 minutes of receiving the first dose of the pfizer vaccine in my right shoulder, I started to feel lightheaded/dizzy and disoriented. Heart rate increased a bit. Slightly labored breathing. Started feeling overall strange throughout body, general malaise. Didn't advance beyond this. Took 50mg of benadryl shortly after and symptoms improved over the following hour.

104.0° fever, shaking. Started approximately 12 hours after second dose. Lasted for 6 hours then went away. Following night, fever of 101.9° and slight shaking. Chest pain. Oxygen saturation still at 97%

8 hours after vaccination - injection site tenderness 12 hours after vaccination - fatigue, malaise 15 hours after vaccination - headache, fever, chills, tachycardia improvement in symptoms began at 36 hour mark and had resolved at 48 hour mark

101.7-101.9 fever for two full days after second dose. Extreme body aches. Chest pain/tightness to the point I couldn?t sleep or lay down. Headache

Around 7 pm I started feeling really anxious. I checked my HR on my smart watch and it said that around 12pm my HR was 157bpm which was right after getting the vaccine when I started walking home. My resting HR is usually 47-52bpm. I am a very active person. I have been waking up in the middle of the night multiple times in night sweats and it feels like my heart is contracting very hard. I notice that my HR jumps up right when I start to be more active, but more than normal. On the 11th my average walking HR was 140. Today at work my HR was 134 at the highest around 9am and the lowest was 56bpm around 7am when I was getting ready for work. Additionally to the increased HR I have SOB when I walk and talk. I did have a sore arm as well the first day, but nothing more than any other injection I have had before.

At 11:00 PM awoke with severe full body chills and subjective fever that lasted about an hour. Woke again at 1:30 AM drenched in sweat with pounding frontal headache and eye aches, got up to use restroom and had vasovagal syncope while standing in front of the toilet.

About 8 hours after vaccine administration on 1/15/21 - woke up in the middle of the night with chills, headache, pain in joints and injection site, nausea. Sat up on the side of the bed - passed out and woke up on the floor. Tried to readjust slowly, passed out again. Place ice pack on stomach and behind neck to treatment with legs up. 1/16/21 continued to experience chills, headache despite cool compress and Tylenol 1000mg TID and Motrin 600mg x 1 dose at 1900. Fatigue and body aches throughout the day - very limited on any daily activities. Sweats and joint pain and pain around L arm injection site.

5 mins after injection, loss consciousness, was lowered to floor, complained of dizziness and look confused prior to passing out. Hx of passing out after vaccine. When regaining consciousness, appeared confused. Unconscious for approx 1 min; Evaluated by MD. 835: 129/63, O2: 98% 8:37: Transferred to stretcher; BP: 97/50, O2: 98% 8:43: BP: 122/75, O2: 98%, awake, alert, monitoring continued; denied SOB 8:53: 120/80, O2: 98%, patient reports feeling beter Observation ended at 8:54

PATIENT REPORTS SYMPTOMS OF FEELING JITTERY, ELEVATED BLOOD PRESSURE 149/109 AND HR 107 AND CHEST SORENESS.

Jaundice, abdominal pain, body aches. headache,nausea - started 1/24/21. HGB 6.8, low haptoglobin Pt has a had a history of hereditary stomatocytosis. When the patient had the shingles vaccine 5/2019,he had a similar reaction. Pt is requiring IV pain medications.

When patient was in for his 2nd dose, reported that an hour after the first vaccination was given he felt like his heart rate was high. No measurement was ever taken to confirm it was in fact high. He also became flushed. He was wearing a sweatshirt, so when he took that off he was feeling better. This episode lasted for 5 hours. No comorbidities or other heart conditions. We asked if he was possibly dehydrated or had any caffeine that day. I determined to proceed with dose 2 under the request that he came back after 1 hour and 2 hours respectively to get vitals.

please see VARS E-report number: 277022 for additional information. Due to reaction to 1 dose, I requested he come back after 1 hour and 2 hours respectively to check vitals. He came back after 1 hour stating he feels "different and funny." Complained of a froggy throat and that he could feel a heart beat in his ears. At 3:53 PM, pulse was 98 and BP 150/103. Regular respirations=16. skin was warm and dry. no rash or redness noted. no shortness of breath or difficulty swallowing noted. At 4:10 PM, continues to deny pain. BP 165/108 with pulse of 102. 4:17 PM, 147/98, pulse in the 90s. Continued feeling of heart rate in ears. 4:20 PM, 147/94 P 94. remains alert and oriented. continued frogginess in throat and sensation of heart rate in ears. Denies shortness of breath or chest pain. O2 sats are 99%. Refuses need for ambulance. Agreed to have family member transport to ER for further evaluation. 4:24 PM, 148/103 P 96 Respirations 18. Skin remains warm and dry. Denies pain or shortness of breath. sensation in ears continues. 4:30 PM. 139/99 pulse 84 resp 18. no shortness of breath or chest pain. skin warm and dry. oriented and alert. continued sensation of beating in the ears. 4:32 PM, picked up and taken to ER.

Patient started experiencing chest pain, headache about 2 minutes after vaccine. He reported throat tightness, dizziness and difficulty breathing. Epi pen administered at 1405. Patient had nausea after epinepherine. No swelling or rash noted. EMS arived at 1415 and he was transported to the emergency department.

Woke up middle of night sweating with 200+ BPM heart rate. Blood pressure 190/100. Weight on chest. Felt dizzy and faint. Could hardly walk. Labored breathing. Had to call ambulance for transport to hospital.

Steadily rising fever began the day after vaccination, eventually exceeding 105F and with associated severe headache, room-spinning vertigo, nausea, fatigue, tachycardia, rigors, occasional cough and stuffiness. Also experienced moderate arm pain at injection site. Symptoms continued to worsen throughout the day and only began to improve after taking 1000mg acetaminophen. Symptoms greatly improved by the next day (post-vaccination day #2) and eventually resolved.

Vaso-vagal syncope after shot. Continued to feel unwell after 10 min monitoring time. Transported to hospital for further evaluation. Discharged after approximate 2 hours observation.

Occipital neuralgia; anaphylaxis; feeling like passing out on and off for the next 2-3 hours; he felt lightheaded; little short of breath; fatigue; he had a lot of posterior lymph pain in the back of his head, for 2 weeks on and off; heaviness at the back of his head left sid; chest tightness; he developed a sensation like he was going to lose control of his mind; This is a spontaneous report from a contactable Other Health Professional, the patient. A 27-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot number EL1283), via an unspecified route of administration on 08Jan2021 at 13:30 (at the age of 27-years-old) as a single dose in the left arm for COVID-19 vaccination. Medical history included asthma exacerbation, GERD, childhood anemia, a retinal tear in the right eye all from unspecified dates and unknown if ongoing. The patient also reported medical history three episodes (June 2019, August 2019 and October2019) of anaphylaxis due to "Exercise Induced Anaphylaxis." Historical vaccinations included the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number EH9899) on 21Dec2020 at 13:30 after which he experienced pain at the vaccination site which lasted twenty-four hours. The patient's past product use included adrenaline (EPIPEN), an unspecified corticosteroid and an unspecified antihistamine for past allergic reactions. The vaccine was administered in a hospital. Prior to the vaccination, the patient had not been diagnosed with COVID-19. Concomitant medications included ciclosportin (RESTASIS), azelastine (AZELASTINE), mometasone furoate (FLONASE), cetirizine hydrochloride (ZYRTEC) and omeprazole (PROTONIX) all for unknown indications from unknown dates and unknown if ongoing. Within four weeks prior to the vaccination the patient had received unspecified "allergy shots" He received "two shots" (one in each deltoid) on 15Dec2021 and "two shots" (one in each deltoid) on 05Jan2021. The patient reported that fifteen to thirty seconds after the second dose of the COVID-19 vaccination he felt lightheaded and a little short of breath. This lasted about eight minutes and then subsided. Approximately thirty to forty minutes (about 30 minutes after he left the facility) later the symptoms returned. He felt short of breath and he thought he was going to pass out. The symptoms included fatigue, shortness of breath lightheaded and feeling like passing out on and off for the next two to three hours. He stated he has completely recovered. He continued to say that he was feeling fine for three days then he began having bilateral cervical lymph pain greater on the left than right, a lot of posterior lymph pain in the back of his head (for two weeks on and off). These symptoms also resolved on their own. He also experienced ("a couple of days later") a sensation where he thought he was going to lose control of his muscles and lose consciousness. He also developed a sense that the was going to lose control of his mind with heaviness at the back of his head, left side. He went to the Emergency Room (date not provided) and they provided Valium. He also reports an Emergency Room visit on 13Jan2021 during which he underwent a CT scan of the head which was normal and a neuro consult suggesting occipital neuralgia and he was put on muscle relaxers. He also stated that experienced shortness of breath and chest tightness after his allergy shots on 26Jan2021 and he specified that he had never before had these reactions to his allergy shots. After that he had yet another possible allergic reaction after eating pizza on 30Jan which included throat swelling as well. He further stated that on 04Feb he had anaphylaxis vs asthma exacerbation. On the following day he developed a heaviness to his left occipital head with that same feeling of wanting to lose control of his muscles. He never had that before. He started Prilosec about one and one half weeks prior to the reporting date. In follow up the Other HCP reporter/patient answered "Yes" to the following questions (DCA) about symptoms experienced: Bilateral wheeze/bronchospasm, upper airway swelling, increased use of accessory respiratory muscles, dry cough, difficulty breathing (without wheeze or stridor, sensation of throat closure, tachycardia, nausea. These were reported without dates and without context with regard to the events reported initially. These were also reported as not requiring treatment and having recovered on unspecified dates. Lab data included three SARS COV 2 nasal swab tests (14Jan2021, 03Feb2021 and 11Feb2021) all of which were negative. Unspecified treatment was reported for the events anaphylactic reaction and mental impairment. The clinical outcomes of the events Anaphylaxis, loss of consciousness, dizziness, dyspnea, fatigue and lymph node pain were reported as recovered on an unspecified date in 2021. The clinical outcome of mental impairment, heaviness of head, chest tightness and occipital neuralgia were reported as unknown.

Shortly after getting vaccinated the patient complained of his head hurting and feeling nauseous. Within a few more minutes the patient said that their chest felt tight and was having shortness of breath. The patient was given water and a cold compress. The patient started breathing heavily. The patient was starting to sweat on their forehead. The temperature was taken and was 97.3 degree F. The patient was given a bucket at which time they proceeded to spit a small amount of mucus and bile into the bucket. The patient denied needing an ambulance. The patient called their mother who came and transported the patient to the hospital. The patient was watched for a total of 25 minutes and left the pharmacy at around 12:50.

Patient is a 27 year old male with no significant medical history presents to MC on 2/6 from Urgent Care for further evaluation of chest pain. He states that he woke up at 5:30am with abrupt onset of chest pain with present like quality in the middle of the chest. It was non-radiating with associated nausea, small amount of emesis, and dyspnea. His pain lasted for about 15 minutes and he started experiencing it again after half an hour with numbness and tingling of his bilateral distal digits and diaphoresis. He decided to seek evaluation at local Urgent Care around 7:30am. States that he was immediately send here through ambulance due to findings of EKG changes. He was given aspirin and nitroglycerin with some alleviation of pain. Currently, he feels little better although continues to have chest pressure substernally every 45 minutes lasting 5-10 minutes. His dyspnea is resolved. He does not have pleuritic chest pain, fever, chills, nausea, vomiting, abdominal pain, diarrhea, leg swelling, rash. Additionally, he has been in normal state of health until this 2/2/21 when he received second dose of COVID-19 (Pfizer) vaccine. He had extreme fatigue with left arm soreness. He reports no sick contacts, recent illness, or travel. MRI cardiac done 2/9/21 with assessment reveals Infero-lateral myocarditis. Patient remained hemodynamically stable and was discharged with ibuprofen taper for 10 days, c/w colchicine 0.6 mg QD x 3 months and pantoprazole 40 mg QD

Immediately after injection patient had severe vasovagal episode for 45 seconds. He appeared unconscious and then became responsive. Did not show signs of being post-ictal, transferred to the Emergency Department. Observation only, discharged from the Emergency Department.

Nausea, dizziness, headache, extremely red face, swollen bottom lip, pressure and tightness in chest, oxygen levels dropped, difficult breathing, and heart rate was elevated. Treatment at clinic: Oxygen mask was put on to 4 litters, breathing treatment done, Benadryl, Pepcid, Tylenol, and then eppy shot was given. Ambulance then came to clinic and took my son to the ER. Most of the same thing was done in the ER. Patient still felt bad after 4 or 5 hrs in ER room. So he was admitted to stay in the hospital. He stayed 3 days and 2 nights in the hospital. He had breathing issues, nausea, headaches, and Elevated heart rate for the first 2 days. Wasn?t till the 3 day that he felt well enough to go home.

Systemic: Exhaustion / Lethargy-Mild, Additional Details: Patient was seen lying on his side and appeared pale. Patient stated he was hungry, dehydrated and sleepy due to lack of food and sleep. Paramedics were called with no abnormal findings of vitals. Patient left pharmacy after 15 minute observation period with a caregiver.

PATIENT HAD A VASOVAGAL REACTION, WHERE HE FELT LIGHTHEADED AND DIZZY, AND UNABLE TO STAND FOR A LONG PERIOD OF TIME. RN HAD PATIENT WHEELED TO FIRST AID BAY TO LAY DOWN. PATIENT VITAL SIGNS WERE TAKEN AS MEDICAL STAT CALL WAS BEING MADE. MD EDUCATED PATIENT OF ADVERSE REACTION WITH VITAL SIGNS NORMALIZING AND PATIENT STATED HE WAS FEELING BETTER. PATIENT IS ALERT AND ORIENTED, ABLE TO STAND AND WALK AROUND. PATIENT VITAL SIGNS NOW 100% O2 SAT, 94 HR, RR 22, AND BP 104/71.

Vasovagal response. Patient arouse from his chair in waiting area after vaccination and while conscious, fell to the ground. Patient was assisted with ambulatory back to exam room and laid on the exam table. Feet were raised above the level of heart and he stated that he felt much better within 5 minutes of this maneuver. Over a 45 minute period, patient positioning was slowly elevated from laying to sitting, then to standing, and was escorted in a walk around the store. Patient performed all of these tasks without incident. Called patient the next morning to check on status. Patient reported that he did just fine getting home and had no other incidents since vasovagal response.

28 yo M reported feeling unwell (lightheaded, hot, need to sit down) within 5 minutes of receiving first dose of Pfizer COVID vaccine. Subsequently had a syncopal event, while sitting reclined between bleacher seats. His head was supported. Patient was laid down with feet elevated and he regained consciousness within 15 seconds. Vitals: 132/79, O2 98%, P 79, RR 16. No facial edema, rash. Patient was given water and a snack, was observed for 30 minutes, after which he reported feeling much better.

Pt had vasovagal event after injection. HR fell to 43, BP fell to approx. 60/40. Pt given water, snacks, coca cola, and monitored vitals for 10 minutes. BP increased to 95/65 and HR increased to 65 bpm. Pt monitored until felt well.

Pt received Pfizer COVID-19 vaccine on 3/25/21 at around 11:15 am and immediately lost consciousness. Nurse administered epinephrine and called 911. Pt regained consciousness shortly after receiving epinephrine. Pt did report history of syncope with injections before receiving the vaccination.

Client passed out around 10 minutes after vaccine was given. Came to without any injuries, with normal vital signs. Left building unassisted after around 20 minutes and refused transport.

Client reported before vaccination a history of syncopal episodes s/p vaccine administration due to a needle phobia. Client received vaccine and had a syncopal episode while in the chair. Client slumped into a person sitting next to him. Client roused after approximately 1 minute of unconsciousness, and was initially difficult to arouse. Client was moved to a cot via wheelchair and placed in reverse trendelenberg position. Initial vitals 75/43 pulse 40, sinus bradycardia rhythm, skin was pale and diaphoretic. Client had a follow up blood pressure 5 minutes after the syncopal episode of 76/44, pulse 50. Client was offered transport versus watchful waiting by EMS staff, and opted for watchful waiting. Client had gradual return to full mentation, and skin turned to pink, warm and dry. Follow up vitals 116/82, pulse 68, spO2 100% on RA. Client continued to improve and remained in observation area for 30 minutes, and was given a ride home by his wife. Client refused transport by EMS and evaluation in the emergency department.

Pt received vaccine at a clinic and was waiting the required 15 minutes in a chair. After about 7-8 minutes, another pt alerted that pt was having a reaction and was losing consciousness. Patient could not speak and was showing signs of passing out. RPH was able to keep pt conscious and within 5 minutes pt could say his name and count backwards from 10.

Patient had received Covid vaccination and was seated in monitoring area. Patient was being monitored by nurse. She states patient complained of feeling lightheaded. Took off coat and drank some water. She checked his pulse at that time, and reports 60. She reported to other staff in area. Patient explained that he has done this in the past with injections, but not always. He was sipping water, diaphoretic. At 0918 patient became was extremely diaphoretic, lips blue, eyes rolled back, and patient was unconscious, No pulse detected. I lowered him to floor from chair. EMT checked again for carotid pulse and I placed hands in position to start compressions. Faint pulse noted, and did not begin compressions. Nurse practitioner came over assisted by raising lower extremities onto chair. 0919 patient oxygen sats 91-93 percent. Ambulance en route. Patient color improving, responding appropriately, alert and oriented. heart rate 51. blood pressure 112/59. 0921. EMS on site, patient still pale, and slightly diaphoretic, much improved though, b/p 119/62. hr 61 pulse ox 91 percent. EMS assumed care.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Seizure-Medium, Systemic: Shakiness-Medium, Additional Details: unconscious for less than a minute.Has a history of fainting from many years ago but no incidents since.Epi pen given 4:10p and 911 called. Paramedics arrived ~4:18p.Bp was 110/80 @4:13p, 128/88 @ 4:18p, 132/86 (pulse 70) @4:21p.Was clamy, shaky, sweaty,and had a headache post.Paramedics monitored sitting and standing.Advised to followup with physician.

Shortly after patient received vaccine (within 5 minutes) Patient was sitting in area being monitored for reaction. Patient then fell face forward and hit his face. Aid came helped immediately and patient was monitored for vitals. Patient report to feeling dizzy. He appeared pale and clammy.

11:55am received vaccine. !2:00pm fainted in general observation area. Fell out of chair and was laying on stomach. Bumped right side of head. Unconscious for short period - approx 30 seconds. Assisted him to a sitting position. 12:02 pm B/P 110/68. Pulse 82 O2 sat 97%. Sat on floor for a couple minutes then transitioned him to a wheelchair and brought to the medical observation area, where he rested on cot. 12:07 pm B/P 112/68. Pulse 92. O2 sat 96%. Has red area on right side of head - no bump noted. Denies s/sx of concussion. 12:16 pm Pulse 84. O2 sat 95%. Iced head for 15 minutes. 12:25 pm B/P 118/70. Pulse 82. O2 sat 95%. Sat up for 15 minutes. Drank water. Denies s/sx of concussion. Did recommend he go to urgent care to have head assessed. Feels better - left at 12:35pm.

Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Pateint \"swooned\" when the observer was getting the timer. He was responsive after 2 minutes. sat upright after 5 minutes.

Patient reported that he "felt like he was going to pass out". Was pale and clammy. Reports hx of vasovagal response to injections. VSS. Cool air and drink applied. Within 5 minutes color returned and patient reported that he felt much better. Was able to drive self home after 20-30 minutes.

Vasovagal event with lightheadedness, diaphoresis, blurry vision. No CP, SOB, palp. No s/sx anaphylaxis: no hives/rash, wheezing, stridor, throat closing, tongue swelling/itching, N/V/D. VS: BP 95/5Os, HR 50s, SaO2 99% RA, afebrile. Pt clammy, bradycardic. Lung clear, abd soft, no edema. No focal neuro deficits, A&Ox3. Pt laid down on the floor with legs elevated with improvement in symptoms, and BP up to 120s/70s, HR 70s. After ten minutes, felt well enough to sit up, repeat BP while sitting 120/70s, HR 70s. Given water/juice and a snack. After another ten minutes, felt well enough to stand, repeat BP unchanged. Pt monitored for another 30 minute without recurrence of sxs. Pt went home without issue.

Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: WHITE BUMPS ON HANDS-Mild, Systemic: Hypertension-Mild

About 5 minutes after receiving vaccine, patient passed out unconscious and woke up about a minute later.; This is a spontaneous report received from a contactable consumer (patient). A 27-years-old male patient received first dose of BNT162B2 (Solution for injection, PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN), via an unspecified route of administration in the left arm on 24Mar2021 at 11:55 (at the age of 27-year-old) as a single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient did not have any allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 24Mar2021, the patient about 5 minutes after receiving vaccine, passed out unconscious and woke up about a minute later. Treatment received for the event was unknown. Event resulted in Doctor or other healthcare professional office/clinic visit. The outcome of the event was recovered. Information about lot/batch number has been requested

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: Sycope episode

Patient has the vaccine and then got dizzy and started to put self on floor, passed out and hit face on the floor. Patient has a red bruise on his forehead and nose. Patient was advise that he should go to ER to get checked out because he passed out and hit his head. Patient refused and went home with girlfriend. They were advised as to what signs to look out for and then if the patient gets these symptoms to take him to the ER to get evaluated

Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Severe, Additional Details: Patient felt light headness, gave patient water, he ate sour patch kids then he said hes ok but will sit for 30 minutes, but he lost consciouness for about 20 seconds, woke up then started vomitting, we called 911 and Paramedic came took his vital signs bp 117/91 seems ok but patient refuse to go to emergency room, patient stayed for another 30 mins, his family came and picked him up. Patient said he will call his PCP if still nausea problem, patient said he fainted with injections before but never violently vomt

Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Severe, Additional Details: Patient felt light headness, gave patient water, he ate sour patch kids then he said hes ok but will sit for 30 minutes, but he lost consciouness for about 20 seconds, woke up then started vomitting, we called 911 and EMT came took his vital signs bp 117/91 seems ok but patient refuse to go to emergency room, Patient stayed for another 30 mins, his family came and picked him up. Patient said he will call his PCP if still nausea problem, patient said he fainted with injections before but never violently vomt

patient passed out several minutes after receiving vaccine. he was very anxious before and during the vaccination. He came to in under a minute, waited in the store for approx. 20 minutes before leaving.

Patient fainted and exhibited seizure-like activity within 15 minutes of vaccination. Patient was transported to ER by EMS.

Patient walked to waiting area and when he sat down he fainted, hit his head, and started having seizure-like activity (jerky, twitchy). Patient was down about 15 seconds and when he sat back down his blood pressure was 74/48 and his vision was black. Called EMT, patient refused to go with EMT, because he felt better after 30 minutes of sitting

Client was waiting in his car post vaccination when he felt dizzy, sweaty and was walking back to the vaccination area when he fainted. Client was assisted by a flow worker and client did not suffer any injuries from fainting. BP was 139/89, client is able to speak and is oriented X3. 911 was called, Medic 209 arrived and evaluated client. Client's glucose was 92, an EKG was performed. Client declined transport to the hospital and asked his wife to pick him up. Client stated that he was feeling better and that understand to call EMS if symptoms worsen on the way home.

Pt fainted after 2nd Pfizer injection. Pt fell from chair, resulting in a minor injury to his right knee. BP was taken and found to be low (96/54). He was given ice packs until symptoms resolved.

Patient arrived for his vaccine. Vaccine was administered by nurse. Patient then stated that he does not do well with shots and then he passed out. The nurse attempted to break his fall. He fell out of the chair and onto the floor hitting his head on the ground. He was passed out for about 20-30 seconds. His legs were elevated and he woke up. VS were taken BP 137/80 HR 68 O2 sat 100% Squad was called. VS retaken BP 141 HR 70 O2 sat 100% Squad arrived. Patient feels lightheaded. Assisted to chair. VS retaken BP 114/93 HR 60 O2 sat 98 % Patient taken to hospital.

4/10/2021 experienced some right side facial paralysis upon waking. Called urgent care who directed me to go to a hospital as soon as possible and asked about all events leading up to this, noting that the vaccine may potentially have this side effect, as written in the medical journal. Went to the ER, they put me in stroke protocol, did CAT scan, negative results, blood tests (including for Lyme), MRI to look for tumors after the CAT scan was negative, and an echocardiogram as they detected a new heart murmur never present before. MRI showed Bell's palsey in one facial nerve, all other tests are negative, including for Lyme's disease, a common cause. I am still experiencing it, and am on Valtrex (anti viral) and Prednisone, but the symptoms still exist. There is no other change in my life or health, the only thing I've done differently is have the vaccine (for which we are grateful).

5 min after vaccine became nauseated diaphoretic vomited and hypotensive BP 76/38 code rescue was called slowly recovered transported to ER

I had intense stomach pains, muscle pains for 4 days. Could not get out of bed. Also had a fever. I thought these were regular side effects and eventually got better. Then, about a week later I started getting nose bleeds with blood clots coming out of my nose. These lasted a few more days. This never happened to me before, and must have been a side effect from the vaccine.

Patient fainted shortly after vaccination while walking to waiting room. Patient was treated by pharmacist until paramedics arrived. Patient was released by paramedics after assessing patient for low blood sugar.

On day 3 following, 2nd dose of Pfizer vaccine, he had right sided calf pain. Initially thought to be recurence of strain injury, although no history of trauma or obvious trigger. Pain conitnued to worsen and had different characteristics than original strain symptoms. Continued to worsen to point wher eunable to weight bear and swollen, hot and red. Saw orthopedist who refered to vascular surgeon, and on day 13 was officially diagnosed with large DVT extending form tibeal & peroneal, popliteal up to the femoral veins. Has no known clotting defects. Currently under evaluation with hematologist who recommended anticoagulants for remainder of his life.

Client began to complain of feeling dizzy and experiencing tunnel vision right after receiving the vaccine. Ice pack was applied to back of client's neck. About 5min after receiving the shot the client stated he thought he was going to pass out. 2 RN's walked client to a safe place to lie down. Client began to pass out while walking and was carefully lowered to the floor. Total time unconscious was about 30 seconds. Client began talking though mumbled. About 3 min later client stated he was feeling better. Another 3 min and client moved from laying on the ground to sitting in a chair. He stated he was less dizzy but his arms felt tingly. Client eating crackers and drinking water. Vitals remained stable throughout incident. Client was released to personal vehicle at 1:41pm, walked out of building on his own, gait was steady. Educated pt to request to lie down for 2nd vaccine.

PATIENT BROUGHT WITH RAPID RESPONSE TO ED FROM VACCINATION ROOM; SYNCOPE IMMEDIATELY AFTER VACCINE SHOT; PATIENT FELL FROM STANDING AND HIT HEAD ON TABLE; C-COLLAR IN PLACE; PATIENT REPORTS LOSS OF CONSCIENTIOUSNESS; PATIENT STATES HE HAD PAIN TO LEFT SIDE OF HIS ARM; NO SIGNS OF SOFT TISSUE INJURY

Fainting (laid head on table) within seconds after vaccine administration. Assessed and aroused patient. Took blood pressure, put cool wet towels on neck, kept patient alert and put in supine position with legs elevated on chair. Continued to monitor blood pressure and when able to sit up was given food and water. Patient was observed for approximately 1 hour

Patient had syncope, dizziness, flushing/sweating, seizure, urinary incontinence. BP 119/79 -- > 103/53 -- > 108/50, HR 47 -- > 38 -- > 37 -- > 64 -- > 62, RR 16, O2 100%, Temp 97.3F. EMS called at 17:06, arrived at 17:13.

Patient experienced syncope resulting in a laceration to the chin in the 15 minutes following vaccination. Patient was tended to by the NP on duty, instructed to lie down and drink water while she tended to his cut. Patient mentioned it "tasted like he threw up" and still felt lightheaded after 15 minutes after the event. Patient was insistent that we should not call the squad as he does not have insurance. Patient in the meantime was trying to get ahold of a friend or family member to pick him up as we advised him that he could not leave in this state. We elected to call the squad as he had not recovered yet. Before the squad could come, the patients brother showed up and quickly whisked him away. Squad did show up but there was nothing to attend to so left without intervention.

Patient experienced syncope shortly after receiving first dose of Pfizer COVID vaccine in the lobby during his 15 minute waiting period. Patient hit chin and did lacerate it; this was attended to by NP who was administering shots at the time. Patient mentioned that he "tasted like he threw up," was instructed to drink water. NP took vitals and patient showed no sign of concussion. In the mean time patient was trying to get ahold of a friend or family member to come pick him up. Still felt lightheaded 15 minutes after being attended to, at this time we called the squad. Before the squad could show up patients brother came to pick him up... was whisked away too quickly for us to stop him. Patient was adamant about us not calling squad because he does not have insurance.

Patient had classic vasovagal ~10 minutes post vaccine. BP 70, pulse 40. Quickly returned to 105/70 and pulse 80 with no intervention. Glucose 102 by FS.

The patient experienced a 7 second syncope episode after administration. The patient experienced this with the first dose in the series too. The issue resolved on its own and the patient was released.

Patient was waiting his 15 minutes in Observation. He passed out and the nurse noticed and walked over to help hold him up. When paramedics walked over he was awake and talking. Patient stated he felt fine and walked out to private area with the paramedics. Upon sitting in the chair he was unconscious again and paramedics transferred him onto stretcher and transported him to nearby hospital. He states this happens when he gets injections.

I had normal covid vaccine sideffects throughout the night. Then around 8am my heart rate shot up in the 110 -120 bpm range. This remained at a high rate for several hours. In addition to this i was having severe heart palpitations. I ended up needing to go to urgent care where they gave me an iv of saline and beta blockers to slow my heart.

VASOVAGAL EPISODE POST VACCINATION, PT WAS IN A CAR, FOOT DEPRESSED THE ACCELERATOR AND RAN INTO A TENT, CAUSING THE COLLAPSE OF THE MONITORING TENT, PORT-A-POTTY AREA. CODE GREEN CALLED, PARAMEDIC CAME, TRANSPORTED PT TO HOSPITAL

Patient with known alcoholism, found down and out covered in blood for an unknown period of time. Brought to Healthcare Facility by ambulance for treatment, and planned to transfer. Suspected GI bleed; when flight crew arrived, decided to intubate. Failed first attempt, and patient when into cardiac arrest. Was revived with CPR and 2 doses of epinephrine. Pt also received TXA and 1 unit PRBC, and fluids. Successful second attempt, though BPs remained labile. Pt transferred to ICU and was notified that additional evaluation found bleed had actually occurred proximal GI tract (oral mucosal bleed, not esophageal). Pt also diagnosed prior to transfer with multilobar pneumonitis, ascites secondary to alcohol cirrhosis, hematemesis/meme positive stool, leukocytosis and pancreatitis. Was notified by ICU less than 24 hours later that pt was on vent and stable.

Pt had Pfizer vaccine, lost consciousness briefly and had seizure and lost control of bladder. EMS was called, pt declined to go to ED. Documents were signed and since pt had seizure and lost consciousness, report was filed. Pt was informed. Pt's friend picked up patient. Pt was urged to followed up with PCP and go to ED.

POST VACCINE, BEGAN TO FEEL FLUSHED, LIGHT HEADED, AND HAD PRE-SYNCOPAL EPISODE, ASSISTED TO FLOOR; SYNCOPAL TREMORS NOTED BRIEFLY. SPONTANEOUS RECOVERY WITH NO S/S UPON ARRIVAL TO OBS VIA STRETCHER. VSS. ESCORTED TO EXIT WITH NO ISSUES ONCE S/S RESOLVED AT 1700. 1631 BP 160/88 HR 70 RR 12 SATS 100% RA 1653 STANDING BP 144/90 HR 80 RR 16 SATS 98% RA

Vasovagal syncope Pt fell face first out of the chair approximately 10 minutes post covid vaccine. Pt became pale,diaphortic , pupils dilated and non-responsive. No chest rise/fall noted. Nurse could not palpate a pulse. Epi pen administered in right thigh. Pt responded to epi pen and sat up on his own . Emergency alert called overhead on the PA System. ED staff responded and transported pt via stretcher to ED. Pt discharged to home.

Onset: 4/28/2021 Sx: fever, chills, cough, SOB, fatigue, myalgias, h/a, loss of taste & smell, sore through, runny nose & congestion. Brief LOC today with brief mild disorientation and confusion immediately after. Social: no reported exposures Immz: Pfizer #1 = 1/19/2021 & Pfizer #2 = 2/10/2021

27 year old male with Down's Syndrome and no other past medical history received second COVID-19 vaccine on 4/27/2021. On 4/30/2021 began "feeling poorly" with nausea/vomiting and possible chest discomfort. Originally presented to ED on morning of 4/30 - EKG completed demonstrated diffused ST elevation. Patient was transferred to Medical Center for heart catheterization. Left heart catheterization demonstrated normal coronary arteries and LVEDP of 25. Stat ECHO demonstrated pericardial effusion and concern raised for myopericarditis. Patient subsequently transferred to a different Medical Center for higher level of care. Upon arrival to Medical Center plan was to intubate and take to cath lab for heart biopsy and PA catheter placement. However, upon intubation patient began to decompensate and subsequently developed cardiac arrest. During ACLS, VA ECMO was placed and therapeutic hypothermia was initiated. Following VA ECMO placement patient received IVIG, high dose methylprednisolone (1000 mg), anakinra 100 mg, and broad spectrum antibiotics (vancomycin and Zosyn). Despite these efforts the patient continued to have hemodynamic instability and was on high dose vasopressors (epinephrine, norepinephrine, dopamine, angiotensin II, vasopressin). Patient subsequently suffered another cardiac arrest, briefly regained pulse with high dose vasopressors, but subsequently lost pulse despite best efforts and died on 5/1/2021 at approximately 13:00.

Systemic: Fainting/Unresponsive-Severe. Additional Details: Patient had a syncope episode post vaccine administration. Unresponsive for about 5 minutes. Paramedics were called, patient had recovered from his episode quickly.

Loss of consciousness approximately 9:10pm, fall, multiple head and face lacerations. Entered ER ~11:00pm and received multiple tests, EKG, TDAP injection, and sutures.

1. Sharp Pain in left leg behind knee. Felt similar to nerve pain when leg cramps. Pain occurred randomly off and on throughout the day. 2. Nausea. Occurred 2-3 times throughout the day. 3. Nose bleed. Occurred 2x on 5/2 and again on 5/4.

