Pfizer

Pleasant 40-year-old male comes in the emergency room with concern related to allergic reaction. Patient had received his COVID-19 vaccination approximate 60 minutes ago, at approximate 45 minutes after vaccination he developed flank pain left greater than right rated a 3 out of 10 extending down to his thighs he also noted a scratchy type sensation in the back of his throat feeling as if he needed to frequently clear his throat. The symptoms have been ongoing now for the past 15 to 30 minutes with no increasing or change in symptoms. Has never had allergic reaction in the past, unsure of previous Covid 19 infection though he describes in February of last year having upper respiratory illness which time he lost his sense of taste and smell. Currently denies any fevers, chills, nausea or vomiting. Denies any diarrhea. Denies cough or shortness of breath. Denies any swelling of the lips, face, eyes or nose. Denies any rash. Upon presentation emergency room patient was seen, evaluated, treated following standards of care given. Given patient's presenting symptoms and the recent COVID-19 vaccination will treat patient as adverse allergic reaction. Patient was given 50 mg of Benadryl IV, 20 mg of Pepcid IV, 10 mg of Zyrtec p.o. and 125 Solu-Medrol IV. Patient was observed in the emergency room for minimum of 2 hours, with complete resolution of symptoms. Patient was discharged home on Zyrtec to take 10 mg by mouth daily as well as Pepcid 20 mg by mouth twice daily for minimum of next 14 days, prednisone 20 mg 1 by mouth daily x5 days. Patient was given a prescription for EpiPen should his symptoms return or progress, recommend he call 911 and return immediately. Risks and warnings were discussed in detail, all questions were answered, patient verbalized understanding agreement plan of care.

heart palpitations; Hypoglycemia; Abnormal EKG; I had a near sick able episode and I had a rapid heart rate; I had a near sick able episode and I had a rapid heart rate; This is a spontaneous report from a contactable consumer. A 40-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), Batch/lot number: EK5730, via an unspecified route of administration on 26Dec2020 as a single dose (age at vaccination: 40 years old), right arm for COVID -19 immunization. Medical history included chronic back pain. Concomitant medication included amitriptyline (AMITRIPTYLINE), cyclobenzaprine (FLEXERIL) for chronic back pain, and hydrocodone bitartrate, paracetamol (NORCO) for chronic back pain. On 26Dec2020, the patient had a "near sick able episode" and a rapid heart rate. The initial side effect was about 7 minutes after the patient had the vaccine, came on just very quickly. The place where they had the patient discharged him, allowed him to go home, but the rapid heart rate stayed with the patient for next 24 hours and he went to an urgent care and they sent him to emergency room. The patient went to the emergency room (27Dec2020) and they ran an EKG, X-ray, and did a COVID swab; everything came back negative. Lab work, X-ray everything came back fine, the only thing they found was hypoglycemia, heart palpitations, and abnormal EKG, which was described by the reporter as "normal sinus rhythm left axis deviation pulmonary disease pattern" and then at the bottom it said "abnormal EKG." Heart rate was 136/88 (as reported) so it was definitely improving, the highest it was at 189/110 (as reported). No treatment was received for the events. The clinical outcome of the events "near sick able episode," rapid heart rate, and palpitations was recovering, while the clinical outcome of hypoglycemia and abnormal ECG was unknown.

Dizziness Lightheadedness Chills Sweating Hypotensive Monitored for 45 minutes. Placed in Trendelenberg position. BP 142/100 EMS was called to evaluated. Patient refused to go with.

Patient was poorly responsive to her inhalers that she used for asthma; Persistent shortness of breath and chest tightness starting within a few days after vaccine; Persistent shortness of breath and chest tightness starting within a few days after vaccine; This is a spontaneous report from a contactable physician (patient). A 40-year-old male patient received the first single dose of BNT162B2 (Solution for injection, lot number: EK5730, exp date not reported), via an unspecified route of administration (vaccine location: left arm) on 18Dec2020 04:15 for COVID-19 immunization. Medical history included allergy induced asthma, allergies to cats and dust, and occasional seasonal allergies. Concomitant medication included other vaccine/s received within 4 weeks prior to the COVID vaccine: first dose of diphtheria vaccine toxoid, pertussis vaccine acellular 3-component, tetanus vaccine toxoid (BOOSTRIX, GlaxoSmithKline) administered as single dose via unspecified route of administration (vaccine location: left arm) on 08Dec2020. There were no other medications the patient received within 2 weeks of vaccination. The patient experienced persistent shortness of breath and chest tightness starting within a few days after vaccine (24Dec2020). Patient was poorly responsive to her inhalers that she used for asthma (onset date not reported). She rarely needed the, used about once or twice a year). It was constant, but with periods of improvement followed regression. Will likely seek medical evaluation as it's been over a week now and rather concerning. The patient did not consider the events shortness of breath and chest tightness as serious. Treatment for the adverse events shortness of breath and chest tightness included fluticasone propionate, almeterol (ADVAIR), albuterol, and unspecified anti-allergy medications. Patient did not have covid prior vaccination. Patient was tested for COVID post vaccination wherein patient tested negative for COVID via Covid test rapid on 30Dec2020. The adverse event resulted in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. The outcome of shortness of breath and chest tightness was not recovered and unknown for the other event.; Sender's Comments: Based on the time association, the possible contribution of BNT162B2 to the events shortness of breath , chest tightness and asthma aggravated cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Patient with PMH of depression and GERD who presented 1/8 with constipation, abdominal discomfort and worsening dyspnea. Symptoms began around 12/29. COVID vaccine 12/19. Previously quite active, marathon runner, gained some weight over last couple years but was still in good enough shape to complete 10K in New Orleans in early February. In late February, had a flu-like illness, as did one of his friends from church. 2020 was hard on him - weight gain, decreased activity, stress, overall deconditioning. No issues apart from sore arm after COVID vaccine 12/19 but then starting getting abdominal fullness/discomfort around 12/29, which steadily worsened, also develop worsening dyspnea on slight exertion. No known sick contacts.. Work-up notable for pericardial effusion, pleural effusions. Echo with severe diffuse LV hypokinesis, concern raised for myocarditis. COVID PCR negative, serology negative. RVP negative. . Concern raised that COVID vaccine may have played a role in myocarditis. He was found to have the following conditions Acute heart failure with reduced EF NYHA FC II, non-ischemic cardiomyopathy. Myocarditis appears subacute per MRI hypertension obesity small pericardial effusion- asysmptomatic no pericarditis suspected obstructive sleep apnea. .Started on the following medications. Continue Carvedilol 12.5mg BID, Farxiga 5mg daily, Digoxin 0.125mg daily, Entresto 97-103mg BID, and Spironolactone 25mg daily. Per MD note. While it remains uncertain, team is doubtful COVID vaccine played a role in his cardiac issues. Given the MRI findings are not acute, more likely that the cardiac insult occurred weeks to months ago - potentially in the setting of the February 2020 illness. Perhaps his "deconditioning" in 2020 was related to worsening cardiac function. Nevertheless, will hold on 2nd COVID vaccine dose given absence of a clear explanation for his myocarditis. conversation with team will continue to determine if candidate for second covid vaccine. If consensus is that myocarditis pre-dated vaccine, might be able to proceed with dose 2 of vaccine.

30 seconds after receiving vaccine, felt dizzy, HR / BP increase, and pressure in throat. RN at clinic confirmed HR tachycardic, BP 170/98. Administered 50 mg IM Benadryl and transported to Hospital ER via wheelchair 2-3 minutes away.

30 seconds after receiving COVID19 Pfizer vaccine # 1, felt dizzy, felt HR and BP increase, and pressure in throat. RN at vaccine clinic confirmed HR to be tachycardic (rate unknown) and BP (170/98) to be elevated. 50 mg IM Benadryl administered and brought via wheelchair to ER which is connected to. ETA 2 -3 minutes.

TIA/mini stroke; This is a spontaneous report from non-contactable consumer via Pfizer Sales Representative. A 5-decade-old male patient received 1st dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at single dose for covid-19 immunisation. Medical history included insulin dependent diabetic in mid 40s. The patient's concomitant medications were not reported. The patient experienced TIA (transient ischaemic attack) /mini stroke on same day he received COVID vaccine. Outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Heart event stopped him from breathing; stroke; lack of air; This is a spontaneous report from a contactable consumer, the patient. A 40-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EL3249), via an unspecified route of administration in the left arm on 13Jan2021 (at the age of 40-years-old) as a single dose for COVID-19 immunization. Medical history included nut allergy from an unknown date and unknown if ongoing. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included zolpidem tartrate (AMBIEN) and doxepin (MANUFACTURER UNKNOWN). The patient did not receive any other vaccines within four weeks prior to the vaccination. On 14Jan2021 at 13:00, the patient experienced heart event that stopped him from breathing and the lack of air caused a stroke; all reported as life-threatening. On 14Jan2021, the patient underwent lab tests and procedures which included COVID-19 test which was negative. The patient was treated for the events which included being put on a ventilator and sedation. The clinical outcomes of the heart event stopped him from breathing, lack of air, and stroke, were not recovered.

Was at work on 1/26/21 and collapsed, no known complaints a the time. CRP was initiated immediately, transported to ER and pronounced dead

Headache, nerves in skin were raw and inflamed, agitated by touch. Fever, chills. Nausea. Chest congestion, cough. Loss of taste and smell (this began on 01/31). All side effects symptoms are still present on 02/01.

About 2 to 3 minutes after receiving the injection I felt light headed and passed out. My wife said my eyes were open but glazed over. I also started shaking. When I woke up I was confused and felt nauseated. A few minutes after I woke up the EMTs ran my vitals. My heart rate was in the 40s and my blood pressure was in the 90s. I have never had a reaction like this to any other shot/vaccines.