27 y/o male was sitting in a chair when he started feeling lightheaded 10 minutes s/p 2nd COVID vaccine. He experienced LOC, which lasted less than 1 minute, and fell on his left side onto the floor. Patient came to immediately and was alert when medical response team arrived. Patient was mildly pale and diaphoretic, which improved as he laid down supine on bed. He endorsed some nervousness but lightheadedness seemed to be getting better. Patient had only had a banana and some water prior to his appointment. He denied chest pain, palpitations, and shortness of breath at the time of syncope. Due to the abrasions on his left maxillary area and ear, patient thought to have hit head on the floor. EKGs done by paramedics showed sinus rhythm with ST elevation in leads V3-V6, repeated twice with same finding. Patient then mentioned that he has been having sharp chest pain intermittently over the past few months that would go away on its own. He had not seen a medical professional for those symptoms. IV line started in left antecubital area. Patient was given baby aspirin by paramedics. Patient?s first COVID vaccination was uneventful. He denied any medical conditions, allergies, or medications. Family history includes diabetes, hypertension, and thyroid disease.

Similar symptoms to pericarditis, with debilitating pain that was exasperated while lying down; Heart palpitations; left armpit with pain radiating to entire left shoulder through the middle of the neck; low grade fever; severe fatigue; slightly dry cough; This is a spontaneous report from a contactable consumer reporting for himself. A 27-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number EV8732/expiration date: not provided), via an unspecified route of administration, on 07Apr2021 at 13:45 (at the age of 27 years old) as a single dose in the left arm for COVID-19 IMMUNIZATION. Relevant medical history included COVID-19 on an unspecified date. The patient did not have any known allergies to medications, food, or other products. Concomitant medication (other medications taken in two weeks) were none. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 19Apr2021 at 22:00, the patient experienced similar symptoms to pericarditis, with debilitating pain that was exasperated while lying down, Heart palpitations, left armpit with pain radiating to entire left shoulder through the middle of the neck, low grade fever, severe fatigue and slightly dry cough. The events required a physician's office visit. The patient received treatment for these events. The clinical course of the events was as follows: Heart palpitations originating under left armpit with pain radiating to entire left shoulder through the middle of the neck. Similar symptoms to pericarditis, with debilitating pain that was exasperated while lying down, low grade fever, severe fatigue, and slightly dry cough. Lasted about 30 hours. Discomfort relief, like pericarditis, was only felt when sitting up and propping myself up by my arms leaning forward. Onset was rapid, occurring 13 days after the first dose of the vaccine over a period of 8 hours (palpitations came first, followed by shoulder and neck pain in the morning). Treated with Aspirin at first (low effectiveness) followed by NSAID Advil 7 hours later (high effectiveness, symptom relief was about 50%). High strength Advil recommended by MD. The outcome of the events was recovering. Since the vaccination, the patient had not been tested for COVID-19.

syncope; fell from standing; hit head on table; This is a spontaneous report from a contactable health professional. A 27-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot: EW0164), intramuscular in the left arm on 15Apr2021 (at the age of 27-years-old) as a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. It was unknown if the patient received any other vaccinations within 4 weeks of the vaccine. On 15Apr2021, immediately after the vaccine, the patient experienced syncope due to which he fell. He fell from standing and hit his head on a table. There were no signs of soft tissue injury. The patient was brought into the emergency department from the vaccination room. The patient was not treated for the events. The clinical outcome of syncope, fell from standing and hit head on table was resolved on Apr2021.; Sender's Comments: A contributory role of BNT162B2 to the reported events cannot be excluded based on temporal association. Case will be reassessed if additional information is received. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadedness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient received vaccine, sat in observation chair for about 3 min speaking on his phone, patient leans forward and passes out, falling out of the chair and hitting the floor. The patient was unconscious for about 10-15secs. Pharmacist administering vaccine, immediately went to his aid and had his sit. I was called over and offered medical care, which he declined. Patient was given water and an ice pack for the abrasions received.

Patient appeared to have 45-60 second seizure following first dose of Pfizer COVID-19 vaccine. Appeared to experience a tonic/clonic seizure. He was sitting in a chair, scheduling an appointment to receive his second COVID-19 vaccine and became unresponsive and stiff. Staff responded, patient was lowered to the floor for safety. Patient was turned on his side to maintain airway. O2 was take 97-99% on RA. Once rigidity had resolved, O2 was applies at 3L NC as a precaution once stiffness resolved. BP was taken, 83/59 and pulse 105 side laying. 5 min later, BP 109/73, pulse 106 supine. EMS was called, patient transferred to ambulance. Patient was alert and oriented.

I received the first dose of the Pfizer vaccine. During the 15 minute evaluation, i felt nauseous, hot/sweaty and my vision got blurred to the point i passed out on the floor. After I regained conscio; I received the first dose of the Pfizer vaccine. During the 15 minute evaluation, i felt nauseous, hot/sweaty and my vision got blurred to the point i passed out on the floor. After I regained conscio; I received the first dose of the Pfizer vaccine. During the 15 minute evaluation, i felt nauseous, hot/sweaty and my vision got blurred to the point i passed out on the floor. After I regained conscio; I received the first dose of the Pfizer vaccine. During the 15 minute evaluation, i felt nauseous, hot/sweaty and my vision got blurred to the point i passed out on the floor. After I regained conscio; I received the first dose of the Pfizer vaccine. During the 15 minute evaluation, i felt nauseous, hot/sweaty and my vision got blurred to the point i passed out on the floor. After I regained conscio; This is a spontaneous report from a contactable consumer. A 27-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 1 via an unspecified route of administration, administered in the left arm on 10Apr2021 at 15:00 (Batch/Lot Number: EW0158) at 27-years-old as a single dose for COVID-19 immunization. The patient did not receive any other vaccine within four weeks of the suspect vaccine. The patient's medical history was reported as none. There were no concomitant medications received within the two weeks of vaccination. The patient experienced: "I received the first dose of the Pfizer vaccine. During the 15-minute evaluation, I felt nauseous, hot/sweaty and my vision got blurred to the point I passed out on the floor. After I regained consciousness (medically significant, hospitalization) on 10Apr2021 at 15:00. Reported Event: The patient received the first dose of the Pfizer vaccine. During the 15-minute evaluation, the patient felt nauseous, hot/sweaty and their vision got blurred to the point where the patient passed out on the floor. After, the patient regained consciousness with the assistance from the doctors and nurses there. The patient passed out again within minutes. After the second time, the patient was placed on a stretcher and sent to the emergency room for further testing. The patient reported that he had no history of medical conditions. The patient stated "all because of my vaccine hospitalization, I acquired a (some amount) medical bill. I would like to discuss assistance for handling this. I have all of the paperwork as proof. It's very unfortunate to pay this amount due a shot." Pfizer received an adverse event letter from withheld directed to Department, on 03May2021. Customer Verbatim: "On Saturday, 10April2021, I received the first dose of the Pfizer vaccine. During the 5-minute evaluation, I passed out on the floor. After I regained consciousness, I passed out again within minutes. After this, I was taken to the emergency room. I have no history of medical conditions. All because of my vaccine hospitalization, I acquired a (some amount) medical bill. I would like to discuss assistance for handling this. I have all of the paperwork as proof. " It was reported that the events required an emergency room visit and physician office visit. The patient was hospitalized due to the events from 10Apr2021 to an unknown date for 1 day (as reported). It was reported that no therapeutic measures were taken. The clinical outcome of the events was recovered on an unspecified date. The patient was not tested for COVID post vaccination. No follow-up attempts are possible; information about batch/lot number cannot be obtained.

Patient reported chest pain for 2 days and intermittent jaw pain after receiving his second Pfizer COVID vaccine on 4/22, and presented to the ER on 4/25 with a headache and emesis. An ECHO was performed and LVEF was 45%, and an EKG showed possible ST elevation. Per the Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine study there were no reports of STEMI being an adverse effect. Given the patient's ejection fraction of 45%, there was likely a prior medical condition the patient was unaware of and may have precipitated the STEMI rather than the vaccine . Hospitalized for 2 days and diagnosed with pericarditis.

Patient passed out while sitting down during 15 minute observation period and hit his face/nose. EMS was called and the patient passed out a second time when EMS tried to stand him up. Per EMS it is thought the reaction was vasovagal in nature.

PT FAINTED AFTER VACCINATION. AFTER HE WOKE UP WE HE STILL SEEMED LETHARGIC AND WAS MUMBLING. HIS BP WAS 68/40 SO WE CALLED EMS. WE PUT PT ON THE FLOOR AND RAISED HIS LEGS. EMS EVALUATED PT AND TRANSPORTED HIM TO HOSPITAL FOR FURTHER EVALUATION

I had just returned to the pharmacy and I heard shouting. I looked and saw that the patient was on the floor. I grabbed our emergency kit and went to patient's aid. He was on the floor with his head against the shelving. He was not conscious. I instructed a staff member to call 911. I put my hand on his arm and the other on his chest and asked several times if he was ok. After approximately 30 seconds he looked at me and regained consciousness. He knew where he was and recognized his wife in the immediate vicinity. He said that he has a history of fainting and he thought maybe seeing his wife get vaccinated and seeing a small amount of blood on her arm before I put a band-aid on her arm triggered his fainting spell. EMS arrived after about 10 minutes and shortly thereafter he fainted again.

Patient was administered the Pfizer vaccine and was asked to wait around the pharmacy for 15 minutes post vaccination. After 5 minutes, patient started feeling dizzy and started to faint. He was accompanied by his parents, father tried waking patient up a few times but he was unresponsive to wake and started to tilt his head backwards and falling over. We called the paramedics and administered the epipen. Father did notify us that patient is fine and was discharged from the ER on the same day.

Premature Ventricular Contractions (PVCs) after first dose (4/18/21) that stopped on 5/4/21. Second dose was administered 5/9/21 and PVCs began again 4 days after on 5/3/21. PVCs are still continuing to happen randomly throughout day. Pulse can be felt hitting twice rapidly with a lengthy pause and chest fluttering.

27 y/o male, received 1st dose of Pfizer Vaccine (Lot # ER2613) on left deltoid @ 1136. Vaccinator RN explained risks/benefits of vaccine and received verbal consent to administer vaccine. Past medical history includes heart valve malfunction (valve does not close all the way). No hx of allergic reactions. At 1157, patient at EMT station complaining of tightness in chest that started "just a 1 min ago." EMTs responded. Patient moved to zero gravity chair and water was offered. Patient alert and oriented x3. Vital signs taken Q 5min. Patient reported that he last ate at 1115 (30 minutes ago). At 1159: BP 130/90, P 69, R 14; patient reports diagnosis of heart valve malfunction. EMS services offered, patient declined. At 1204: BP 126/80, P 66, R 14; patient reports that his tightness in chest has now resolved. At 1210: BP 124/78 P 71 R 12; patient states his "chest feels better." At 1212, patient requested to leave facility. EMTs recommended that patient should continue to be observed for a full 30 minutes until 1227. Patient declined and left facility against medical advice. Patient was adviced to speak to his health care provider. Patient stated his wife and children are waiting in the car. Patient left building with no assistance and with a steady gait at 1215.

a few minutes after receiving the vaccine the patient passed out and fell from his chair to the floor. in falling he hit his face on the floor breaking his glasses at the bridge of his nose and cutting that area. he also had an abrasion on his forehead from the carpeting and also chipped a lower tooth. we gave him water, he refused crackers, he did not want us to call an ambulance. he was unconscious for less than 60 seconds and came too quickly and was out of sorts for a few minutes. his mom came to pick him up and said she would take him to an urgent care.

fainted; lost consciousness for a couple of seconds; burning pain that felt like needles on his shoulder, left arm and a little on the right side/extremely, burning pains across his back/He had burning pain on his shoulders, very sensitive, felt like a 3rd degree burn; felt like he could not stand and had to go to the floor, struggled to get up; arms were numb; thought he was having a heart attack; left arm weak; skin is hypertensive: back of neck feels like a third degree burn: if he moves the hair on his arms it hurts; left side of face is swollen; left side of face is swollen was reported as worsened.; skin is hypertensive: back of neck feels like a third degree burn: if he moves the hair on his arms it hurts; skin is hypertensive: back of neck feels like a third degree burn: if he moves the hair on his arms it hurts; left arm pain; This is a spontaneous report from contactable consumers (patient reported for himself, patient's mother). A 27-years-old male patient received bnt162b2 (BNT162B2; PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Right on 01May2021 12:00 noon (Batch/Lot Number: EW0170; Expiration Date: 31Aug2021) as 1ST DOSE, 0.3 ML SINGLE for covid-19 immunization, at the age at vaccination of 27 years old. The patient's medical history and concomitant medications were not reported. The patient experienced thought he was having a heart attack(medically significant) on 03May2021 01:00 with outcome of unknown, skin is hypertensive: back of neck feels like a third degree burn: if he moves the hair on his arms it hurts (medically significant) on 03May2021 with outcome of not recovered, fainted (medically significant) on an unspecified date with outcome of unknown, lost consciousness for a couple of seconds (medically significant) on 03May2021 01:00 with outcome of recovered with sequelae on 03May2021, burning pain that felt like needles on his shoulder, left arm and a little on the right side/extremely, burning pains across his back/he had burning pain on his shoulders, very sensitive, felt like a 3rd degree burn (non-serious) on 03May2021 01:00 with outcome of unknown, felt like he could not stand and had to go to the floor, struggled to get up (non-serious) on 03May2021 01:00 with outcome of recovered with sequelae on 03May2021, arms were numb (non-serious) on 03May2021 01:00 with outcome of recovering, left arm pain (non-serious) on 03May2021 with outcome of not recovered, left arm weak (non-serious) on 03May2021 01:00 with outcome of unknown, skin is hypertensive: back of neck feels like a third degree burn: if he moves the hair on his arms it hurts (non-serious) on 03May2021 01:00 with outcome of not recovered, skin is hypertensive: back of neck feels like a third degree burn: if he moves the hair on his arms it hurts (non-serious) on 03May2021 with outcome of not recovered, left side of face is swollen (non-serious) on 03May2021 01:00 with outcome of not recovered , left side of face is swollen was reported as worsened (non-serious) on 03May2021 with outcome of not recovered. The patient underwent lab tests which included computerised tomogram (brain CT): no results, electrocardiogram (EKG): no results, both on unknown date. Reported patient was in pain and his mom and dad didn't know what to do. He had sharp pains. No bruises. He remember lowering myself to fall. He didn't fall. It was a strange thing. When he went to the ER they didn't fine anything. He was still in the same amount of pain. Caller stated her son took the vaccine on Saturday. Thirty six hours later around 1:00am he started getting extremely, burning pains across his back.The patient stated he was coming out of the bathroom and felt like he couldn't stand and he had to go to the floor. He lost consciousness for a couple of seconds. Both arms were numb. He struggled to get up. He sat on the couch and then went upstairs after being in the basement. He had a burning pain that felt like needles on his shoulder, left arm and a little on right side. His skin was sensitive. The back of his neck feels like he has a third degree burn. This morning he went to the hospital. Initially said he fainted but clarified that he was speaking about losing consciousness. He had left arm pain. He thought he was having a hard attack. While at the emergency room today he had labs, a brain CT scan and an EKG. He does not have results to provide. Caller added that his skin was hypersensitive. It was like if he moves the hair on his arm it hurts. His parents noticed he has swelling on the left side of his face. The events require a visit to Emergency Room. No Prior Vaccinations (within 4 weeks). Information on Lot/Batch number was available. Additional information has been requested.

Patient was sitting in waiting area after vaccination. Ten minutes went by and he fainted. He was out for 1 minute or 2. His color was ashen and upon awakening he was nauseous , light- headed, shaky, with blurry vision. Bottled water we given to the patient. After 15 minutes he was able to get up and walk about without aid. He and his companion remained in the store for another 10 minutes and he was able to walk out on his own. I called the patient this morning and he is feeling much better, but felt bad last night.

Almost immediately after patient received the second dose of vaccine he stood up and passed out to the floor. He slightly seized for a few seconds until it stopped. When patient came to he stated that his knee hurt but he didnt believe he hit his head and he felt a bit light headed. Patient laid down for a while with us until he started to feel better. His BP was 102/58, but normally runs low. He said that he has passed out before and has been under a lot of stress, also had not eaten that morning before getting vaccinated. His significant other was with him and was planning to drive home. Patient was offered a call to EMS but refused.

Within 1 minute of receiving the vaccine, patient was walking down an aisle in the store and lost consciousness. He bumped the back of his head on a shelf and fell to the floor. He quickly regained consciousness and remained still. His blood pressure was taken and was within normal range. EMS was called and arrived 10 minutes later and patient was taken under their care.

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Mild, Additional Details: Patient passed out about 5 minutes after receiving immunization. He came to fairly quickly but was confused, shaky and sweaty. After laying on the floor for a while he became nauseous but did not physically vomit while in my care. As the paramedics arrived the patient passed out a second time and was taken to the ER after evaluation.

Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Medium

Roughly 5 minutes after vaccine patient lost awareness, became red in the face, eyes rolled to back, seizure like activity for about 1 to 2 minutes. 911 was called and the patient was assessed and released.

Development of substernal chest pain with elevated troponin 3 days after vaccination. Normal EKG. CT angio w/o evidence of PE.

Patient presents with a potential reaction to the COVID19 vaccine. The patient was evaluated in his vehicle as a passenger. He was responsive. He presented with signs and symptoms consistent with vasovagal syncope. He was placed supine with legs elevated and given oral hydration. Vasovagal syncope with rapid return to baseline with repositioning and hydration. Returned home with mother as the driver.

27-year-old gentleman with history of mild intermittent asthma, anxiety, presented with complaints of fever of 99.8 °F on 5/22/2021 associated to fatigue and body aches and then chest pain, generalized with radiation to left arm since afternoon of 5/23/2021, which got worse on 5/24/2021 and he was admitted for further evaluation with initial troponin of 472. Had an NSTEMI; chest tightness, pain in left arm, lightheadedness, dizziness, presyncope. Discharge diagnosis - probable myocarditis; clinical picture most consistent with viral myocarditis.

Patient started to feel dizzy , skin color getting pale , cold hands , sweat , and was about to faint 5 minutes after administering the vaccine . pharmacist on duty grabbed the Epipen and blood pressure machine . patient blood pressure was 65/40 , patient started to feel better for couple minutes then he start to feel dizzy and to get same symptoms again , at this moment pharmacist injected the patient with Epipen as he stated he iwas fainting .patient denied to have any allergies , fear for needles or any health conditions . pharmacist kept watching and monitoring the patient till his blood pressure came back to 118/69. patient family came to pick him up .

Myocarditis requiring transfer to higher level of care and hospitalization x 24 hours, continued mild chest pain.

Stroke - Blood Clot in M2 Brain Artery Friday, May 21, 2021 - Air lifted from Hospital to Hospital Admitted to Neuroradiology Dept and immediate Thrombectomy to remove blood clot behind left eye via angiogram through the groin via catheter. Proceedure was sucessful in removing 100% blocked artery and he was transfered to Resovery, observation and follow-on diagnostic testing in ICU for 4 days. Discharged May 24, 2021

After first Pfizer dose, I was just feeling really tired. After the second dose, around that afternoon/evening I started feeling my mouth feeling weird. The next day I saw blisters filled with yellow/whiteish puss in my tongue. I went to the ER later i felt a lump under left shoulder while showering. On 28 MAY 3 AM I suddenly felt my face feeling numb and tingly along with my legs. Mind you I have been in the field emplacing howizters for the past few days in a field exercise. I also jammed my finger on an 80 lb metal bar on 26 MAY and got my finger poked with a hot device that also drained the blood after getting an xray. I called medical ER at 242 and spoke to Dr.(?) Doctor did not give me his name spelling after I asked for the spelling and he told me that I could always come in to the ER. I told him whether the finger pricking and blooding draining could cause the left facial numbness and legs tingleness. He said no so i am now assuming it is an adverse side effect. I am a smart guy have bachelors in journalism but right now I cannot concentrate and filling out htis form hastily just i case the effects get worse and I have to go to hospital er. Talking to the Dr. (?) was harder than normal and he asked if my breathing was normal, I said i am breathing heavily, which I did not have much control over. He said breathe normally and I will be better from the tingliness. I can write well I am a journalism major but this is hard to write for me . I am also feeling chills and I am also not feeling well. I was able to get this link from my local online meeting and I am glad I can contribute to the research and science in general. I wish the doctor had tested me for possible problems when I had an adverse effect from the first vaccine but the doctor told me to come back if the "viral infection" gets worse after I breathe normal. I did take a PT test and my 2 mile run time increased and it was much harder to run than the 2 mile run. Time went up by at least 3 minutes.

five minutes after vaccine was received patient lost consciousness and fell out of his chair. It is unclear if the patient hit his head or shoulder against the wall, but patient was talkative and responsive and did not want to call an emt. The patient did call his mom to have her drive him home as a precation. The patient was given water, asked to lie down. After about 10 minutes the patient stated he felt normal.

Assumed it was a cold initially, due to sore throat. Sore throat came without other side effects of cold. Used a flashlight to look at throat. I appear to have developed a canker sore on my tonsil. Because of the location of it, the tonsil is also agitated and has been bleeding leading me to have black stool as well as cough up blood and an upset stomach. This is something I have never experienced before. It may be unrelated to the vaccine, I am not sure, but I figured it is something worth reporting.

Systemic: Fainting / Unresponsive-Medium, Additional Details: PAIENT GOT PANIC ATTACK AND FAINT BUT RECOVER WITH IN 3-4 M INUTES, CALLED 911, PARAMEDIC HELPED HIM

Received second dose of Pfizer vaccine on Fri 5.14.21. On Tuesday 5.18.21 started to develop chest tightness and pressure (like someone was pushing against the center of my chest). Also experienced some shortness of breath. Went to Emergency Room Fri 5.21.21, all tests came back fine. Went to cardiologist in early June 2021 and in early June a cardiac MRI found everything to be normal. Cardiologist has me taking advil and prilosec at the moment. Have experienced these symptoms since 5.18.21 and has not gone away.

INCREDIBLE PAIN IN STERNUM. COULD NOT MOVE. SHORTNESS OF BREATH. CHEST PAIN SUBSIDED SAME DAY. SHORTNESS OF BREATH IS ONGOING

Patient developed chest discomfort on 4/1/21. Troponin peak was 3.030 and EKG showed sinus bradycardia, ST elevation, consider early repolarization. Pt underwent coronary angiogram which showed angiographically normal coronaries. Patient had echocardiogram which showed normal LV and RV systolic function, no pericardial effusion. Patient underwent cardiac MRI which showed LVEF 61%, RVEF 53%, and subepicardial delayed hyperenhancement in the basal and mid infero-lateral walls of LV. This finding was consistent with acute myocarditis. Patient was discharged home with a cardiac event monitor. No medications were prescribed.

Pleuritic chest pain, shortness of breath, subjective fever, and malaise within 24 hours. Symptoms and signs consistent with myopericarditis.

Patient received second dose of COVID vaccine on 03JUN2021 and 2 days later began having pleuritic chest pain and fever which improved with ibuprofen. Chest pain continued to worsen and presented to regional hospital. Started on Colchicine, had elevated troponins. Echocardiogram showing pericardial effusion. Left heart cath at hospital was unremarkable with no evidence of CAD. Still with mild pleuritic chest pain with deep inspiration but none at baseline. The admission diagnosis is myocarditis.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient was sitting in chair and rested head on arms. Then he fell out of chair onto floor. Immediately woke up after rph-on-duty went to him. He sat on floor for approximately 3 minutes and then was feeling well enough to sit in chair. Patient was able to communicate and sit in chair again. Patient stayed at pharmacy for approximately 30 minutes and was well enough to walk on own. No other issues reported by patient.

cold skin, headaches, dizzy, throwing up blood, shaking, heart rate was elevated, hard time breathing

3:00- 2nd dose Pfizer covid-19 vaccine placed to left arm. 3:05- reports ?saw shooting stars? pt pale, laid him down immediately BP 122/82, HR 62, 100% on RA. 3:15 Pt reports facial numbness in lower face. Reports numbness to left arm. Pt report he feels cold. +Nausea. Brief neuro exam, equal facial symmetry, equal grips, Eye tracking normally, speech clear, normal and equal strength in all extremities. 145/80, HR 100 sat 100%. 3:28 Numbness to left arm resolved. Numbness to cheeks and lips continues. Nausea persisting. Pale. Pt reports he felt lower facial numbness 4 hours after first dose of Pfizer covid-19 vaccine, he did not seek medical care and reports the symptoms resolved. Pt in seated position, Pt given juice, tolerating well. BP 122/75, HR 104 98% on RA. 3:43 + emesis, HR 95-105, 98% on RA. PT states he feel better after episode of emesis. States lower facial numbness improving. PT pale. PT states he feels well enough to leave. Pt encouraged to stay to be monitored. Pt reports that his daily food intake consisted of 1 breakfast Danish during the morning, did not eat during the day. Pt reports he smokes 1 pack of cigarettes per day. 3:50- Pt given small sips of water and crackers. Pt tolerating well. Pt no loner pale. Pt denies facial numbness, Vitals WNL. 3:59-Ambulation trial with PT and Nurse. Pt tolerating well. 4:15- Pt Alert and oriented. Pt expressed that he feels well and would like to leave. PT edu given to contact PCP. Pt advised to contact EMS or ER if symptoms return or if new symptoms arise. PT aware of risks. Pt escorted to Car by staff.

A continuous pain feeling in the center of chest. Chest area also had a somewhat constricted and general tightness feeling. On the 3rd-5th days after the shot, had a few brief periods of dizziness and high anxiety, lasting less than a minute or so each. Symptoms improved pretty quickly from there, and by about day 7 or so the chest pain was gone and felt completely back to normal. No significant fatigue, fever, or problems breathing at any point. Have not had any symptoms at all since.

No initial reaction to the vaccine, but I started to get what I thought to be a sinus infection about two days after the first vaccine. Congested, but overall healthy (ran 13 miles on 04/04/2021). I woke up in the night about a week after the first vaccine (around 4:00 AM on 04/07/2021) having trouble breathing -- tight throat and chest. I thought it was my sinus infection, received a negative covid test, and started taking augmentin. The tightness continued for about 3 days along with a shortness of breath, no other symptoms though. My resting heart rate was also hovering around 100 bpm until the weekend before the second vaccine. I had no initial reaction to the second vaccine either. However, about a week later the same thing happened. I woke up around 1:00 AM 04/26/2021 hyperventilating with a tight throat and chest. This continued for about 3 days again, so I took another covid test -- negative again. My resting heart rate was back up to 100 bpm. I started to think it was a strange reaction to the vaccine, so I still had my infusion for Crohn's Disease on 04/30/2021. Blood pressure was okay, somewhere around 104/67 I think, but my heart rate was 107 bpm. After that weekend, I felt back to normal. Not sure if this was all caused by the vaccines, but it seems possible.

Around 2 weeks after my first dose, I started having heart palpitations. The palpitations were on and off for a week and I didn't think of it much. A week after the palpitations started it started happening more frequently and I was feeling light headed and I went to ER. I was diagnosed with SVT and put on metoprolol to control my heart rate. 1 week after I was on metoprolol, I took my second dose. I was feeling a little dizzy after my second dose but it improved after like 10 minutes. I started getting very fatigued and difficult to concentrate after my second dose. I spoke to my doctor and we thought it was because of metoprolol. My cardiologist took me off metoprolol but the fatigue didn't stop and I started having aches in shoulders, arms, neck and back. The aches and fatigue was more severe in the morning. After a week of being off metoprolol I started waking up with chest pain. One day the pain was severe and I had aches in shoulders, arms, neck and back and my heart rate was around 140 so I went to ER. The doctors put me on carvedilol and my heart rate has been controlled but my body aches and fatigue has been going on. The cardiologist and my PCP aren't sure if SVT or the medication is causing my body aches and fatigue. The only other thing I could think of was the vaccine so I wanted to send this report.

-Fever, shortness of breath, chest pains on 06/12/2021 -No more fever the date afterwards but still mild conditions of chest pains and shortness of breath. Went to work on 06/16/2021 and chest pain and shortness of breath got worse. Took off from work for the week and now pains and breath shortness are going away.

Two days after my shot, I started experiencing a pounding heart, heart palpitations, sharp chest pains, chest tightness, occasional dizziness and shallow breathing, and fatigue. Additionally I have felt these poke-like pains in random parts of my body (arm, back, top of head, groin)

PATIENT RECEIVED VACCINE AND WAS WAITING IN POST VACCINATION AREA. ABOUT 5 MINUTES AFTER THE VACCINE HE FAINTED. HE WAS PLACED IN SUPINE POSITION, WITH FEET ELEVATED. PT REGAINED CONSCIOUSNESS IMMEDIATELY. PATIENT CUT HIS EYEBROW DURING FALL. AMBULANCE WAS CALLED IN AND PT WAS TAKING TO THE HOSPITAL.

Patient reported having intermittent shortness of breath shorty after the second covid vaccine and it is progressing over 1 month without reducing. Patient got admitted to our hospital and found by cardiologist to have cardiomyopathy with ejection fraction 15-20%, dilated ventricles with unknown etiology beside recent covid vaccine.

Myo-pericarditis, diffuse ST elevations and elevated troponins. Left heart cath showed no evident coronary disease.

27 year old male with medical history notable for exercise induced asthma who developed fevers, chills, myalgias, and chest pain shorter after second dose of Pfizer. Presented to ED and found to have elevated troponin, initially normal ECG. Admitted to hospital, experienced recurrent chest pain, rising troponin to 23750, and STE on ECG, and was taken to cath lab, with normal left heart cath. Then transferred to heart medical center for further eval and cardiac MRI. Felt by cardiology there to have myopericarditis potentially related to Pfizer vaccine. Cardiology also wondering if possible inflammatory bowel disease might increase his risk of myocarditis, though no established diagnosis (outpatient gastroenterology workup planned).

Persistent chronic runny nose from morning after vaccine ongoing for over 2 months now. The issue has been worsening over time, and chronic sneezing has been getting worse. I have no history of allergies, but I wonder if the vaccine could trigger the onset of new allergies? Also, 2 days after my vaccine I had my yearly bloodwork performed which showed low white blood cell and low platelet count.

tummy was weird; fainted; lightheaded; This is a spontaneous report from a contactable consumer (patient). A 27-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: En6203), dose 2 via an unspecified route of administration, administered in arm right on 07Jun2021 15:30 (at the age of 27-year-old) as single dose for COVID-19 immunization. Medical history and concomitant medications were reported as none. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously received 1st single dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) in left arm, on 17May2021 15:45 (lot number: En203) for COVID-19 immunization. On 08Jun2021 05:15, patent experienced fainted morning after vaccine, and was lightheaded, tummy was weird too. Prior to vaccination, the patient did not diagnose with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was unknown.

Heart fluttering/pain, can feel it beating through my chest at times, rapid heart rate all beginnning a few days post shot and happening periodically at random times even while resting and currently waning down as time goes on and getting better without treatment or care.

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

syncopal episode during observation period, patient regained consciousness after seconds, provided water and support, patient was able to exit the premesis under his own control, denied any further needs

Nosebleed; pain in nose and forehead; pain in nose and forehead; Dizzy; having problems with breathing; This is a spontaneous report from a contactable consumer or other non-healthcare professional (Reporter's coworker). A 27-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number: Unknown), via an un-specified route of administration on 17Jun2021 (at the age of 27-years-old) as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number: Unknown), via an unspecified route of administration on an unknown date as DOSE 1, SINGLE for covid-19 immunisation and experienced no reaction. On 18Jun2021 patient experienced nosebleed, pain in nose and forehead, dizzy and having problems with breathing. The reporter stated that had the second shot yesterday, after that he drank 3 beers and now today is having a nosebleed, pain in his nose and in his forehead and is also dizzy and having problems with breathing. Caller states that he wanted to ask something and that he is more worried about his partner because he is in the worst condition. Caller says that his own symptoms are very minor and very slight. Caller requests that his partner go first and needs to know if his partner needs to go to the clinic. At the time of report, event outcome was not resolved. Information on lot/batch number has been requested.

Rapid heart rate-Tachycardia. resting heart rate at 105 bbm at rest prior to going to the hospital. started on 06/29 in the afternoon. Went to hospital morning of 07/01.

temporary loss of vision; sweating; pale skin; shacking; This is a spontaneous report from a non-contactable pharmacist. A 27-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: Unknown), intramuscularly, administered in left deltoid on 20Jun2021 15:00 (at 27-year-old) as dose 1, single, for COVID-19 immunization. The patient had no medical history. No unknown allergy. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medication included cannabis. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 20Jun2021 at 15:00, the patient experienced temporary loss of vision, sweating, pale skin, and shacking. The events resulted in emergency room/department or urgent care. It was unknown whether treatment was received. The outcome of the events was unknown. Since the vaccination, the patient had not been tested for COVID-19. No follow-up attempts are possible, information about batch/lot number cannot be obtained.; Sender's Comments: Based on the temporal relation, the association between the event blindness and vaccination cannot be completely ruled out. 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.

About 4 hours post injection ring finger nerves became painful at tip with pins and needles feeling. Still present, but not as painful. About 1 week post injection, began getting chest pains, difficulty breathing, and dizziness/lightheadedness. We to urgent care 1 week after symptoms started to appear as they got worse. EKG ran showing potential heart attach in past, but I don't think I've had one before. Was noted and told might have been due to crutches. Symptoms got worse next day so went to urgent care at different facility. Brought to ER for x-ray, blood , and EKG. Told no myocarditis, but potentially pericarditis.

Within less than 5 min after administration, the patient looked pale, temporary lost of vision, and weak to sit up straight. After asking more questions about his health and mediations, he informed about taking cannabis before the vaccination. By the paramedics came, he looked better and his vision came back. He was communicating and able to walk around.

Sharp pain in the heart resulting in difficulty breathing deeply. Pain was severe that I could not get out of the bed for 30 minutes. Overall, pain lasted about an hour.

Patient stated that chest pain onset soon after 2nd dose of Pfizer COVID 19 vaccine given at the Pharmacy on 7/9/21. Patient presented to Hospital on 7/12/21 with complaints of chest pain. Troponin T 435ng/L. Urgent cardiac catheterization revealed normal coronary arteries. Possible myocarditis.

Within a few minutes of receiving the Pfizer Covid vaccine the patient passed out. He fell to the floor. Person standing near said it looked like he hit his head on the sign he was next to but when he came to said his head did not hurt just his back and his arm which appeared to have carpet burn/scratch. He said he did not remember passing out only feeling nauseous. After a few more minutes he passed out once more. Firefighter checked vitals and said they were all fine. Patient declined transfer to a medical facility but did have someone come to pick him up. It was recommended to him to be checked at a medical facility but it is unknown if he did.

(Please note I am making this report for a Pfizer bio tech vaccine that was done abroad, for the sole purpose of providing information for CDC) I got my first vaccine on a Saturday. Three days later on a Tuesday I got four like symptoms. Whilst resting at home I wake up on Thursday with tachycardia (130bpm) Same the next day, and the end it seems to stop. About a week later I start noticing every time I get up my heart rate jumps to 120-130 bpm and stays there. Returning to normal resting heart levels when sitting back down. Same thing happens now when just walking, it used to be no more than 100 after a 20 minute walk or so, but it stays at 120-130 now. A small uphill will send it to about 155bpm. Every morning now when I wake up, if I stand up it?s there at around 120-130. As the day goes by the resting heart rate seems to fall, and by the late afternoon usually it?s back to normal levels, maybe even bradycardic levels below 60bpm, without a feeling of fainting or anything. My pathologist in country who examined me was surprised by this as he confirmed the large range of heart rate from simple standing and sitting tests whilst checking blood pressure etc, pointing to a possible autonomic nervous system issue, maybe even POTS syndrome. Whilst I do have cardiomyopathy, this huge variation in heart rate started with the 1st vaccine whilst going through the typical side effects. I used to walk 6 miles a day for exercise only and then some depending on that day?s obligations. I also eat pretty healthily and am no overweight. I just wanted to let someone know for research purposes.

AFTER RECEIVING PFIZER COVID 19 VACCINE, PATIENT SAT DOWN. HE THREW UP. HE SAID HE BLACKED OUT FOR A BRIEF MOMENT. HE WAS ALWAYS SEATED. THE LADY WITH HIM VERIFIED WHAT HE SAID. HE THEN SAID HE FELT DIZZY. HE DRANK WATER AND SOME SODA HE BROUGHT WITH HIM. WE CALLED 911, EMS CHECKED HIM OUT. HE REFUSED TO GO WITH EMS/AMBULANCE AND SAID HE WAS FINE. HE SAT FOR A WHILE , HIS OTHER MEMBERS OF HIS FAMILY CAME AND HE WALKED OUT OF THE STORE WITH THEM UNAIDED.

Heart inflammation, fever, headache, arm ache, chest pain, shortness of breath, pulsing pain throughout body, extreme pain at injection site, injection site was very hot to the touch, redness at injection site, swelling at injection site

after giving imz., i went over adverse effects then after total of a few minutes i went to catch phone and counsel. patient was fine in room. my assistant(who is a retired nurse) walked by and said patient was slumped and pale. i went into room immediately patient was fainting. eyes fluttered and closed still breathing. no response from voice or slight shaking. we put patients legs on other chair to elevate, (patient too heavy to move) He revived after a few minutes and we had him lay on ground with legs elevated. bp was 116/61 and he had eaten only a cliff bar after working the night shift. I gave him glucose. after 15 minutes or so he felt fine and called his sister to pick him up, while waiting i gave him pop tarts and cold water (his stomach was growling). He left with his sister and will return in 21 days for 2nd shot. I will call and check on him 24-48 hours from now.

PATIENT UPON ENTERING THE ROOM SAID HE WAS NERVOUS ABOUT NEEDLES. I PROCEEDED TO TALK TO HIM ABOUT IT AND GAVE HIM THE VACCINE, HE SEEMED FINE. A COUPLE MINUTES AFTER HE WENT TO WAITING AREA TO WAIT 15 MINUTES HIS MOTHER/FRIEND CAME AND SAID I SHOULD COME OUT THERE. HIS EYES WERE KINDA ROLLING AND I RUBBED HIS ARM AND HE CAME TO COMPLETELY. HE NEVER COMPLETELY PASSED OUT, BUT HE BECAME VERY SWEATY AND WAS VERY PALE. HE SAID HE HADN'T DRANK OR EATEN MUCH THAT DAY. WE GAVE HIM A BOTTLE OF WATER AND HE SEEMED TO BE FINE. HE WAITED ABOUT 20 MINUTES AND THEN LEFT

Within the first 5 minutes of injection: heart palpitations, shortness of breath, dizziness, extreme thirst, and facial numbness.

Body aches, fever 101 F, chills, diarrhoea, loss of taste and smell, followed by shortness of breath, turned out that I became positive with COVID-19 virus and all my family including my mother who is 70+ and my pregnant wife got infected with active virus.

Patient returned about 2 hours after receiving vaccine complaining of chest tightness, shortness of breath and arm and chest pain. Patient declined rapidly and could not breath. Called 911 and administered 1 dose of Epipen 0.3mg. Patient's breathing improved immediately. Patient went to ER for further workup.

Patient presented with myalgias, fevers, and chest pain on 1/10/21 and was found to have diffuse ST elevation and elevation troponin. He was evaluated by cardiology and diagnosed with acute myopericarditis. He was treated with NSAIDs and colchicine. He improved with this treatment and was discharged on 1/12/21 with ibuprofen and colchicine and outpatient cardiology follow up.

On day due for 2nd dose, Patient was found unresponsive at work in the hospital. Patient pupils were fixed and dilated. Full ACLS was initiated for 55 minutes with multiple rounds of bicarb, calcium chloride, magnesium, and epinephrine. Patient was intubated. Patient continued into V. Fib arrest and was shocked multiple times.

Received vaccine at 18:45 on 01/19/2020 Woke up at 10:00 01/20/2021 after approx 8-9 hours of sleep with symptoms: Nausea Headache Dizziness Dry Cough Chest/Lung Tightness Full Body Aches Fatigue/Lethargy

bradycardia, diaphoresis, paleness, anxiety 10 minutes after injection Treatment: hydration, laying down flat

strong pulsating heartbeat; severe arm pain; fever with temperature of 102 [units unspecified]; abdominal pain; general weakness; unquenchable thirst; very bad headache; tiredness; This is a spontaneous report from a contactable healthcare professional (patient). A 28-year-old male patient received his first dose of bnt162b2 (BNT162B2 reported as PFIZER-BIONTECH COVID-19 VACCINE; unknown lot number and expiration date), via an unspecified route of administration on 10Jan2021 10:00 at a single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient reported that he did not experience any symptoms yesterday (unspecified date) and a few hours ago, he started to experience severe arm pain, fever with of 102 [units unspecified], abdominal pain, general weakness, unquenchable thirst, very bad headache, tiredness and strong pulsating heartbeat. The outcome of the events was unknown. Information about lot/batch has been requested.

According to patient, he received the COVID vaccine on 1/18 and endorsed typical vaccine symptoms (myalgias, fatigue, lymphedema on right axillary, sweats and chills). He was taking ibuprofen for prophylactic symptom relief and was able to attend work the following day. The patient stated to still endorses symptoms of the vaccine days after but did not seek medical attention because he thought the symptoms would resolve. The morning of 1/21, patient sustained constant, nonradiating chest pain located along the sternal that was moderate to severe in nature and exacerbated with deep inspiration that lasted 2 hours. Lying on the side provided minimal relief but the pain was still moderate. Nausea also accompanied the pain but the patient denied any vomiting. Patient decided to go to the ED for work-up. Patient had two further episodes of chest pain and EKG revealed diffuse ST elevations. Troponin level peaked at 3.02. He was diagnosed with myopericarditis and started on colchicine, with improvement of chest pain.

shortness of breath; headache; body aches; dizziness; fatigue; heart palpitations; This is a spontaneous report from a contactable other Health Professional (patient). A 28-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number unknown), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. The patient medical history was not reported. Concomitant medication included acetylsalicylic acid, caffeine, paracetamol, salicylamide (EXCEDRIN), paracetamol (TYLENOL). The patient did not receive other vaccine in four weeks. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EK5730), via intramuscular on 23Dec2020 08:00 at single dose om left arm for COVID-19 immunization and experienced headache, body aches, dizziness, fatigue. It was reported that with 2nd dose, the patient experienced heart palpitations, shortness of breath. With both doses, experienced headache, body aches, dizziness, fatigue on an unspecified date. No treatment was received for the events. The outcome of the events was recovering. Information about lot/batch number has been requested.

Immediately following the vaccine the pt felt lightheaded. He was also sweaty and pale. Vital signs were done and juice was given. The pt was monitored for 20 minutes in the vaccine bay and then remained for another 10-15 minutes. The symptoms resolved quickly within a minute. The pt denied any respiratory symptoms

Mild fatigue/extreme fatigue (difficulty standing); strong chest/abdominal tightness (described similar to indigestion); strong chest/abdominal tightness (described similar to indigestion); chills (severe shaking/trembling); chills (severe shaking/trembling); deep breathing; Mild fatigue/extreme fatigue (difficultly standing); elevated temperature (99.3-7); sensitivity to cold for 24-48 hours; This is a spontaneous report from a non-contactable consumer. A 28-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; brand: Pfizer, lot number: EL3246) via an unspecified route of administration at right arm on 14Jan2021, at 10:00 AM at a single dose for COVID-19 immunization. Age at vaccination was 28-year-old. Medical history included blood pressure. No other vaccines within 4 weeks prior to the COVID vaccine. List of any other medications the patient received within 2 weeks of vaccination reported as 2 - blood pressure (identity not disclosed). Historical vaccine included the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; brand: Pfizer, lot number: EL0140) at right arm on 23Dec2020 at a single dose for COVID-19 immunization and no symptoms reported. Facility where the most recent COVID-19 vaccine was administered at hospital. It was reported mild fatigue within first few hours for second dose. Around 12 hours after injection (11:30 PM) had rapid onset of strong chest/abdominal tightness (described similar to indigestion), extreme fatigue (difficultly standing), chills (severe shaking/trembling), and deep breathing. These strong symptoms lasted for around 15 minutes. Over next few hours elevated temperature (99.3-7) and sensitivity to cold for 24-48 hours. Symptoms resolved. Events with start date on 14Jan2021 at 11:30 PM. The outcome of events was resolved in Jan2021. No treatment received for events. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19.

Hives from neck down to elbow on left side. Wet cough, chest pain over sternum and on left side llq on coughing. Fatigue, arm pain, localized swelling/inflammation.

Spike in temp; high heart rate; cloudy urine with a strong odor; cloudy urine with a strong odor; This is a spontaneous report from a contactable consumer (patient's parent). A 28-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE lot number: EL 1283) via an unspecified route of administration on the right arm on 19Jan2021 13:00 at a single dose for COVID-19 immunization. Medical history included traumatic brain injury in 2009, vegetative state and known allergies: sulfa. Concomitant medication included fluticasone, levetiracetam (KEPPRA), dextromethorphan hydrobromide (DELSYM), probiotics and miralact. On 20Jan2021 05:00 PM, the patient experienced spike in temp, high heart rate; not sure if this was related but cloudy urine with a strong odor. Took a sample to his primary care. Therapeutic measures were taken as a result of the events which included alternating acetaminophen and ibuprofen. The facility where the vaccine was administered was in an outdoor tent (other). 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. Post vaccination, the patient has not been tested for COVID-19. Outcome of the events was recovering.

Chest pain and shortness of breath. working diagnosis: pleuritis has history of mild COVID infection: diagnosed with COVID via PCR on 12/12/2020 and recovered. Hospitalized at Medical Center from 02/8/2021 to 02/09/2021.

Immediately after I administered the vaccine, the patient passed out. He fell onto the floor and we witnessed some oral seizure like type movement . The patient was unconscious for approximately 1.5-2 minutes. Our Chief Medical Officer was on site and walking into the room as the patient fell. We immediately placed him on his left side, protected his head, and stayed with him. We called 911 immediately due to the uncertainty of health issues. Once conscious, the patient explained to us that he experiences such every time he receives a vaccine. He was assessed by the CMO as well as the EMTs that arrived on scene. His vitals were taken. He was moved into a comfortable position and monitored. He was alert and orientated x 3. We requested he have someone pick him up instead of him driving himself home which he did. This gentleman is also an employee and we were able to see him and verify all was well in the following days. We also recommended he tell all vaccinators that he experiences LOC post vaccination. When he receives his second dose we plan to have him lying down and our CMO will be present. We recommended he follow-up with his PCP.

This is a spontaneous report from a nurse who reported for himself A 28-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) from Lot# EK5730 in left arm on 28Dec2020 09:00 09:00 at SINGLE DOSE for covid-19 immunisation . Age at vaccination: 28 Years. Facility where the most recent COVID-19 vaccine was administered: Hospital. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine:Medical history included none. The patient's concomitant medications were not reported. The patient experienced palpitations on 14Jan2021 11:00 with outcome of not recovered. Event reported as non serious.The adverse event result in Emergency room/department or urgent care.No treatment received.Prior to vaccination, the patient was not diagnosed with COVID-19.Since the vaccination, the patient has not been tested for COVID-19.

Pt states he was initially feeling fine s/p receiving his COVID vaccine. After 5-6 minutes he notes a syncopal episode that he describes as feeling like he randomly fell asleep. When this occurred, he fell back in his chair and hit his head. He notes blurry vision after this occurred but felt like he was slowly improving. While he was being brought to the ED in a wheelchair he began experiencing blurry vision again and his face became very pale. He was given some apple juice and reports that after 5-10 minutes he felt back to normal. While his vitals were being taken, his HR and BP were very low and he experienced another episode. Pt does not have a hx of passing out 2/2 needles and notes that he gets a flu shot every year and is totally fine. He does note that he became queasy when he tried to give blood in the past but that this does not normally happen. Of note, pt denies any leg swelling prior to these episodes. Pt endorses a low baseline HR in the 50s per his Fitbit but otherwise denies any known heart problems. He notes a fhx of heart problems and states that his dad had heart bypass surgery a couple years ago. Pt denies any daily medications other than vitamin gummies. Denies DVT risk factors or prior history of DVT.

COVID-19 Vaccine Reaction Vaccine administered: Pfizer dose 2/2 Patient reaction, action taken, & outcome: 1206 - 2nd Pfizer dose given 1212 - Syncopal w/ fall forward w/ abrasion/contusion injury to left orbital area while walking from vaccination area to observation area. Diaphoretic. Pale. Lightheaded. 1215 - placed on stretcher and brought to triage area. BP 92/55, RR 28, HR 86, SpO2 96. Gave OJ and water. 1220 - BP 94/64, RR 26, HR 90, SpO2 96 1223 - BP 115/73, RR 26, HR 96, SpO2 97 1226 - BP 121/71, RR 20, HR 96, SpO2 96. Sitting EOB. 1335 - BP 98/59, RR 22, HR 85, SpO2 95. Lightheaded again. Gave OJ and laid back down. No longer pale or diaphoretic now, but neck becoming sore. 1240 - BP 114/67, RR 20, HR 80, SpO2 97 1246 - BP 117/67, HR 77 Sitting EOB MD lead at bedside directing care throughout and d/ced patient at 1300 w/ info about concussions and after ambulation.

Was symptom free from Lyme for 2 years. Lyme symptoms flared up day after vaccine and cont in addition to chest pain and breathing difficulties. Heavy fatigue, joint pains, breathing difficulties progressing. Following up with MD this week.

Patient received Covid Vaccine and followed process (15 minute monitored time). Patient was walking out of center and fell hitting his head. 12 lead EKG, CBC, Chemistry, Portable chest x-ray, CT Brain/Head w/o contrast, CT maxillofacial w/o contrast, CT Spine Cervical w/o contrast. Transferred by helicopter to trauma.

Had severe chest pains and pain radiating down left arm three (3) days; Had severe chest pains and pain radiating down left arm three (3) days; I was diagnosed with myopericarditis (inflammation of both the lining of the heart and the heart muscle); This is a spontaneous report from a contactable consumer. This 28-year-old male consumer reported that: Report about Covid vaccine: Yes Reporting type: AE Reporter type: Patient Age group: Adult (18-64 Years) Current age: 28 Current age unit: Years Gender: Male Patient occupation: None of the above Covid vaccine details: (product=COVID 19, brand=Pfizer, lot number=EL3246, lot unknown= False, administration date=18Jan2021, administration time= 04:00 PM, vaccine location= Right arm, dose number= 2), (product= COVID 19, brand=Pfizer, lot number= EJ1685, lot unknown= False, administration date= 29Dec2020, administration time=11:00 AM, vaccine location= Right arm, dose number=1) Facility type vaccine: Hospital If other vaccine in fourweeks: No Other medications in twoweeks: No Adverse event: Had severe chest pains and pain radiating down left arm three (3) days (Thursday 21Jan2021) after receiving the second Pfizer COVID vaccine (lot:EL3246) on Monday 18Jan2021. I was admitted to the hospital the same day, and was discharged on Saturday 23Jan2021. I was diagnosed with myopericarditis (inflammation of both the lining of the heart and the heart muscle). I was given a 90 day prescription of colchicine 0.6mg and I am still currently taking the medication twice daily with 1g of Tylenol (acetaminophen) once daily. Adverse event start date: 21Jan2021 Adverse event start time: 03:00 AM AE resulted in: [Emergency room/department or urgent care, Hospitalization] No days hospitalization: 3 If patient recovered: Recovered If treatment AE: Yes AE treatment: Colchicine 0.6 mg tablet (twice daily) If Covid prior vaccination: No If Covid tested post vaccination: Yes Covid test post vaccination: (covid test type post vaccination=Nasal Swab, covid test date=21Jan2021, covid test result=Negative) Known allergies: Penicillin/Amoxicillin Other medical history: No

Patient received the vaccine around 11 am. He hadn't been feeling well (headache, dizziness) per report and initially called in to work. He then decided to come to work and was found down in a patient bathroom during his shift on our Facility while taking care of a patient (he was a nurse aid). Patient was coded and the team and was transferred to our Facility ED. He expired 3/3 2112

Pulmonary embolisms; lung infarcts in left and right lungs; This is a spontaneous report from a contactable consumer (patient). A 28-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL5269), via an unspecified route of administration at site of left arm at 15:00 on 08Feb2021 at single dose for COVID-19 immunisation. Medical history included psoriasis and known allergies: clarithromycin. The patient's concomitant medications were not reported. The patient previously took the first dose of BNT162B2 on an unspecified date. The patient experienced pulmonary embolisms and lung infarcts in left and right lungs on 11Feb2021. The patient was hospitalized for these events for 2 days. COVID was tested post vaccination (Nasal Swab covid test with negative result on 12Feb2021). No other vaccine received in four weeks. Adverse events resulted in Doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care, hospitalization, life threatening illness (immediate risk of death from the event). The patient received treatment (blood thinners and CT Imaging) for adverse event. No COVID prior vaccination. The outcome of events was recovered in Feb2021.

Client became diaphoretic, lightheaded and lost consciousness. Blood pressure read low after client regained consciousness, however client did lose consciousness a second time. Epinephrine was administered and EMS activated. Vitals improved over following 5 minutes at which point patient was conversational and EMS arrived for transport.

7-10 minutes after vaccine patient becae flushed, diaphoretic , nauseated and started vomiting. Mildly hypotensive BP 101/60. Symptoms resolved after 30 min with IM dose Benadryl and promethazine. BP on discharge 122/70

diaphoresis, hypotention, bradycardia, dizzy. likely vasovagal/presyncope 2/2 seeing blood after admin of vaccine

Patient got vaccine and went to restroom once given despite being told to wiat 15mins before going. After 10mins of being vaccinated patient stated not feeling well. His face became pale and bacame shaky and sweaty. We laid him on the ground and elevated his ffet and called 911. Patient felt batter and was sitting in chair when parmedics arrived. Once the paramedics arrived patient had another episode as previouse and threw up. After a while patient states he had 2 beers before coming for the vaccine and had it on an empty stomach. Pstient was taken by paramedic to hospital for evaluation.

After patient received the vaccine the patient sat down for 5 minutes before noticing he blacked out for a few seconds. The patient alerted the staff of the black out. The patient stated he had an elevated heart rate and that he was sweating. The pharmacy staff took the patient's blood pressure which was 97/77 mmHg. 911 was called and the paramedics arrived shortly. The paramedics took the patient blood pressure and screened them and ask if the patient would like to seek medical attention. The patient denied a visit to the emergency room and stated he was feeling much better.

Patient received first covid vaccine at 4:58 and walked to the observation room. He was seated in chair and had a syncope episode. BP was 100/50, pulse 50. Patient was diaphoretic and nauseated. Would regain consciousness but then would lose consciousness. He would answer questions appropriately but cold not stay awake or remain conscious. A rapid response was called and ER arrived

After the shot given to him I asked him to sit down and wait for 15 minutes. While he was sitting suddenly he fell from to chair to the floor. His nose started to bleed. We helped him with bleeding and called 911. After waited for 15 minutes for paramedics they took him to the hospital. He said he felt very dizzy and fell.

Myopericarditis suspected to be 2/2 to vaccine.; This is a spontaneous report from a non-contactable physician. A 28-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; batch/lot number and expiration date unknown), via an unspecified route of administration on 02Mar2021 as single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient has no COVID prior to vaccination. The patient experienced myopericarditis suspected to be "2/2 to vaccine" on 04Mar2021. The event resulted in hospitalization. The patient was not tested for COVID post vaccination. The outcome of the event was unknown. No follow-up attempts are possible; Information about lot/batch number cannot be obtained.

Patient experienced an episode of syncope within 45 seconds of administering vaccine. Patient lost consciousness for approximately 20 seconds. Patient did not hit head or sustain any other injuries. Medical alert response was activated and patient vital signs were monitored until WNL. Patient was taken in wheelchair to curbside for discharge. Patient stated prior to vaccine that he had a history of anxiety and fainting.

24 hours following administration patient developed body aches, fever (101), sore throat and nausea. 72 hours after receiving the shot he developed sudden onset substernal chest pain described as sharp and burning with radiation to his bilateral arms.

Patient became hot diaphoretic, and nauseated after the shot. Patient states has some anxiety. Blood pressure 98/60,80, patient states he felt better after calming down blood pressure 116/62,Patient refused to go to hospital. Patient signed refusal and left with his mom

Patient is a 28 year old male who has completed a 45-minute observation period with the following signs and symptoms of an adverse reaction: other - syncopal episode. COVID-19 vaccine # 1 in series administered. Patient complaints of syncopal episode witnessed by other patients after received 1st dose of Covid vaccine. Patient states that he developed clammy skin, lightheadedness 10 minutes after he received his Covid vaccine, patient tried to get out of chair when he had a syncope episode and fell on the floor face down witnessed by other patient in the Covid vaccine lobby area. Denies any head or facial injury. Patient states that he has needle phobia and he forgot to tell the nurse about his needle phobia. Treatment provided/action Taken: Vital sign @ 1325: blood pressure 114/44, heart rate: 71. SPO2: 98%, respiration : 16; Vital sign @ 1335: blood pressure 104/62, heart rate: 82. SPO2: 95%, respiration : 16; Vital sign @ 1352: blood pressure 102/68, heart rate: 90. SPO2: 99%, respiration : 16; Patient states that he didn't eat breakfast or lunch today, able to tolerated fluid and intake well, eating chocolates. Action taken: Transferred to higher level of care ( urgent care ); Patient advised to discuss second dose considerations with a clinician.

Systemic: Abdominal Pain-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: symptoms occured 30-45 minutes after vaccination -Medium, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Medium, Additional Details: Said he felt dizzy when he got up (about 10 minutes post) to go to restroom. He said he sat for an additional 30 minutes then left. While driving he felt lightheaded and pulled over. He also reported stomach cramps at that time. He felt better and drove back to the store. NP looked at him and checked bp and O2 sat level. Bp was little low. Advised have someone pick him up and he felt any worse to go to urgent care. After 15 minutes pt said he felt much better and left. Unable to reach f/u.

Patient experiecnced syncope within seconds of vaccine administration. He regained consciousness in about 30 seconds

Patient has a history of syncope after vaccinations (last occurred with a vaccination 10 years ago) but did not state this prior to receiving his first COVID-19 vaccine. About 1 minute after sitting down in the observation area, he fell to the ground and briefly lost consciousness. Multiple staff members came immediately to assess, rolled him over, and he immediately came to and was alert and oriented. He was taken to a medical area and laid down on a cot. He had unremarkable vitals and was breathing normally. He initially endorsed feeling lightheaded, but denied any other symptoms. He was given crackers and water given that he had not had much to eat or drink before the vaccination. He had a normal neurological exam. He was noted to have a superficial abrasion above and below the left eye (lower forehead and upper cheek), and a small Bandaid was placed on the forehead. Fire rescue on site called EMS, who assessed him. There were no immediate concerns and he refused transportation to a hospital for further assessment. After 1 hour had passed, the patient confirmed that he was feeling normal and he was allowed to leave. He was able to walk out of the facility of his own volition and did not have further symptoms when standing. His wife verified that she would drive him home. Prior to leaving, he was given strict instructions of reasons to seek immediate medical care should he have any new or worsening symptoms. The patient indicated understanding. Communication was performed via a Language Line medical interpreter.

Patient felt like he was going to faint. Patient has had history of fainting with other vaccines in the past. Patiient appears pale, mildly diaphoretic.. No apparent respiratory distress. Patient moved to cardiac chair, legs elevated. Cool washcloths applied to back of neck, cool water provided to drink. Patient felt better after 35 minutes and left hospital accompanied by father.

15 mins post vaccination 2nd dose, c/o chest pressure/pain 2/10 scale, assessed by EMS, vital signs stable BP 168/70; O2 sats 99%, heart rate 102; EKG normal. Declined transfer to hospital, signed medical release. Driven to home by fiance, pt stable.

Syncope, fear of needles, hadn't eaten meal. BP 70/37 (pulse 60), 100% O2 sat. Final BP 111/72 (pulse 82), O2 sat 100%.

Patient experienced post-vaccination syncope within two minutes of receiving vaccine. Patient was sitting and got lightheaded and sweaty and fell out of chair. Patient denied any pain but was assisted to wheel chair and brought to medical observation tent where he was given juice and monitored for 15 minutes. Patient BP was checked twice (110/60 and then 102/64) with a heart rate of 86 BPM. Patient declined EMS eval and was sent home

Patient had vaso vagal episode 1-2 minutes after receiving the vaccine in the left arm. He was operating his vehicle and crashed into another parked car. When I arrived to the patient he was alert and oriented, not in any acute distress, he did suffer a minor abrasion on the left arm. Patients vitals were stable during his stay in observation.

RNs x 2 responded to pt's vehicle c/o nausea, left arm tingling. RN reported pt was visibly "panicked " and self-reports he "passed out twice:" after seeing blood after getting vaccine. RN reported pt had small of blood on bandaid. Reports history of anxiety, especially r/l blood needles

Patient received Pfizer vaccine as IM into left arm at approximately 10:05am on Tuesday 4/6/2021. Patient had a vasovagal response at 10:20am on Tuesday 4/6/2021. Patient fell out of chair, face down onto gym floor. This RN went over to patient. Patient noted to be unresponsive, however after 30 seconds woke up and was alert and oriented x 4. Patient log rolled onto back and noted to be pale and diaphoretic. EMS called by RN at 10:20. Initial set of vital signs BP 132/80, SpO2 98% on room air, HR 90 and RR 20. Legs elevated onto chair and patient remained lying flat on his back until EMS responded. EMS initial arrival at 10:49 am ... EMS response time 33 minutes with arrival onsite at 10:53am. Patient taken to hospital by EMS.

Light headed, faint, weak, hot, sweating. Complained about throat tight and difficulty breathing. Provided patient with ice pack for back of neck and wrist. Due to patient complaining of difficulty breathing, 911 was called and he was assessed by EMS personnel.

While waiting in observation my chest began to feel tight and in pain. The symptom lasted around 5 minutes and did not impede my ability to breathe. This concerns me since one of the allergic responses is anaphylaxis and I will need a second vaccination. Additionally, that night at 8:30 and the following day I have developed a minor headache (5), feel fatigued and tired, slight nausea, and slight aching in my body (3)

. Pfizer dose 1 on 3/30. Just had sore arm. Symptoms dizziness began on 4/3. Otherwise feeling well. Labs drawn 4/5 which revealed pancytopenia, rechecked today and numbers are worsening. Working to get him into hematology now. 28 yo male s/p Covid-19 Vaccine (Pfizer) on 3/30 with lightheadedness only when bending down and coming up returns for follow up today for pancytopenia found on labs obtained 4/5. He denies any recent viral symptoms. He did not have any episodes in past that made him question that he may have had Covid-19 viral illness. He is able to tolerate his normal daily exercise and bike without any symptoms. He has no dietary restrictions, eats dairy, meat, lots of vegetables/fruits, pastas and some breads/cereals. He drinks alcohol once per week. He abstains from ETOH every April. He has used edible THC in past, only once per month at most. He has not been tested for HIV in past. His girlfriend, in last semester of school advised him to ask about HIV testing. He denies any chest pain, SOB, HA. Upon review of his lab results yesterday, I called the hematology fellow, Dr. through program at hospital and he recommended the labs to be obtained and rechecking labs in one week. He felt the student was not exhibiting any emergent symptoms requiring emergent evaluation. Patient and I spoke on phone after this call with fell at 1557 4/6 and I advised him to seek emergent medical eval in ED for any CP, SOB, HA or any neurologic symptoms. Patient has not had any of those symptoms. He exercised this morning without difficulty. He notes raised papules on legs which he has had in past. They have currently been present for a few days. He believes it to be related to biking in sweatpants. He has been in a hot tub recently, but after the bumps were present. They do not itch. He has had them in past, more in winter months with heavier clothing. He also notices slight left arm pain today. This was site of his vaccine. He denies any swollen lymph nodes. He is notices only with arm movement. He denies any FH of blood disorder/ blood cancers/MDS. He denies bruising, bleeding or dark stools. He states he likely has not had a blood draw in past, unless one visit to ER, for HA/concussion in high school (9+yrs ago) resulted in any blood test.

Pt started to faint and then had a seizure. The patient awoke from seizure and 1 minute later had another seizure. EMS arrived and took the patient to a hospital facility.

fainted approximately 15-20minutes after injection. Happened in the parking lot getting into my car. Ems was called. i was full alert upon waking up. bp 120/60 hr 62 pulse ox 99.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Joint Pain-Mild, Additional Details: Patient passed out hit his head while dropping to the ground. Paramedic was called and came. He was fine after, but called a ride to get him to be on the safe side.

Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Fainted due to fear of needles-Medium, Additional Details: Patient has fear of needles and passed out after administration- EMS called to assess him and he was cleared to go home. No pain at injection site, no adverse effects from vaccine

Extreme fatigue (starting day after shot) Nausea (starting immediately after shot) Ear ache (approximately 36 hours after shot) Chest pain/dizziness (5 days after shot) Trouble breathing (5 days after shot) Artery damage (discovered in ER) Fainting (1 day and 5 days after shot) Treated at hospital ER - hospitalized for observation

Patient received the vaccine and while waiting at the post vaccine observation lobby, fainted. He stated he was not diabetic, did not have breakfast that morning and was nervous about the vaccine. Fainting episode lasted less than 1 minute, and afterwards patient was alert to person time and place. He was taken by ambulance by paramedics for further evaluation because his fiance stated that she saw him have a small seizure. I did not witness the seizure.

Significant elevation of troponin of 12; chest pain; Vaccine induced myocardial injury; headache; myalgia; fever; This is a spontaneous report from a contactable physician. A 28-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: EN6205), intramuscular, administered in left arm on 24Mar2021 at 1:00 pm as single dose for covid-19 immunization. The patient medical history was not reported. Concomitant medication(s) included keppra, lamictal same dose for more than 5 years. The patient previously took bnt162b2 on 03Mar2021 for covid-19 immunization at the age of 28-year-old at 1:00 pm. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19. The patient stated 1-2 days after vaccine he developed headache, myalgia, fever, chest pain. Chest pain progressively worsened. He was presented to the hospital 3 days after onset. There was significant elevation of troponin of 12, ECG unremarkable. No prior history of hypertension/ hyperlipidemia or diabetes. On 25Mar2021, the patient was diagnosed with vaccine induced myocardial injury. Treatment for events was inpatient monitoring, Heparin infusion while awaiting results of cardiac work up. Outcome of events was recovering. Follow up attempts are needed and Information on lot/batch number was available.; Sender's Comments: Based on temporal association and profile of the product, the contributory role of the suspect product bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: EN6205), to reported events is possible.

Patient reported feeling lightheaded within 15 minutes of vaccination. BP decreased and patient was transported by EMS to ER.

Pt passed out momentarily after vaccination. He recovered quickly without intervention. BP 136/64, HR 60, SP02 99%. His significant other drove him home. He recovered completely at time of departure.

I got the Covid 19 Vaccine Pfizer at the pharmacy. After I got the Vaccine I was waiting in the waiting room for 15 minutes but before my time was up and it was my time to leave I felt really dizzy & light headed as I was sitting down on a chair. Then I just felt some one tell me to wake up because I had fainted, fell face down to the floor & convulsed for 5 seconds.

Client reported feeling lightheaded and dizzy, 10 min post vaccination. Client also reported "funny feeling in my chest." Client reports similar symptoms as experienced after receiving the first vaccine.

patient sitting in post-vaccination area has a witnessed seizure at 1525, patient had twitching, LOC and eye rolling. EMT and RN were there and observed. Patient returned to consciousness, and moved behind curtin. Patient had another witnessed seizure @ 1532 lasting 10 seconds, with LOC, twitching, eyerolling and vomiting. Patient came to and placed on floor, alert and awake, able to answer questions but feeling foggy. EMS was called during 1st seizure. EMS arrived and took patient to hospital @ 1558.

Patient felt lightheaded and increased respiration, taken to med bay. Vitals stable (BP 110/76, HR72, RR22), states previous vasovagal reaction to vaccines. Given crackers and breathing relaxed. Patient left in stable condition

Patient had syncopal episode with out loss of consciousness. Patient became diaphoretic with a palpable irregular heart rate. He was closely observed and placed in a laying position with his feet elevated. Biox was 99% with an irregular HR of 78. Patient recovered to his baseline in approximately 45 minutes and left the facility with his driver and recommendations to follow up with urgent care and to contact his healthcare provider.

Approximately 10 minutes after receiving the COVID vaccine (second dose) pt. Experienced a fainting episode, with the possibility of loosing his pulse for approximately 30 seconds according to RN. Pt. Was in his vehicle in the monitoring area. When RN arrived after approximately 1 minute, the patient had a strong carotid pulse of around 80. Airway was maintained until patient woke up. Pt stated that he had not eaten before coming. BP's follow: 1230:99/64, P-48-Sat 94% 1243:109/74,P-67,Sat-97% 1248: 102/63,P-73,Sat-95% 1253-106/72,P-68, Sat-93& 1258-105/64,P-66, Sat-94% 1305-106/73,P-63,Sat 95%. 1311-112/74,P-59,Sat 94% 1316-99/68,P-59, Sat 92% 1322-112/73,P59, Sat 94% Pt remained weak and nauseous for approximately 45 minutes. It was decided at that time he would need to go to the ER and EMS was called. At approximately 1330 Pt. Was assisted to the stretcher and transported to ER for further evaluation. ED physician determined that patient had a vasovagal reaction to the vaccine and was discharged home.