Tachycardia that started approximately 23 hours after vaccination. I have a history of heart arrhythmia (atrial flutter and atrial fibrillation) that were treated with ablation in July 2018. Periodically, I have tachycardia, so I am not sure if this is separate from the shot or not. Other symptoms are body aches.

dead; Collapsed; bnt162b2 was given to patient with immunocompromised w/ reportable conditions; bnt162b2 was given to patient with immunocompromised w/ reportable conditions; This is a spontaneous report from a contactable nurse. A 40-year-old male patient receive first dose of bnt162b2 (Lot number: EK9231, Brand: Pfizer), intramuscular in left arm on 21Jan2021 15:15 at single dose for COVID-19 immunization. Medical history included immunocompromised w/ reportable conditions from an unknown date and unknown if ongoing, positive for Covid in September from Sep2020 to an unknown date. The patient's concomitant medications were not reported. The patient experienced dead, collapsed on 26Jan2021. Therapeutic measures were taken as a result of collapsed. The outcome of collapsed was unknown. The patient died on 26Jan2021. It was not reported if an autopsy was performed. Received Covid vaccine here on 21Jan2021, was at work on 26Jan2021 and collapsed, no known complaints at the time, CPR (cardiopulmonary resuscitation) was initiated immediately, transported to ER (Emergency room) and pronounced dead. Unknown if other vaccine in four weeks. The patient had COVID prior vaccination. Unknown If COVID tested post vaccination.; Sender's Comments: Based on the information currently provided, the patient was immunocompromised and had prior COVID infection. The death and syncope more likely are associated with the patient underlying medical conditions. More information such medical history, concomitant medications, treatment indication and event term details especially death cause and autopsy results are needed for fully medical assessment. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.; Reported Cause(s) of Death: Dead

Patient was observed for 30 minutes. After that time, patient stated to the observer, RN her left arm "hurt all the way down" and "chest felts heavy". Encouraged patient to go to ED, but patient declined. Nurse assessed patient who then felt short of breath. Two RNs took patient, via wheelchair, to ED. Husband was with patient. ED triage took patient back and husband checked in patient.

CVA/thrombotic event. R sided weakness and sensory deficit. No preexisting risk factors. Hypercoaguable work up negative. Managed conservatively. Improvement without resolution of symptoms to date.

Within a few days of the first dose of the vaccine patient noticed extreme thirst, then increased urination frequency. Patient noticed unintended weight loss starting 2 weeks after first dose, and totaled 20 pounds in 5 weeks. Patient noticed some burry vision at night. Symptoms seems to lessen 2-3 weeks after first dose, but returned with increased intensity after second dose. Patient consulted a physician and lab work and blood sugar testing was ordered. Blood sugars were as high as 400 and A1C of 11. Patient went on a low extremely low carb no sugar diet for three days while waiting to see physician. Patient continued to monitor blood sugars. Blood sugars started to lower remained in the 170-260 range. Physician ordered repeat lab work and suspects Adult Onset Type 1 diabetes. Patient was placed on a long acting and quick acting insulin on 2-15-21. 23 Days after second dose.

2 days post vaccine Pt reports that he experienced sever flu like symptoms with the worse being fatigue, tachycardia, and shortness of breath. He reports the symptoms lasted for about 1 day except the tachycardia and shortness of breath. He reports 8 days after onset of adverse symptoms with complaints of continue shortness of breath with walking or going up stairs. At time of visit Patient positive for tachypnea and tachycardia. Wheezes audible throughout lung fields.

Patient woke up at 4am on Feb. 14th 2021 with extreme headache, nausea, dizziness, and blurry vision. patients wife called 911 and patient was taken to Hospital ER for emergency evaluation. CT scan revealed a brain bleed. patient was rushed to Hospital Neuro ICU for immediate care. patient was at Hospital from Sunday Feb. 14th - Tuesday Feb. 16th. patient blood pressure (which is usually well controlled) had spiked up to dangerous level and caused a rupture to an AVM in the tegmentum region of his brain. hospital treated patient and got his blood pressure regulated. Patient discharged on Tuesday Feb. 16th 2021 with the expectation of making a full recovery after several weeks of rest.

Heart attack. Chest pain and numbness in both arms and back. The pain lasted from 3:00AM until 5:00AM at which time I as in the ER. Troponin levels were at 6.0 and I had a small abnormal finding on my EKG. The Cardiovascular physician on call said it could be something and they would do a cardiac cath to determine where a blockage may be. The angiogram cam back with no blockages. troponin levels reached a 10 by the end of the first day. The Echo the next day showed no issues in structure. The Cardiac MRI showed fluid and 4% of my heart had myocarditis from the issue. Troponin levels reduced to 7, then 6 by the end of the second day. On the third day I went home with new meds, an order for a follow up and cardiac rehab.

Pfizer-BioNTech COVID-19 Vaccine EUA: Patient presents to urgent care one day after vaccination with fatigue, chest tightness, back pain, myalgias, headaches, right arm soreness, and decreased concentration. Patient states had COVID-19 illness in October 2020 and current symptoms are similar. Patient denies facial/throat swelling, palpitations, rash, or lesions and reports some symptom improvement with acetaminophen. Vitals within normal ranges except blood pressure 141/84 attributed to white coat syndrome. Advised to continue acetaminophen and discharged to home stable.

After 5 min of receiving the vaccine, client became diaphoretic, pallor observed and reported numbness to bilateral hands. BP taken using manual cuff at 14:26 hrs and recorded 68/42, HR 51 bpm with O2 saturation of 98 % on RA. LCTA, S1 and S2 audible to L apex 4th intercostal space. Water was provided to the client. EMS was notified; EKG was obtained. Last V/S: BP of 103/68, HR of 79 bpm and RR of 18. Client declined EMS care and declined to go to the hospital. Client was discharged home with wife; ambulated to car with steady gait. Alert/ Oriented x 3.

began with dehydration - frequent urination, low fever - up all night due to stomach issues very tired all of the time, drinking unreal amounts of water developed dangerously high blood sugar over the next week - diagnosed with diabetes on March 1

Within 8-10 minutes I had a wave of heat start from the back of my head to the front, like the feeling you get right before you go under from anesthesia. My heart began to race and I was lightheaded. I reported the reaction and was given an oximeter to check oxygen and heart rate. Heart rate was 140, oxygen 99. BP was also checked and was normal. Was given water and sat for another 10 minutes. Felt better and heart rate was under 100 until another wave of lightheadedness came over me and heart rate spiked again to over 120. It came down again. A few minutes later lightheadedness came back, shaking started, and heart rate spiked again. It lasted about 10 minutes. After 55 minutes of staying at facility I was able to leave. However, did have one more brief episode of lightheadedness and heart rate spiking. Sore arm and extreme ringing in one ear were only side effect the following day.

Systemic: Dizziness/ Lightheadness-Medium, Systemic: Nausea-Severe, Systemic: Shakiness-Medium, Systemic: Vomiting-Severe, Additional Details: Patient warned immunizer that he was anxious about receiving vaccine because he is scared of needles. Once he received the vaccine, he became nauseous, sweaty, clammy, dizzy and lightheaded. Pt explained to immunizer that he was switched to night shift and had taken his diabetic meds without food soon before his shift at 5:30pm. An EMT was on scene and she proceeded to call more medics. I checked on the pt and he was vomiting and very pale. Medics checked pt vitals and okayed him for work.

Headache, Sedation, Myalgia, Diarrhea, Tachycardia, "I feel like my heart is beating fast" "tired and sluggish and slow". Soreness in arm is painful and radiating to neck on left side Narrative: Advised to seek treatment from PCP or Emergency services if symptoms do not improve, worsen, or become severe Other Relevant History:

cough; nasal congestion; didn't sleep well/He has sleep apnea; blood pressure went up to 121/63; his temp and it went up; pulse rate was up; very tired; He had COVID test and it came back positive; He had COVID test and it came back positive; This is a spontaneous report from a contactable Nurse (patient's mother). Report 3 of 3. MI filed on report 1 of 3. A 40-year-old-male patient received first dose of BNT162B2 (COVID VACCINE, Pfizer product, Formulation: Solution for injection, Lot: Number: EL3302, NDC number: Unknown, Expiry Date: Unknown) via an unspecified route of administration on 15Jan2021 at single dose for covid-19 immunization. The patient's medical history included sleep apnea (he started with CPAP and technically it was a BIPAP machine), bipolar disease (took psychiatric medications), lost weight, blood pressure and liver enzymes. On 17Mar2020, he quit smoking. Concomitant medications were not reported. On 26Jan2021, the patient experienced nasal congestion and cough. He had COVID test and it came back positive. It was reported that, "they were vaccinated on 15Jan2021 with first dose. The Wednesday after which was about 5 days after the vaccine her husband got chills, sneezing, and fatigue. He did not call the doctor and did not get tested. About a week later her son had nasal congestion and cough. This was the third day for that. Called her son's doctor since this was the second person in the house to have symptoms. He had COVID test and it came back positive. Is the COVID vaccine enough to give a positive test. She had symptoms too, but she normally get sinusitis this time of year. No one had a fever. Her son was really congested. Maybe he will develop a fever down the line. She was at a quandary. She had to quarantine in case it was. Could the vaccination cause a positive COVID test result. She thought the symptoms should show up in 1 to 3 days. A week in between her husband and son and it was hard to believe. It should have been her to get it worse since she sleeps with her husband. Praise the Lord she had not. She and her husband had not been tested for COVID. Only her son was COVID tested. Wednesday morning he woke up and he was much more congested. He complained a little on Tuesday. He had sleep apnea and uses CPAP. He might have wanted cough medicine to help him sleep good. He said he did not sleep well. He was very tired and congested. On the evening of 26Jan2021 he was more congested than usual. He was tested yesterday and got positive results this morning. History and Investigations: he was in a lot better shape since living with them because he had lost over 100 pounds. He had sleep apnea. He started with CPAP and technically it was a BIPAP machine. They call it a CPAP. He was 355 pounds and now 228 pounds. Slowly loosing weight. He had bipolar disease and took psychiatric medications. Since he had lost weight he has had to decrease his doses. He was having problems with blood pressure in October. He was starting to feel faint and the doctor stopped his blood pressure medications. He had issues with his liver enzymes and he was not out of the woods yet. He had been a smoker on and off. He quit smoking on 17Mar2020. Caller declined to do provide information about her son's psychiatric medications and blood pressure medications for report. They bought a blood pressure cuff to keep track of his blood pressure. Since he got sick his blood pressure went up to 121/63. It was normally 110 to 114 over 63 to 70. She had also been keeping an eye on his temp and it went up about a degree. His pulse rate was up which you would expect. His pulse rate was usually between 55 and 68. That day it was 83. There was a product complaint. Caller was patient's mother. Vaccinated on 15Jan2021 with first dose. About a week later her son had nasal congestion and cough. This was the third day for that. Called her son's doctor since this was the second person in the house to have symptoms. He had COVID test and it came back positive. Is the COVID vaccine enough to give a positive test. Her son was really congested. Maybe he would develop a fever down the line. Could the vaccination cause a positive COVID test result. On the evening of 26Jan2021 he was more congested than usual. He was tested yesterday and got positive results this morning. Outcome of the events was unknown.