After client received 1st dose of Pfizer in left deltoid, client stood up to receive vaccine card and ID. Client then passed out, fell on the floor and hit head. C/O right side jaw hurts. MD & EMT evaluated. 130/75, 75, 97%, zero bumps felt on head/scalp. Girlfriend at side, instructed to go to ER to be evaluated today.

Blurred vision; Face and skin are red; Lips tingling; feeling slightly itchy at the injection site after the vaccine/Itching all over his head, scalp, arms and hands, everything; Hives; Tongue and lip swelling/Tongue was starting to swell; Tongue and lip swelling; Shortness of breath; Tachycardia; Anaphylactic shock/anaphylactic reaction; Still has a rash and is itchy/break out rash and get itchy again; Not really wanting to eat dinner; I got home my arm had swollen/Whole arm and hand were swollen; I started feeling slightly itchy at the injection site after the vaccine; Nausea; This is a spontaneous report received from a contactable consumers and other Health Professional. This is a report combining information from duplicate reports 2021372891 and 2021368246. The current and all subsequent information will be reported under manufacturer report number 2021368246. A 28-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection; lot number : EP7533), dose 1 intramuscular, administered in Arm Left on 02Apr2021 11:30 (Batch/Lot Number: EP7533) as SINGLE DOSE for covid-19 immunisation. Medical history included Sleep Apnea ongoing; idiopathic hypersomnia ongoing; High blood pressure (They want to treat her husband for high blood pressure but they don't want to do that until after these reactions. She clarifies he was having issues with high blood pressure prior to getting the vaccine); Little overweight. Concomitant medication included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) from 2020 and ongoing 20 mg, 1x/day; modafinil from 2019 ongoing 200 mg, 1x/day for Idiopathic hyposomnia for Sleep apnea. patient got the first dose of the vaccine on Friday and within 30 minutes, went into anaphylactic shock and was taken to the local emergency room after being administered Benadryl and an EpiPen without any kind of changes. He was discharged and then on Sunday night, he went into anaphylactic shock again and was taken back to the ER after once again being administered Benadryl and an EpiPen. Now, he was kind of starting to break out in a rash again. This has thrown them for a loop because most of the time they had heard that more severe reactions come with the second dose. She confirms this was her husband first dose. Her husband had sat at Pharmacy for the required 15 minutes and he was feeling a little itchy around the vaccine site. It was just around the site, so they left. In the 10 minutes to get home, he started itching all over his head, scalp, arms and hands, everything (02Apr2021). they looked at his site and his entire arm was starting to swell and there was a rash that had gone all the way down his arm. her husband whole arm and hand were swollen and his tongue was starting to swell. He was administered liquid Benadryl and the Epi shot, He was brought to the emergency room at the hospital. He went home after going to the ER. Her husband had another anaphylactic reaction last night. He hasn't had any new foods or exposure to anything. states that they did say it was possible to have a relapse but that it was rare. He had presented slightly differently but kind of similar. It started with him feeling nauseated and not really wanting to eat dinner. He went upstairs to shower and he started to get itchy again. So, she administered 50ml of liquid Benadryl to just get it into his system and then about 10 minutes later, it was not really having any effect and his tongue and stuff started tingling. She looked at his tongue and his tongue was starting to swell again. So, that's when she administered the EpiPen and 911 was called. Her husband was brought to the Emergency room again and was discharged a few hours later. They didn't keep him overnight for observation or anything. states he is still experiencing blurred vision, red skin, and chest is still red a little bit at the top, and his face is red. His lips are started to tingle but was not interfering with his breathing yet, shortness of breath, tachycardia 02Apr2021. Caller states that about 1 hour ago, patient took one tablet of Benadryl and was given 20ml liquid Benadryl 15 minutes ago. Tests: X-ray was clear (Negative), blood work came back normal. She just feels like its getting to the point where everything is just being prolonged. When they went to the ER, he was been on Benadryl, EpiPens, they provided him steroids, Oxygen, Prednisone, Pepcid to try and prolong the effects of the Benadryl and it doesn't seem like anything is working. patient started feeling slightly itchy at the injection site after the vaccine. I waited the 15 minutes after the injection without having any serious side effects. By the time I got home, my arm had swollen and developed hives 02Apr2021. received Benadryl and an Epi pen. By that time, the rash and hives had spread throughout my body, and my arm, hand, and tongue had swollen. was having trouble breathing and was taken to the ER. On Sunday evening, had a relapse and it started with nausea. Within 30 minutes, was itchy and my tongue started swelling. Patient had Blurred vision; Face and skin are red; Lips tingling; Not really wanting to eat dinner on 05Apr2021; the patient not receive any other vaccines within 4 weeks prior to the COVID vaccine; List of any other medications the patient received within 2 weeks of vaccination: Adderall; Prior to vaccination, the patient diagnosed with COVID-19 was Unknown; Since the vaccination, the patient not tested for COVID19, The patient received treatment for all events except events blurred vision; face and skin are red; tingling lips; appetite lost. The outcome of the events blurred vision; face and skin are red; tingling lips; appetite lost was unknown; rest of the events was not recovered.

VOICED BECOMING LIGHTHEADED, DIZZY, AND HAVING VISION CHANGES POST VACCINE. PALE, DIAPHORETIC UPON ARRIVAL TO OBS AT 1353. PLACED IN TRENDELENBERG, VSS, SNACK PROVIDED, S/S RESOLVED. ESCORTED TO EXIT WITH NO ISSUES WITH SIG OTHER AT 1409. 1353 INITIAL BP 125/70 HR 63 SATS 95% RA 1400 BP 118/71 HR 64 SATS 96% RA 1505 STANDING BP 128/84 HR 60 SATS 97% RA

The patient received the vaccine on 4/18/21 at 12:56pm. As he was waiting 15-minute post-administration, he walked to the front, (~1 minute post-administration) and fainted. He was caught by his girlfriend and brought down to the floor, where he remained sitting. No injuries reported, reported no nausea, was oriented, held a normal conversation, reported being hot, temp was 95.5F. Paper towel soaked in cold water was applied to forehead, and gave him water to drink. Declined juice. The patient mentioned he had a reaction to a flu vaccine in the past where he was very ill after. He expressed a fear of needles, and he has fainted after bloodwork previously. EMS evaluated, patient declined hospital visit.

1:35 PT C/O FEELING FAINT. PLACED ON STRETCHER. PALE,DOAPHORETIC, DENIED NAUSEA. STATES HE ONLY HAD SMOOTHIE ALL DAY TO EAT. COLD, WET CLOTH TO HEAD. PLACED FLAT INBED. 134/86 HR 85 O2 97%. Given H20 PO and tol well. 1:40 142/87 hr 84 o2 96%. feels better.Sitting on side of stretcher. No longer diaphoretic and color better. 1:55p 143/86 hr 77 o2 97%. sitting in chair. 2:05 feels fine. disch ambulatory.

Patient had vasovagal response to injection. Has history of vasovagal response to needles. Pt became lightheaded, diaphoretic, pale. Was incontinent of bladder. Denied hx of seizures. Patient stated he woke up late and didn't eat breakfast or drink fluids. Assessed by onsite paramedics -HR 83, SPO2 100% on room air, BP 132/84. Pt was observed for 30 minutes and provided with water. Refused transport to hospital for further assessment. Advised patient to seek emergency help if symptoms return. Pt verbalized understanding.

seizures/Convulsions; weird metal or acidic taste in my mouth; felt heavy; feel shaky; back spasms; blood pressure spiked to higher than normal levels; nauseous; weakness on my left side; pain at the injection site; pain at the injection site, my back, and neck; pain at the injection site, my back, and neck; feel super tired; This is a spontaneous report from a contactable consumer (patient). A 28-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in arm left on 06Apr2021 11:15 (Batch/Lot Number: EP7533) as single dose for COVID-19 immunisation. Medical history included axenfeld reigers, bilateral congenital iris coloboma, bilateral glaucoma, hearing loss. Known allergies: peanut, albuterol, amoxicillin-pot clavulante, doxycycline, fentanyl, levosalbutamol (LEVALBUTEROL), oxycodone-acetaminophin, sedation. Concomitant medications in two weeks: cryofood (unspecific), folic acid, cyanocobalamin (B12), timolol and dorzolamide hydrochloride/timolol, all from unknown date for unknown indication. First, patient had a weird metal or acidic taste in mouth. Following that, patient felt heavy. Next, began to feel shaky having back spasms. His blood pressure spiked to higher than normal levels and started feeling shakey dropped. Patient was laid down by nursing staff and blood pressure dropped. After being laid down, patient started having seizures/convulsions, paramedics were called and patient was given midazolam hydrochloride (VERSED, anti-seizure meds) and was taken to the ER (emergency room). Once patient arrived at the ER, he felt nauseous and was given anti-nausea medication, after about 4 hours patient was released. But he was experiencing weakness on left side and pain at the injection site, back, and neck, and felt super tired. AEs onset at 11:30 of 06Apr2021. Outcome of the events was resolving. Patient had no COVID prior vaccination and had no COVID tested post vaccination.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: pt fainted for a few seconds while sitting in observation for 15 minutes. almost 15 minutes had lapsed and fell to the floor. bumped head mildly on the groud. immediate response. a little disorientated. gave water and granola bar. pt did not drink or eat anything all day . sat for 30 extra minutes and felt better. advised to check with md.

PATIENT RECEIVED VACCINE THEN BECAME DIZZY WHEN ENTERING THE OBSERVATION AREA. WAS LOWERED TO THE FLOOR WITH ASSISTANCE FROM ANOTHER PATIENT. FAINTED BUT RECOVERED WITHIN 10 SECONDS. NURSES MONITORED FOR EXTENDED PERIOD OF TIME.

~5 minutes after administration of vaccine, patient returned to vaccinator to report firm area around vaccine site. RN noticed patient began to waiver and witnessed patient syncope (no trauma/fall) - patient helped to ground. full LOC and decorticate posturing and tonic clonic activity <5 seconds; immediate return to consciousness; RN provided pillow/legs raised; patient talking and laughing with nurse shortly after return to consciousness. monitored for an additional 30 minutes, water and cookie provided. patient stable to leave home with family member. No medications or other treatment provided to patient. all vitals WNL.

Pt complained of 5/10 chest tightness and no other symptoms at 1211. Pt reported similar episodes when under stress. Pt asked for water. Pt given water. Pt vitals assessed: 125/80 BP, 65 BPM, 98% SpO2. Pt reported hx of atrial tachycardia and no current medications. Pt AxO x4 with unlabored respirations. Pt offered EMS. Pt declined EMS. Pt advised to wait 30 mins. Patient reassessed at 1219. Pt reported chest tightness at 4/10. Pt reassessed at 1230. Vitals were 120/80 BP, 60 BPM, SpO2 98%. Pt rated chest tightness at 2/10. Pt reassessed at 12:45. Pt was AxO x4 with unlabored respirations. Pt rated chest tightness at 1/10. Patient offered EMS again. Pt declined EMS. Pt offered transportation. Pt declined transportation. At 1245, pt left facility to self with steady gait and unlabored breathing.

Immediately after vaccination client passed out for approximately 20 sec. evaluated by MD and paramedics onsite. diaphoretic, with dizziness, nausea and vomiting x 1. Per client felt better. Client picked up from site by father and driven home.

Patient, 7/5/1992 received his second dose of Pfizer. During observation the patient had a syncopal episode as he was being observed in his car. Observation staff member witnessed the patient?s eyes roll to the back of his head and pass out for approximately 30 seconds. EMS was called. Patient awoke and was able to walk to the observation tent where the first set of vitals was taken. Once EMS arrived at 1514, they completed an assessment and continued to monitor the patient. Vitals were taken as follows: 1504- 120/70 HR 69 RR 20 O2 97 1515- 98/58 HR 64 RR 16 O2 98 1530 -120/80 HR 70 RR 16 O2 97 BGL 108 1545-120/80 HR 68 RR 17 O2 99 Patient was provided with juice and crackers, and was observed for an extensive period of time with EMS. Patient declined transport to the hospital via EMS as he was alert and oriented x 3. Patient was advised to contact his PCP but he declined having one. RN instructed the patient to contact 911 if there is shortness of breath, difficulty breathing, and any other sign of distress

fainted; unconscious for a few minutes; This is a spontaneous report received from a contactable consumer (reporting on himself). A 28-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Lot Number and Expiration Date was not reported), via an un-specified route of administration in in Arm Left on 09Apr2021 10:45 as single dose for COVID-19 immunization. The patient medical history was not reported and known allergies included Codeine, Abilify. The patient's concomitant medications were not reported. Patient did not receive any other vaccine in four weeks. Patient did not have COVID prior vaccination. Not tested COVID post vaccination. It was reported that 09Apr2021 11:00 patient fainted about a hour after getting home. Then the next day at approximately 2:45 she fainted again both times hitting the floor and laying unconscious for a few minutes. Patient had to go Emergency room and hospitalization for a few hours. The outcome of the events was recovered on an unspecified date. Information on the lot/ batch number has been requested.

Presented on 4/26/2021 to the Medical Center ER with chest pain. CTA showed 1. Examination limited by patient motion artifact. There are likely small bilateral segmental pulmonary emboli. 2. Trace effusions. 3. Mild groundglass interstitial prominence could relate to atypical infectious etiology or edema. 4. Severe colonic distention again demonstrated and is incompletely assessed.

Client became anxious and unconscious x3 seconds in the observation area after vaccination of Pfizer. MD assessed client on site and no injuries noted. Client left site with father driving him home via personal vehicle.

Systemic: Fainting / Unresponsive-Medium, Systemic: pt had seizure-like twitching, fell off his chair face first. He cut his face.-Severe, Systemic: Seizure-Medium, Systemic: Shakiness-Medium, Additional Details: Pt told me he gets lightheaded after vaccines. I told him I'd help him get to a chair near vaccination area so I could monitor him. He agreed. I didn't even have time to apply the bandage when he started twiching & basically jumped out of his chair. He twisted 180 degrees and fell on his face. He got cut in at least 2 facial areas. Pharmacist cleaned him up. He never lost consciousness. EMS came and treated him. He refused to go to hospital at first, but eventually they took him.

Dizziness immediately after vaccination, resolved enough to report to the observation room, became syncopal right after arriving in obsevation. Had brief loss of consciousness, recovered fully in treatment area

Received COVID vaccine (Pfizer) 3 days prior to admission which was followed by subjective fevers and chills x 2 days but no longer endorses this. Had a headache one day prior to admission that resolved with tylenol. Reports that he has hx HTN but home BPs (which he takes infrequently) have been 140s-150s systolic in the past. Has never been on meds for blood pressure. Chest pain was substernal 5/10 lasted 2 hours and believes it relieved with his blood pressure coming down. Does not describe any other alleviating factors. It was nonradiating, just happens for have left arm pain after vaccine that was present prior to chest pain.

After completing the 15 min monitoring, pt stated he had a sensation of increasing his heart rate. EMS took his vital signs BP 108/80, HR 78, OxSat:100%. After evaluation , pt stated he feels better. Pt was with his partner and he was escorted by her to his car. Pt was advised to inform his PCP about this.

Immediately after vaccination, patient stated he felt faint, and was pale and diaphoretic. Normal pulse and 02 saturation. Did not lose consciousness and recovered on his own.

About 10 hours after the vaccine I passed out in my kitchen. Was gently stretching, felt dizzy and went unconscious for about 30 seconds. My girlfriend was there to help me up.

Patient reported he felt dizzy and had mouth/tongue numbness and tingling. HR 130's, RR 25, o2 sat 100%. Patient then laid himself on floor and was in and out of consciousness. He maintained pulse and breathing. Patient taken to Emergency Room. He appeared to have 3 syncopal episodes while in route to Emergency Room. In the ER, symptoms resolved. Patient denied anxiety deteremined to be vasovagal response.

Syncope. Fainted standing up and fell backwards, hit back of head on floor. Pt felt lightheaded after shot. Water, juice given. Minimal pain. Stable and released. NP recommend ER visit if any headache, lightheadedness, vision changes.

Last weekend on Sunday morning (April 25th), I received my second shot of Pfizer vaccine at 9am. My body started to show some side effects on the evening of Sunday. I felt super cold around 10 pm and at the same time, I had a fever, too. I went to bed early that night (around 10:30 pm) and since I was super cold, I had 3-4 blankets on me when I was on my bed. Suddenly, at 1 am, I woke up due to a very strange noise in my head (a very low-volume noise of knocking on the door every 10 seconds!! I think it was only something in my mind). Since I couldn't sleep because of that low artificial noise, I decided to go to the bathroom at around 1:10 am (My bode was also in lots of pain at that time). When I started to walk, I realized that something is wrong with my body. When I peed and stood up to get back to my bed, I noticed that I'm losing control! Therefore, I hit the bathroom door to wake up my girlfriend, and then I fainted! (I can't remember anything for about 30 seconds here). My girlfriend told me that when I fainted, one of my eyeballs was upward and the other was downward (like zombies!!). She started to freak out and called her mom, but once they started talking, I woke up. My body was soaking wet when I woke up and I was in lots of pain. I asked her to help me to lay down on the ground. After 10 minutes, that my sweats were gone, I started feeling cold and asked her to give me a blanket. I couldn't sleep for about 2-3 hours after I fainted, but I was feeling better (I was much better than the time before fainting). On Monday afternoon, I called the health center and told them my side effects. They strongly recommended visiting ER ASAP since the symptoms that I described were severe side effects of Pfizer. Therefore, I went to ER on Monday (April 26th) to see what?s the issue. Hopefully, after spending 3-4 hours there, and passing some tests, the results did not show anything wrong with my body, but just the side effects of the vaccine.

Shortness of breath, rapid heartbeat, tiredness and weakness, tingling in the face and extremities, could not articulate, swelling on the right side of the face.

Patient received vaccination and was sitting in pharmacy for the 15 minutes to be monitored. After sitting in chair for 5 minutes patient became faint and fell out of chair and hit side of head on ground. Patient sustained cut to his right eye as well as swelling. Patient was given Ice pack to control swelling and stayed in pharmacy for an additional 20 minutes where he was closely monitored. Patient did make decision to get up and leave and was able to walk out on his own.

Myocarditis. Developed severe headache (3 days) with chest pain (for 1 days). Noted to have high sensitivty troponin 6000 > 6000 > 8000. ECHO WNL. CTA heart, WNL.

Heart was placed into atrial fibrillation. Heart rate was 200BPM. Lost hearing and sense of balance. Profuse sweating and wheezing.

5 min after receiving vaccine felt clammy and nauseous vomited small amt undigested food brought back to OBS 1 via wheelchair upon arriving to OBS area pt pale in color transferred self without difficulty to stretcher, VS as noted pt feeling better once laying on stretcher, awake and alert pt states has anxiety related to needles pt given snack and water, tolerated well. denies further symptoms color improved. pt repositioned self to dangle at side of bed then standing with no further issues. discharged to exit. VS 0925 hr 66 po 100 bp 134/82 0930 hr 71 po 99 bp 138/73 0935 dangle hr 63 po98 bp 121/74 0940 standing hr 79 po 98bp 124/76

Patient experienced immediate vasovagal response s/p vaccination. Pt maintained consciousness and was evaluated by EMT . Pts vital signs stabilized without medical intervention. After approximately 15 minutes pts reported feeling much better and declined hospital transportation. Pt will follow up as with PCP .

Within 15 minutes, light headed and slight nausea, deeveloping small rash on right arm Within 60 minutes, migraine, nausea, slight chest pain, HBP, fever Within 8 hours, migraines, nausea, body aches, fatigue, fever With 24 hours, migraines, nausea, body aches, fatigue,on/off fever

Client received second dose of Pfizer Covid 19 vaccine and went to observation area for the 15 minute monitoring. Shortly after arriving, the client felt dizzy. Neighboring clients alerted EMS and client was lowered to floor just before an estimated 30 second loss of consciousness. Client regained consciousness and was found to be alert and oriented. Vital Signs were stable and within normal limits. Client declined follow up monitoring.

Dizzines, nausea, tingling in fingers, vasovagal reaction. Pt reports that has needle phobia and has not had blood draw or any vaccination for a long time. Pt reported nausea, but no vomiting, feeling dizzy, and tingling of fingers. Pt was transported via wheelchair and transferred to bed. Pt reported doing well after 5 minutes, water, crackers and juice was given. Pt reported doing well and was asymptomatic. Pt was observed for a period 20 minutes. BP: 110/69, HR: 62, R: 16, O2 sat: 98 to 100% room air. Pt was discharged in stable condition.

Pt fainted & fell on L/side of forehead on floor. Regained consciousnes after 1 minute & taken to Obervation area per w/c to lie down. BP116/68 P 60 R 16. Hx of hypertension & seasonal allergies. Abrasion on L/side of forehead cleaned & iced. Pt talked about having a concussion in high school resulting in memory loss & out of school for 3 months. 1:50 pm Continued to be "sweaty" after 10 minutes while lying down. BP 114/75 P 54 2:40 Left walking w/o assistance. Head injury instructions given.

Patient had single episode of loss of consciousness - episode preceded by nausea and lightheadedness Paramedics came to home, no vitals done, patient not transferred to hospital Patient continues to have lightheadedness No personal or family history of stroke, diabetes, hypotension, seizures, migraines

Chest pain started 2 days after the second dose of Pfizer vaccine. Found to have myocarditis requiring admission. Full recovery is expected.

Patient received vaccine after 10 minutes in observation patient had a syncope amonia capsule use patient recover well and was send home with no further incident

he had an episode which he states is similar to a TIA (transient ischemic attack); Reports experiencing something similar last may except for 'the paralysis'.; numbness, pain and tightness in his lower half of his body which was more prominently felt on his left side.; numbness, pain and tightness in his lower half of his body which was more prominently felt on his left side.; numbness, pain and tightness in his lower half of his body which was more prominently felt on his left side.; States he felt as though his knee had a tear in it- it felt it was on fire; tightness in left knee; shortness of breath; feeling foggy; headache; balance issue; coordination off; having a hard time to get a sentence out (felt like his motor skills were affected); having a hard time to get a sentence out (felt like his motor skills were affected); confusion; blurred vision; impending sense of doom; post fatigue; his energy doesnt feel up to par; This is a spontaneous report from a contactable consumer (patient) reported for himself. A 28-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 19Apr2021 at 28 years old (Batch/Lot number was not reported) as single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Patient stated that on 19Apr, he had the first shot of pfizer covid vaccine. This past sunday (25Apr2021), he had an episode which he stated was similar to a TIA (transient ischemic attack). Reported numbness, pain and tightness in his lower half of his body which was more prominently felt on his left side. Stated he felt as though his knee had a tear in it- it felt it was on fire; he experienced burning and tightness in left knee. He also reported having shortness of breath, headache, feeling foggy, balance issue, coordination off, having a hard time to get a sentence out (felt like his motor skills were affected), confusion, blurred vision and an impending sense of doom. Stated this episode persisted for 15 min and then it resolved. Currently he was experiencing a 'post fatigue' and his energy didn't feel up to par. Reported experiencing something similar last may except for 'the paralysis'. Had not followed up with his provider. Patient was scheduled for second shot of Pfizer covid vaccine on 10May, he was asking for information if he decided to delay his second shot past may 10th. He was asking for information on getting the second shot given his recent experience possibly related to the vaccine shot. Was not sure if he should get the second shot. He was asking about side effects for the second shot- if it would be worse. Asking if there were any reports of blood clots with Pfizer covid vaccine. The outcome of the events 'post fatigue' and "his energy didn't feel up to par" was unknown, of other events was recovered on 25Apr2021. Information about lot/batch number has been requested.

Vasovagal Syncope within 5 minutes of administering dose. (Fainted) Caused "unwitnessed" fall where no-one was able to catch the patient before they hit the ground. Caused Urgent Care visit and barely avoided an ambulance ride.

Patient felt faint and passed out 5 minutes after receiving the vaccine. After he came too he did not feel well. 911 was called and EMT's check him out. They released him to go home after checking vitals.

Heart pain; Fever; Headache; Stomach ache; Difficulty to sleep; This is a spontaneous report received from a contactable consumer (patient). A 28-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration (at the age of 28-years-old), administered in Arm Left on 03May2021 10:00 (Batch/Lot number was not reported) as 2nd dose, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration (at the age of 28-years-old), administered in Arm Left on Apr2021 10:00 (Batch/Lot number was not reported) as 1st dose, single for COVID-19 immunization. The patient experienced the normal symptoms like fever but it was just a mild fever, headache, stomach ache, and difficulty to sleep but the reason he is calling is because he was experiencing heart pain. He received the vaccine for protection on 03May2021 and for all the symptoms he had all started the same day he got the vaccine which all the symptoms started that night. The heart pain was only 10 minutes to 15 minutes that the pain lasted and it was painful but he relaxed himself and the pain went away by itself and he was not scared. He just laid down until the pain relieved and he took no medication. The outcome of the event heart pain was recovered on 03May2021, while for the rest of the events was recovered on 04May2021. The events were considered as non-serious by reporter. No history of all previous immunization with the Pfizer vaccine considered as suspect. No additional administered vaccines. No prior vaccinations (within 4 weeks). Information on the lot/batch number has been requested.

My brother got the Pfizer 5/4 and started getting sick with a cough on the 7th and by the 10th he was getting more and more sick and ye was taken to the ER on the 14th and he started coughing up blood, he was out of it and pale and not able to move much. On 5/15 in the hospital he was having a hard time breathing and they were trying to give him meds to make him better, they gave him antibiotics because his blood work showed infection, and Precedex to help him rest, and he passed away the same day, he was in good health before. They also said his heart rate was 201/123 and the doctors said pulmonary anema. It escalated so quickly.

PT ADMINISTERED 1ST DOSE OF COVID PFIZER VACCINE. WAS TOLD TO SIT FOR 15 MINUTES. AFTER ABOUT 5 MINUTES, WIFE NOTIFIED PHARMACY STAFF OF PT PASSED OUT IN CHAIR (SLUMPED OVER). AFTER PHARMACIST ATTEMPTED TO GET ATTENTION, HE REGAINED CONSCIOUS BUT WAS CLAMMY AND SWEATY. PT ASKED FOR A GLASS OF WATER. AFTER A FEW MINUTES, HE STATED HIS CHEST WAS HEAVY AND VISION BLURRY. 1 DOSE OF AN ADULT EPIPEN WAS ADMINISTERED WITH PT CONSENT. HE STATED HE FELT BETTER. WIFE REQUESTED EMS BE CONTACTED. EMS DISPATCHED AND PT LEFT PHARMACY CONSCIOUS IN A STRETCHER.

Patient observed at 1442 sliding down in his observation chair. Observation nurse helped lower patient to the floor. Patient had a syncopal episode for a few seconds. Patient woke up, assisted into wheelchair, and taken to private room for further assessment. Full set of vitals obtained as follows: O2 sat 99% RA, HR 66, BP 138/80, RR 18. Patient stated he was feeling fine and that he previously was outside today and was very hot before receiving his vaccine. Patient also stated he had a historyof syncopal episodes from being over heated. Monitored pt for another 10 minutes and took another set of vitals at 1452 as follows: O2 sat 99% RA, HR 83, BP 135/85, RR 17. Assessed patient vitals 10 minutes later at 1502...

Myopericarditis with chest pain onset 3 days after vaccine dose #2. 1 day after dose #2, patient experienced fevers and chills.

In the weeks following the first dose of the vaccine I began experiencing near daily chest pain, primarily on the left side of my chest. I also felt that I was breathing heavier than normal while doing normal activities, such as walking or going up stairs. I also feel as if when my heart does get elevated my heart is thumping and beating much harder than normal. This is unusual for me as I am young and in very good shape. This also came with frequent panic attacks.

Patient received vaccine at 7:45 pm on 5/19/2021. Chest pain and rapid heart rate occurred approximately 2 hours post vaccine shot. Patient went to ER. Diagnosis was atrial fibrillation with RVR (CMS/HCC). Medication given: Metroprolol 5mg/5ml injection - ADS override pull (10:41pm), sodium chloride 0.9% bonus 1000mL stopped at 5/20 12:36am. Patient spontaneously came out of atrial fibrillation and was released

Focal Myocarditis, verified on MRI and Cardiac FDG PET Mild symptoms on presentation to hospital, asymptomatic after discharge. Hemodynamically stable

Patient fainted due to carry over fear of the needle. He stated before the shot that he did not like needles. After the shot I took him to the waiting area to wait for 15 minutes. After about 3 minutes, he lost consciousness and fell off of his chair. After about a minute he came to and slowly got to his knees and came to and was able to sit back down in the chair.

Syncopal episode with fall from chair. Unresponsive approx 30 seconds. Pt was GCS 15 within 60 seconds after syncope. EMS was called because the pt hit his head on the ground but did not sustain any life threatening or injuries. No signs of trauma to note. Pt was AOx4 and GCS 15 by the time he was dismissed from the clinic.

Patient presented to hospital 5/22 for acute psychiatric emergency. At the time of admission basic labs where obtained and were significant for platelet count of 4,000 (rest of complete blood count unremarkable). Medications and infectious history reviewed and were unremarkable. He has significant ecchymoses and petechiae on initial physical exam. He was started on treatment for Immune Thrombocytopenic Purpura with dexamethasone and Intravenous IgG with significant improvement in platelet count to over 100K.

Chest pain, dizzy, light headed, leg and arm pain, short of breath, tired, spaced out mentally/unable to focus. No treatment at this time.

My average heart rate was between 60-70BPM, but two days after the second does of Pfizer, it elevated to 90-110 BPM accompanied with tiredness. No other symptoms as of now.

"History obtained from: patient Patient is a 28 y.o. male with hx of post-viral myopericarditis in 2013 but otherwise healthy who presents for recurrence of myopericarditis incidentally not long after receiving 2nd COVID vaccine Got the 2nd COVID vaccine on Sunday. Monday felt fevers and chills and malaise all day. Tuesday morning felt some retrosternal chest discomfort that lasted an hour or so and spontaneously went away. Was able to go to work all day and do fine. Works in a garage and lifts heavy tires. Yesterday took kids to day care, felt a little pain that morning which resolved. Picked them up in the evening and was going to hang out with them but had recurrence of pain and this time was quite severe. Tried to take some tylenol but threw this up. Came to the ED and had to wait 1-2 hours to be seen, but the time he was his pain had nearly resolved. Troponin taken around 10000. Cardiology consulted, think this might be reactivation / recurrence of his prior myopericarditis." H&P 3/24/21 "This is a 28 y.o. male with hx of post-viral myopericarditis in 2013 but otherwise healthy who presents for recurrence of myopericarditis incidentally not long after receiving 2nd COVID vaccine # Myopericarditis Had episode of post-viral myopericarditis back in 2013, at which time he had an elevation of Trop I (non-HS variety) to 7.3 and echo showing basal inferolateral, basal inferior and mid inferolateral wall motion abnormalities but otherwise normal LV function. Has been highly functional. Recently got 2nd COVID vaccine and had fevers/chills after that. Recurrent chest pain 3/24 w/o provocation, aborted on its own but has trop elevated to 10,000. EKG does not show STEMI and patient actually asymptomatic in ED. No infectious symptoms. Unclear but wonder if COVID vaccine could have caused recurrence of prior myopericarditis? Cards called in ED, they would like him admitted, to treat with colchicine and advil, repeat TTE and they will consult in the morning." A/P 3/24/21 from admission

Administered 1st Pfizer dose to patient. Requested that patient wait 15-20 minutes in waiting area after vaccine. After 10 min, Patient signled me (the pharmacist) that he wasn't feeling well. As I approached, he stood up and started walking towards me. I took his arm, we took two steps and he fainted. I laid him to the ground while supporting his head. He regained consciousness quickly, but was disoriented. NP assisted by taking vitals/911 called. Paramedics arrived and then took over evaluation. Pt was taken to ambulance for further evaluation, as he still could not walk to diziness.

Fatigue w/in 12 hrs that lasted more than 2 days, after which fatigue continues even now. We believe he fainted while operating a scooter which resulted in an emergency room visit. Complains of chest pain. Concerned this could be myocarditis- he?s on government insurance so medical access is limited.

ACUTE MYOCARDITIS ABOUT 3 DAYS FOLLOWING 2ND DOSE OF 5 0 COVID-19 VACCINATION. TREATED WITH ANTI-INFLAMMATORY.

3 days after 1st shot Severe joint pain (Similar to RA), muscle pain, Headaches that lasted from 4/9/21 to 5/13/21 when I was taken to the hospital where it was found I had a Venous Stroke. Multiple doses of steroid, and Tylenol until the stroke, then I don?t recall what I was given in the hospital but now I am on 80mg of staton, 81mg of aspirin, 1mg of folic acid

Heart palpitations throughout the day in 2 minute bouts whole week of may 17th, Dull chest pain in left chest consistent throughout the day started weekend of May 18th, Elevated heart rate, fatigue, Random elevated HR and palpitations in middle of the night on morning of may 30th.

Patient received their first dose of Pfizer vaccine. Began to feel lighted headed and hearing was going in and out. EMS responded and their blood pressure was low, after 20 mins, vitals were normal.

The day after (5/14) of receiving the second Pfizer dose, I developed muscle aches, fatigue, and swinging fevers. These symptoms were resolved the next day (5/15), but that night I had an intense episode of chest pain that lasted 5-7 hours. These symptoms went away and then returned again for a second time (5/17) around 4am for around 3-4 hours, while flying back. I went to the hospital and had concerns from doctors over my ECG and raised troponin levels. I spent 2 nights in the hospital and was diagnosed with Myocarditis. This was then validated through an MRI the following day. I am now resting at home for 3 months and taking ibuprofen.

Tinnitus, blurred vision, nausea, low blood pressure, hypoglycemia Deep breathing, called medics. Sx started subsiding after some time, breathing and paramedic arrival. Bp 95/63 pulse 66. Pt reported not eating much before shot. No prior history of vaccine teaction

Tingling, numbness in left arm and heart area; shortness of breath; abnormal heartbeat all on a daily basis since about a week or 2 after the second vaccination shot.