Within few minutes, I started feeling high heart rate and dizzy. Notified health care professional and they took me in to observe vitals. Heart rate and blood pressure was higher than normal. EKG looked normal but with higher heart rate. Started feeling better in an hour and went home. The high heart rate recurred the next several days but would go away after few minutes. Occasionally I get a headache and feel resting heart rate is higher than before. Definitely feeling better after two weeks compared to day of the shot.

Patient came up to counter, stated he felt dizzy. Leaning to the left. Assisted patient into the chair. Patient proceeded to lose consciousness. Sternal rub ineffective. Weak pulse. Called for FNP (Clinic manager) who brought out Ammonia after assessing the patient. Patient came back around after approximately 60 seconds. Patient did lose control of bladder. Once patient came to, assited to lying down in an exam room for further observation. Patient ambulated out of clinic with father after about 45 minutes.

Patient passed out after standing post vaccination. Patient responsive after around 30 seconds. Alert and oriented. States he has done this in the past after "shots". Patient provided snack and water. Patient helped to wheelchair and monitored for 30 minutes. Patient states he has returned to baseline.

Systemic: Fainting / Unresponsive-Medium, Systemic: Pale, aware of surroundings-Medium, Systemic: Nausea-Mild, Systemic: Weakness-Medium, Additional Details: Pt was sitting with wife about 10 minutes after vaccine became unresponsive. Wife got my attention. Had weak pulse, cold to touch, but was responsive to me. Knew his surroundings but said didnt feel 100%. Had NP from minute clinic look at him and called EMS for extra evaluation. Pt was transported to hospital

Patient came to staff approximately 15 minutes after receiving his vaccine and stated that he was feeling lightheaded and believed he may pass out. Patient was seated then assisted to the floor as he had a brief (5 second) vasovagal response. EMS was activated and patient was assessed on scene. After speaking with paramedics and resting, patient stated that he was feeling perfectly fine and signed an EMS refusal of service, leaving on his own accord.

PT LOST CONSCIOUSNESS WITHIN 15 MIN OF ADMIN. PT WAS MILDLY DIAPHORETIC. VITALS WERE NORMAL. BP 124/75 HR 74 NO CPR NO EPI NEEDED. ICE PACKS APPLIED TO COOL PT . 911 CALLED PT WAS TRANSPORTED TO HCF by EMS. PER PT REQUEST.

Patient was witnessed on the ground following his vaccination. He has a loss of consciousness for about 30 seconds. we arrived to find the patient pale diaphoretic with abrasions on his left side of his face and his eye glasses broken. he was placed on the back board and taken to observation area two. He is currently alert and oriented and by 3. BP 133/90, HR 85, Resp 20, oxygen sat 100 on room air. once in the observation area patient removed from the backboard. he is sitting up on the bed and calling his significant other. He was given apple juice and crackers. he states he his feeling better. The medical team at this time is encouraging the patient to be seen in the emergency department due to the the unwitnessed fall from seating position and the fact that he had a positive loss of consciousness. Pt is not wanting to go to the ED due to the fact that he has bad insurance and currently unemployed. 12:50 Bp 138/86 HR 87 Resp18 Oxygen sat 100: on room air patient is feeling better however we are concerned about his LOC and wanting him to be evaluated. His partner arrived BP 133/87 pulse oxygen 100 HR 76. Once he was here he convinced pt to go to the ED. EMS was called and arrived to take patient to the ED at 1343

Thrombocytopenia (109,000); elevated D dimer (3960); fatigue; subjective fever; headache; sweats; injection site pain; paresthesias of hand on side of injection; This is a spontaneous report from a contactable physician (reporting for a patient). A 40-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiry date were not reported), intramuscularly, administered in arm left on 15Mar2021 (at the age of 40-years-old) as single dose for COVID-19 immunization. Medical history included hypertension and COVID-19 prior to vaccination; patient had no known allergies. Concomitant medication included lisinopril. Patient had no other vaccine in four weeks and the COVID vaccine was received at a Public Health Clinic/Veterans Administration facility. On 15Mar2021, the patient experienced thrombocytopenia (109,000), elevated D dimer (3960), fatigue, subjective fever, headache, sweats, injection site pain and paresthesias of hand on side of injection. The adverse events resulted in emergency room/department or urgent care. The patient was tested for COVID post-vaccination through a nasal swab and Biofire PCR on 22Mar2021 which were both negative. Therapeutic measure taken as a result of the events included IV hydration. Outcome of the events was unknown. Information on the lot/batch number has been requested.; Sender's Comments: Based on the available information and close temporal association, a possible causal relationship cannot be excluded between the suspect product bnt162b2 and all reported events. 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.

Whole body Numbness and tingling, loss of feeling of lower right arm and lower right leg. Loss of control of lower right arm. Extreme fatigue unable to get up and move at times. Very light headed and on the verge of blacking out.. possibly Loss of consciousness. Extreme tightness in chest. Increase work of breathing. Confusion. Unable to keep eyes open and maintain alertness. Extremely tired Symptoms have gotten a little better throughout the day of april 8th with lots of rest and very little physical activity. I still have slight tightness in chest. Increase work of breathing. Still have tingling throughout body and am lightheaded. When doing any physical activity I become fatigued and lightheaded very fast and must stop after 5-10 minutes. Tongue is still tingling and metallic taste in moutg

My feet are cold as well feeling of left foot tingling when sitting or laying down.; Chest pains; Lightheadedness; My feet are cold as well feeling of left foot tingling when sitting or laying down.; This is a spontaneous report from a contactable consumer (patient). A 40-year-old male patient received first dose of bnt162b2 (BNT162B2, Solution for injection, Lot number: EM9810, Expiration date was not reported), via an unspecified route of administration, in left arm on 19Feb2021 12:45 as single dose for covid-19 immunisation. Medical history included gout. Concomitant medication included allopurinol taken for an unspecified indication, start and stop date were not reported. The patient previously took codeine and experienced Known allergy. Patient did not receive other vaccine in four weeks. Patient did not have COVID prior vaccination. Patient did not test COVID post vaccination. Patient experienced chest pains lasting 2 hours with light headedness, slow talking as well. Patient went to ER for this and when inlaid down the chest pain went away. ECG was normal as well as all blood work. Still feeling slight light headedness, the following day sporadically and my feet are cold as well feeling of left foot tingling when sitting or laying down on 23Feb2021 08:00 AM. Patient did not receive treatment for adverse events. The outcome of the events was recovering.

Became diaphoretic and pale. BP slightly elevated. Assisted to a sitting position on the floor. Provided with water and ice pack. Stayed in vaccination area for an extended period of time for continued monitoring.

Thursday, March 25th at 3:10pm I received my 2nd dose of the Pfizer vaccine. Thursday, March 25th at 9pm I had cold chills, headache, low grade fever, diarrhea, and fatigue. These symptoms lasted Thursday night, Friday, Saturday (March 25th - March 28th). Sunday, March 29th at 4am I woke up with severe chest pains, shortness of breath and light headed. At this time I went to the emergency room.

Pain underneath right rib cage and difficulty breathing. It got worse over two days and then I was hospitalized. Coughed up blood. Tested with Heparin drip and now I?m on Xarelto. No previous history of blood clots. This happened three days after second vaccine

Severe upper body muscle cramps, fever and chills, minor nausea. Cramping in chest and diaphragm causing moderate to severe positional pain and some difficulty breathing. Self treated with advil and tylenol. Laid flat on the floor for several hours in a position causing least amount of pain, until cramping subsided. Cramping lasted a total of 10 to 12 hours starting some time overnight after injection.

Patient fainted and felt dizzy for ~15 minutes. no other symptoms. s/sx lasted ~15-20 minutes. pt refused medical treatment

Pt experienced fleeting moment of syncope 5secs while sitting on a chair in the recovery hall. He was aroused to consciousness when his name was called and chest rub applied. V/s bp 103/64, res 12, temp 94.8, hr 83, o2 97% RA. He was taken to a cubicle in a wheelchair and made to lay down on a cot for further observation. Pt was noted to be perspiring profusely. 2pkts of small apple juice and a bottle of water were offered, Pt drank all. At 10:15 a m v/s obtained read - bp 116/84, rr14,hr75, temp 96.6, O2 97% RA. Pt. verbalized feeling well, denied any pain. He was advised to see his caregiver for further medical evaluation .He walked away from the room unassisted at 10:28 a m.

passed out/stopped breathing for 15-20 seconds.; passed out/stopped breathing for 15-20 seconds.; Felt faint; trouble breathing; This is a spontaneous report from a contactable consumer (patient). A 40-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) dose 2 via an unspecified route of administration, administered in left arm on 25Mar2021 11:00 (Lot Number: EN6205) as single dose for covid-19 immunisation at age 40 years old. The patient's medical history was not reported. No known allergies. No covid prior to vaccination and was not tested for covid post vaccination. Concomitant medication included loratadine (CLARITIN) taken for an unspecified indication, start and stop date were not reported. The patient previously received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) on 03Mar2021 14:00 (lot no: EN6200) in left arm for COVID-19 immunization at age 40 years old. On 25Mar2021 11:15, the patient felt faint, had trouble breathing, and passed out/stopped breathing for 15-20 seconds. The adverse events resulted in emergency room/department or urgent care. Treatment for the events included EMT monitoring onsite, saline and other meds (unspecified). The patient recovered from the event passed out/stopped breathing on 25Mar2021; while recovered from other events on an unspecified date in Mar2021.

1100 Pt reports increased in nausea and "feels like is going to throw up". Pale and diaphoretic. Pt reports name and states has hx of vagal with injections/vaccinations and sutures-which occurred 2 years ago. EMS activated. Pt increase with diaphoretic and vomited x 2. EMS assessed and controlled situation. Pt appeared to recover without difficulty after 10-15 minutes. Drank 16.9 oz. bottle water. Ambulated independently without asst to exit. Pt reports he is not driving and he has a ride. Pt instructed to inform medical to lay down prior to 2nd/next injection/vaccination in 3 weeks. Pt verbalized understanding.

I have chronic ITP but platelets have been fine for 12+ years. After first dose two weeks later my platelets dropped to 4,000 and had to be hospitalized

syncope ... patient fainted about 5 minutes after vaccination in lobby of pharmacy under observation.

On the evening of March 6, 2021, patient tried to exercise (consistent with regular routine) and couldn't do more than 15 minutes. He was very winded. On March 7, we skipped exercise. On March 8, patient tried to do simple stretching exercise, and couldn't do it. He got winded and shaky. On March 9, he was seen at an urgent care where he was told he had an inverted T wave on his EKG and a very fast heart rate (125 resting pulse). He was told to not exercise and to make an appointment with a cardiologist. On March 9, I called the urgent care clinic to ask questions about monitoring his blood pressure and when to seek more medical care. I spoke with Dr, who prescribed Atenolol. Around 4:30 pm on

note I was moderately anxious prior to getting the vaccine and had a busy day the next day which was worrisome in case of side effects. dizzy first day, chills, fast heart. Everyday so far feel off and on tired, dry mouth off and on, dehydrated? Felt tired within an hour of injection on Tuesday. I don't remember if my stomach was growling on the first night on the day I got injected and I just went to bed. The next morning I woke up really thirsty/hungry and tired. I slowly made myself breakfast. Sat down to eat on a stool and felt dizzy. My heart raced for 30 sec as I carefully made my way to the flow to be safe. I had the chills, a bit shaky for a short period. I called my doc who told me to stay hydrated. The clinic where I got injected DID NOT inform me about dehydration. As of today, I still have off and on a dry mouth, feel more of an empty stomach at meal time, tired off and on, and maybe dehydrated. I work from home so I am not pushing myself. I have not felt dizzy again and am decent at taking in water now.

Vivid/lucid dreaming with bright lights; Vivid/lucid dreaming with bright lights; light headiness a feeling that i would pass out or die and tingling and shakimg; tingling and shaking throughout his body; tingling and shaking throughout his body; As he remained in a confused mental state; received bnt162b2 first dose on 10Mar2021, second dose on 24Mar2021; received bnt162b2 first dose on 10Mar2021, second dose on 24Mar2021; nocturnal panic attack with unknown trigger; Occasinally elevated blood pressure; slight markings of dehydration; hangover; This is a spontaneous report from a Contactable consumer (patient). A 40-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, brand: Pfizer), second dose via an unspecified route of administration, administered in arm left on 24Mar2021 11:30 at age of 40-year-old (Lot Number: ER8733) at single dose for COVID-19 immunization. The most recent COVID-19 vaccine was administered at Facility of Doctor's office/urgent care. Medical history included gout, anxiety, gastrooesophageal reflux disease, 'espoghutis'. The patient did not have allergies to medications, food, or other products. Concomitant medication within 2 weeks of vaccination included omeprazole; allopurinol; escitalopram. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously took first dose of bnt162b2 via an unspecified route of administration, administered in arm left on 10Mar2021 11:30 at age of 40-year-old (Lot Number: En6206) at single dose for COVID-19 immunization. On 02Apr2021, the patient had vivid/lucid dreaming with bright lights and unusual feelings as he initially fell asleep. He was able to wake himself up but remained in between sleep and awake. This was accompanied by light headiness a feeling that he would pass out or die and tingling and shaking throughout his body as he remained in a confused mental state while his wife called an ambulance. In 2021, his vitals were fine with occasionally elevated blood pressure and slight markings of dehydration ( during the day following his second dose he felt like he had a bad hangover). The ER doctor thought the most likely explanation is sometime of nocturnal panic attack with unknown trigger. He had not previously sufferer anything like it. The events were reported as non-serious. The adverse events result in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. The patient received treatment for the adverse events which included: drugs to calm, fluids. 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 events light headiness, tingling and shaking throughout his body, confused mental state, nocturnal panic attack with unknown trigger, vivid/lucid dreaming with bright lights, elevated blood pressure, slight markings of dehydration, hangover were resolving. Information on lot/batch number obtained. Further information is expected.

Patient fainted while sitting in observation area. Patient regained consciousness within a few seconds. Patient was assessed and left vaccination clinic in stable condition.

"Administered - 4/19, time unknown Adverse event started - 10:06 Patient had syncope, flushing/sweating. BP 109/53 -- > 114/55, HR 68 -- >64, RR 16 -- >16 , O2 100% -- > 99%, Temp 97.3F. Given PO juice, Graham crackers. Patient stable, released from vaccination site."

PT reports chest pain & being dizzy. (More profound then 1st shot) Checked out. High BP. Abnormal EKG. Persistent cough present. IV administered on right ac. Transported to Hospital.

I was called to see the patient in the vaccine area. He had a mild to moderate vasovagal episode prior to his vaccine without syncope. He was dizzy, diaphoretic, and pale. He was repositioned and orally hydrated. Mild to moderate vasovagal episode without syncope. This was resolved with hydration and repositioning. He was returned home at baseline with a partner as the driver.

patient family called for help after patient fainted. Volunteer staff called EMS. EMS arrived at 1340, left with patient at 1350. RN assessed patient at approximately 1335 - patient conscious immediately after syncopal event. Patient stated during nurse assessment that he had donated plasma that morning and had not eaten or had anything to drink that day. Also states he has needle phobia and has had syncope with previous plasma donations/etc. No difficulty breathing or other symptoms beyond syncope. EMS transported out of abundance of caution.

Multiple nosebleeds flu like body aches. The multiple nosebleeds were the most concerning and unusual

Systemic: Fainting / Unresponsive-Medium, Systemic: Fell from chair and hit head on floor - small gash on bridge of nose-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Hypotension-Medium, Systemic: Weakness-Medium, Additional Details: Within 5 minutes of vaccination, pt fell from sitting position in chair to the ground. Pt hit his head and had small gash on bridge of nose. When I got to him, his eyes openned and he knew what happenned. Called 911. He laid on ground while we had NP check blood pressure, pulse, and O2 levels. Pt was stable and walked out with EMS to be checked out.

Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Confusion-Severe, Systemic: Fainting / Unresponsive-Medium

4/24 - low-grade fever (99.5 F), muscle aches, headache, lasted all day + all night 4/25 - low grade fever continued (99.5 F), sweats/chills, sharp headache, fatigue, muscle aches 4/26 - low grade fever continued (99.5 F, dropped to 99.3 F in evening), sweats/chills continued, sharp headache continued, fatigue + aches continued 4/27 - low grade fever (99 F), sharp headache, chest pain when coughing, developed sinus congestion, wet cough which produced mucous (clear), slight fatigue and aches (lessened), new symptom of low humming tinnitus in left ear only (when surroundings quiet) 4/28 - fever gone for 18 hours w/o fever-reducing medication, fatigue still present, cough with phlegm still present, slight headache, slight sinus congestion, low humming tinnitus in left ear continues (when surroundings are quiet)

Multiple blood clots in the left leg had to be submitted to the Emergency Room at the hospital for immediate treatment; This is a spontaneous report from a non-contactable consumer. A 40-years-old male patient received 1 dose of bnt162b2 ((PFIZER-BIONTECH COVID-19 VACCINE) lot number: ER2613 via an unspecified route of administration, in arm left on 12Apr2021 at the age of 40 years as SINGLE DOSE for covid-19 immunization. The patient medical history was not reported. There were no concomitant medications. The patient experienced multiple blood clots in the left leg and he had to be submitted to the emergency room at the hospital for immediate treatment on 16Apr2021 12:00 with outcome of recovering. The patient was hospitalized for 2 days and was treated with unspecified treatment. Covid test post vaccination: Nasal Swab on 20Apr2021 result Negative No follow-up attempts are possible. No further information is expected.

Pt was vaccinated with Pfizer brand of covid vaccine given intramuscular at his left deltiod administered by LVN today 04/29/21 at 3:36 pm. At 03:48 pm I, RN (EOA) noticed pt was pale and diaphoretic, came near to pt and asked how he is doing pt verbalized he is okay, when I was about to move out he eventually stated that he is dizzy and nauseous. I took initial set of vitals at 03:49 pm BP 100/60mmhg, PR 60 bpm, RR20 cpm, Temp 96.1F, Spo2 98% at room air. I called for admin assistance from admin assisted me in monitoring the patient together with another RN. Pt was given water and felt relieved. Ice packs was placed on pt's nape and made him relaxed. Pt had no complaints of chest pain and SOB. Pt had no history of DM, no HTN, no known allergies and had not gotten any flu shot for long time. Pt also verbalized that he hadnt slept well for the past 2 days related to job adjustment and hadnt eaten since yesterday that might have contributed to his complaints of dizziness Reapeat set of vitals were taken at 3:58 pm BP 100/80, PR 64 bpm, RR 18 cpm, SPO2 99% at room air. Pt stated he is back to normal and no more complaints of dizziness or nausea. Pt refused to call 911 as well. at 4:06 pm latest BP 126/88 mmhg. At 4:20 pm pt was assisted by me RN to his car with resolved dizziness and nausea. Pt was advised to have an appointment with primary physician for wellness check and health teaching was given related to side effects of vaccine and when to contact 911. Pt verbalized understanding and is appreciative of the care provided.