VIIS ID: 41412; Pfizer COVID-19 Vaccine Vaccine Lot Number: Ew0178 2nd dose; vagal faint after vaccine#2 pfizer, hx of anxiety and vagal reaction, + 10-15 secs LOC no fall, no trauma, no neck pain/stiffness. increase oral hydration. Apprehension, flushing and/or skin edema, moderate ETOH night before. faints with vaccinations and tattoos. 540pm 140/88, P-70, R-20 POX 99%; 5:50 147/80, p-66, r-20, Pox-99%. Pt d/c home-friend driving him home.

Pt was brought to the triage area with c/o chest tightness, weakness, and mild SOB. No CP, non-radiating. VS taken: (1:47 PM) BP 141/97, HR 108, Resp 20, O2 sat 100 on R; (1:52 PM) BP 147/98, HR 106, Resp 18, O2 sat 100% on RA. Pt no in apparent distress, speaks in full sentences, mentating well. Nurse manager and attending MD at triage area to monitor pt. Advised pt to go to ED but pt refused. Pt stated that he will be fine and just need to go home and rest. ED precautions discussed. Pt verbalized understanding and signed AMA form. Pt left the triage area with no assistance, ambulating well, with steady gait.

Myocarditis/Pericarditis Strong chest pain High fever 24 Hours Strong body aches and headaches Tiredness

Per LVN patient was nervous and shaking some prior to the vaccine. LVN offered patient to decline or return another date. Patient reported he has to get it for the University. Immediately after the vaccine which was given at 0950, patient reported nausea. LVN notified RN. 0958 Patient sitting up in chair with an emesis bucket. Patient is pale and has light tremors, and reports nausea. Vital sigs taken Pulse 91, respirations 20, blood pressure 91/54, and 02 sat 100%. Patient reports he is thirsty. Reports he ate a bagel and had coffee this morning. Gave patient sips of water. Had patient take a few deep breaths. 1003 Assisted to gurney. Vital signs rechecked and ice pack applied to back of head and neck. Pulse 65, blood pressure 110/74, 02 100%. Patient reports he is feeling better. Patient transported with LVN and RN via gurney to nurse treatment room per protocol. Report given to LVN ad RN. Patient is stable.

passed out; dizzy; This is a spontaneous report received from a contactable pharmacist via Pfizer sponsored program. A 28 years old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration in left deltoid on 18May2021 6:00 PM central time (Lot Number: EW0185, Expiry Date: Aug2021, NDC Number: 5926-1000-01) at single dose for COVID-19 immunization. The patient's medical history, family medical history and concomitant medications was none. The patient has not had any other vaccines within the last 8 weeks. The patient got dizzy and passed out on 18May2021 after 6:00 PM after the first dose of the vaccine. They ended up calling 911 and the paramedics came. The paramedics checked him and released him, said he was good to go. He was not taken to the hospital. The patient did not visit emergency room neither physician office. The pharmacist assessed the events related to the vaccine and assessed as serious due to medically significant. The outcome of event was recovered completely. The pharmacist asked if he should get the second dose.; Sender's Comments: As there is limited information in the case provided, the causal association between the events loss of consciousness and dizziness and the suspect drug bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE)cannot be excluded.The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Committees, and Investigators, as appropriate.

Patient felt tingling in the arm after administration & informed vaccinator that he felt like he was going to pass out. He started to lose consciousness shortly after & EMS was called to clear before he was allowed to leave. Patient was out for only a couple of seconds before regaining consciousness. He remembered feeling dizzy & like he was falling during the episode.

Adverse event: highly elevated triponin levels, chest pain (felt like a heart attack) Treatment: overnight hospital stay, various tests, ECG, bloodwork Outcome: Sent home next day after confirmation of no structural damage to heart; instructed to take ibuprofen to handle any pain

Patient started perspiring profusely, became weak and flush, and appeared to pass out and become unresponsive while sitting in the chair. Patient was given water and ice to cool down while 911 was contacted. After a few minutes, the patient returned to normal mental status and was ready to leave. Patient refused care when arrived and he was released from the site.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hyperventilation-Mild, Additional Details: Pt fainted about 8 minutes after vaccine. He had been given cold water and candy. Blood pressure was normal, but he was sweating and continued dizzy. He admitted to vaping earlier. He wanted us to call 911. 911 said he was hyperventilating and said it was from anxiety. He was checked out and fine. Called him later and he was fine.

Body aches, lymphadenopathy, fatigue, subjective fever, diarrhea, from 24 to 48 hours post injection. Mild positional chest discomfort starting several days after injection, with feeling of chest fullness after exercise lasting approximately 2-3 weeks Patient is a medical student and did not seek medical care. Took ibuprofen for symptomatic relief

Sunday, January 10 2021 around 1900. Suffered from chest pain. EKG showed STEMI. Chest x-ray showed 20% pneumothorax. Treated with nonrebreather 15L for several hours. Follow-up EKG shows retaining right bundle branch block.

Heart racing, clenching heart, random beats, significant vo2max drop on stress test for cycling despite same power output and body weight. Went from elite vo2max to normal. BOTH SHOTS had heart racing.

I went to the emergency room after feeling a strong feeling of heart racing and trouble breathing. The symptoms occur starting 06/12/2021 and got severe on 6/15/2021 causing my emergency room visit. This hospital didn't know what was happening to me so It was ruled a panic attack and heart palpitations. But the symptoms lasted days at this point.

Systemic: Chest Tightness / Heaviness / Pain-Medium, Additional Details: patient described what feels like heartburn but also chest tightness that started day of vaccination and has continued daily, suggested provider follow up and patient has not called back to report visit resuts.

05/01/2021 - Was at rest - received notification on my watch that my heart rate was spiking, went up to 200 bpm. Felt palpitations and accelerated heart. Went away within an hour after laying down and taking deep breaths. 05/02/2021 - 7-8 PM - Was at rest watching television, got another notification on watch that my heart rate was spiking again, up to 170 bpm. Called Ambulance, where my heart rate was at 140 bp, and was taken to hospital ER. Was evaluated for multiple hours - had EKG, Chest Xray, Chest CT Scan completed showing no blood clots and was released. 05/08/2021 - 9 PM - Was at rest all day, got up to make oatmeal, and had another episode happen, up to 156 bpm. Took prescribed Metropolol and my heart rate came down in about 2 hours. 05/26/2021 - 8 PM - Was preparing to leave for my family members' house, packing bags, and gathering items when I felt the onset of another episode. Was not wearing a watch at this time so my heart rate unknown. Took prescribed atenolol by Cardiologist and palpitations/fast heart rate ended within an hour

Within a few minutes after receiving my first COVID vaccine I started feeling lightheaded/nausea and then lost consciousness. My wife was with me during this time and stated that I lost consciousness for about a minute. My wife stated that my eyes rolled back in my head, my back arched, and I became rigid. Upon waking up my ears were muffled and my wife stated my lips were blue and my face/arms/legs were very pale in color. Both of my legs and both of my hands were also tingling upon waking up. 911 was called by my wife.

Had covid shot last Friday. The next day began having chest pain and palpitations. Described as feeling like his heart is racing.

Patient has been having chest pain, shortness of breathe after 2 weeks of getting vaccine and was diagnosed with pericarditis on 06/22/2021.

28 year old male with history of pericarditis in 2018 with recurrence that occurred approximately 3 weeks after 2nd dose of Pfizer vaccine. No elevated troponins, but did have EKG changes; no comparison from previous studies.

Immediately after administering the vaccine, the patient was asked how he felt. Patient stated he felt "Okay". Patient was informed of possible side effect he might experience from the vaccine. After, being informed of possible side effects, the patient was asked how he felt; the patient stated "okay". The patient walked from the vaccination room to a chair in the waiting area and sat down. After a couple minutes the patient was asked again how he felt. He stated "Okay". After approximately 10 minutes after administration of vaccine the patient moved from the chair he had been sitting in to one closer to the pharmacy. The patient was asked again how he felt; the patient stated, "I'm starting to feel funny." Patient was asked if he wanted water. He stated, "Yes". A second pharmacist was asked for assistance when the first was getting water. The patient was given an ice pack along with the water. The ice pack was placed on the back of the patient?s neck while he was sitting in the chair. The second pharmacist grabbed a blood pressure cuff to check the patient's blood pressure. The patient stated, ?I feel like I?m going to pass out.? While the second pharmacist checked the patient?s blood pressure, the first pharmacist went to get the Nurse Practitioner from the Convenient Care within the store for assistance with the patient. While the first pharmacist was getting the nurse practitioner, the patient passed out and was not responding to the second pharmacist. The third pharmacist on staff immediately called 911 for assistance. The nurse practitioner and first pharmacist arrived back to the patient. The nurse practitioner rubbed the patient?s sternum and checked for his blood pressure and pulse. The patient?s legs were raised and placed on a second chair. The patient regained consciousness. The patient was very pale and sweating. He was alert and could answer questions. After a few minutes emergency services arrived. They talked with the patient for roughly 10-15 minutes. After that the paramedics left and had the patient remain for a few more minutes. The patient?s wife was with him and they left the store at 1:59pm.

Random heart palpitations; This is a spontaneous report from a contactable consumer (patient). A 28-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number: EL8982,) via an unspecified route of administration in left arm on 22Jan2021 at 12:00 (at the age of 28-years-old) as first dose, single for COVID-19 immunization. Medical history and concomitant medications were not reported. Patient did not receive any other vaccine received in four weeks. Patient had not been diagnosed with COVID prior to vaccination and had not been tested for COVID post the vaccination. On 25Jan2021, the patient reported that since receiving his vaccine, he noticed random heart palpitations. They have been less frequent as of recent but some of his coworkers have reported the same thing. They are non painful and happen irregular. Patient did not received the treatments. The outcome of the event was recovering. Follow-up attempts completed. No further information expected.

I took pain killer medicines at home in the evening after vaccination in the morning (May 22, 2021). However, I was having heart problem that day around at least 15 minutes after my second vaccination. My heart felt stretching and beating too fast. I didn't report at that time because my Lyft ride just arrived at the same time and I decided to take the ride back home. My heart was hurting for two days. I also developed light fever around before midnight that same day of vaccination but recovered the following day through medicine and rest.

Immediately after receiving Pfizer vaccine, pt experienced loss of consciousness for approximately 3 minutes, tongue swelling, incontinence of urine. Epi pen given x1, pt regained consciousness immediately after receiving epi. Vital signs as follows: BP 144/69, HR 63, O2 100% then approx 8 minutes later BP 113/63, HR 74, O2 99%, blood sugar 101. Provider assessed pt and recommended to call an ambulance for possible seizure. Pt refused to go to hospital. After incident occurred, pt stated that he has had a reaction to vaccines in the past but was unsure which ones. Pt chart stated that patient had an adverse reaction (seizure) after receiving flu, Tdap, and HPV vaccines in 2015.

The morning after the first inoculation I woke up at 7:30 am with severe chest pain . It would hurt to inhale and exhale and I was short of breath, possibly due to the not being able to inhale without pain. Breathing was shallow as to not cause pain. I administered hydrocodone 15 mg PO q6h for pain. I told my pulmonologist who stated it sounded like pleuritis. He stated I should go to the hospital if the pain comes back . I admit I did not follow this order as I felt the pain med resolved it and did not want to go to an ER if it wasn?t critical. The chest pain lasted 96 hours and then resolved . The pain was severe enough to wake me from my sleep multiple times. That was the only AE associated with the first shot . The second shot had many more side effects , Severe nausea , emesis , diarrhea , migraine headache , high fever , shaking , and sinus discharge. The chest pain also came back and I did the same regiment of pain meds to treat the severe pain. These side effects lasted 7 days and then resolved .

Patient was gone out for a run on 28th May. While running, he collapsed suddenly. Onlookers called 911 and they tried to revive him but he died on the spot. his autopsy result is still pending. He had no history of any illness and had been a healthy individual. He used to exercise regularly. He had received his second dose of vaccine that month on 13th May and had faced expected symptoms like fever and chills that only lasted for 2 days.

Patient developed dizziness and fell face first approximately 10 minutes after receiving vaccine. EMS called. Blood pressure normal. Heart rate 54. Blood sugar normal. Patient stated loss of consciousness. Patient refused to go to the hospital.

lost consciousness; Lightheadedness; Nausea; She stated that my eyes rolled to the back of my head, my back arched, and I became rigid; She stated that my eyes rolled to the back of my head, my back arched, and I became rigid; She stated that my eyes rolled to the back of my head, my back arched, and I became rigid; Face/arms/legs were pale in color; My lips were blue; My hearing was muffled; Tingling in both of my legs and hands; Mouth was also extremely dry; This is a spontaneous report received from a contactable consumer or other non hcp. A 28-year-old male patient received bnt162b2 (COMINARTY, Solution for injection, Batch/Lot number was not reported), intramuscular, administered in arm left on 19Jun2021 17:15 as dose 1, single for covid-19 immunization. Medical history included cat hair allergy. Concomitant medications included probiotics (MANUFACTURER UNKNOWN), via an unspecified route of administration on an unspecified date at unknown dose and frequency for unknown indication; ascorbic acid (VIT C) (MANUFACTURER UNKNOWN), via an unspecified route of administration on an unspecified date at unknown dose and frequency for unknown indication; ergocalciferol (VIT D) (MANUFACTURER UNKNOWN), via an unspecified route of administration on an unspecified date at unknown dose and frequency for unknown indication. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with covid-19, prior to vaccination and not has been tested for covid-19 since the vaccination. On 19Jun2021 17:15, the patient experienced lost consciousness, lightheadedness and nausea, Patient stated that his eyes rolled to the back of his head, back arched, and it became rigid, face/arms/legs were pale in color, lips were blue, my hearing was muffled, tingling in both of my legs and hands, mouth was also extremely dry. Therapeutic measures were taken as a result of lost consciousness, lightheadedness and nausea, Patient stated that his eyes rolled to the back of his head, back arched, and it became rigid, face/arms/legs were pale in color, lips were blue, my hearing was muffled, tingling in both of my legs and hands, mouth was also extremely dry. The outcome of the events was recovering. Information on the lot/batch has been requested.

about a week after my shot, I started having heart palpitations and fainting spells. It feels like my heart is substantially weaker and its not improving.

I felt a heart palpitations and I held off for a day or two before going to see my PCP. I was able to speak with an advice Nurse ordered an EKG from the suggestion of another doctor. I was placed on a heart monitor for two weeks and my heart beat seemed to be normal. Another test was ran that was not related to the heart symptoms that I experienced and it was not helpful. I will be going to do a blood test to access whether there is something going on in my blood that's related to the palpitations that I am currently experiencing (symptoms went away for two weeks and recently came back).

After receiving the vaccine, I started feeling hyperaware. For example, my wife smokes but not around me and for the first time, I could smell cigarettes in the car. Also, my dog who is rather clean, I could smell which is not usual. I had back pain. My tongue felt tingly and numb, my blood pressure was at around 150, my heart rate was at around 116. This persisted for about 30 mins or so. I was sent to the ER and was there for about 6 hours. Since the vaccine, I could be doing nothing, and I?d have random bouts of extremely high heart rate. For about a month after the vaccine I had trouble doing even the most mundane tasks. I was first put on metoprolol for about 2 weeks. I was put on a Holter monitor so I had to stop taking it. I was then switched to atenolol which has helped since. After the vaccine, I was going to the bathroom once every 4 days which was unusual for me. It was also yellow which was abnormal for me. I also lost about 20 lbs in this time frame which my doctor credited due to the elevated heart rate. I had to take time off from work because walking from my car to my office was exhausting for me. I was on atenolol which definitely helped but my doctor suggests that I take half a pill. Taking half a pill does not help with the heart rate compared to the original dosage. My most recent episode of elevated heart rate was about 3 weeks ago. I am also on omeprazole which I am not certain if it is helpful. I also am experiencing random muscle pains on the left side of my body. My doctor also credits some of these symptoms to anxiety which I have never experienced before. Essentially, for the first 1-2 months, my heart rate was extremely high but after the atenolol, it has returned to normal. In the ambulance the paramedic noted that when I was lying still my heart rate was normal but when I would move or talk my heart rate would jump up. Also, just to note, after receiving my vaccine I interacted with my cousin who I later found out had COVID.

Sharp chest pains when inhaling, shortness of breath, and mild fever. They lasted for about 5 days, but I never went to the doctor because I was unaware of Myocarditis as a side effect prior to taking the shot.

shortness of breath; dizziness; fast heart rate; This is a spontaneous report from a contactable consumer, a patient. A 28-year-old male patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; lot number: ER8727) via an unspecified route of administration in right arm on 24Mar2021 at 15:15(at the age of 28-years-old), as a single dose for COVID-19 immunisation. The patients medical history included asthma and he had no known allergies. The concomitant medications included fluticasone propionate, salmeterol xinafoate (ADVAIR) for unknown indication from unknown date. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EN6205) via an unspecified route of administration in left arm on 03Mar2021 on 15:45(at the age of 28-years-old), as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient was tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 22Mar2021, the patient underwent the nasal swab and PCR test for the COVID-19 virus test and was tested negative. On 24Mar2021 at 17:00, the patient experienced shortness of breath, fast heartbeat and dizziness. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The patient did not receive treatment for the events. The clinical outcome of the events shortness of breath, dizziness and heart racing was recovering at the time of this report. No follow-up attempts are needed. No further information is expected.

Heart inflammation, shortness of breath, numbness of left arm, sharp pains in left arm, tightness in chest.

I experienced heart failure due to Myocarditis and had to be rushed to the hospital. I was administered IV fluids, blood thinner, and medication to help with the inflammation of my heart. I am currently under the care of a Cardiologist and still have symptoms that need to be treated until further notice.

PATIENT GOT HIS VACCINE AND THEN WATCHED HIS GIRLFRIEND GET HER SHOT, PATIENT STATED HE SAW ME WITH THE NEEDLE AND GIVE IT TO HER AND THEN HE GOT SICK FEELING. PATIENT SAT ON FLOOR AND GOT HOT AND TURNED A GREENISH COLOR BEFORE PASSING OUT, PATIENT WAS IN AND OUT FOR ABOUT 2 MINUTES. PATIENT CAME TO AND JOKED ABOUT IT AND SAID THIS HAS HAPPENED BEFORE. PATIENT WANTED TO WALK OFF AND LEAVE, WE HAD HIM SET DOWN AND HIS GIRLFRIEND WENT TO GET WATER AND A SNACK FOR HIM. BEFORE SHE RETURNED HE FAINTED AGAIN AND I HELD HIM UP IN THE CHAIR. HE CAME TO AND STARTED FEELING BETTER. EMS ARRIVED AND CHECKED HIM OUT, PATIENT WAS TAKEN TO AMBULANCE TO BE CHECKED OUT MORE. GIRLFRIEND SAID THEY WOULD RELEASE HIM AFTER WATCHING HIM FOR 30 MINUTES.

Intermittent dizziness, palptiations, and feeling lightheaded since administration. Feel much better but still feels weak. Had similar episode today (4/20/2021) around 3pm with accompanied by 3 episodes of diarrhea. Seen on 4/10/2021.

Patient was given vaccine and less than 5 minutes later patient fell limp into chair, unconscious for less than 10 seconds with his eyes rolled back in his head. While attempting to lay patient on the floor he woke up extremely confused and tried to run away. When he came to, we sat him down and placed him into a seated position with his head down. Temperature was normal however patient appeared very pale and proceeded to vomit. Patient was able to answer his full name, age, and knew where he was. Patient asked us to call emergency services who came promptly. Patient did not leave with emergency services and proceeded to leave the pharmacy, stating that he felt better.

Dx:Pericarditis Combination of sharp and dull pain similar to episode in 04/2018 s/s: Dyspnea with lying down or orthopnea, palpitations, acute chest pain or pressure Alternative diagnosis ofr the patietn's s/s other than myocarditis are MI, PE. Alternatice etiology for cause for the patient's myocarditis: History of pericarditis in 04/2018 similar symptoms to this time. Due to the past history, I feel this is not a pertinent case to include in our overall data, but if so we will need to review the hospitalization records from 05/20/2021. 06/11/2021: Further review of records from ED visit 5/20, follow up and labs, I feel this patient should not be included due to past medical history of pericarditis.

The patient was given the first dose of Pfizer COVID-19 vaccine and was instructed to wait in the waiting area for 15 minutes. After waiting for about 15 minutes, he tried to exit the waiting area, but ended up collapsing. When I went out to examine him, his eyes were open and he was breathing normally, but he was not immediately responsive. I had to ask him if he was OK several times before I was able to get an answer. He appeared to be disoriented, but otherwise appeared fine. My technician helped him to a chair. He was coming in and out of non-responsive/limp state several times before he asked us for a glass of water. I had contacted 911. They came in and examined him. One of the paramedics told me that he appeared to be fine, but they were going to take him to ER. The patient walked to the stretcher outside the pharmacy.

Two days following vaccination, patient had increasing substernal chest pain and was admitted to hospital following day

six minutes after receiving vaccine patient complained of feeling as if his throat was closing up. Pt appeared pale and clammy. Vital signs BP 150/100, Heart rate 142, PO2 99. 2 doses of EPI given, EMS called. Pt was transported to Hospital.

He received his vaccination 1/2/21 at 1100. He experienced a racing heartbeat up to 150 when sitting in the monitor room that did return to normal during 15 minutes and he was asked to wait 30 minutes to continue to be monitored. He was feeling better but, when he went to walk up the stairs he began to feel light headed again. He was taken to the ER at 1218 for lightheadedness and racing heartbeat. Vitals taken in the Emergency Department - Temp 97.7F, Heart Rate - 78, Resp Rate 16, Blood pressure 127/63. EKG - normal sinus rhythm. He felt fine and was discharged at 14:06 .

left sided weakness; it has weakened his heart; stutter; severe stroke like symptoms; Ventricular tachycardia/help keep his heart rate at bay; Loss of balance; extreme numbness and tingling in left hand and foot; tingling in left hand and foot; oral motor impairment; mouth weakness and not coordinated/mouth is fatigued easily; Issues finding words and trouble speaking; Issues finding words and trouble speaking; Ejection fraction down to 25%; The initial case was missing the following minimum criteria: adverse event. Upon receipt of follow-up information on 28Dec2020, this case now contains all required information to be considered valid. This is a spontaneous report from a contactable other healthcare professional (HCP). A 29-years-old male patient received bnt162b2 (lot number: EJ1685), intramuscular (deltoid left) on 21Dec2020 at 05:30 at 0.3 mL single (first dose) for Covid. Medical history was reported as "none". Concomitant medications were not reported. The patient previously received Flu vaccine in Oct2020 for immunization. The patient is an Occupational Therapist, and he called to report an adverse event that he experienced with the first dose of the COVID Vaccine. He received the vaccine last Monday, 21Dec2020 at 5:30AM before his shift at work, then 20 minutes later, he was having severe stroke like symptoms. He experienced severe left sided weakness, loss of balance, extreme numbness and tingling in his left hand and foot, he had issues finding his words and he couldn't speak, and he had an oral motor impairment where his mouth was weak and not coordinated. The staff at the hospital did a neurological exam on him, and he failed, so he had to go to the emergency room (ER). The patient added that he was already in the hospital when this happened, and the ER doctors suspected that he had a CVA, and they gave him TPA to prevent any permanent brain damage and it worked. The patient then added that due to the shock of this whole event, from everything that happened, it has weakened his heart. Reportedly, he is a healthy 29 year old man, with no preexisting conditions, and he works out, and he has no heart conditions, but he had to get a cardiology follow up a few days after he got the vaccine, because he started going in to Ventricular Tachycardia, which he had never had in his life. So, the doctors at the hospital went ahead and did an Echocardiogram and an EKG, and he was told that his Ejection Fraction is down to 25%. He stated his heart is so weak, that he cannot work right now, but the structure of his heart is fine and has not had any damage. The hospital staff thought that maybe the patient had a chronic heart issue that he just did not know about, and that the stress of this event maybe made it kick into overdrive, but he states that the cardiologist said that was not the case, because the structure of his heart is fine, and the only thing they can see is that the heart is pumping weak. One physician even suggested that due to the shock of the event, he might have Takotsubo Cardiomyopathy, which is a broken heart, but because the structure of his heart is okay, it should be reversible. He stated that he is hoping he will heal up good, because he is young and has no pre-existing conditions. He added that his heart is in such a state right now; he has to wear an external defibrillator. The patient stated that all these happened about 20 minutes after he received the vaccine, and he was admitted to the hospital from 21Dec2020 to 25Dec2020. His neurological symptoms have resolved except that he has a stutter that he did not have before and his mouth is fatigued easily, so he has to slow down when he is eating, but now he can eat regular for the most part. The patient confirmed that he was not specifically prescribed the product; it was administered to him at his place of work, but it was optional. He stated he considered how he is working with COVID patients every day, and given the circumstance, he thought that it would be a best practice for him to get the vaccine. He had not gone to his primary care doctor in a while because he had been fine and healthy, but he called them and found out that his primary care had retired, so he has to find a new one now. Regarding the issues finding words and trouble speaking, he stated that he has improved, but it is still ongoing, he is just stuck in a plateau zone. With the Ventricular Tachycardia, he stated that this is an ongoing issue, as he has to wear the life vest even though he has no need to activate it yet. He did have one minor bought of the VTach, but because he is a therapist, he knows how to take care of it with relaxation techniques, he knows how to manage it. He had one bought of VTach the evening prior, but he was able to get it under control. The doctors have him on medication to help keep his heart rate at bay. He has never had to use medication before and is on the following medications to help keep his heart rate at bay: Metoprolol 25mg one tablet once daily by mouth and Lisinopril 5mg one tablet once daily by mouth. The VTach has improved, it was good enough he was able to discharge home, but it is still a concern. His cardiologist said that, basically his hope, is that once his body recover from the whole shock of everything, then his ejection fraction will heal, and his heart will heal. He again stated that the doctor told him that the structure of his heart is perfectly fine; he has thick walls in his heart, no leaking valves, and the heart was not conducting any abnormal signals. The doctor just said that right now, his heart is super weak and that it is an acute problem. With the Takotsubo Cardiomyopathy, he states that two doctors mentioned this diagnosis, but he confirmed that he was not actually diagnosed with this issue, he was just diagnosed with Ventricular Tachycardia. The outcome of the ejection fraction down to 25% was unknown to the patient at this time as he has not had another EKG or echocardiogram, but the cardiologist told him that the cardiologist expects that this will not be resolved quickly anyway. The patient confirmed that he did not receive any other vaccines on the same day he received the COVID vaccine. The only other vaccine he had this year was the flu vaccine which he got back in Oct2020. He has gone on to his online portal and there are the bloodwork results and all the imaging results on there from his CTs and MRIs, but he did not see the EKG or Echocardiogram results yet. He does not have this pulled up at this time, but he does have access to this stuff and can provide it later, if requested. He is curious about the next steps from here to how his case is processed. He is also curious if this information would help Pfizer make modifications to the vaccine if it is found that a lot of people are having the same reaction as he did. He is also wondering, given his situation, that probably he is not going to get the second dose, for his safety, but he is wondering what percentage of effectiveness the first dose does having just covered. The events left sided weakness, loss of balance, extreme numbness and tingling in left hand and foot resolved on 25Dec2020; severe stroke like symptoms and oral motor impairment; mouth weakness and not coordinated/mouth is fatigued easily resolved in 2020. The events ventricular tachycardia/help keep his heart rate at bay and issues finding words and trouble speaking were resolving, stutter had not resolved while the outcome of the events it has weakened his heart, and ejection fraction down to 25% was unknown.; Sender's Comments: The reported information is unclear and does not allowa meaningful assessment of the case. It will be reassessed upon receipt of follow up information. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

Pfizer-BioNTech COVID-19 Vaccine EUA Injection given at 1420. He was watched for 15 minutes following vaccine administration without incident. Returned endorsing dizziness and nausea at 1455. Was tachycardic with HR in 130s with elevated BP with systolic in 150s. Given hydration and vitals monitored for about 45-55 minutes. Vitals downtrended and began to normalize. Stood to leave and became diaphoretic and weak. Placed in wheelchair for transfer down the hall to the ER and became unresponsive on the way. Was given epinephrine 0.3 mg to L thigh. Given IV fluids and acetaminophen. Returned to usual state of health and was discharged home.

Normal after the inj. 8 hours later, arm pain, fatigue. Next day at noon, felt anxious, heart rate 140's, extreme back pain, tachycardia. Lasted 12 hours 140 at rest. Movement 160 rate. Had chest pain. High fever 102-103.

Syncopal event following vaccination including head trauma, followed by fevers, rigors, myalgias and tachycardia and dehydration requiring ER visit with administration of IV fluids

I felt palpitations around 10-12 minutes after the 1st Pfizer dose was given, and asked the Doctor to take my vital signs. I had an elevated blood pressure reading and the doctor told me stay in the monitoring area. My blood pressure was taken two more times and was increasing each time. My Blood Pressure went up to 168/98, and was told to lay down on the gurney. When I tried to get up from my seat I became extremely dizzy and sat back down. They put me on a wheelchair to transfer me onto the gurney. As I was laying down I experienced waves of diaphoresis, dizziness, headaches. My head felt cloudy and just lightheaded. I was being monitored for 1 1/2 hour before I was picked up to go home. I continued to have these symptoms for the rest of the night along with arm soreness on the site that I was injected on. I did not experience the same symptoms the next day, but I did have a lingering headache till Saturday (12/26/2020) afternoon.

I started out with a stuffy nose and then soon it became a full on cold with runny nose, sneezing, coughing, and tightness in chest.

I was having like sore throat but not very severe almost like a tight throat; I was having like sore throat but not very severe almost like a tight throat; Difficulty swallowing; I began to have a stuffy nose; Sleep restless; Upon swallowing I had increased amount of mucus going down; Since getting the second dose, I have been breathing more shallow; I have had tiredness, body aches, just not feeling well; I have had tiredness, body aches, just not feeling well; I have had tiredness, body aches, just not feeling well; I noticed my heart rate, it seems to be irregular; I feel like mine is like speeding up and just an irregular; Weakness, I have been super weak, I have not been able to do much physically/I have just been sleeping, just resting, my body is getting weak from that; This is a spontaneous report from a contactable consumer (patient). A 29-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot # EL3246), via an unspecified route of administration, on 05Jan2021 at 9:40 am at single dose for COVID-19 immunisation. Age at vaccination was 29-years-old. Medical history was none. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 14Dec2020. Concomitant medications included multivitamins. He is a very health conscious individual. He is very healthy. On same day of getting the vaccine, 05Jan2021, on that evening the patient began to have a stuffy nose and then he had a very restless sleep. He woke up the very next day. On 06Jan2021, with difficulty swallowing. He was having like sore throat but not very severe almost like a tight throat. He noticed that he had, upon swallowing he had increased amount of mucus going down and then he noticed yesterday and today as well, it was like not difficulty breathing but very shallow breathing. He is typically a deep abdominal breather. Since getting the second dose, he has been breathing more shallow. He has noticed increased amount of tiredness. He has body aches, he is not sure about body aches because he has just been sleeping, just resting, his body is getting weak from that. He is not sure but he has had tiredness, body aches, just not feeling well. He is still able to eat and he is still able to drink. he noticed his heart rate, it seems to be irregular, not alarming but it was like, he is not sure if you are a coffee drinker but sometimes when you take caffeine your heart rate speeds up. He feels like his is like speeding up and just an irregular. Also, weakness, he has been super weak, he has not been able to do much physically. Outcome was unknown.

Patient received Pfizer COVID vaccine at approximately 0850. Patient instructed to wait 15 minutes after receiving vaccine. Observer reported to administering RN that patient was having symptoms of a reaction. RN immediately spoke with patient regarding statements. Patient stated he had tingling in his neck and then tightness along his mediastinum immediately following tingling. Vitals taken by RN at 0905. BP 164/84, P 108 and O2 98%. Tightness began to subside after approximately 5 minutes. Patient asked to stay an additional 30 minutes for observation. Vitals taken again at 0920. BP 144/82, P85 and O2 sat 99%. Patient stated he was no longer experiencing tightness of tingling at that time. Patient discharged from clinic and advised to contact his PCP before receiving second dose of Pfizer COVID vaccine.

Uncontrollable shivers for about 20 min, with muscle spasms, and the tempature of 92°F lasting for about 30-45min.

* 01/14/21 - Received first Pfizer COVID Vaccine. Felt really strange for first 10 mins after vaccine. * 01/17/21 - Noticed my heart rate was at 120 bpm and I was extremely tired. * 01/24/21 - I noticed that I?ve started getting headaches more frequently. I rarely got headaches before (maybe 3-4 per year) * 1/25/21 - Had one of the worst migraines I?ve ever had. Blurred vision. * 1/26/21 - Went to the E.R. to get my heart checked because my heart rate was high and I was extremely tired. Also had a minor headache. * 1/27/21 - I still do not feel right. My heart flutters. Come and go headache. Very sleepy, though I had good sleep the night before.

~5 minutes after administration, DD reported feeling chest tightness and radial pulse check showed rapid heart rate. No swelling, redness, or shortness of breath reported. o RN in monitoring area took vitals which showed BP 190/115 with HR 130 bpm. RN administered oral diphenhydramine 50mg x1 as thought was adverse/allergic reaction with no effect. Patient began feeling shaky and was transported to ED for further evaluation. o Patient was evaluated in the ED, where they reported sharp pain ~3 seconds in the left chest area. Chest CT and XRay and labs were drawn without any abnormality except hypomagnesaemia. o After monitoring and administration of 0.9% sodium chloride bolus and magnesium sulfate 1 gram x1 due to hypomagnesaemia, heart rate and hypertension resolved. Patient was educated and instructed to follow up outpatient and to return if symptoms worsened.

12hr after second dose: increased pain at injection site, but no swelling or redness; headache; Discomfort is a 6/10; gradual onset of soreness raidiating from lymphnodes in neck; gradual onset of soreness in chest/ soreness in bronchi; gradual onset of soreness in back; gradual onset of soreness in hips; gradual onset of soreness in legs; gradual onset of soreness in glutes; soreness in upper lungs; soreness in upper respiratory system; This is a spontaneous report from a non-contactable consumer. A 29-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number=EL3247), via an unspecified route of administration on the left arm from 18Jan2021 at a SINGLE DOSE for covid-19 immunisation. Medical history included major depression, anxiety; increased airway sensitivity due to being former smoker from an unknown date and unknown if ongoing. Concomitant medication included vilazodone hydrochloride (VIIBRYD), loratadine (LORATADINE), theanine (THEANINE). The patient previously received the first dose on 28Dec2020 (Lot number=EK3730). There were no noticable effects after the first dose but 12hrs after second dose (19Jan2021), the patient experienced increased pain at injection site, but no swelling or redness. There was gradual onset of soreness raidiating from lymphnodes in neck, chest, back, hips/glutes, and legs; headache; soreness in upper lungs/bronchii (they are hypersensitive and usually sometimes get sore in reaction to irritants in the air), as well as upper respiratory system, but no difficulty breathing. Discomfort was at 6/10 on 19Jan2021. The outcome of the events was not recovered.

patient complained of tightness in chest; vitals - bp 132/83, hr82, rr20, o2 sat 98%; patient denies any past medical history; complained of dizziness and feeling like he was gonna pass out. 911 was called; transported patient to hospital er.