Dizziness, pallor, sweating. BPs 74/52 (pulse 128), 118/77 (pulse 87). Given water, orange juice, and crackers.

Awakened at 2 am 5/1/21 with acute onset of chest pain, SOB, and diaphoresis. No cardiac history; no history of similar episode. Reported that, following his second dose of COVID vaccine, he was ill for 1 day with vomiting. Chest pain continued upon arrival to ER 5/1/21 about 7 am. EKG indicated STEMI. Adm with Acute ST elevation myocardial infarction.

Aprrox 5 minutes after getting the vaccine started to feel dizzy and light headed. I passed out for a couple minutes. Approx 10 minutes later I felt fine. Don't know if it was a reaction to the vaccine or the fact that I don't like shots all that well, but I was told to report it. This has happened before when I have gotten a shot but it doesn't always happen. I would say its 50/50

patient experienced onset of fevers, headache, neck pain, generalized malaise/fatigue/weakness, diarrhea/abd pain, with 2 ED visits ultimately admitted to hospital and diagnosed with MIS-A with elevated bnp, troponin, and inflammatory markers, and treated with dex 6mg x 10 days with complete resolution on follow-up.

One day after vaccination, Fatigue. 10 days after vaccine, shortness of breath and pain while breathing. This happened both times with both shots. Fatigue the day after, shortness of breath/pain breathing on day 10 lasting 3-4 days.

Had a severe colonic seizure and stopped breathing. He said he felt funny after the shot, like he was light-headed and dizzy. Then out of nowhere I heard him moan and saw he was foaming at the mouth and violently convulsing and turning blue. I did cpr and the paramedics arrived and took him to the hospital. We are following up with a neurologist tomorrow.

Developed chest pains 48 hours after vaccination. Had chest pains daily for several days. 96 hours after vaccination, went to clinic. Tests showed irregular EKG, confirmed myocarditis

Phizer shot 1 of 2 in the left arm on Thursday 5/6. I arrived home 45 minutes after the shot was administered and went to the bedroom as my heart rate continued increasing until it was racing non-stop. As my rate increased, so did my breathing until it became rapid and shallow. It is difficult to describe how fast my heart was beating. The rapid heart rate and shallow breathing reminded me of how my breathing changed when I summited a 5800-meter volcano and there was insufficient oxygen near the peak. As my pulse increased I became weak and fell asleep, or fell unconscious. I awoke at 11:00 PM and my breathing was normal however my heart continued racing for an additional hour until midnight. I have experienced no other side effects except heart rate and breathing.

This is a spontaneous report from a contactable consumer (patient). A 40-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 26Apr2021 08:15 (Batch/Lot Number: EW0171) (at age 40 years old) as single dose for covid-19 immunisation. Medical history included high blood pressure, high cholesterol, carpel tunnel, absent vas deferens, all from unspecified dates. No COVID prior to vaccination. He underwent Covid test post vaccination (nasal swab) on 29Apr2021 with negative result. The patient's concomitant medications included unspecified prescribed and store-bought medications. No other vaccines in four weeks. On 28Apr2021 22:00, the patient experienced chest pains and shortness of breath testing of EKGs, echo, CT scan, and cardiac cath show- NStemi heart attack showing from damage to heart caused by blood clot. No problems with arteries or existing with heart. Also, lower lobe of left lung shows collapsed. The events resulted in doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. The events were considered serious: hospitalization (2 days), life threatening illness (immediate risk of death from the event), disability or permanent damage. Treatment included blood thinners- apixaban (ELIQUIS) and metoprolol. The patient was recovering from the events.

Pt presents w/Dizziness & sweats, AOx4, VS@ 1025 BP 105/41, HR 60, RR 20 O2Sat 98%; VS @1035 BP 141/67, HR 59, RR 20, O2 sat 98%. Provider concerned about orthostatic hypotension, pt called friend to be taken to urgent care

part of my left kidney was no longer receiving blood; blood clot; placed on stroke protocols.; I developed severe abdominal pain in my left side during the evening; lack of appetite; bouts of severe discomfort; This is a spontaneous report from a contactable consumer (patient). A 40-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Batch/Lot Number: EW0167) via an unspecified route of administration, administered in Arm Left on 28Apr2021 12:15 (40-years-old) as 2nd dose, single for COVID-19 immunization. The patient medical history was not reported. Vaccination Facility Type was clinic. Concomitant medications included ibuprofen (ADVIL); desloratadine (CLARINEX). The patient previously took first dose of BNT162B2 (lot number=EN6208) on 07Apr2021 01:15 PM (40-years-old) on Left arm for COVID-19 immunization. It was reported that the patient developed severe abdominal pain in my left side during the evening of Wednesday, 28Apr2021 19:00. The pain appeared sporadically throughout the evening and continued through Friday, April 30. During this time, he experienced a lack of appetite and bouts of severe discomfort. Tried treating with GasX and Tylenol. Duration of Hospitalization reported as 3 days. On Saturday, 01May2021, starting around 10:30 a.m., the pain in his left-side abdominal area intensified and did not diminish. After 6 hours, he visited the ER at hospital. After being admitted to the ER, a series of blood, urine and imaging tests were performed on me. The doctor on duty reported that a CT scan showed that part of my left kidney was no longer receiving blood (disability). He was placed on Heparin and admitted to the hospital. He was diagnosed with a blood clot and placed on stroke protocols. The adverse event result in Emergency room/department or urgent care. Treatment received for the adverse events was Heparin, fluids, blood work, urine analysis. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events abdominal pain, lack of appetite, and bouts of severe discomfort was recovering; while other events was unknown. Events reported as serious due to hospitalization and life threatening.

Started 5/11 in the morning with headache and dizziness. Left arm started feeling heavy and numb also finger tips got tingling. Started to get sharp chest pains near my heart then started to feel fatigue. Then my tongue started to get swollen/numb and I couldn't really talk. Went to urgent care and due to my condition they called the ambulance and went to hospital. They did an EKG/chest x-rays and blood work. Couple hours later they send me home with no diagnosis just to see primary doctor. Symptoms were mild for 2 days then again on 5/14 symptoms came back and went back to urgent care. They did an EKG/Covid test/ only and doctor just said it was a panic attack. I disagree I still don't feel completely right.

40 y/o M with no PMHx, non smoker, takes Finasteride 1 mg for hair growth, nonsmoker, received first Pfizer COVID-19 vaccine on 4/12/21 to left deltoid (had mild soreness x 2 days, without other sx) presented to ED 4/15/21. Presented to ED 4/20/21 with L calf pain x 4 days starting around the evening of 4/15 and into 4/16. Initially attributed symptoms to a muscle strain given pt bikes 25 miles a day and lifts/frequent exercise- was able to exercise on 4/16 but stopped after that to try to rest the leg. Has been applying ice and taking Aleve with no relief. Shortly after, noticed new swelling in the calf and this morning noted that swelling had also spread to the front of his shin. Denied numbness, tingling, weakness in the leg. Was advised by a family member who is radiologist to present to ED for further evaluation. Found on exam to have left calf swelling, Ultrasound Doppler with extensive deep venous thrombosis of the left lower extremity from the level of the posterior tibial extending proximally to the common femoral vein with areas of both occlusive and nonocclusive thrombus. Evaluated by interventional radiology, deemed no need for intervention. Initially treated with lovenox and then discharged from the ED on apixaban 5mg daily. Symptoms resolved in days after and as of 5/18 remains on apixaban symptom-free.

After about 5 minutes of vaccine administration, patient complained of "feeling of passing out", sweating hands and face, racing heart rate. Called 911. After EMT arrived, and checked patient for any issues. From EMT, patient had known history of "fear of needles" and had anxiety attack after the vaccine. After about 20 minutes, patient was stabled and got release by EMT.

Pfizer-BioNTech COVID-19 Vaccine EUA: patient presented to urgent care reporting shortness of breath, cough, and chest pain. Transferred to emergency department then admitted to current facility for a management of new onset heart failure with possible etiologies of myocarditis or sarcoid. Also found to have LV thrombus, anemia, and lymphadenopathy. Patient initiated on medications to manage heart failure and anemia and anticoagulated. Patient improved and discharged to home medically stable.

Eleven (11) days after 2nd dose, nearly fainted on driveway after standing in sun too long and discussing medical issues. Called advise nurse and was advised to visit emergency department. Past medical history pertinent for hypertryglyceridemia, elevated BMI presenting to the ED with complaint of SYNCOPE (Pt. was talking with his parents about 'medical' stuff, and felt a little queezy, had brief near syncope episode, no full LOC. Scraped arm on a brick wall during episode as fell to ground)

woke up in the middle of the night with right side numbness, and drooping face. Was rushed to the ER. Stroke team diagnosed and began treatment of stroke. Had multiple tests run to include arterial ultrasounds, internal echo cardio, and CT and MRI of the brain. Confirmed left side of brain stroke but causes are still unknown. all tests and bloodwork came back normal and within range of an above average healthy adult.

Patient experienced syncope after receiving 2nd Pfizer Covid-19 vaccine. He sat in the waiting area for approximately 2 minutes before coming back and knocking on the consult room door. When we opened the door he said he felt like he was going to pass out and then fell to the floor, hitting the left side of his head against the wall. He quickly regained consciousness after only a second or two and was able to scoot into the consultation room where we had him lie on his back and elevate his legs. We also gave him a cold compress for his head. We paged department and when AP arrived he contacted EMS to come check him over. The patient did not loose consciousness again and was able to hold a conversation with us while waiting. EMS arrived and checked his vitals and came to the conclusion that he did not need an ambulance. After EMS left the patient drank water and orange juice and sat in the consultation room with me for 20 more minutes before leaving. Patient has no previous history of vaccine reactions or history of fainting. He had no reactions to his first dose other than a sore arm.

Vasovagal. Patient diaphoretic with decreased responsiveness. Resolved on own. Water and juice given. Normal vitals. Observed for 30 minutes and asymptomatic when released. Declined EMS

SOB, Fever, fatigue, cough Hypoxia, tachycardia, HTN Admitted 5 days after the 2nd dose of vaccination Dx: Myocarditis and Pneumonitis RX: steroid, Diuretic

50% loss of vision; Tingling on one side of body; Experienced Transient Ischemic Attack 1 week after vaccine 2nd dose (April 27, 2021).; Strong pressure in head; loss of ability to support body in RL; Slurred speech; Difficulty in breathing; Cognitive difficulties; Extreme headache; This is a spontaneous report from a contactable consumer (patient) reported for himself that a 40-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Batch/Lot Number: EL7533) via an unspecified route of administration, administered in Arm Left on 20Apr2021 14:00 as 2nd dose, single for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Patient previously received first dose of BNT162B2 (Lot number EL8727) in the Left arm on 29Mar2021 16:00 at the age of 40 years for covid-19 immunisation. No known allergies. No vaccines were received within 4 weeks prior to the COVID vaccine. Healthy and no prior adverse event history. The patient experienced transient ischemic attack 1 week after vaccine 2nd dose, strong pressure in head, loss of ability to support body in RL, slurred speech, difficulty breathing, cognitive difficulties, extreme headache on 27Apr2021 16:30; visited emergency department. 2nd incident 02May2021- 50% loss of vision, tingling on one side of body, slurred speech, cognitive difficulties, extreme headache. The adverse events resulted in emergency room and healthcare professional office visit. Patient was treated with headache medications. It was reported that patient was recovered from events. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. Outcome of the events was recovered in 2021. Information on Lot/Batch number was available. Additional information has been requested.

patient called 911 with shortness of breath and chest pain. When squad arrived, he was still oriented and awake and told squad he had Pfizer vaccine the previous day. Thought was a pulmonary embolism had occurred. Then he lost consciousness and pulses. EMS started CPR. Despite aggressive ACLS maneuvers, the patient ultimately died.

Patient reported sudden onset of chest pain while was waiting in observation room. He has no major medical problem, HTN or DM. No prescribed medications were taken this morning. No dizziness, SOB reported. per patient he had headache, fever, body ache, and other flu like symptoms after taking the first dose, but no signs of allergic reactions. Vital signs: BP 150/100, HR 74, O2sat 98% on RA, Pain 5/10 consistent burning/sharp on left chest anterior. Called 911 , ECG was done and result normal sinus rhythm. Patient was instructed to follow up with his primary health care provider for further evaluation.

Patient received Pfizer COVID-19 vaccine on 5/28/21 from Nurse. Felt fine right after the vaccine. He did tell the nurse that he is afraid of needles. While waiting the 15 minute observation period, patient came to the pick up window and stated " I do not feel well". He then squatted down and felt backwards onto his back. He was non responsive for around 30 seconds then regained consciousness. I proceeded to call ED and ran out to assist the patient. By the time I went out there, he regained consciousness. I instructed him to elevate his legs while lying down. Two fire department members assisted us while we waited for emergency services. Person declined to go to the hospital but emergency services advised him todo so since his blood pressure was low. Patient was taken by ambulance to the hospital

Walking to the observation room approximately 2 minutes post shot I felt extreme dizziness. Felt like I could potentially pass out so I waited 30 minutes in the observation room before leaving. After I was fairly confident I would not pass out I left the facility. When I made it outside it felt like the right side of my brain was "not there," like a portion of my brain was dead. While driving home approximately 45 minutes post shot I felt numbness and tingling on the right side of my face. Mental confusion also started. I don't recall the numbness and tingling in my face continuing at this time. Proceeded home, laid down on the couch to relax and about 3 hours post shot felt my heart racing. Checked heart rate with pulse oximeter and heart rate was 120 w/98 oxygen. 5 minutes later the heart rate went down to around 90 but blood oxygen went to 90. I sat up, drank water and pulse/oxygen returned to normal. The next day the mental confusion continued. Approx. 24 hours post shot tingling and numbness felt on right side of face. Couldn't move lips properly, communicate to my facial muscles. This lasted around an hour or two. 30 hrs post shot short term memory loss caused confusion when typing texts, following conversation, etc. Symptoms improved greatly over the next couple of days. Tiredness/general unwell feeling approximately 48hrs post shot but unremarkable. By the time I went to a GP 84hours post shot I felt 95%. Went to a neurologist 108hrs post shot who performed standard tests and all was well. 1 week post shot got into an argument and felt tingling and numbness on right side which lasted approximately 10 seconds.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Weakness-Medium, Additional Details: pt's forehead felt cold and sweaty and he tried to lift his legs up and kept his hands high - he described that he faints after a blood taken for a test or after a vaccing, and this might be a mental predisposition to this reaction. we called an embulance, but patient felt better in 5-7 min and requested to cancel embulance. He spent 10-20 min on the chair and felt ok to get up and walk around. He left stating he fill better.

Bradycardia, hypotension Diaphoresis, pallor, visual disturbances - Patient treated for hypotension via IV/Fluid administration. - Patient transported to Medical Center

Immediate nausea, hot flash and heart palpitations at time of injection, soreness for 3 days, and on the 4th day I had a general feeling of malaise, which worsened until I developed a fever. Severe fatigue and constant fever as high as 105 for three days, and finally went to the ER. Immediately treated for sepsis. Full blood panel, blood cultures, x-ray and CT scan. Also ran some additional cultures for respiratory pathogens. The Dr?s had a tough time determining what it was. They saw a very small area which they called pneumonia, however, I?ve had pneumonia and this was not what it was. Final discharge paperwork stated Systemic Inflammatory Response Syndrome.

Per Client received COVID 19 in right arm on 5/24/2021, soreness at injection site on same day of vaccine. On 5/25/2021 around 4 am, started having chills and headache. On 5/26-5/27/2021 headache worsened and by Friday on 5/28/2021, along with headache, left sided pain in chest and arm. Per patient was taken to ER by wife and admitted to hospital on 5/28/2021. Per Client, was told first by hospital that he was having a heart attack. Client reported having labs collected, EKG, Catheterization and Ultra Sound. Per Client, later diagnosed with "myocarditis" and is now taking multiple mediations. Per Client was discharged from hospital on 5/29/2021, that evening. Will be following up with PCP in one week.

Patient has a normal resting heart rate of approximately 60-65 bpm. The day after receiving the Pfizer covid vaccine, heart rate dropped to 25 bpm, and patient passed out. Heart rate remained between 30-40 bpm for approximately 1 1/2 hours. Patient continued to experience a low heart rate of approximately 45-50 bpm for a week, as well as swollen lymph nodes and mild chest pain. As the swollen lymph nodes resolved over the week, patient's resting heart rate started to get back to the normal 60-65 bpm. Patient reported to internal medicine clinic on May 7, 2021. Blood test performed on May 8, 2021 - results normal. Echocardiogram and halter monitor performed on May 24, 2021 - results normal. Cardiology visit on June 2, 2021. Cardiology suspected possible myocarditis, vagus nerve stimulation, and/or allergic reaction as result of first dose of vaccine.

Loss of appetite, fever (102/103) and night sweats for the first 3 days. my chest pain on the left started the night of the shot around 2 am. The pain kept getting worse and worse each day. I finally had to drive myself to the emergency room (5/4/201) to get it checked out. It felt like something was squeezing my heart. i was super light headed and felt like i was going to drop on the floor dead. They gave me a chest x ray and took blood work. Everything cam back good and the doctor said if i kept getting those chest pain i should return. so they let me go. i still kept getting my chest pain for another week. however i didnt go back to the ER, because i was scared of getting a second bill as im not insured.

Myopericarditis. Admitted to CCU. Monitored. Had echo and LHC performed which looked normal. Chest pain improved but not completely resolved. Started on colchicine and indomethecin

40 year old male without any prior medical history, followed by PCP for yearly exams, who presents with complaints of chest pain for the past few days. Pain is described as left sided chest discomfort, first associated with exertion as it started with walking 2 days ago, symptoms resolved when he got home. Again yesterday symptoms returned with walking but after symptoms improved but remained, described some numbness to left hand. He denies SOB, DOE and syncope. He does report palpitations. He was seen by PCP and underwent EKG which was unremarkable however symptoms continued so he came to ED for evaluation. EKG with ST elevations ECG: Sinus tachycardia:Otherwise normal ECG Normal sinus rhythm with sinus arrhythmia:ST elevation, consider early repolarization, pericarditis, He had a stress test and an echocardiogram which were reassuring (see results below). Pain/ discomfort had almost entirely dissipated. He was discharged home with NSAID.

Myocarditis, presented with chest pain ,troponin peaked at 19, had left heart cath that showed normal coronaries

Pericarditis/ pericardial effusion- chest pain that radiated to arm. difficulty breathing in. went to ER and had CT scans to verify this diagnosis. Was treated with Ibuprofen and colchicine

Tightness, pressure on chest. Shortness of breath when I take short steps. Dizziness when I stand too long and shortness of breath. Blurred vision

Extreme discomfort/pressure in chest for 4 hours. Three weeks later the same intense pressure with nausea and cold sweat. Low energy and short of breath.

Sharp chest pain, shortness of breath, Extreme fatigue, pain with deep breath, lasted about five days. Took about 10 to 12 days to feel fully recovered

Chills, severe headache, muscle pain, injection location pain, tight chest, fever, rash/bumps on the arm of the injection site, tiredness, drowsiness, dizziness and difficulty breathing. Symptoms lasted approximately 24-36 hours

Patient reports chest and upper abdominal discomfort, fatigue and difficulty taking a deep breath since receiving 2nd dose of Pfizer Covid vaccine.