Patient fainted and fell to the floor. EMS administered first Aid and ref pt to hospital. Refused to be transported by Ambulance car. Brother tranport pt to Hosp.

pt reported to RN that he "felt like he was going to pass out" pt was very pale, diaphoretic, had brief syncopal episode lasting about 15 seconds. carotid pulse weak and about 40-60bpm pt regained consciousness spontaneously, after about 30 seconds pt reported feeling better. pt ambulated to EMS area for vital signs and evaluation. Time - BP - HR - SPO2 - RR 19:11 - 121/55 - 64 - 97% - 16 19:15 - 125/81 - 75 - 99% - 18 pt feeling much better at this time. pt is refusing transport to the hospital. pt given water to drink, at this time 19:27 has no complaints.

Gum bleeding and thrombocytopenia (platelets 41k) found on lab drawn one week after first dose of vaccine.

29M hx HTN who obtained his first COVID vaccine. Few minutes after receiving the vaccine, he reported to provider that he felt warm and dizzy. He was immediately brought to the enclosed first responder area where he mentioned additional sx of nausea. Vasovagal response, Dizziness, Hypotension, nausea

Patient verbalized he was dizzy and fainted for about 5 seconds while sitting on chair. Physician and NPs on site attended to him. He is assessed, vital signs monitored. EMS was called. Patient stabilized. He was talking and alert and oriented to person, place, and time. EMS arrived and patient was transported to local hospital. Patient's wife was present and was made aware of where her husband would be transported.

syncope; pleurisy; difficulty breathing; Flu-like symptoms; fever; chills; muscle and joint aches; muscle and joint aches; persistent headache; This is a spontaneous report from a contactable health care professional (patient). A 29-year-old male patient received the second dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, lot number: EK4176) in the hospital, via intramuscular route on 10Feb2021 at 10:30 at a single dose on the right arm for COVID-19 immunization. Medical history included Non-Hodgkin's lymphoma from 2010 to 2011 and allergies to penicillin on an unknown date and unknown if ongoing. Prior to vaccination, was the patient not diagnosed with COVID-19. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not receive any other medications within 2 weeks of vaccination. The patient received the first dose of BNT162B2 (lot number: H9899) in the hospital, via intramuscular route at 01:15 PM on the left arm for COVID-19 immunization. Since the vaccination the patient has not been tested for COVID-19. It was reported that on 12Feb2021 at 08:00 PM (also reported as '3 days after injection') the patient experienced flu-like symptoms that included fever, chills, muscle and joint aches, and a persistent headache. On 13Feb2021 (also reported as 'on the 4th day', the patient developed pleurisy and difficulty breathing and had 2 syncope events the morning of 14Feb2021 (also reported as 'on the 5th day'). The patient was taken by ambulance and admitted to ER for further testing. It was determined that all symptoms likely related to the second dose of the COVID-19 vaccine recently received. Pleurisy persists one week following vaccine dose. The patient went to the emergency room/department or urgent care due to the events. As treatment for the event, the patient was monitored and given IV fluids over 12 hour stay in CDU. The outcome of the events was recovered with sequelae (reported as recovered with lasting effects). The events were reported as non-serious.; Sender's Comments: Based on available information, a possible contributory role of the subject product, BNT162B2 vaccine, cannot be excluded for the reported events due to temporal relationship and current known drug safety profile. 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 states he has a history of becoming "faint" when he receives any injections/vaccines. Two minutes after receiving his vaccine, he felt lightheaded. He denied any other complaints. After lying recumbent, symptoms resolved without further issue. Of note, vital signs showed elevated BP. Advised patient to follow up with primary care physician for recheck.

blacked out and loss consciousness twice; hit head and make a gauche on eyebrow needing stiches; hit head and make a gauche on eyebrow needing stiches; whole body was feverishly hot; This is a spontaneous report from a non-contactable consumer (patient). A 29-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EN6201), via an unspecified route of administration on 13Feb2021 10:30 (at 29-years-old) at single dose (Left arm) for COVID-19 immunization. The patient medical history was not reported. There were no concomitant medications. The patient took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EL9262), on 23Jan2021 03:30 PM (at 29-years-old) on Left arm for COVID-19 immunization. Facility type vaccine was reported as Other. There were no other vaccine administered in four weeks. There were no other medications in two weeks. Approximately 12-24 hours after second dose, whole body was feverishly hot, blacked out and loss consciousness twice within 30mins of each other waking up on the floor from standing position, causing to hit head and make a gauche on eyebrow needing stiches. Events started on 14Feb2021 04:00. Events resulted in Emergency room/department or urgent care. Therapeutic measures were taken as a result of hit head and make a gauche on eyebrow needing stiches. The outcome of the events was recovering. No follow-up attempts are possible. No further information expected.

Became pale, diaphoretic and anxious during post vaccination observation period. Vital signs within normal limits, cool compress to neck. forehead & color returned to face. Observed > 30 minutes with no further issue. No additional health care services provided.

vasovagal reaction unresponsive diaphoretic after vaccine Awake upon MD eval. bp 106/65, HR 55 Received juice, observation

Low blood pressure, sweating, low blood sugar, lowered heart rate, tunnel vision. On site EMS monitored blood pressure, heart rate and blood sugar. I ate some crackers/snacks and drank water. Lasted about 5 minutes until I was feeling better after a snack and water (I had eaten a normal lunch/breakfast, etc that day). Afterwards, I was lethargic for the evening and the next day. I also have a history sith similar reactions to giving blood and other similar instances.

syncopal episode with bradycardia and hypotension, treated with IV atropine 1 mg and 1 L NS IVF. transported to an emergency department

Patient fainted 3 times - Called EMS and they checked him out before he left - tried to call patient to follow-up 3/19/21 5:30pm - no voicemail set up

Patient reported fast heartbeat, sweating. Patient was pale, HR 112, O2Sat 96%, BP 108/60, reported feeling dizzy, vision changes, had brief moment of syncope, then aroused, Oxygen applied at 2l via NC, patient continued with sweating, HR now 78, EMS called, patient continued with sweating and feeling weak gradual improvement, EMS arrived, patient evaluated and did not want to go to ER for eval. Vitals rechecked and patient ambulated to private vehicle with no further difficulty.

patient received their first dose of the Pfizer covid immunization. during observation, the patient got extremely red and lost consciousness. upon waking up, the patient began having cold sweats and lost color in this face, the patient then lost consciousness again and began shaking. 911 was called. the patient was moved to the ground with the help of a fellow team member. blood pressure was taken and was 106/62. heart rate was around 60. patient began getting color back but remained on the floor until the paramedics came.

After leaving the vaccination clinic following the 15 minute waiting period, I felt normal and ran a quick errand before returning to work. After completing the errand (roughly 15 minutes), I began driving back to my office (roughly 10 minute drive). As I was roughly 1/2 mile from the office, I started to feel slightly lightheaded/woozy. I continued to drive toward the office, and within a matter of a couple minutes or less, I was overcome with extreme disorientation and faintness. Before I could manage to return to the office or pull over to collect myself, I completely lost consciousness and crashed into another vehicle. Even after the crash, I was unconscious for roughly a minute or so until I finally came to and realized what had happened. It then took me another couple of minutes to collect myself and exit the vehicle to assess the situation and ensure all parties were alright. Police/Emergency services were contacted and a police report was filed. After the event, I remained slightly nauseated for approximately 3 hours and had intermittent chill episodes, but the adverse events have since subsided.

Systemic: Fainting / Unresponsive-Medium, Additional Details: patient fainted after 10 minutes after the vaccination. He HAS ALWAYS fainted after ANY shots. Patient confirmed it himself. The nurse look after him for 5 minutes after the shot but the patient fainted after he walk for 2 minute to the staff member and fainted. We checked his blood pressure 5 times with blood pressure elevation 3 times. We checked his blood pressure until the blood pressure was normalize back to safety level. patient left the pharmacy after being counseled about dangerous sympt

I felt soreness and pressure build up in my arm starting a few hours after the receiving the dose. The soreness and pressure got progressively worse over the course of two days. It wasn't unbearable, just uncomfortable. The second day after the vaccine I had stretched my arm pretty good for minute, when I released the stretch I felt a rush of something for from my arm into my torso. I got really dizzy and passed out, my wife was in the room at the time and said I never closed my eyes; but I had completely blacked out. My wife had woken me up and I wasn't sure what had happened, it took me about 30 seconds to realize I had passed out after stretching that arm. My arm had felt better after waking up from passing out, and soreness had passed a couple days later. I didn't get checked out, after I woke up I started feeling fine. I'm honestly not sure if it's directly related to the vaccine or not, I just thought I should let someone know just in case.

lightheaded, near syncope, sweating, HR = 45, BP 80s/50s, pt laid down, BP improved EKG showed sinus rhythm, symptoms improved with , pt declined juice/rest, ED recommended

Felt like passing out around 12:30p the day after my first dose of the vaccine. Internal temperature of 95 degrees at that time. Fatigue, headaches, minor chest pain, and shortness of breath since that event.

Intermittent Chest Pain, Palpitations, burning sensation in the area of the heart, weakness, hyperventilation due to pain, inability to sleep, and chronic cough while standing or sitting but not while laying prone. Seen at Atrium Health Urgent Care Clinic Shelby NC on 14 Mar 2021. Then at the Emergency Room CaroMont Regional Medical Center Gastonia NC on 17 Mar 2021. Seen by PA-C on 19 Mar 2021 at Novant Health Family Physicians of Gastonia. Then seen again at the Emergency Room CaroMont Regional Medical Center Gastonia NC on 20 Mar 2021. Symptoms have begun to subside as of the date 28 Mar 2021 with the exception of the chronic cough.

The patient had a syncopal event, followed by flushing and vomitting. He received the vaccine at 9:30am and the event occurred at 9:32am and lasted 30 seconds. He then became extremely flushed and dizzy. He was given a cool compress and bottle of water. I observed him for 7 minutes and then he began to vomit. After vomiting, I observed him for 15 more minutes, personally, and then had him wait in our waiting area for 15 additional minutes.

Systemic: Pt was in the observation area, almost fainted, fell out of the chair-Mild, Additional Details: Pt stated he has a needle phobia. He felt faint and fell out of the chair in the obsearvation area and hit his head on the floor. Pt did not pass out and was alert. He did not need an epi pen or benadryl. He was offered water and accepted. He stayed 20 minuted and left, fine. Manager is calling into the incident line as well.

Fainted and feel out of chair in recovery, arose when touched and spoken to, no C/O of any pain, brought to cot, monitored VS, all stable, stayed for an additional 25 minutes, he stated he felt well and would drive self home

left foot toe bruise, petechia in feet and lower legs by the next day. thrombocytopenia diagnosed on CBC collected 3/27/21

10 minutes post first injection patient fell from chair to the floor. Momentary loss of consciousness. BP 188/74 pulse 74. Patient was transported to ED for further evaluation as minor injuries from fall.

Site: Redness at Injection Site-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient had a vasovagal reaction. He states he has had this occur previously. Orthostatic vitals: lying 176/81 HR 81, sitting 129/86 HR 82 standing BP 119/82 HR 83, Pulse OX 99%

28 y/O male immediately post-vaccined reported feeling faint and lightheaded. The patient was assisted to a wheelchair and taken for observation. He reports no known h/o vasovagal symptoms. He did however admitted he had not eaten. He was placed in Trendelenburg position for recovery and later sat up after being offered crackers and a drink. Vitals 151/76 HR, 65 O2 sat 98%. The patient was unable to complete the snack and started to experience chills, fatigue, chest pressure with palpitation and numbness and tingling down his left arm. EMS was called. The patient was observed for additional time, the chills resolved but but the chest pressure and lightheadedness persisted,

Patient fainted approximately three minutes after his vaccination. He regained consciousness immediately and we moved him to the floor with his feet elevated. We asked him a series of questions to assess his health. He was pale and sweaty but his blood pressure and pulse were stable. We monitored him for roughly 20 minutes after the incident while continuously checking his pulse and blood pressure. He denied any further intervention/assistance and insisted that he felt fine. He left on his own accord.

Syncopal episode a few minutes after the vaccine. No injury. Reported history of fainting after vaccines.

Patient was waiting 15 minutes after receiving the vaccine and before the 15 minutes were up, he stood up to ask a question to the staff. While walking to the counter patient fainted hitting neck on a stand as well as head on ground. Staff members came out to approach patient at which time he was conscious. He was able to identify his name/age and speak normally but reported dizziness. Emergency services were contacted and while waiting for them to arrive patient had requested to sit up and was moved slowly to chair. Emergency services evaluated patient and determined he was ok and didn't need to go to hospital and was ok to leave when comfortable.

Patient was given the vaccine and advised to wait 15 minutes in the pharmacy area. About 13 minutes into that time he fainted onto the chair next to him. help patient onto the floor and pharmacy staff assisted afterwards. called EMT and they came out to asses the patient. Patient was given OJ and some food and advised to remain in the pharmacy area an additional 15 minutes and to have another person drive him home.

The patient developed lightheadedness, tightness in his chest, and tingling of his hands about two minutes after receiving the vaccination. He said that he felt anxious that something was happening. He was hyperventilating. During the event, his heart rate was normal (in the 70s-80s), his blood pressure was normal (SBP in the 130s to 140s), and his oxygen saturation was 100%. He was able to communicate without difficulty, he did not have any weakness, chest pain, diplopia, dysarthria, dysphagia, trouble with walking/balance, bowel/bladder dysfunction, or pain elsewhere in his body. He had a bottle of water. His symptoms lasted about 30 minutes, and then resolved completely.

Immediately after injection, patient got pale and slid down in his chair. Health staff eased him to the ground and he came to in about 30 seconds. He was brought into clinic in a gurney and initially exhibited orthostatic hypotension. After he was given electrolytes and water, he felt much better. He was observed for about an hour and bp was stable so he was released.

Pt became light headed, diaphoretic and confused and had a near syncopal episode approximately 5 minutes after vaccine administration. Pt states history of passing out post injections/blood work. Pt vitals evaluated and Pt refused transport to ED.

Pt became lighted, diaphoretic and confused. Pt had a near syncopal episode. Pt stated has a history of syncope post injection or blood draw. Pt's vitals evaluated and Pt refused transport to ED.

Felt like passing out at 12:30p the next afternoon; temperature of 95 degrees; Headaches; fatigue; dizziness; minor chest pain; shortness of breath; This is a spontaneous report from a contactable consumer, the patient. A 29-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot number: ER8727), via an unspecified route of administration in left arm on 24Mar2021 16:30 PM (at the age of 29-years-old) as a single dose for COVID-19 immunization. Medical history was not reported. Concomitant medications were not reported. Prior to vaccination, patient diagnosed with COVID-19. On 25Mar2021 at 12:30 PM, the patient experienced felt like passing out, temperature of 95 degrees, headaches, fatigue, dizziness, minor chest pain and shortness of breath. Felt like passing out at 12:30 PM the next afternoon, temperature of 95 degrees at that time and experienced headaches, fatigue, dizziness, minor chest pain and shortness of breath since that day. The patient did not receive any treatment for the events. The clinical outcomes of the felt like passing out, temperature of 95 degrees, headaches, fatigue, dizziness, minor chest pain and shortness of breath were resolved with sequel. No follow-up attempts are possible. No further information is expected.

Client had a vasovagal response, became diaphoretic, cool and clammy. Lips were pale. Client never lost consciousness. Client recovered within 15 minutes. Administered ammonia inhalant. Pt. was bradycardic which resolved within 10 minutes. Client movd to holding/observation.

Patient received their vaccine at 4:25pm, and fainted at 4:30pm, and at 4:35pm the patient was back to baseline. He drank a bottle of water and felt normal. He initially was sweaty, had a dry mouth immediately fainted. He stated he only had a pretzel before the vaccine, and had an issue with needles in the past.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted in store after receiving first dose of Pfizer Covid vaccine. Patient regained consciousness within a minute and reported no other injuries. Patient was guided by pharmacist on duty to lie down with feet propped up. Patient remained in room for approximately 30 minutes after which patient confirmed that he was feeling fine. Patient will call pharmacy if any new symptoms develop

After 10 minutes of receiving vaccine, patient reported that his left side of face felt a little numb. He also complained of feeling dizzy. Patient was brought to exam room. BP was elevated 160s/90s. Stroke ruled out, no drooping noted in face. Patient able to move upper extremities fully and symmetrically. Patient was observed for 15 minutes. BP rechecked. BP decreased to 131/80. Patient observed for 15 more minutes. Patient reports cessation of numbness and dizziness. Patient was able to walk out of clinic alert and without assistance. Patient encouraged to make appointment with PCP to check for undiagnosed HTN. Patient denied having a PCP. Encouraged to find PCP or sign up at clinic.

after receiving vaccine pt states he became very nauseous after 5 minutes, pt given snack and drink with no improvement brought back to OBS area, vs as noted,. pt cont to feel nauesous not vomiting at present time., pt states having anxiety with everyone standing around him. pt states had three cups of coffee this AM with nothing to eat for a few hours. pt feeling better after less people around and sitting on stretcher. refusing more snacks initially but then after first attemp at standing and feeling "woozy" per pt pt agreed to try some crackers, pt tolerated well and refused further nausea. second attempt at standing pt denies feeling lightheaded or woozy and feeling better and would like to go home. pt aware BP is elevated and states he is super anxious about everything going on at present time and the environment in general. pt enc to get checked out at primary care physician for increased BP as noted pt agreed pt amublated to exit without diffiuclty at 1511. vs: 1435 159/97 hr 67 rr 18 o2 97, 1440 bp 147/108 hr 61 rr 18 o2 100, 1445 bp 120/91 hr 72 rr 18 o2 99, 1450 bp 147/85 hr 61 rr 20 o2 99 1455 bp 128/94 hr 65 rr 18 o2 98, 1500 standing at bedside bp142/101 hr 66 rr 20 o2 99 1510 standing at bedside 2nd attempt bp 153/100 hr 71 rr 20 o2 99

Systemic: Dizziness / Lightheadness-Mild, Systemic: patient had loss of consciousness for approximately 5 seconds-Mild, Additional Details: patient has bruising to right temple and both knees from chair fall.

As patient was sitting for 15 minute waiting period after receiving Pfizer COVID-19 vaccine, patient lost consciousness. He fell from a sitting position and bumped his lip on a shelf. Patient quickly regained consciousness after less than 1 minute. Helped him sit back into a chair. Patient reiterated he was "okay" but began to lose consciousness again, then woke up after less than 30 seconds. Checked blood pressure with his consent which was 116/64, pulse 64. Medics arrived shortly for additional testing.

Patient collapsed a few minutes after vaccine. He hit his head and had a clonic jerk as he collapsed. Pharmacy staff put his legs up and gave him water, he continued to be a little disoriented and when he tried to get up , started to look like he would pass out again so we kept him down. Staff called 911, BP was low when taken at 9:50am. He started to regain color but again looked pale when he attempted to raise himself. EMS took over when they arrived and they decided he needed to be transported to ER.

This patient had received vaccination and was scheduling next appt in observation area. Medical alert called overhead. RN responded to alert. Pt conscious, but per RN, in observation area, she stated he had a loss of consciousness and although she tried to break his fall, he did hit his head on the wall. Pt was sitting in chair, vitals attempted to be assessed, no reading, but patient alert. Before vitals were repeated,16:18 pt eyes drifted left and closing, another loss of consciousness, followed by convulsions and gasping sounds from the throat. Pt convulsed and left leg /foot turned inward torsion. Pt was removed from chair by 3 RN's to floor safely. approximately 15-30seconds of convulsion. pt regained consciousness AOX4. Pt remained laying, head propped on cushion. vitals taken 16:24 BP 108/69 86bpm, 100%O2Sat. MD assessed and pt stable. MD provided recommendation for pt to be evaluated at ED for further evaluation due to the convulsions. Pt accompanied by friend, friend agreed to drive pt to ED. Blood Glucose 90, which was taken at 1630. Wheelchair was provided for patient, RN rolled pt out to car and friend designated driver.

<10 minutes after vaccination, patient had syncope episode, fall broken by another person, slight bump to head. Patient became conscious, was seated on a chair, and then had second syncope episode followed with convulsions. Stabilized patient. Vitals monitored, assessed by MD and released with referral to PCP.

Dizziness. Patient presents with light HA, Hypotensive, no signs of resp distress, N, or V. Offered water and vitals taken. BP 102/47, HR 50, RR 18 -- > 109/66, 59. Pt stable and released from vaccination site.

Patient received shot and told us about 2 minutes later that he did not feel good. His eyes rolled back into his head and he lost consciousness. He started convulsing and seizing for about 20 seconds.

Syncope BP 105/69 HR 97 RR 16 O2 100%. Provided hydration and rest. Patient stable and released from vaccination site.

Very anxious prior to injection, became lightheaded directly after injection. Then became nauseated and began vomiting. Diaphoretic and pale in color, assisted to monitoring room with cot for client to lay down. Became chilled ,warm blankets placed on client and continued to monitor. PSO2 99 % b/p120/78 pulse 80 Client improved ready to be released. Informed to see medical attention for any further problems.

Pfizer-BioNTech COVID- 19 Vaccine: Vaccine recipient experienced near syncopal episode during the observation period. Vaccine recipient was monitored EMS for 30 minutes. They felt better and exited the site on their own.

Patient passed out after receiving COVID-19 vaccine while waiting in the waiting area. His BP was taken and read at 127/80 and 124/92. He fell from his chair and then as he laid on the floor for a while he felt better. He got a ride home.

lightheadedness when walking, diaphoretic and had syncopal episode a couple minutes after injection. assisted fall but hit head with no signs of confusion, or contusion. first BP 69/48 PERRAL, A&Ox4, clear speech. laid patient on ground, elevating lower limbs, given PO fluids. BP was observed every 5 minutes last BP:112/74 kept patient for additional 45 minutes until he felt safe to drive.

pt got first covid shot on 3/20/21 then 2nd shot on 4/10/21. Pt didn't have any side effects after the first shot. For both shots pt got it in the left arm. About 9 days after the 2nd shot of the vaccine pt intially had sore throat, cough and head ache but resolved, pt also had a rash on arm that resolved too. Pt did have one bout of mild diarrhea before admission to hospital on 4/19/20. Pt admitted to hospital on 4/19/20 for tachycardia and on and off fevers since getting the 2nd shot of the vaccine. PCT 0.3 and 0.2 on 4/20, 4/21 respectively. wbc= 23.69 and 16.6 on 4/19 ,4/21 respectively. Working diagnosis at discharge per ID note is prolong side effect to covid vaccine. Pt discharge from hospital on 4/21

Patient experienced lightheadedness and syncope starting about 5 minutes after vaccine. After lying down for 20 minutes and drinking some soda patient stated feeling back to normal.

Patient felt like passing out, so patient was asked to sit on chair. After a while patient passed out for at least for 30 seconds. Pharmacy called 911. When patient was awake he started vomiting. The EMTs arrived and took patient's vital signs and transported patient to hospital. Patient seemed much better at the time of transport.

Four hours after receiving my 2nd vaccine, I fainted while standing in my kitchen. Bystanders said I was out cold for about 1 minute, and was flailing my arms and legs, but did not appear to be a full on seizure.

pt received vaccine, told to wait 15 minutes. went to the restroom here in the store, had fainted in the bathroom. He came back to the pharmacy reported the event to the pharmacy, Upon evaluating him he had a small cut on the back of the head. One of our techs noticed a person from fire rescue in the store shopping she called him over he initially evaluated the patient and called for his emts to come and assess the pt. I know the took the pt out of the store on a gurney. they just wanted to assess him in a more private area (in the ambulance), we were in the middle of a clinicwith lots of people around. Unkown what transpired past that.

Patient came into room hesitant of needles/shot. Stated that he had an aversion to needles and he felt the same way with the first dose of vaccination. After vaccination, patient waited in waiting room as requested, but then at approximately 6:20 pm became very lightheaded, pale, and diaphoretic. Patient never lost consciousness. Was accompanied by wife who talked him through deep breathing. A fan was placed near patient to assist with cooling down and a bottle of water was also given to patient. Over approximately 20-25 minutes, patient regained color, sweating ceased, and felt overall better. Patient was escorted out by wife with no further incident.

Patient received his second dose of Pfizer. During observation the patient did have a near syncopal episode as he was attempting to exit his car, began to walk towards the patient and saw him lean against the car and helped the patient to the ground, EMS was called. Vitals were taken as follows: 13:08- 110/70 HR 98 RR 16 O2 96 13:13- 118/80 HR 74 RR 18 O2 94 EMS arrived at 13:18 and vitals were taken and are as follows: 128/66 HR 80 RR 18 O2 98 BGL 92 124/90 HR 76 RR 18 O2 93 Patient was provided with juice and crackers, and was observed for an extensive period of time with EMS. Patient declined transport to the hospital via EMS as he was alert and oriented x 3. Patient was advised to contact his PCP but he declined having one. RN instructed the patient to contact 911 if there is shortness of breath, difficulty breathing, and any other sign of distress.

Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient complained of feeling light headed and then passed out. He was laid on the floor until he regained consciousness. We called EMS and kept an eye on the patient. EMS arrived and checked him out and he was responsive and was sent home.

Systemic: Chills-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Shakiness-Severe, Additional Details: none

Patient fainted from anxiety to administrated vaccine. patient was instructed to lie down and was monitored. Patient vitals were as follows: 3:09 HR: 86 BP:135/84 O2: 95% lying down. 3:20 HR: 81 BP: 132/80 O2:97% sitting up. 3:31 HR: 71 BP: 126/78 O2: 99 standing up.

My heart went into AFIB from 7:30-9:30. I had to go to the ER and now am on blood pressure medicine. I am 29. This has never happened before.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypotension-Medium, Additional Details: patient experience hypotensive, lighheaded, and sweaty after receiving his first dose. RN, monitor vitals of patient blood pressure (131/73) and pulse 66 observed. His blood pressure was monitore again and it was 96/52 and pulse 58. He was asked to lie down. He drank some water and offer to drink gatorade. He drank gatorade and feel better. He got up after 5 mins and he was asked to seat. He waited 15mins and his blood pressure was 11368 and pulse 64.

pt received covid shot. waited around the 15 minutes after and girlfriend reported that he fainted in the aisle. He had a gash on his scalp and said he fainted. We put in in a chair with legs raised. took bp and hr. all were normal. pt reported he was still feeling faint and flushed so we called the emt. amubulance and fire truck came. pt reported feeling better and refused medical care.

pt admitted as inpatient with congestive heart failure, myocarditis and non sustained ventricular tachycardia

1455 1ST DOSE PFIZER VACCINE ADMINISTERED 1457 PT WITH LOSS OF CONSCIOUSNESS, WITH ARMS AND LEGS JERKING MOVEMENTS. AMMONIA INHALANT USED, PT AROUSED AFTER STERNAL RUB AND INHALANT. ORIENTED TO SITUATION PROVIDED. PT STATES "I'M SO EMBARRASSED, I FELT THAT COMING ON" 911 CONTACTED AND PT ASSISTED TO STRETCHER. 1458 BP 137/81 HR 72. PT DENIES ANY OTHER COMPLAINTS. DOES CONFIRM HE WAS ANXIOUS ABOUT INJECTION AND WAS SCARED HE WOULD FAINT. 1500 EMS HERE, BP128/80 HR 92. PT REFUSED TRANSPORT WITH EMS AFTER DISCUSSION WITH EMTS. 1530 PT STATES FEEL OK TO LEAVE WITH GIRLFRIEND DRIVING. BP 165/64 HR 65. DENIES ANY COMPLAINTS. INSTRUCTED TO CALL 911 OR SEEK MEDICAL ATTENTION IF NEEDED. VOICED UNDERSTANDING.

Client arrives to observation area and states to his partner that he is not feeling well. Client immediately passes out and gain consciousness within a few seconds. Client states he does not recall what happened. Client hit his head when he lost consciousness. No signs of bleeding or cuts in head area. Client declines any pain. Client is AOX4 VS: BP 108/60 HR: 67 02: 98% .911 alerted at 2:40pm arrived at site at 2:45 pm. Client was moved from supine position to a chair client then c/o of lightheadedness . Client was then placed back to supine postion and reassesed by ems. BP: 124/62 HR :70 02: 98% after a few min cient was then placed in a chair and was adviise to be transfered to hospital. Bp read as 88/35

Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Mild, Additional Details: PATIENT RECIEVED VACCINE AND WAS WAITING IN DESIGNATED AREA AND TRIED TO MOVE AND FAINTED - RPH WAS NOTIFIED AND PT BP WAS CHECKED WNL AND PT WAS GIVEN WATER AND SPOKEN TOO AND STARTED TO FEEL BETTER AFTER 5 MINS

Dizzy, faint, blurred vision, headache started 5 minutes after shot. I was wheelchaired to fresh air and moved to a cot for 30 minutes of monitoring. I slowly recovered over the 30 minutes. The following day I had a 99.6 fever, headache, chills and weakness. The vaccination site is sore.

unprovoked right leg DVT; bilateral PEs; Factor V Leiden positive (hetereozygous); right leg swelling and pain progressively worsening; right leg swelling; This is a spontaneous report from a contactable consumer (patient). A 29 year old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 19Jan2021 10:00 (Lot Number: EL1283) as SINGLE DOSE for COVID-19 immunisation. The patient previously had first dose of BNT162B2 on 29Dec2020 at the age of 29 years old for COVID-19 immunisation. Medical history included pleural effusion w/ thoracentesis x2 (5 years ago), known allergies: penicillin and sulfa drugs from an unknown date and unknown if ongoing. Concomitant medication included armodafinil taken for an unspecified indication, start and stop date were not reported. The facility where the most recent COVID-19 vaccine was administered was in the workplace. 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 (nasal swab): negative on 28Jan2021. On 28Jan2021, the patient presented to the ED with right leg swelling and pain progressively worsening over the past week. Subsequently diagnosed with unprovoked right leg DVT and bilateral PEs, admitted overnight and given anticoagulation therapy. Labs ordered and reviewed with hematology consult 1 week later and found to be Factor V Leiden positive (hetereozygous). Treatment plan therapeutic dose of Eliquis twice a day for 1 year, prophylactic dose indefinitely after that. The events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care and hospitalization. The events were reported as life threatening illness as patient was in immediate risk of death from the events. The patient was hospitalized for 1 day. The events was recovering. The events was treated with anticoagulation therapy, pain medicine and stockings.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: convulsion-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Weakness-Severe, Additional Details: patient recieved first dose, went to go sit in observation area, few minutes later fell forward off his chair and starting having a seizure. called 911. patient was able to get up and sit in chair with feet elevated. paramedics came, patient refused hospital visit. Patient was oriented and went home after the paramedics.

Syncope Vital Signs: BP 110/80 HR 82 O2Sat 95% Skin Signs: Clammy, diaphoretic, Other - Pale Circulation: Cap refill <2sec Initial Treatment: Raised legs, patient had moved from original position 911 called - denied 7:25 PM: Vital Signs: BP 110/77 HR 76 Resp 16 O2Sat 97% Skin Signs: Warm and dry Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally Follow up Treatment: Laying down on cot, Juice box 7:41 PM BP 110/75 Notes: Provider called to patient side due to patient becoming unresponsive in chair. Patient assisted to floor and noted to be unresponsive. Pale, diaphoretic, and pupils dilated. Patient did not initially have a palpable pulse, however, initiate CPR patient became responsive. AOx3. EMS arrived and evaluated. Home with wife.

Pt states he experienced syncope while in 30 minute waiting area. CNA found him on floor. Moved to w/c to observation area to cot. BP 120/68 P80. Rested for 15 minutes til there was no diaphoresis. Pupils reactive & talking. Left w/o assistance. Advised to have 2nd pfizer shot on cot.

Within two or three minutes minutes of receiving the injection, patient experienced lightheadedness and felt like fainting. Shaking or pulsating sensation felt in the arms and hands, along with sweating and elevated heart rate, lasting for about 10 minutes. Lightheadedness went away after about 30 minutes.

Patient got the 1st dose of Pfizer vaccine at 1:58 pm on 5/6/21. Patient felt slightly dizzy about 3 minutes after getting the vaccine. Then he passed out and fell on the floor with seizure for about 5 seconds. He regain conscious and said he didn't remember anything. He also said his stomach felt upset. Later he felt chest tightness and blurry vision. We called 911 at 2:02 pm. They came in at 2:07 pm. They checked the patient's blood pressure. Patient had low blood pressure. He was sweating and felt hot. He didn't eat or drink anything before getting the vaccine. They transferred him to the emergency room for further check-up.

Patient finished 15 minutes of observation time and was in his car about to leave when patient became very warm and nauseous. Patient walked back into clinic and began to throw up and develop a headache. Patient sat down and blood pressure was taken which was noted to be slightly high (160/72). Patient initially did not want to go to the hospital. However, another 10 minutes went by and patient began to throw up again. Patient agreed to call an ambulance and be checked out by the hospital. 911 was called. Patient did not have a reaction to his first dose of Pfizer COVID vaccine.

fainted; aches; headache; fever; nauseous; excessively sweating; heartrate was elevated to about 90 bpm vs resting heartrate of 60 and remained elevated for the next 12 hours; This is a spontaneous report from a contactable consumer reporting for himself. A 29-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number ER8735/expiration date: not provided), via an unspecified route of administration, on 20Apr2021 at 08:30 (at the age of 29 years old) as a single dose in the left arm for COVID-19 IMMUNIZATION. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number /expiration date: not provided), via an unspecified route of administration, on 04Jan2021 at 12:00 (at the age of 29 years old) as a single dose in the left arm for COVID-19 IMMUNIZATION. Relevant medical history included was not provided. The patient did not have any known allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medication included melatonin, fish oil, calcium. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 21Apr2021 at 02:00, the patient fainted, experienced aches, headache, fever, nauseous, excessively sweating, and heartrate was elevated to about 90 bpm vs resting heartrate of 60 and remained elevated for the next 12 hours. The patient went to the emergency room due to the events and received treatment for these events which included fluids. The clinical course was as follows: after experiencing expected side effects (aches, headache, fever), the patient got up to use the restroom in the middle of the night. About 1-2 minutes after getting up, he fainted. The patient awoke shortly after on the floor and felt nauseous and was excessively sweating. His heartrate was elevated to about 90 bpm vs resting heartrate of 60 and remained elevated for the next 12 hours. The outcome of the events was recovering. Since the vaccination, the patient had been tested for COVID-19 (saliva test) on 20Apr2021, and the result was negative.

pt with known anxiety to vaccines. fainted. EMT notified, oxygen placed. pt diaphoretic. recovered after 30 minutes of monitoring. refused ED and discharged home at 1310

Experienced racing heart rate (120 bpm resting), mild chest pressure, moderate fever (102 F), chills, nausea, headache, injection site soreness, and left arm lymph node soreness. Rested, and most symptoms subsided over night. Heart rate still slightly elevated (100 bpm resting) with occasional chest pressure.