Ever since my second Pfizer vaccine shot on May 3rd, 2021, I gradually started feeling a little pressure or heavy weight towards my upper left chest 4-5 days after the shot. I thought its temporary and not relevant, however, I still have this feeling since then on daily basis. I never had this feeling/ pressure ever before my second shot. Thank you

Chest pain that was much more severe when sitting or sleeping. Sleep was disrupted nightly and I was not able to sleep on my left side. The chest pain lasted about 6 weeks and occurred most severely 3-4 times per day. I visited my PCP and he said that he heard a loud murmur or wooshing sound. He checked for a fib but heart ECG was normal. We scheduled an echo but the echo was not performed until 2 months post onset of the symptoms. Symptoms seem to point to subacute pericarditis. Increase of Petechiae on the torso. One spontaneously bled. Seems to be fading after three months.

The shot was given at 2:30pm, within 5 minutes I started experiencing chest tightness and very acute pain, much less sever than after the first shot. The tightness and discomfort lasted less than 10 minutes and subsided and did not return.

PATINET FELL FROM CHAIR. BRIEF LOC , HIT RIGHT SIDE AND TOP OF HEAD. DIAPHORETIC. LAYED DOWN OF COT. ICE PACK TO HEAD. DRANK WATER. SAT ON EDGE OF COT. OBSERVED.

Chest pains, left rib area won't stop hurting, a few days after shot felt like my abs were having a charley horse. Back pain, nausea dizziness and confusion on a daily basis. Doctors have no idea what's wrong with me suggesting upset stomach, ulcer, heartburn, spinal issues., anxiety, depression. They are just guessing.

6/25/2021 Patient was observed post Covid-19 immunization for 15 minutes . During the observation period, he experienced an adverse reaction with the following symptoms: loss of consciousness. Assessment : Time of assessment 0831am. Pallor, Clammy and disoriented. Actions taken: Vitals sign taken EMS called at 0831. VAERS form obtained and completed by RN. Hand off to EMS upon arrival at 856am. Patient refuses EMS transport. Water given 0835- BP- 67/44, P- 39, O2- 100 %, recheck- at 0839- BP- 105/66 , 0915- bp 012/82, P- 44, O2- 100% Medications administered: No medication administered. Disposition: Reports no further symptoms of adverse reaction after observation for 30 minutes. Discharged home. Instructed to call 911 for trouble breathing, rapid heart rate, dizziness, swelling of tongue or throat. EMS accessed patient, patient refuses transport. Wife with patient. Immunizations Administered Name Date Dose VIS Date Route Pfizer COVID-19 Vaccine 6/25/2021 8:27 AM 0.3 mL 2/25/2020 Intramuscular Manufacturer: Pfizer, Inc Lot: ER8736 NDC: 59267-1000-2

vaccine May 15. awoke with chest pain and pain on movement on May 30, 2021. went to urgent care. negative cardiac workup and treated for costochondritis. Second dose on June 5 with pain in chest on June 7. D dimer negative. EKG and xray negative. treated with naproxen and pain resolved, only to recur when he stopped taking medication on 6/17/21. pain subsequently improved.

I thought I was having a heart attack and went to the hospital; I had an SVT event and called 911 and had an EKG in the ambulance; I was having increased heart rate and SVT after my vaccine; This is a spontaneous report from a contactable consumer consumer(patient) reported for himself that. A 40-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number Er8727, age at vaccination 40 years), dose 1 via an unspecified route of administration, administered in Arm Right on 25Mar2021at 12:30 as 1ST DOSE, SINGLE for covid-19 immunisation. The patient medical history and 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 did not diagnose with COVID-19 Prior to vaccination. The patient did not test for COVID-19 since the vaccination. On 27Mar2021 the patient experienced 2 days after 1st dose patient stated that he had an SVT event and called 911 and had an EKG in the ambulance. They said I was not having a heart attack, but we are not surprised that I was having increased heart rate and SVT after my vaccine. I have had several since. I went to the emergency room on 13Jun2021 after another event. I thought I was having a heart attack and went to the hospital. They want to monitor me with a Holter monitor for 15 days to see if they can catch an event when it takes place. The adverse event was resulted in a visit to doctor or other healthcare professional office/clinic or Emergency room/department or urgent care. The patient underwent lab tests and procedures which included (EKG) electrocardiogram on 27Mar2021, (Holter monitor) electrocardiogram ambulatory on 13Jun2021 was unknown. The outcome of the events was not recovered. Information on batch/lot no. are available. Further information has been requested.

Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Medium, Systemic: Weakness-Severe, Additional Details: Patient fainted 5 minutes after vaccine administered. Patient came to within a minute. Refused to be sent to the hospital. Patieent was given water and a ice pack. Girlfriend picked up patient.

C/O increase palpitation/hear racing. VSS. hx of experiencing the same reactions post vaccination. Provider at bedside and evaluated. extended obx addtional 30 mins. sx improved and sent home.

Nosebleed; This is a spontaneous report from a contactable consumer, the patient. A 40-year-old adult male patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: UNKNOWN), via an unspecified route of administration in the left arm on 25Mar2021 at 14:30 (at the age of 40-years-olds), as a single dose for COVID-19 immunisation. Medical history was not reported. Other medications received within two weeks of vaccination reported as not applicable (NA). Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 25Mar2021 at 18:00, the patient experienced nosebleed. The patient did not receive any treatment for the event nosebleed. The event did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of event nosebleed was resolving at the time of this report. No follow-up attempts are needed. Information about lot/batch number cannot be obtained.

Client reported feeling dizzy and nauseous after vaccination. On assessment client appeared pale, and his skin was cold and moist. Client blood pressure was 98/54. Client responded appropriately to all questions. Client was given ammonia ampule, water and a lollipop. Client reported having eaten a sandwich earlier in the day. Client reported increased dizziness. Client was instructed to lie down and his legs were elevated. Client was monitored. Client's coloring improved and client reported feeling "better". Client's Blood pressure was taken again 140/80, Pulse 67.

***Please ignore 2nd vaccine listed. Dont know how to delete it. Only recieved 2nd dose covid 19 vaccine on 6/30*** Heart inflamation with chest pain, a feeling of breathlessness and a pounding or fluttering heartbeat.

PATIENT WAS VERY NERVOUS ABOUT NEEDLES AND TOOK SHOT OK BUT FAINTED SHORTLY AFTER..RESCUE SQUAD CAME AND CHECKED HIOM OUT AND RELEASED HIM AS BEING OK.

Chest pain persisted for ~3 day. Chest congestion for ~7 days with occassional heartburn-like pain. On 3/31/21, sharp pain in left arm and back.

I was hospitalized on 6/2/2021 due to viral Meningoencephalitis. Althought this was 6 weeks after 2nd shot, was told I should still report it since it was caused by a virus that the hospital was unable to determine after negative tests for other viruses. Had high fever, which led to loss of consciousness and possible seizure. Experienced hallucinations and loss of self-awareness (forgot who I was). Taken to hospital, entered into ICU for 5 days. Spinal tap revealed viral infection. Throat culture revealed strep throat. Given antibiotics and IV fluids for several days. Restored self-awareness and fever disappeared after a few days. Intense headaches persisted for days. Was discharged from hospital on June 7, 2021 after 7 days. Experienced possible repeat seizure 5 days later in public, loss of sensation in legs, slurred speech. Was re-administered into different hospital on June 13, 2021. Spent ~5 days in that hospital, received EEG which showed brain damage on right temporal lobe. Received another spinal tap which showed infection was improving. Discharged on June 16, 2021.

The time of the schedule appointment was for 3:00pm at the local Pharmacy). Once the vaccine was injected into my left arm, I was placed into a different seating placement, to be observe for any signs of side-effects that may occur form the injection. This seating area also displayed a digital clock to notify how long each patient must be stationed for (each station is registered for each patient to wait approximately 15 minutes after injection). Once placed in the seating area and the clock was started to examine my treatment, within the six minutes of observation, the following signs occurred: Rapid-Heart Rate, Short and Shallow Breathing, Sweaty Palms including Hot Flashes (lasting 4 seconds).

Blood pressure went up to 160; My heart rate went up to 130/Rapid heart rate; disorienting; unable to eat; post-nasal drip 'dripping' into my lungs; Occasional shortness of breath; Dizzy; Unable to eat and actually zero desire to eat; Sweating/ sleep sweat; sleeping off and on; Was just physically ill/ malaise; Chills; Fever; Extremely tired/ general fatigue; I throw up the water I have been drinking all day; This is a spontaneous report from a contactable consumer (patient). A 40-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: unknown) via an unspecified route of administration on 13Apr2021 at 08:00 (at the age of 40-years-old) as single for COVID-19 immunization. The patient's medical history was not reported. Concomitant medication included albuterol [salbutamol] (ALBUTEROL [SALBUTAMOL]). The patient stated that it was just a standard rescue inhaler 100 mcg. The patient was vaccinated on 13Apr2021 at 08:00 and within 5 minutes his blood pressure went up to 160 and heart rate went up to 130, so they called paramedics over, who were already on site and did pulse check and blood pressure check until they knew what heart rate, blood pressure and oxygenated blood was. They did not allow him to leave for an hour because it was so highly elevated, he felt so dizzy and very disorienting. His friend dropped him home because he could not drive, there was no way he could drive. After an hour the blood pressure got back down to 140 and heart rate was still about 120, it was lower, so he went home and immediately lay down and rest the entire day. He was just physically ill and experienced chills, fever, sleep sweat, extremely tired, strangely no arm soreness at all. He got every other possible side effect and that lasted until 01:30 in the morning, after he throw up, he was finally able to get some sleep. He took rest the entire day, sleeping off and on, unable to eat and actually zero desire to eat, rapid heart rate, sweating, and occasional shortness of breath. He used the rescue inhaler as treatment, that was probably because he laid on his back for so long and also probably just post-nasal drip into lungs. At 01:30 in the morning, he throw up the water he had drank all day and felt a bit better. It was probably because he did not eat all day. He slept until noon and didn't went to work because he felt malaise, general fatigue, his arm didn't hurt. He didn't feel great on the day of reporting, but it was not like the previous day. He had to go to the emergency room, as his mom kept pushing him to go and he was like not going. He had not eaten anything on the day of reporting, so he was looking for something to (incomplete sentence). The patient took 1 gm of Tylenol (over the course of maybe 14 hours) on 13Apr2021 and was advised not to take Advil for whatever reason. The patient underwent blood volume the previous month which was normal and no STDs. He was negative for COVID. That's why he felt okay with vaccine and then before that he did a PCR test which was also negative. The patient have been in 11 countries in the previous year and might have undergone 20 PCR test. He was kind of scared taking the second shot. The outcome of all the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Heart palpitations and dizziness. Bradycardia. Resting heart rate dropped as low as 40 beats per minute.