I began experiencing chest tightness/pain (initially concentrated on left side) some hours after receiving the vaccine. Two days later, I visited the hospital and all heart/blood tests appeared OK. It is now a week out and chest discomfort continues?it has manifested itself in other parts of my chest as well and is more present at certain times than others (e.g. when taking a deep breath). Minor shortness of breath. My primary care provider advises it may be costochondritis. Note: I had COVID-19 in late March.

Patient felt lightheaded and turned pale immediately after dose. He recovered within 10 minutes and was discharged after additional 20 min obs.

Patient immediately felt pale and lightheaded after dose 2. Recovered quickly over 10 minutes. Discharged home after 20 min additional obs.

Syncope - pt. received vaccine, went to sit in waiting area then approximately 2 minutes later the pt passed (fell out of his chair). Pt. was rolled over on his side to prevent aspiration incase of a seizure. EMS was called immediately who responded within 45 sec to 1 minute as they were already in the store. EMTs then took over care. Pt. declined a hospital visit and was released after responders left the scene.

After receiving the Covid19 shot, patient was sitting down, approximately 7-10 later patient passed out for approximately 30-60 seconds. Patient was laid on the ground where he regained consciousness. 911 was called, while waiting for paramedics, BP was checked and was normal, paramedics checked patients blood sugar which was normal . paramedics took patient to Hospital ER at patients request

Support staff checking in patients outside the building witnessed a patient passing out at the top of the walkway. One person ran inside to get the clinic coordinator. She immediately asked staff to call EMS and she ran out to assess the situation. The patient was lying on his side motionless. She attempted to rouse the patient and assess if CPR was needed. The patient opened his eyes and looked dazed and confused. He rolled on his back. He began to verbally respond and apologized for passing out. He stated that this happens to him frequently when he gets an immunization or blood drawn. He had abrasions and a small contusion on the left side of his face in the temple region with a small amount of blood and dirt from hitting the sidewalk. She was joined by NP and NP along with 2 medical assistants. While waiting to EMS to arrive, campus police came on the scene to help direct EMS whenever they arrived. Vitals were taken BP 140/70 HR 62 2:30 PM . An ice pack was applied to his head. Additional information on the patient?s identity was acquired. Patient was alert and oriented. Patient had his cellphone and attempted to call his wife with no answer. He also sent her a text. EMS arrived on the scene. Patient?s wife called and she apprised her of the situation as EMS assessed the patient. After their examination, EMS declined to transport the patient due to the patient's narrative of this situation occurring frequently. They advised him to follow-up with his MD and left the scene. Clinic staff and campus police stayed on the scene until the patient?s wife arrived. She was advised to take him immediately to the ED to be assessed for a head injury. Wife drove patient to hospital. She called the patient later that evening. Patient stated he was thoroughly examined for a potential head injury and was cleared. He was given information on interventions he can try to use to avoid a severe vasovagal incident in the future. Patient was cleared to get his second dose of COVID-19 vaccine.

PATIENT HAD EPISODES OF ANGINAL CHEST PAIN BEGINNING AFTER 2ND COVID VACCINE, EVENTUALLY PRESENTED TO ER + DAYS AFTER VACCINATION. ECG WITH SR. < 1 MIN ST ELEVATION INFERIORLY. ECHO W/ MILD INFEROBASIC HYPOKINESIS BUT NORMAL LVEF SSY.. LHC SHOWED NORMAL CORONARY ARTERIES. TROPONIN 5.19 -> 13.5 -> 4.07 (ALL ABNORMAL) DX WITH MYOCARDITIS/PERICARDITIS. RECOVERED WELL WITHOUT COMPLICATIONS. TX INCLUDED NSAIDS, COLCHICINE.

pt felt fine immediately after getting Pfizer Covid vaccine, but passed out in the aisle within 5 to 10 minutes after receiving vaccine. Didn't administer epipen, but called 911 and had paramedics on the scene quickly. Paramedics started IV, monitored BP, and checked BS. Pt stated hands felt tingly and almost lost consciousness more than once. Ambulance arrived on scene and took pt to hospital.

Patient experienced a syncopal episode immediately following vaccination. Pt also become hypotensive, lightheaded, and pale.

Pt received Covid 19 Pfizer vaccine and about 5 minutes after sitting pt stated was feeling very dizzy and was going to faint. Pt was sweating and starting to black out, could answer my questions but did not see his wife who was standing infront of him and talking to him. Pt was given a sip of water. Paramedics were called and arrived within 5 minutes. At that time of their arrival pt started to feel better, his blood pressure was 110/70 mmHg. He was able to walk out with paramedics.

1. Sore arm for 2 days 2. Mild fever for 1 day (99.1 F) 3. Mild chest discomfort / shortness of breath for 3 days 4. Mild headache for 2 days 5. Fatigue for 2 days 6. Mild stomach ache for 1 day

5 minutes after patient received vaccine patient reported he felt like he may have a seizure. He then had full body convulsions for about 5 seconds and then fainted. He was assisted to the floor by a staff member. He remained unconscious for approximately 15 seconds per the nurse monitoring the clinic. Patient received a dose of epi and albuterol inhaler. He felt nauseated after, but quickly improved. EMS was called to transport, patient declined and was taken to ER by private care, significant other to drive.

5/15/21 @1200: Gammaplex IV infusion started 1320: pt rang call bell for assistance, RN entered room to see pt shaking uncontrollably, pt reports that he is not feeling well, infusion stopped, and PIV flushed, VS obtained BP: 95/66 HR: 104 Temp: 100 RR: 24, Anaphylaxis kit retrieved, DON on phone assisting with walking through Anaphylaxis reaction needs/protocol 1325: 25mg (0.5mL) of Diphenhydramine given via SIVP, PIV flushed with 3mL NS post Diphenhydramine SIVP, manual BP taken at this time BP reading of 120/78 but really hard to obtain an accurate BP d/t pt shaking, Temp: 100 RR: 23, pt continues to shake, hands are cold to touch, finger tips are white with no cap refill noted, purple areas noted around pts knuckles at this time, pt reports that his feet feel tingly at this time and possibly his fingers, states that his back has a warm sensation and that he has a light feeling, pt reports feelings of being nauseated, garbage can provided for patient 1340: no improvement noted from 1st Diphenhydramine dose given, 2nd dose of 25mg (0.5mL) Diphenhydramine given via SIVP at this time, 3mL NS flushed post med, Acetaminophen 325mg x2 tabs that was dispensed for pre-med that pt declined to take was administered PO at this time, BP: 110/64 HR: 104 Temp: 101 RR: 23, continued body shakes noted, hands continued to be cold to touch with fingertips being white noted, no cap refill noted, purple areas still noted around knuckles of hands, pt still reports a warm sensation to his back, pt communicating with eyes closed most of the time, face coloring is pale 1345: pt reports that he feels like he is going to vomit at this time, pt vomited x 3 times into garbage can, 500mL Normal Saline bag per Anaphylaxis order begin at this time, rice pack heated and provided to pt for hand warming, hands continue to be cold to touch, pt continues to keep eyes closed, face continues to be pale 1347: pt reports feeling a little better at this time, lungs clear in all lobes bilaterally to auscultation, tachycardia noted via palpitation and auscultation, pt states at this time that his back does not feel as bad, color is starting to return to pt face at this time, hands continue to be cold to touch with white fingertips noted 1350: BP: 114/72 HR: 100 Temp: 101.9 RR: 20, pt breathing has decreased, pt reports that he feels like he is feeling better, pt discussed with me again that his provider stated that there was not enough information on time frame in between getting the COVID vaccine and his infusion, he also went on to report that he also spoke with another provider about getting the COVID vaccine and his infusion and that provider gave him the CDC website for him to read about the recommendations as well, he stated that both his provider and the CDC website stated that there was no recommended interval between the COVID vaccine and IVIG 1358: BP: 118/68 HR: 90 Temp: 101.7 RR: 18, color returned to face at this time, cheeks flushed, hands continue to be cold to touch but color have started to return to fingertips at this time, cap refill noted at 4 seconds, pt reports that he thinks he is feeling better at this time, states he feels that his speech is a little slower than normal, no slur noted, pt eyes are open and pt is alert, improvement in VS noted 1410: BP: 106/64 HR: 96 Temp: 101.7 RR: 18, pt reports feeling much better at this time, pt is holding conversation well and without difficulty, pt denies feelings of nausea, more color return noted to pt fingertips, cap refill noted of 3 seconds, pt reporting feelings of being drowsy at this time, reports that his back feels normal 1420: 500mL NS bag completed, pt reports at this time that he does not wish to restart his IVIG and asks if he can stay in the AIS for a little while because the Benadryl is making him super tired, pt reports that he does not have anyone that could come and drive him home, pt assured that he can stay in the AIS with RN as long as he needs 1445: BP: 104/56 HR: 106 Temp: 101.8 RR: 20, pt resting calmly, eyes were closed upon entering the rm, pt states he feels much better still, denies any new or concern symptoms at this time, states that he is just really tired, fingertip coloring has returned, cap refill less than 3 seconds noted, lungs clear to all lobes bilaterally 1500: pt resting calmly, pt opens eyes upon entrance into pt rm, pt continues to report feeling better just tired, pt denies any needs at this time 1515: no changes noted with pt, continues to rest calmly in recliner in room with eyes closed, opening eyes when rm is entered 1540: pt up to restroom 1545: BP: 104/63 HR: 102 Temp: 101.3 RR: 18, pt reports that he is feeling much better, he reports not feeling as drowsy now and that he feels okay for him to drive home, he denies any new symptoms, pt was encouraged to take Tylenol 2 tabs Q4-6 hours for temperature and body aches for the next 24 hours, pt was educated on contacting provider for further IVIG needs and rescheduling, pt educated on going to the ER if symptoms return, pt also educated on monitoring temperature at home 1550: PIV removed with tip intact noted, pt stabilized, all color has returned to hands, pt holding conversations without difficulty 1555: pt escorted out of AIS

Pt reported numbness, tingling in hands, anxiousness, and syncopal episode in personal vehicle in post-vaccination waiting area. Pt then walked to EMS staff in waiting area . Second syncopal episode witnessed by EMT.

Patient fainted within 15 minutes of vaccination and fell and hit his head on the floor. He felt better after resting and was released to home.

Pt had episode of syncope, flushing/sweating & Dizziness. BP 109/62; HR 74; RR 16. Hx of fainting from blood draws. MD saw pt & pt stable ok to leave vaccination site

I received the 1st shot of the pfizer covid vaccine on March 11, 2021. Within 2 days I began to feel extremely fatigued. The days following I experienced night sweats, nausea, extreme fatigue, fever. I went to urgent care with a 102 fever, jaundice, and anemia. Urgent care sent me to the ER. At the ER they admitted me to the hospital. I was in the hospital for 3 days with hemolytic anemia. After a lot of testing and ruling out any infections, they discovered I have a rare blood disorder: hereditary elliptocytosis. The pfizer vaccine created an immune response and since I have this blood disorder I was predisposed to this event occurring from the vaccine (hemolytic anemia/juandice) without knowing it. It was a result of the vaccine. I was told to not get the second shot because there is no guidance, but that I am a high risk individual now. I need medical advice from people who are familiar and know.

Similar to covid infection; Similar to covid infection; Shock sensation on different locations of the body; Could not eat or drink; Feeling weird; Heart beat went up; Tensed; Pink warm face; Flushing of the skin for about 20 mins; Pink warm face/feeling warm; Drank water and then it went away somewhat like after drinking alcohol; Butterflies sensations in the throat; This is a spontaneous report from a contactable consumer. A 29-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: unknown) via an unspecified route of administration on an unspecified date as single dose for COVID-19 immunisation. The patient's medical history included COVID-19 from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: unknown) via an unspecified route of administration on an unspecified date as single dose for COVID-19 immunisation. It was reported that the patient (male, 29 years old) had COVID and then took vaccine and experienced similar side effects like next morning could not eat or drink, feeling weird, heartbeat went up, tensed, pink warm face, flushing of the skin for about 20 mins, feeling warm, drank water and then it went away somewhat like after drinking alcohol. The patient again felt different sensation, butterflies sensations in the throat, heart rate went up, shock sensation on different locations of the body and taking deep breathing. It lasted for about 3-4 days. The outcome of events was recovered/resolved. Information on the lot/batch number has been requested.

Difficulty breathing and chest pain for several hours- went to Dr following week-sent to hospital ER- admittedfor 3 days-with multiple blood tests, EKG's and cardio cath done- diagnosis was Myocarditis/Pericarditis. Had MRI on Hearth done 5/18/2021 follow up with cardiologist 6/1/2021

Patient had a syncope episode followed by a period of decreased breathing and a seizure. Patient was given 0.3 mL EpiPen in right anterior thigh and 2-dose Albuterol 90mg. 911 dispatched. Patient declined transport. Instead, transported by personal vehicle with wife. Was seen at the hospital.

Pt developed "head rush" then tingling feeling in legs after vaccination, also felt like he wanted to cry. Denies chest pain, SOB, trouble breathing or swallowing. Pt discharged home in stable condition. SpO2 98% RA BP 132/81 HR 84 Respirations 18, unlabored.

Patient was in the 15 minute review time after the immunization and briefly fainted. He was slouched in his chair. I ran out to make sure he was ok. He came to immediately and I sat him on the floor. We gave him a water bottle and observed him for another 15 minutes. He said he was feeling ok and his wife/significant other drove him home. I called him on 5/19/21 to check on him. He said that he was feeling fine.

Normal side effects (Fever, Chills, Fatigue, Body/Joint Aches, Headache) all on 5/20 only Persistent Cough and Chest Pressure accompanied with Difficulty Breathing started on 5/21 and is ongoing

Member called regarding chest pain lasting less than 1/2 second, 1-2 times a day, for the past few days.

Second dose of vaccine received 5/20 at 5:00 PM. At approximately 4:00 AM 5/21 the patient began experiencing flu like symptoms (fever, chills, body aches, headache) for entire day which had resolved by morning of 5/22. At approximately 6:00 AM 5/23 the patient began experiencing substernal chest pain 5/10 that lasted approximately 3 hours. He sought medical treatment at an urgent care facility and was referred to Hospital for higher level of care. At the hospital he was found to have an elevated troponin level with a peak of 1.50. He underwent Coronary Angiography to rule out coronary artery disease. The procedure found no evidence of coronary occlusion and was completed without complication.

Heart/chest pain. Doesn't seem to relate to activity, occurs multiple times per day but only lasts a minute or so. 3/10 pain

1755 vaccine given by RN 1800 ptx pain, difficulty breathing, BP 140/70/72 1805 ptx sweaty palms, vagal symptoms, watery eyes, BP 99/42/70 1810 ptx dizzy, leaning back, I cant breath, Epipen given in left thigh 1812 ptx vomited large amount 1815 ptx improving, talking, paramedics called 1820 Paramedics arrived BP 137/73/70 1825 ptx transported to local hospital for follow up evaluation

Approximately 5 minutes after receiving his first dose of the pfizer covid vaccine, the patient began feeling faint and ended up fainting while sitting down. He laid his head on his girlfriend's shoulder and fainted. He was alert and conscious within 2 minutes. At that time, the patient said he does suffer from vasovagal syncope and frequently passes out when his anxiety is high. He denied our attempts to call for 911. After 30 minutes, the patient left under his own strength. His girlfriend drove them both home.

Patient had syncopal episode within 15 minutes of vaccination. Has occurred with other vaccinations. Patient released to home.

slurred speech; Memory loss; loss of cognitive functions; increased appetite; nausea; headaches; weight gain; unable to stay focused; shortness of breath / difficulty breathing; chest pain near heart; This is a spontaneous report from a contactable consumer or other non hcp. A 29-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0162) unknown dose via an unspecified route of administration in deltoid left on 15Apr2021 at 01:45 (at the age 29 years) as single dose for COVID-19 immunization. Medical history included depression. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received other medications within 2 weeks of vaccination: Allergy medicine, ibuprofen. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. On 15Apr2021 at 16:00, the patient experienced memory loss, loss of cognitive functions, increased appetite, nausea, slurred speech, headaches, weight gain, unable to stay focused, shortness of breath, difficulty breathing, chest pain near heart. Outcome of the events was recovered with sequelae. No follow up attempts are possible. No further information is expected.

Severe headache, rigors, high fever (subjective), tachycardia, severe nausea. Drenching sweats, "strange thoughts". Rigors and drenching sweats throughout the night. "Crazy shaking fits." Presyncope. Got to point where patient considered calling ambulance. Lasted 12 hours then fully resolved.

Patient mentioned that he was light-headed and felt like he was going to faint. Also, he said that he felt nauseas. Staff helped patient move into exam room and laid him down on the bed. Patient asked for water and it was brought to him. Patient's vitals were low - BP : 70/39, Pulse : 68, Oxygen : 95. Doctor came in and examined and spoke with patient and also oxygen was given; after a couple of minutes patient said he was feeling better. Patient was vitaled again and this time - BP : 113/79 ; Pulse : 80. Patient was observed for 30 minutes and then cleared. Patient was instructed to follow-up with his PCP or emergency room if any more symptoms progress this evening.

Pericarditis and subsequent myopericarditis. Intense chest pain that worsened upon lying down and a low grade fever.

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypotension-Medium, Additional Details: Patient reported lightheadedness and dizziness, BP was 110/60 and Pulse was 61. Performed basic blood pressure management activity alongside potential hypoglycemic episode provisions.

Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Medium, Additional Details: the next day patient said he was okay.

Chest pain. Visit to hospital outpatient. Non specific muscle pain diagnosis. Tylenol Pepcid. I don?t think they took my chest pain and potential link to vaccine as a serious possibility. It started minutes after vaccine as a sensation. Pain onset and increase for hours and persisted for days leading up to visit and after.

Patient admitted to hospital on 5/14, found to have acute myocarditis. For viral cause, but given this occurred after vaccination, want to report.

Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Mild, Additional Details: patient fell down and apper to have seizure , we called emc ,emc take care of the pt, and he was ok,pt refuse to go to er.

Patient received vaccine and within 5 minutes he lost consciousness. He came to and was oriented to place and time. Called 911. He was monitored and refused to go to hospital. He left pharmacy about 30-45 minutes later and felt ok.

Patient collapsed a few minutes after receiving the vaccine and injured his chin. Patient was up walking around until time of collapse, and remained laying down until paramedics came. Patient was transported to the hospital via ambulance.

Chief Complaint chest pain History of Present Illness Very pleasant 29-year-old gentleman has lived in the US since 9 years old presents to the emergency room with chest pain. Started around Thursday of last week, has been constant progressively worse sharp and worsened with deep inspiration coughing progressed to the point was so severe that he had to come to the emergency room tonight. He denies fevers or shaking chills or any coryza prodrome. He received the 2 dose Pfizer vaccines February 11 and March 18 and has not had Covid Has been monitoring serially for HIV and this has been negative including this evening In the emergency room was given aspirin initially with concern

Approximately 5-10 minutes after receiving the vaccine patient fainted and slid out of chair onto floor. Patient regained consciousness within a 1 minute of event occurring. After patient was hot, pale, and sweaty. Patient DID NOT complain of nausea, vomiting or visual changes.

patient received his 2nd dose and as he was waiting the 15 minutes he passed out . patients significate other/ girlfriend . stayed with him . 911 called patient was okay , all vitals fine . patient had similar passing out first dose but dr said he was okay to get 2nd . patient denied any further treatment from paramedics

Extremely dizzy and chances of fainting; Extremely dizzy and chances of fainting; Sweaty; Brain fog/confusion; Brain fog/confusion; This is a spontaneous report from a contactable consumer (patient). A 29-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration, administered in left arm on 29Apr2021 (Lot Number: ER8736) at the age of 29-years-old as single dose for covid-19 immunisation. Medical history included prediabetes. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medication(s) included amoxicillin within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient experienced extremely dizzy and chances of fainting, sweaty, brain fog/confusion, all on 20May2021. No treatment received for the events. Patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) administered in left arm on 29Apr2021 (as reported), (Lot Number: EW0187) for covid-19 immunisation. Since the vaccination, the patient had been tested for COVID-19. The patient underwent lab tests and procedures which included Nasal Swab: negative. Outcome of the events was recovering.

Less than a week after receiving my second dose of Phizer, I started having a sharp pain in the center of my chest (heart), felt like palpitations. It would happen a couple times a day. This continued for a little less than a week, maybe 5 days. Since then, no symptoms.

Pericarditis, myocarditis Extreme chest pain, abnormal EKG, critically high troponin level, echocardiogram, angiogram via right wrist, three day hospitalization. Morphine, toradol, tramadol, aspirin, colchicine, linsopril

Patient developed pleuritic chest pain. Was found to have ECG changes consistent with pericarditis. Troponin was elevated, high sensitivity Troponin-I was 7,272 and trending up to 17,120. He was also found to have mildly reduced ejection fraction 45-50% on TTE. Symptoms resolved after 2 days, and patient is now doing well.

Patient got the vaccine around 12:45pm. At around 1 pm, the patient fainted for about 7 seconds and fell out of the chair in the waiting room. I ran outside of the pharmacy to assist him. He was conscious but confused for a few moments. Then said he felt fine. Patient showed no signs of allergic reaction. I asked him if he had any injuries/bleeding and he said no. I asked him to stay at the pharmacy for another 30 minutes so I could observe him closely. We gave him a cup of cool water to sip on. At around 1:10 pm, I went outside the pharmacy to check on him again and he said he felt flushed and asked for a bucket. At 1:15 pm, he vomited into the bucket. He said he felt 100% better after vomiting. I had him stay at pharmacy until shortly after 1:30 pm when he said he felt okay to go home. I called him at home around pm the same day and he said he felt fine.

At the time of injection, he experienced a burning sensation immediately from the injection site to the fingers. The burning lasted a few minutes. He then was standing waiting for his wife to receive her vaccine. He became dizzy and diaphorectic. He passed out for a moment. I kept him in the chair and monitored his breathing and tried to keep him alert and responding to my questions.

2 weeks after last dose, has a 5 liter pleural effusion unexplained by cytology reports. Began treatment for metastatic disease, they now suspect CHF due to enlargement of the heart and recurring pleural effusion

Was seen in urgent care 4/23/21 with shortness of breath, cough, congestion. Was tested for COVID which was negative and given rx for albuterol and Tessalon perles. Had Pfizer vaccine 4/28 and subsequently developed chest discomfort 2 days later, along with shortness of breath, productive cough and sinus congestion. ESR elevated at 15 though CRP was normal at 0.5. Troponin normal. ECG showing diffuse ST elevation. Chest x-ray negative. He was started on indomethacin 25 mg 3 times daily. Seen by cardiology 5/4/21 with ongoing chest discomfort and shortness of breath. He was started on colchicine. BNP, and d-dimer were checked which were normal. CXR normal. He was subsequently admitted 5/9-5/11 with transient left sided numbness. TTE showing normal LV function, no hemodynamically significant valvular abnormalities, normal CVP, and no interatrial communication.

Acute pericarditis - cough and chest pain for 2 days prior to ED visit with diagnosis. Improved over time with treatment via colchicine.

Adverse Events: Severe Loss of Breath; Numbness in Extremities; Chest Pain; Heart Palpitations; Fainting; Dizziness Treated with Oxygen and High Dose of Benadryl at hospital. Returned home roughly 4 to 5 hours after treatment.

For the duration of a couple weeks after the second Pfizer shot, I sporadically would experience moderate heart palpitations, chest pains, and chest feeling heavy. These symptoms would occur randomly throughout the day (typically when not doing any physical activity - i.e. driving in car or sitting on couch) and would last for several minutes. It never got severe enough to the point where I went to see a doctor. It has been 17 days since the second shot and I feel better and haven't experienced the pains in a couple days.

Heart palpitations, prolonged QT interval. Last baseline and check up was recorded August 2020 with no cardiac related issues. Slightly elevated BP of 140/92

to the ED on 4/30, with an ECG and symptomatology consistent with pericarditis, no official diagnosis sent home on indomethacin. Cardiology 5/4 with the ongoing diagnosis of atypical pericarditis sent home. return to the ED 5/9. No definitive pericarditis diagnosis R/T vaccine admin. did experience Left sided numbness upper/lower extremity which was worked up with unclear etiology

Patient received vaccine at 5:50pm and within 2 minutes while under the required 15 minute observation, he passed out and fell forward. Patient hit his chin and mouth breaking a tooth and complaining of jaw pain. Emergency services were called and paramedics checked all vitals and stated vitals were normal. Patient refused treatment and to be transported to Hospital. Patient has been seated and is still under observation by pharmacist. Patient left with father at 6:28 pm. Patient seems to be stable and pharmacist recommended to be taken to the hospital for further observation. Will be checking in with patient within the next few hours.

patient got vaccine. stated doesn't get faint with needles but a few minutes after moved to waiting chair he passed out. his his face off of the floor/wall and broke his tooth and cut his lip. called 911 and patient was taken to hospital by ambulance.

Pt getting shot felt tingling 30 seconds after then nausea and lightheaded. He got stiff, gasped and passed out. Per pt, he had a "hallucination". Pt experienced LOC for approx 5 seconds, he "took a deep snort" and came back. Pt pale and diaphoretic, vomited and moved to med obs 1. VSS. Resolution of symptoms within 20 minutes, and released.

PATIENT BEGAN WITH FEELING HOT AND A HEADACHE. PATIENT WAS GIVEN A COOL RAG TO PLACE ON HIS HEAD AND NECK. PATIENT THEN CONTINUED TO HAVE SHORTNESS OF BREATH DESCRIBED AS A KNOT IN HIS CHEST. HE WAS GIVEN 10ML OF BENADRYL, THEN VOMITED A FEW MINUTES LATER. BENADRYL AND COLD WATER WAS ADMINISTERED AGAIN. THEN HE STARTED FEELING TINGLY IN HIS RIGHT ARM. THEN TIGHTNESS IN HIS ENTIRE CHEST. THIS LASTED OVER AN HOURS TIME FRAME. BEGAN AT 8 MINUTES AFTER ADMINISTRATION.

I am an internal medicine resident at a hospital. By the end of one my call days I started having substernal chest pain, non radiating that was worsened with breathing. I initially thought it was heartburn so I took tumms followed by PPI without any improvement. The pain continued to worsen so I did a quick bedside echocardiogram on myself (poor quality probe), however did not appreciate any effusion, wall motion abnormalities or change in EF. I continued my shift and went home in poor shape unable to speak due to pain on deep breathing. When I laid on my bed the pain worsened significantly and improved when sitting up, so I suspected pericarditis and started NSAIDs. Symptoms improved significantly the following morning and resolved in 36-48 hours with the NSAID course. I never did an EKG to confirm the diagnosis and was never started on anything other than the NSAID course due to uncertain diagnosis. After hearing concerns with myocarditis with pfizer I thought I would report my case knowing it is nearly 2 months after vaccination and there is no definitive diagnosis.

Patient had a left sided segmental and subsegmental pulmonary embolism, severe back pain, dyspnea, tachycardia and tachypnea, started on 6/24.

PATIENT DEVELOPED CHEST PAIN AND EFFORT INTOLERANCE ON 6/18/2021. HE WAS SEEN BY A CARDIOLOGIST AND FOUND TO HAVE ECG NSR WITH DIFFUSE ST SEGMENT ELEVATION IN PRECORDIAL AND LIMB LEADS AND THUS WAS ADMITTED TO HOSPITAL. AN ECHOCARDIOGRAM SHOWED REDUCED LV FUNCTION LVEF=41-45%. SERIAL TROPONIN VALUES 6/20/2021 THROUGH 6/21/2021 WERE: 45.6-30.30-29.1-25.0 (ALL >10 X ULN)

After 2nd dose, fever lasting for 24 hours(starting from 12 hours after the shot), chest pain was felt after 12 hours. All symptoms disappeared after 48 hours.

Pt's mother states 06/21/2021 after receiving the 1st dose of Phizer vaccination, hot at the site of the injection then blacked-out, fell face first on face. ER visit, Fractured his jaw, nose and knocked out teeth. 06/22/2021 Surgery/plates required, jaw wired. Currently discharged.

patient received pfizer covid vaccine and had syncopy event during the 15 minute wait period and lost conciousness for a few seconds. He recovered and EMS was called to check him out. They cleared him to leave with a family member.

Patient reports after he received vaccine he started having dizziness, and pressure on left side of chest. Patient reports he received Pfizer vaccine at pharmacy. Patient was seen at this clinic today with left sided chest pain

Day after vaccine, I was sick all day. Hard to breathe; heart rate would shoot up and then come down in one minutes sessions; I had body aches - all over. Doing anything felt painful. Eating was uncomfortable and sitting was uncomfortable. I had some fever. 238.5 Celsius and it got a little worse during the day (and that number is the end of the day). I had some pain in the chest, too - center of chest. I also had a headache throughout the day. I did a televisit (wednesday) and she advised to take acetaminophen for fever. She said my blood pressure was fine and my heart rate was still under 100 most of the time. The next day, everything seemed fine - all symptoms seemed to go over night except heart rate - still was elevated and the difficulty breathing was still there. Even sitting - my breathing and heartrate felt like it was working. Friday, things were mostly similar - heart rate came mostly down. But end of day, difficulty breathing came worse and chest pain became worse and tightening of chest was more intense. No fever after Wed though. I went to see the Urgent Care doctor at Urgent Care. Friday, the second week after the vaccine, the symptoms received. Pain in left arm started (started Tuesday or Wed the second week) and I had chest pain and tightness in the chest and slight difficulty breathing, nausea, dizziness and no fever. ER - on Saturday - 11:30PM - they did more tests - everything heart related came back fine so they ruled out Heart attack; but didnt' know what it was; gave medication for nausea in case it would help. IV medication and then one medicine to drink on the spot. It didn't really help - the symptoms continued and slowly disappeared the next day (the second Sunday after the vaccine). Nothing new since then.

Per Case Management - patient treated at hospital for "who had a bad MI on the 23rd of June, he is coming off ECMO and remains intubated in the ICU". Cardiologist may be contacted regarding

Symptoms began to appear around 1:00 am, 6/16/2021. Symptoms included labored breathing, pounding heartbeat, lightheadedness, headache, chills, injection site soreness, and feeling unwell. Side effects were eased with Tylenol. Symptoms gradually diminished over the course of approximately seven days.

Increased heart rate, Never observed such intensity of heart rate. Sudden increase happens even while siiting and working in office without any stress or anything. BP upper limit increased upto 223 mmhg ( measured using friends equipment tie on wrist type). Please if you can email me in a reply is there a chance it might cause me stroke?

I was diagnosed with 2 DVT in my left leg on 19Jun2021; This is a spontaneous report from a contactable consumer (patient). A 29-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration, administered in left arm on 20Apr2021 at 18:00 (at age of 29 years old, Lot Number: EW0161) as a single dose for covid-19 immunization. No known allergies and no other medical history. The patient's concomitant medications were not reported. The patient was diagnosed with 2 DVT in left leg on 17Jun2021 at 21:00. The event resulted in Emergency room/department or urgent care. Treatment received, currently on Blood Thinners. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The outcome of the event was recovering.

myocarditis/pericarditis - shortness of breath, heart palipations, chest pains ongoing for multiple weeks

There is a small, weak, shooting pain in my chest around the area of my heart. It lasts for about half a minute to a full minute before dispersing. It rarely happens and so far, it has been about once daily. My left arm is also experiencing a weak, dull pain on the outer side of my bicep. It starts in the middle and goes down to the elbow. It sticks around for a while but it did not start until 07/09/2021.

Sudden chest pain, near syncope, light headed, dizzy, shortness of breath. Went to urgent care and was sent home after negative EKG. Continue to have intermittent chest pain, light headedness, fatigue, and shortness of breath. Went to the hospital but EKG showed nothing abnormal. Referred to a cardiologist. Wearing a heart monitor and MRI scheduled. Continue to have fatigue, shortness of breath, and chest pains.

Throat tightened, became hard to swallow. Chest tightness, and became dizzy. First symptom to occur was the throat; felt as if a rock was stuck. Chest tightness followed and dizziness after. All symptoms occurred after the 15 minute waiting period; EMS was called and I took a Benadryl to immediately combat the symptoms.

After recieving second dose of Pfizer vaccine, patient developed pchest pain radiating to back the following day. Associated with nausea, vomiting, and chills. Chest pain was also pleuritic. Symptoms improving over the preceding days while in the hospital.

Patient came today for the first pfizer covid vaccine. Patient fainted as he walked out. Pt has a history of fainting after a vaccine, gave an example from his previous experience with a vaccine given to him (he did not know the name of the vaccine), claims that he had increased bowel movement, numbness and tingling after that vaccine. Patient had similar reactions today. It seems that his reaction was not specific to the covid vaccine but regardless we had him rest in a private room for 45 minutes before releasing him. We will follow up with him in the next few days.

Vaccination occurred at 08:27, advised to wait 30 mins for observation. At 08:47 pt stated feeling "tightness in chest" Pt.'s SpO2 was 100% and HR 60 and had clear breath sounds upon auscultation. Advised pt. to wait longer for observation. Around 0905, pt. stated that it was "becoming harder to swallow" and "the feeling traveled up to my throat." Vitals were SpO2 100%, HR 57, RR 18, BP 124/80 on right arm, and skin WNL. Pt. did not appear to be in any respiratory distress. Advised pt. to seek emergency care if the feeling got worse or continued. Pt. stated that he was comfortable having his friend who was present drive him to the Pt. departed clinic around 0913, headed to

Incidentally discovered thrombocytopenia on CBC performed 5/10/2021 for workup of other symptoms (ongoing fatigue), with platelet count 108. Workup reveals like ITP, with otherwise normal peripheral smear and elevated immature platelet fraction. Platelet counts remained stable on follow up labs in May and again in July 2021. Most recent recheck showed platelet count of 115 on 7/12/2021. Therefore, diagnosis appears to be ITP, that is asymptomatic. Previous platelet count on 1/11/2018 was notably slightly low, at 148. This suggests possible pre-existing ITP. Timing of this lower platelet count does not prove, but suggests possibility that vaccination may have worsened ITP to a new, lower platelet level.

Patient in observation area, covid vaccine clinic. patient got vaccine at 1316. at 1330, girlfriend alerted staff patient wasn't feeling good. patient looked pale. Nurse next to patient. Lost consciousness for about 30secs. regained consciousness after stimulation. patient then started vomiting, x2. transferred to gurney. vital signs checked. normal. monitored every5 min x3 then every 15min. Observed for about 30min. patient refused to have nurse call 911. refused to go to ER or urgent care. vital signs remained stable. check BP while sitting and standing. no change in BP. patient did feel dizzy. started vomiting again. Advised patient to go to ER or urgent care but patient and girlfriend refused D/C home stable

I started having slight heart palpitations last week, and even the first night of my first dose I was having slight chest wall pain but that it went away.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Additional Details: patient felt lightheaded after shot. I gave him a water bottle that when he placed on the ground he started to fall over/ lose consiousness. 911 was called immediately. I was able to catch patient and tried lowering him to the ground as he regained consiousness. cold water was also used to cool neck area. ems took patients bp and wrote up report but patient refused to go to ED. fiance was called to drive home/ to go eat after 30 mins to ensure patient was stable, hydrated.

After vaccination, employee went to the monitoring area. Around 1450, he complained of nausea and then began to vomit. He then began to c/o flushing, itching, headache, chest tightness, and SOB. Symptoms began approximately 10 min. after immunization. V/S: 126/82; pulse 103; resp 20; O2 sat 99% on RA; pupils equal and reactive. Dr. was notified and assessed the employee. Dr. ordered Benadryl 50mg IM at 1455. This was administed by RN to Left Arm. At 1505, FSBS was 87; O2 sat 98% on RA, pulse 97. At 1510, O2 sat was 98% on RA; pulse 90. At 1520, O2 sat was 98% on RA and pulse 98. Employee continued to vomit. Lungs were clear upon assessment. Skin was pink. At 1528, employee reported that the symptoms were about the same...maybe waxing and waning. Dr. ordered Zofran 4mg SL which was administered at 1528. At 1530, O2 sat was 98% on RA; pulse was 90; B/P was 122/90. At 1540, O2 sat was 96% on RA; pulse 88 - rechecked on Right hand which gave a reading of O2 sat of 98% on RA; pulse 94. At 1545, employee reported improvement of headache, itching, chest tightness, flushing, and SOB; however, was still vomiting almost coninuously. At 1550, O2 sat was 99% on RA; pulse 83. At 1600, B/P was 118/84; pulse 78; resp 20; O2 sat 98% on RA. He continued to vomit. At 1613, employee was taken via wheelchair to private vehicle of a friend and was taken to ER for evaluation.

Approximately around 1450, 10 minutes after injection, while in monitoring area, employee started c/o nausea and then began to vomit. He then c/o feeling flushed, itching, headache, chest tightness, and SOB. V/S: B/P 126/82; pulse 103; resp 20; O2 sat 99% on RA; lungs clear upon asculatation; pupils equal and reactive; skin pink. Doctor was notified and assessed the employee 1455 - Doctor ordered Benadryl 50mg IM which was administered to the Left arm by nurse. 1505 - FSBS was 87; O2 sat was 98% on RA; pulse 97 1510 - O2 sat was 98% on RA; pulse 90 1520 - O2 sat was 98% on RA; pulse 98; employee was still vomiting; lungs remained clear 1528 - Employee reported that all symptoms were about the same, but waxing and waning; doctor ordered to give Zofran 4mg SL and this was given by nurse. 1530 - O2 sat was 98% on RA; pulse 90; B/P 122/90 1540 - O2 sat was 96% on RA; pulse was 88. Rechecked on Left hand - O2 sat was 98% on RA; pulse was 94 1545 - Employee reported improvement of headache, itching, chest tightness, flushing, and SOB; however, was still vomiting almost continously 1550 - O2 sat was 99% on RA; pulse 83 1600 - B/P - 118/84; pulse 78; resp 20; O2 sat 98% on RA; Employee still vomiting continously 1613 - Doctor recommended that the employee be evaluated in the ER. A family member/friend was called. Employee was taken to a private vehicle via wheelchair and transported to ER for evaluation.

On 1/1/21 (4 days post dose 1), patient developed sudden onset substernal chest pain that resolved and recurred the next day on 1/2/21. Patient was seen in the emergency department. VS were reported WNL, EKG with diffuse ST elevations and subtle PR depressions consistent with pericarditis. ECHO did not show evidence of effusion or tamponade. CXR and basic labs were unremarkable including troponin WNL. Patient sent home with colchicine and NSAIDS with plan for outpatient cardiology follow up. Of note, patient had COVID-19 in April 2020 with documented positive antibodies at that time.

Patient felt very warm. Blood pressure was checked. BP @ 1055 was 240/130. Oxygen saturation 99%, heart rate 65. BP rechecked at 11:00 and was 236/138 on Left. At 11:02 blood pressure was 232/124 on right arm, oxygen saturation 100%, heart rate 64. Stat team called. At 11:06 blood pressure was 210/120, oxygen saturation 99% and heart rate 61. Patient transferred to ED @ 11:15.

Dizziness c/o feeling warm and dizzy w/ diaphoretic skin. Recovered after cold pack to neck and monitoring for 30 min. Narrative: 7 min after vaccine, c/o feeling warm and dizzy. Skin diaphoretic and pale. unlabored breathing. @1308: 98/54, 76, 96% O2 sat.; @1316: 122/66, 92, 20, 95% O2sat and stated feeling better. Observed for 30 minutes and d/c'd in stable condition. ambulated around the room and denied any c/o prior to D/C. Resolved.

Headache beginning 18:30 PM on 01/08 Following began at 03:30 on 01/09: Headache Body aches Severe muscle cramps Weakness Fatigue Chest tightness Inability to concentrate Difficulty sleeping Blurred vision Treatments: Ibuprofen 400 mg at 18:30 01/08 - headache responded Ibuprofen 800 mg at 07:00 01/09 - chest tightness had resolved spontaneously. Headache, body aches, cramps, visual disturbance, concentration, and chest tightness improved over next 4 hours Ibuprofen 400 mg at 11:30 01/09 - continued improvement of symptoms Naproxen 220 mg and ibuprofen 200 mg at 20:00 01/09 - continued improvement of headache and body ache symptoms with no return of overnight adverse events

PATIENT HAD ELEVATED BLOOD SUGARS THAT BEGIN 10 HOURS AFTER VACCINE ADMINISTRATION. PATIENT IS ON A INSULIN PUMP AND CONTINUOUS GLUCOSE MONITORING SYMPTOM WHICH ALERTED PATIENT TO HYPERGLYCEMIA. PATIENT HAD BLOOD SUGARS THAT WERE IN EXCESS OF 250 MG/DL FROM 6:00PM ON 1/11/21 UNTIL 1:00PM 1/12/21. PATIENT DOUBLED HIS BASAL RATE FROM 0.825 U/HOUR TO 1.650 U/HOUR AND HAD MULTIPLE BOLUS DOSES VIA HIS INSULIN PUMP AND SUBQ INJECTIONS. AFTER ADMINISTRATION OF OVER 50 UNITS OVER THE COURSE OF 17 HOURS WHICH INCLUDED A MEAL OF 60 GRAMS OF CARBS AT 8PM ON 1/11/21 AND A MEAL OF 55 GRAMS OF CARBS AT 8AM ON 1/12/21.

Hyperglycemia starting 10 hours post vaccination lasting for 20 hours. Blood sugars were in excess of 300 mg/dL. Correction insulin doses (basal and bolis) were unsuccessful to correct.

Patient received the covid19 (Pfizer) after shot patient complained of chest pains, called emergency services and was promptly taken to the hospital.

At 0803 employee complained of his throat tightening and he was placed on an AED and EMS was called and a non-rebreather and Anaphylaxis kit were brought 0805 HR 118 RR 22 employee breathing was not labored AED "no shock advised" employee now reporting centralized tight feeling chest pain 0807 HR 122 RR 20 employee breathing was not labored. AED "no shock advised" 0809 HR 118 RR 22 AED "no shock advised" 0811 HR 102 RR 18 employee breathing was not labored. AED "no shock advised" Employee reported Chest pain "less tight" still with dry mouth ,difficulty swallowing and now burning sensation in throat 0811 HR 104 RR 18 AED "no shock advised" employee breathing was not labored 0813 EMS arrived and care of employee handed over. 02 and pharmacy monitoring applied. They assessed and took patient to ED Received Solu-Medrol, Pepcid, and Benadryl in ED

Side effects first notice approx 16hours after injection. It started with fatigue and a pressure feeling in the chest. Around the 24hour mark I began to feel the fatigue worsen as well as chills, headache, and some nausea. It's now 38hours after injection and I'm still experiencing chest pressure and fatigue with slight chills.

S/S started approx 16 hours after injection. It started with fatigue and headaches, by 1400 that same day I began to feel chills and the sensation of pressure on my chest grew. I'm currently writing this 48 hours after injection and still experiencing tiredness, muscle pain and slight chills.

Vaccine given at 3:15pm. Pt in observation area, had sudden onset stridor/wheezing and difficulty breathing at 3:28pm. Pt placed in a wheelchair and taken immediately into hospital ED department, arrived in ED at 3:29pm. Pt in sinus tach with O2 SAT 83% on RA, placed on O2 without change, intubated successfully x1 at 1550 and placed on 100% FiO2. Orogastric tube and foley catheter placed. Medications given: Decadron 10mg IV, Benadryl 50mg IV, Pepcid 20mg IV, Epinephrine (0.1%) 0.3ml SQ, Epinephrine IV infusion initiated at 0.05mcg/kg/min, Rocuronium 90mgIV, Etomidate 30mg IV, Racepinephrine (2.25%) 1.5ml inhalation x2, Propofol 5mcg/kg/min IV infusion, NS 0.9% x 1 liter IV, Potassium Chloride 20mEq, Versed 2mg IV. Pt had own Epipen which was noted by ED MD as being used in ED. Pt admitted to CCU, extubated within 2-3 hours per pt request (per CCU RN) and placed on BiPAP. BiPAP weaned overnight and patient on room air by morning with SATs in the upper 90's. Weaning of Epinephrine infusion in progress. Projected outcome: pt to be discharged tomorrow (1/23/21) from CCU to home (per CCU RN).

feel his chest and neck hurting; feel his chest and neck hurting; feeling really sick; feeling tired; arms hurting; head hurting/ neck and all around head area, hurting real bad; This is a spontaneous report from a contactable consumer (patient). A 30-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number: not provided), via an unspecified route of administration on 10Jan2021 at single dose for COVID-19 immunization (reported as "I guess to protect myself from other people, to protect myself"). There were no medical history and concomitant medications. The patient took his first dose on 20Dec2020, 3 weeks from there, he took the second on 10Jan2021 (reported as "it was 10th it was Sunday morning when I took it"). The patient reported that he had his second dose on Sunday morning (10Jan2021) and started feeling tired last Monday (11Jan2021). Then on 12Jan2021 (reported as "yesterday" at the time of reporting), he started to feel his chest and neck hurting. The patient stated that he woke up in the middle of the night (Sunday night) and Monday morning, he was feeling really sick so he called out rest all day on Monday (11Jan2021). Then patient woke up yesterday morning (12Jan2021) feeling good then probably about 6 o'clock last night he started feeling tired, like real bad tired and he got home. Patient lied down and woke up in middle of night, his chest, arms and head were hurting. His neck and all around head area were hurting real bad. The events were assessed as non-serious. The patient does not have the lot number but stated that it was the Pfizer vaccine. When the patient was asked if still experiencing tiredness and chest hurting, he stated "When I started, that was last night on I will go with the 12 before midnight 12 (not clear). Yes right now yeah. This is the first time my chest and my arms and my neck and like all that has been hurting, started last night". When asked for the treatment, the patient answered "I took Ibuprofen to calm it down a little bit. I took Ibuprofen if you count that as a treatment". Outcome of the events was unknown. Information about lot/batch number has been requested.

Post vaccination patient stated he felt like his heart was beating fast. B/P137/92, P68. Stated B/P was a bit high for him. Within 10 min post vaccination, stated his upper left chest was aching, then stated that his mouth was feeling like it was getting smaller. Rapid response was called and patient transported to Emergency Department at 1125 for further assessment and intervention.

about an hour after the administered vaccine the patient reports he developed some mild swelling to his right upper lip that appeared to be slightly white and was tingling.. All symptoms resolved at the time reporting to the ER at 4pm. MD comments: possible minor vaccine reaction minor angioedema which has resolved.

Patient experienced light headedness and symptoms consistent with syncope, as well as nausea. the syncope event occurred in the chair without a fall. per patient reporting patient had not eaten 8 hours prior to administration time and also experienced anxiety with vaccines. patient was given supportive care including assisting to the floor carefully with a pillow provided and feet elevated. patient was also provided with juice to support any potential low blood sugar.

After less then 5 minutes of receiving the Pfizer vaccine I experienced dizziness, difficulty breathing and I could feel my heart rate accelerating rapidly. This side affect lasted for about 5-10 minutes. After which I left and haven't felt right since and it's been about 8 hours since receiving the vaccine and at the time of writing it is now 1630 time.

dizziness, feeling hot all over. Grabbed at chest "it feels a little tight" hand is getting numb no reaction with 1st vaccine 1155 c/o headache. Took pt to adult urgent care in wheelchair. Patient was seen in urgent care and referred to ED at 12:50pm.

Patient had tightness in throat, then syncope shortly after, which let to him falling to the floor from a chair and hitting his head. After patient was released from vaccine site, he developed shortness of breath, and went to the ER, where he was given diphenhydramine, which patient says helped. Patient then had 10 days of symptoms neurological and cardiovascular symptoms (slowed cognition, mood changes, somnolence/hypersomnia, palpitations) and went to ER four times and was diagnosed with a concussion/post concussive syndrome. He was referred to neurology and had an EEG conducted. He was given prednisone during this time.

Fainting episode; Loss of hearing; Left collar-bone lymph node enlarged noticeable swelling to area and left lower neck near carotid artery/lymph nodes; Soreness in area; Cold sweats; Light-headedness; This is a spontaneous report from a contactable consumer, the patient. A 30-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN), via an unspecified route of administration in the left arm on 08Feb2021 at 07:00 (at the age of 30-years-old) as a single dose for COVID-19 immunization. The patient did not have any relevant medical history. The patient did not have any allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient had no symptoms until 5 days post vaccination. On 13Feb2021 at 12:15, the patient experienced fainting episode, loss of hearing, left collar-bone lymph node enlarged (noticeable swelling to area and left lower neck near carotid artery/lymph nodes), soreness in area, cold sweats, and light-headedness. The events required a visit to the physician's office and emergency room (as reported). The clinical outcomes of the fainting episode, loss of hearing, left collar-bone lymph node enlarged, soreness in area, cold sweats, and light-headedness were unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Pt had vagal reaction, near syncopal event which had prolonged symptoms brought to medical area and placed in cot

Patient received his 1 dose of Pfizer vaccine and was waiting in our lobby for the recommended 15 minutes. He fainted after about 10 minutes. He fell from the bench to the floor where he landed on his stomach. When I ran over to him, his eyes were open but his body was limp. I tapped his back and asked if he was ok, and he was startled as if I woke him up from sleep. He was alert and was able to speak, he asked for water and I gave it to him. I asked of he wanted me to call emergency services but he declined. He then vomited in the waiting room trash can. His sister was with him and began to rub his back and fan him. I asked again if he needed to go to the hospital and again her declined. I told them to please wait in the lobby at least another 15 minutes before leaving and he did. I called to patient around 8pm to check on him and he said he was fine and had no more symptoms.

Minor syncope without head trauma: pt slumped in chair and the chief pharmacist (myself) was alerted. Pt was assisted to another room and laid on the floor until symptoms passed (roughly 15 minutes). Pt was monitored for an additional 30 minutes before leaving the vaccination site.

After getting the vaccine in my left arm, I walked to observation area and sat down in chair. Within a minute or so, I noticed my heart rate was slightly elevated and had a strange feeling of unease. Roughly 3-5 minutes later symptoms appeared and I noticed my palms were sweating and I had slightly blurred vision. At this point, I called for a paramedic and told them I wasn?t feeling well. They arrived nearly 15 seconds later (paramedics were stationed all throughout observation area). Symptom severity dramatically increased (very blurred vision, feeling of something clearly being wrong) and was added by a ringing sound in both ears. I was helped into a wheel chair and rolled into an enclosed area with a curtain around for privacy. Gatorade was offered to me and I took a few sips and felt very mildly better. Paramedics reported that my blood pressure was extremely low (63/28). They asked if I wanted to go to the hospital. Symptoms were the same and starting to very slightly get better from the Gatorade so I said let?s wait a few minutes to see how I feel. At this point they took my blood sugar measurement and found that it was also very low (53mg). They gave me some intravenous fluids and a glucose substance that was in a tube (sort of like toothpaste) and within another five minutes I felt considerably better. I received the IV treatment for roughly 20 minutes and symptoms progressively got better over the course of the treatment. My blood pressure went back up to 117/80 and my blood sugar went up to a more normal level as well (I believe they said somewhere in the 90s or low 100?s). After they removed the IV and blood pressure monitor, I rested for roughly 20 minutes before walking to my car and driving home.

After receiving the vaccination 10 to 15 min later my head started hurting, pain in my chest area, and stomach pain. I also couldn't focus and I was experiencing vision problems meaning I had trouble seeing. All these problems I wasn't experiencing any of them before the ??. I wasn't watching the time but everything lasted till I made it home and took my pain medication. If more information is needed please feel free to reach out to me.

30 year old male found resting in cot. clinic staff found patient on ground. patient states he has known responses to injections. felt faint and assisted self to ground. syncopal. unknown duration, no trauma. hypotensive/bradycardic. 12 lead performed. non-stemi. secondary/neurological exam normal. base contact made for a association.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Patient was very nervous about getting covid vaccination. Shortly after patient recieved covid vaccine, he sat in the chair of waiting area. He got up from chair after a few mins to try to notify someone he was not feeling well and subsequently started to fall to the ground. Rx technician caught his fall and brought him safely to the ground where he laid. he was unconscious for a 15 seconds and regained consciousness. 911 was called and paramedics subsequently came, bp was ok after

Flushing, headache, lightheadedness, hypotension, nausea this morning and had oatmeal. NKDA Vitals: 87/56 P 46 RR 18 O2: 100% - Patient: reports he is a runner, unknown baseline BP/HR Exam: General: Alert, diaphoretic, pale HEENT: Normocephalic, Neck: ROM normal

Vasovagal syncope approximately 5- 10 minutes post vaccination. Pt reports that he started to feel lightheaded and stood up and passed out. pt then hit his chin on a low setting wall and had a small 1cm laceration on his anterior chin. pt fell prior to my arrival to finding him down. when I arrived pt seemed to be mildly disoriented for about 30 seconds to 1 minute. pt reports that he had + LOC for a few seconds while he fell but was conscious when I arrived. pt was advised to seek out wound closure for chin laceration.

30 yr/o male who presents with chest pain. He states that symptoms have been present for about an hour. He feels as if "somebody is punching me in the base of my heart." He also notices a racing heart beat as well as some shortness of breath. Symptoms are nonradiating and moderate to severe.

substernal chest pain; shortness of breath; Troponin peaked at 9.100; This is a spontaneous report from contactable physician. A 30-year-old male patient received his second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were unknown), intramuscular in left arm on 04Mar2021 at 15:45 at single dose for COVID-19 immunization. Medical history and concomitant medication were reported as none. The patient has no known allergies and has other medications in two weeks. It was unknown if the patient has other vaccine in four weeks. He has no COVID prior to vaccination. The patient received his first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not provided), via an unspecified route of administration on 10Feb2021 at single dose for COVID-19 immunization. The facility the vaccine was administered was reported to be other. On 07Mar2021, the patient who has no prior medical history was admitted for substernal chest pain and shortness of breath; troponin peaked at 9.100 with no EKG changes. Heart catherization was normal. The patient was not tested for COVID post vaccination. The events resulted in emergency room/department or urgent care and required hospitalization for one day. The outcome of the events was recovering. Information on the lot/batch number has been requested.; Sender's Comments: Based on the information currently available, a possible contributory role of the suspect drug in the reported events cannot be completely ruled out given the known suspect drug profile and/or implied temporal association. 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 Regul atory Authorities, Ethics Committees and Investigators, as appropriate.

After about 15-20 mins, patient started to experiencing symptoms of mild to moderate itching over several different areas of skin. Patient acknowledged symptoms but felt that he was alright. Symptoms increased to moderate continuous itching most promiment on hands, forearms, lateral sides of neck. Patient had c/o of headache, slight dizziness, increased HR (sustained 110s) and increased BP (approx 184/130). Pulse ox was 99% on RA. No trouble breathing, no angioedema noted. Informed pharmacist and ambulated patient to ER for evaluation. ER continued observation, administered famotidine 20mg (oral), diphenhydramine 50mg (IM), dexamethasone 10mg (IM). Patient remained stable and was discharged within an hour with a steroid pack.

Patient reported feeling 'weird' after his 15 minute observation period. About 25 minutes he ended up losing consciousness. He returned consciousness 1 minute later and was able to recite his name and sit up and talk. He ended up leaving with his wife after the paramedics came and cleared him.

Patient received 1st dose of vaccine and sat in the post- vaccination area. Pt lost consciousness and and slumped to floor off chair. RN and RN responded to patient. Pt was conscious and responsive to verbal stimuli. Pt reports he became sweaty and dizzy and then passed out. Pt denies any pain or urgent medical issues. After incident pt reports to passing out once before due to getting blood drawn. Pt stable and responsive after post vaccination area clearance. Patient denies blood thinners. No deformities noted upon physical exam.

Patient complained of "lightheadedness" following vaccine administration. Patient was taken by POV to the ED where he was diagnosed with a vasovagal episode and discharged without activity restrictions

Patient checked in to the observation room. A patient sitting adjacent reported he 'dropped his phone and was out' momentarily. The patient did not fall and MD was alerted. Patient was red, flushed, clammy but alert. BP 73/42mmHg, HR 85, O2sat 97%, and RR 12. He was placed on a stretcher. He had no difficulty breathing or cutaneous symptoms. BP recovered to 120/75mmHg, HR 80, O2sat 96% and RR 12 within 15 minutes. Pt felt well and was able to be discharged home.

Client reported that he consumed a marijuana edible prior to coming to the vaccination site. Client received the vaccine and then stated he felt like he was going to faint, he appeared to be post-ictal and was unconscious for approx 30 seconds. Client regained consciousness and was given Gatorade. Client stated he has a history of seizures and marijuana use.

patient was given the vaccine and then went to observation room. While there, he complained of dizziness and became diaphoretic and passed out for about 10 seconds. Vitals were taken and a rapid response was called for the team to come. He came back and felt thirsty and was pale. He was then transferred to Urgent Care to be observed before being discharged.

Syncopal episode during 15 minute waiting period. Was sitting in a chair and was syncopal and fell out of chair onto the floor. Woke up immediately. Monitoring period extended. Recovered and went home.

Patient received vaccine. Within 2 minutes patient became sweaty with shallow breathing. Patient then lost consciousness and began shaking. Time lasted a few minutes. Provider was notified and by the time provider arrived patient was alert and conscious. Patient was taken to an urgent care exam room for further treatment.

Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild, Additional Details: Prior to vaccine administration patient reported history of passing out from any needle and injection related procedures such as blood work and injected medication. Approximately 30 seconds after administering vaccine patient said \"oh my god\" and passed out shortly after with head rolled back. Patient regained consciousness approximately 2-5 minutes later. Felt nauseous and wanted to vomit for about 10 minutes. 911 was called. Patient refused further care and recovered after 15-20 minutes.

1:29PM SYNCOPE - EASED TO FLOOR AND FEET ELEVATED. PT BECAME RESPONSIVE. MOVED TO COT PER WHEEL CHAIR. A/O, PIN W/D, RESP WITH EASE. CRACKERS AND WATER GIVEN. 2PM 'FEELS BETTER NOW'. WIFE TO DRIVE PT HOME. 4-2-21 10:30AM TC:PT STATES HE 'FEELS FINE NOW'.

Pt has a history of vasovagal responses after medical procedures - which he did not admit to until after he had been vaccinated. He has a very brief episode of syncope at the station where he received his vaccine. He was assisted via wheelchair to the EMS station and was monitored for 30 minutes. His father was with him because of his history and both agree that he will be given his second dose while laying on a cot.

Approximately 2 minutes after receiving the vaccine, the patient lost consciousness while driving to observation. He continued traveling through the barricades, hit a curb and ran into a light pole and secondarily hit a tree with the back end of his car. He immediately regained consciousness and denied having any head, neck, or back pain. He relayed that he is terrified of needles and shots, and has a history of passing out from receiving shots in the past. He also informed us that he has not had anything to eat or drink since dinner the night before. His vitals were as follows: BP 123/87, HR 104, EKG; Normal Sinus Rhythm. His girlfriend was in the backseat without a seatbelt and she had a hematoma on her forehead. Her vitals were: BP 138/90, HR 98, GCS-15. They both denied transport to the hospital and relayed that they would wait for the tow truck and seek medical evaluation at an urgent care center after.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Given fluid and food. BP and Pulse ox monitored

presents with a potential reaction to the COVID19 vaccine. The patient was evaluated in his vehicle. The patient's wife (passenger) reported that as he pulled into the monitoring area, he become disoriented and pale. Upon evaluation, the patient was found to be significantly diaphoretic, pale, and mildly disoriented. Initial vitals revealed a pulse of 45, SpO2 of 86%. No BP was obtained at the time, but the patient was clearly hypotensive. The patient was laid supine in his seat and given aggressive oral hydration. After aggressive hydration and close monitoring, the patient rapidly improved and returned to baseline with normal vitals. He was returned home with his wife as drive.

Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium

Recipient became gray, dizzy, light-headed and fainted after receiving the vaccine. Did not hit head or fall on floor. Lost consciousness for less than 10 seconds and stated he did not eat anything that day. 911 was called but he refused to go to the ED and said he was okay.

fainted before getting shot in the vaccination area brought to EMS via gurney and was given vaccine there on the gurney @ 9:09am. Tolerated well and was discharged in stable condition @ 930am.

Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Medium, Additional Details: THE PATIENT FELL FROM A CHAIR IN THE POST-VACCINATION AREA AND WAS FACE-DOWN, NOT RESPONSIVE. THE PATIENT WAS TURNED ON HIS BACK WHEN HE BEGAN TO SEIZE, SO HE WAS PLACED ON HIS SIDE. HE RECOVERED AND OPENED HIS EYES SHORTLY THEREAFTER. HIS BP WAS 120/59 MMHG, AND HE WAS PROVIDED CRACKERS AND WATER. THIS PATIENT DENIED ANY EPISODES LIKE THIS IN THE PAST BUT ALSO DENIED HAVING BREAKFAST THIS MORNING. THE PHARMACIST RECOMMEND FOLLOWING UP WITH HIS PCP, AND A RELATIVE PICKED HIM UP FROM THE CLINIC.

pt was faint, light headed and clammy; we got him to the floor, raised feet and gave ice pack, he laid there for about 5 minutes until he felt better, we then monitored him for another 15 minutes

Fever of 101/102+, Sever body aches, head ache, increased or rapid heart beat, poor balance, shortness of breath.

Intermittent left chest tightness/pain, started on 4/10 which was mild, became more frequent since 4/11 afternoon (twice per hour), more obvious and more frequent on 4/12

30 yo M with h/o vasovagal events with lab draws was vaccinated with his first Pfizer Covid-19 vaccine (Lot# ER8729) in the left deltoid at 1202 4/12. Prior to vaccination, patient had had nothing to eat or drink. Pt became syncopal when moving from the vaccination chair to the observation area. When he fell, he hit his head. After the fall, pt remained on the floor and was placed in Trendelenburg position. BP - 105/63; P-40 to 51. Patient reports having a low heartrate. Patient 15 minutes patient attempted to sit up but was dizzy and laid back down. After 5 to 10 minutes, patient was able to sit up and eat some crackers and drink juice and water. After 15 minutes, pt was moved to recliner. Provider noted a bruise above his right eye. About 15 minutes later the pt vomited and started coughing. Provider called EMS and patient was transferred to ED. During ED visit, reaction assessed and thought to be vasovagal reaction.

He has a history of fainting with vaccines and blood draws. He passed out bout 10-15 seconds after it was complete. He came to temporarily and went back out. We got him down to the floor and raised his feet above his head. We used ice packs under his neck and wrists. He came to again while on the floor and wanted to lower his legs a minute or two after. He stayed laying down for about 5 minutes, then he sat up on the floor for another 4-5 minutes. He then stood up on his own with out assistance. He then sat for the remainder of his 30 minutes and was much better upon leaving.

Dizziness near syncopal episode. Room spinning per patient and head ache. VSS. Family at patient's side. No acute distress however patient with anxiety about situation and complains of neuro symptoms ongoing.

Syncope post vaccine. Dizziness, nausea, jerking motions upon event last few seconds, incontinence, Vomited. Pt left with girlfriend at 2:45. symptoms resolved

Regular Migraine Headache B/P 150/110, HR 60, O2Sat 95% Pt. left at 9:10am stat that he was feeling better, refused second B/P saying that , "It's okay."

called to see pt in vaccinator's room; pt sitting on exam table, increased RR, skin color white; pt diaphoretic, warm, responding to some questions; HOB placed flat and legs elevated; sweatshirt removed; mother at bedside telling pt that he is "all right"and states he has anxiety; VS at 1058:141/78; HR 64, regular; RR 22; SaO2 100%. At 1104 pt with slight tremors, continues to respond to questions; ice pak applied to neck; VS 133/84, HR 64, RR 20, SaO2 100%. 1115 pt without tremors, more awake, calm; HOB raised to 45 degrees; VS 122/72, HR 54, RR 18, SaO2 96%; Pt taking sips of Glucola and water, no c/o nausea; pt conversing appropriately. 1130 pt sitting at 90 degrees; states that he feels tired, no other c/o; VS 123/58, HR 55, RR 16, SaO2 97%. Pt ambulating in room, gait steady and strong; ambulated well in hallway. 1145-Pt left clinic stable, no c/o; mother accompanying pt and will drive pt home.

Patient received vaccine and walked out of the vaccination room to sit down in the waiting area. Patient passed out and fell out of his chair. The nurse, pharmacist and physician's assistant working in the clinic attended to patient. Patient had low blood pressure and was disoriented. PA put patients leg up on chair for a few minutes until the ambulence arrived. EMT's checked patient out and he then was picked up.

Pt said he felt extremely hot, sweaty, and dizzy. He then fainted, falling and hitting the side of his face.

Heart almost felt as if it stopped for a second on my way home after shot, not sure if it was slowing or speeding heart rate, and had a severe headache that started after shot.

Patient had vasovagal response to vaccine, no loss of consciousness, but did have flushing/sweating. BP 109/67, HR68, RR15. Patient discharged in stable condition.

At approximately 4:30pm, on the day I got the vaccine, I began to feel the effects of Encephalopathy and Encephalitis, in which I began to feel pressure in my skull, and felt confusional thinking. It became hard to discern my thoughts. I also, began to experience a difficult time with my vision not being able to control what my vision was focusing on, as well as seeing a blue tint in my vision. I am also experiencing mild pressure and aches on the right side of my back and left side of my chest. These effects have been continuous for the last 4 days. To treat these symptoms I have been using natural remedies, and have maintained a stable condition due to that.

Syncope. Pt had syncope while ambulating to OBS area. Pt denies injuries, A&Ox4. Prior Hx of Syncope w/ vaccines. BP 97/60 HR 65 RR 20 -- > 101/67, 72, 18. Patient stablized and released from vaccination site.

Assessment: 1. Suspect acute myopericarditis likely immune related/related to second dose of Covid vaccine. 2. Troponin elevation likely due to acute myopericarditis. This is a 30-year-old male with no previous cardiac history. This past Thursday he got the second dose of Pfizer Covid vaccine. He had the usual muscle aches at the site of the injection. The next day he felt crappy, cold, etc. Nevertheless he went to work. This was Friday. On Saturday he felt better. He visited his grandma. On the way to home he felt a little dizzy. He took a meclizine when he got to the his grandmother's home. He helped her eat, and then went home. On Saturday night he started to feel cold and chilled. His face felt li

POST VACCINE, PATIENT LOST CONSCIOUSNESS FOR ABOUT 30 SECONDS PER SIG OTHER. ASSISTED TO FLOOR, PLACED ON STRETCHER IN TRENDELENBERG AND TAKEN TO OBS AT 1315. PATIENT STATES S/S RESOLVED ONCE ARRIVING TO OBS. VSS AND MAINTAINED UNTIL STANDING POSITION. PER ON SITE MD, PT EXPERIENCED CLASSIC SYNCOPAL VASOVAGAL REACTION- RESOLVED. PATIENT RELEASED WITH NO ISSUES AT 1330. 1320 INITIAL BP 154/89 HR 74 SATS 97% RA 1325 SITTING BP 150/78 HR 80 SATS 98% RA 1330 STANDING BP 139/87 HR 80 SATS 99% RA

Pt stood up about 10 minutes after receiving his vaccine. he felt dizzy and light headed and then lost consciousness for about 5 seconds.

Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Shakiness-Mild, Additional Details: patient was rushed to the hospital by the ambulance, i followed up with the patient and he left the hospital hours after on the same day. patient is now recovered and feeling well.

Primary complaint: chest pain. Patient received 2nd COVID vaccine and had 2 cups of coffee on an empty stomach this morning. Pain in center of chest. Worsens during inspiration. Stays in one spot. Does not move or change. Patient does not work out and no family history of heart issues. Vital signs taken once. Patient refused a 2nd set of vitals. Patient advised to follow-up with primary care in regards to heart issues.