Hallucinated after 1st shot then blacked out. Lost control of bladder functions. Disoriented and unable to speak or hear for several minutes. Transported to emergency room. Still have hearing issues and headache a week later.

Heart Rate for no reason would jump up to 180-200 beats per minute, confusion, high blood pressure. Called 911 because I thought I was having a heart attack. I did not go to the hospital during that event. I told them I had a cup of coffee with breakfast and that I had my vaccine two days prior and they said it was probably from that. I had 20 other events the following months sometimes at night, same symptoms. The worst was on 6/13/21 I was helping my friend move and my heart rate jumped up and blood pressure went up as well. I called my wife to pick me up and I could not communicate my location, I was standing under a street sign in a neighborhood I am familiar with. I though I was going to lose consciousness. I called 911 and decided to go to the hospital and see what was happening to me. I have had several EKG and came back clean. The doctor said for some reason I am having episodes of SVT and that I need to wear a holter monitor to figure out what is happening to me. After that day I removed any and all alcohol and caffeine from my diet. Beers on the weekend and I would have one to two cups of coffee a day from our coffee machine at home. 6 weeks later the monitor has been approved and I am wearing it now. I set up a doctor because I did not one and had an EKG and explained my sysptoms and he said he has seen this happen to a lot of men specifically and it usually takes several months and it "should" go away. I meet with a Cardiologist on July 29th. Since removing alcohol and caffeine the episodes decreased and went away within a week and I have not had any episodes for the past 4 weeks.

Severe dizziness, headache, loss of balance, heart palpitations, upset stomach, blurry vision and nausea.

Patient developed new-onset hypertension the day after immunization that has persisted for the past 4 days. Patient not having chest pain, shortness of breath, or palpitations. Patient does endorse forceful heartbeat.

Approximately 15 minutes after receipt of the vaccine, I experienced tachycardia and mild throat swelling. I was placed in the Immunizations Clinic treatment room, had my airway assessed, and vital signs taken. My initial vital signs at 0950 were BP 197/99, HR 106, O2 sat 99%, temp 98.3 F, and 0/10 pain. Over the course of the next 2 hours, I repeatedly had my vital signs taken, was monitored, was provided with water, and remained hypertensive and tachycardic, although down-trending. I also experienced cottonmouth and bilateral blurred vision/dry eye. At the end of the 2 hour monitoring, the throat swelling seemed to subside, my systolic BP in the mid 140s and diastolic BP was in the mid 90s. At time of release from monitoring, I felt better, but dry eyes and dry mouth continued without difficulty swallowing. I was instructed to report to the ER if my symptoms worsened and to consult by primary care manager about the incident. Upon walking back to my office, I realized I was experiencing dizziness as well and a mild headache. I attempted to submit this form online but I received an error message, so I completed the fillable version to upload, in case a partial duplicate record appears.

2 days later I developed pain in my chest, back, lats, and entire arm. I have sharp numbing pain periodically from my armpit to my pinky finger. This pain has only grown worse since onset despite my doctor prescribing oral steroids and pain meds. Painful to sneeze, cough and laugh

After 2nd dose in the afternoon at 2:30pm pt collapse in the unit V/S was high blood sugar was high. Pt was held over at work for 16 hours. Shot was given at 6:45am. Paramedics was called. Sent to ER.

Beginning 5 days later, and persisting for the last 3-4 weeks (on and off): GI issues, headaches, lightheadedness, dizziness, palpitations, high blood pressure.

Approximately 5 minutes after receiving injection, patient reported feeling mildly short of air. 1410-BP 132/89 HR 104 SpO2 99% 1420-BP 130/86 HR 85 SpO2 99% - reports that symptoms have resolved. Denies need for further intervention. Education provided to seek medical attention for further sx Pt was ambulatory and left the clinic.

On 12/26 (Sat), heart rate increased to 170 and then calmed down. On Sun and Mon - vomiting, nausea and HA on and off. On Mon heart rate increased again. Went to Urgent Care and tested covid negative. On Wed 12/30, BP at 180/105. Went to ED and BP eventually went down to 145/95. Dr is speculating that since patient had high antibodies from covid infection in August and still high antibodies in October that all of this is a wild immune reaction triggered by the vaccine.

Patient received 2nd dose of Pfizer-BioNTech COVID-19 Vaccine EUA at 2:04pm , <5 minutes after vaccine administration he developed hypotension with loss of consciousness for few seconds. He was sitting in a designated chair for the protocol 15 min observation and fell from the chair to the ground, hitting the right side of his temporal - redness noted around area with skin intact. Clinic staff immediately moved patient to be lying down on the ground with cervical spine precaution and lifted his legs up on a chair. Vitals: HR 78 and BP 118/72 taken in supine position on ground with legs elevated. Patient was transported by EMS to the ED at 2:45pm. ED note: Patient has Hx of vasovagal syncope in the past with similar symptoms after blood draws..Exam and workup shows well-appearing young man, nonfocal neuro exam, normal gait, cardiopulmonary exam unremarkable, no signs of trauma other than a small hematoma to the right forehead. After evaluation, their Canadian Syncope Risk Score is -3 indicating very low risk for 30 day serious adverse events (<1%). Telemetry monitoring during their ED stay has not captured any events. Discussed next steps with patient: given their low risk for 30 day serious adverse events (including death, serious arrhythmia, MI, PE, ICH), they would prefer to be discharged to continue their workup as an outpatient, rather than admission for observation. Patient was deemed stable to discharged from the ED at 5:57pm with counseling to follow up with PCP in the next 2 days and to return to the ED with any persistent or worsening symptoms.

Syncopal event after shot given . Clammy and diaphoretic , ashen appearance and announced he was about to pass out before he passed out . Has had between 15-20 similar episodes describable and recallable in his lifetime . Awoke after a brief 10 sec loss of consciousness. Felt immediately better and no different than any other episode that occurred after seeing needles and getting shots. Drank some water and dc home after observation . Drove himself home . No sequelae.

Developed DVT in left leg from groin to ankle. Diagnosed on 01/29/2021. Pain, swelling, and difficulty walking lead to emergency room visit, admission to hospital for 2 days.

Patient became syncopal within 1-2 minutes of administration. He was lowered to the ground and evaluated by medical team. When repositioned to seated position he again became syncopal, he was again lowered to the ground and placed in a recovery position. EMS assisted him to stretcher and he was transported to medical treatment area at the vaccination site, ECG and VS performed, patient was hypotensive, diaphoretic, and pale. He was ultimately transported to ED

Roughly 12 hours after receiving the second dose of the vaccination, I began to be restless, especially when trying to sleep. I noticed that my resting heart rate was way above normal (normal = 76-80 bpm). My heart rate after about 10pm rose to about 115-120 bpm and stayed at that level for about 12 hours.

Patient screened for first dose of Pfizer vaccine. He checked no history of allergies or reactions to medications or vaccines. In the initial screening he informed me he had a phobia of needles but this is usually with blood draws. He reported he should be fine with vaccinations. I inquired on previous reactions and he denied any allergic reaction just that he does not like them. I asked him how I can help give the vaccine. We had him look away and to think of a different situation. I asked him if he would like to know when I am administering or just use distraction. He chose to be informed when he would feel a slight poke. Vaccine was administered with no issues. Within the minute following the vaccine patient started to feel dizzy. Hung his head a bit but was responsive. I requested staff assistance to help the situation including RN to prevent any episodes of syncope. We provided water which he was able to drink. He was still seated and we suggested putting head between legs. This was not comfortable for him so we moved him to the floor. About 3-4 min in he began to sweat a bit more and appeared Pale. We obtained a BP and pulse. BP was 112/60 and pulse around 60. When he felt hot, sweaty and appeared pale we all decided to call EMS to be cautious. He maintained BP, no SOB, did not lose conscious. EMS evaluated him, med list provided and vitals. He was on medications for anxiety. They released him after about 30min and reported a panic attack and not related to the vaccine. Patient walked out of the clinic with his partner and was stable. He is requesting 2nd dose of the vaccine. I informed him nurse would review and would have a plan for future injection.

Trouble breathing with chest pressure; Trouble breathing with chest pressure; Rash on face with swollen fingers; Rash on face with swollen fingers; This is a spontaneous report from a contactable consumer (patient). A 41-years-old male patient received first dose of BNT162B2 (Lot number: 9264), via an unspecified route of administration on 31Jan2021 10:15 at single dose in the left arm for covid-19 immunisation. Medical history included hypertension and penicillin allergy. The patient's concomitant medications were not reported. On 03Feb2021 09:30, the patient experienced rash on face with swollen fingers and trouble breathing with chest pressure. The events result in Emergency room/department or urgent care. The patient did not receive any treatment for the events. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient underwent lab tests and procedures which included Nasal Swab: negative on 03Feb2021. The outcome of the events was recovering. The following information on the lot/batch number has been requested.

Initial adverse events: night sweats, fever, body aches, muscle aches (Back pain). These all occurred about 12 hours after the second shot and subsided around 36 hours after the second shot. 8.5 days after the second shot I had throat and chest pain. This pain then continued and got worse to the point I went to the ER and was evaluated for potential heart attack. After testing - results were that I did not have a heart attack. I was still experiencing this pain, so the ER took a strep test. This was also negative. The diagnosis was "pulled chest muscle". I've had pulled muscles, I know what those feel like and it sure didn't feel like what I experienced on the night of the 16th and the day of the 17th of Feb. 2021.

Patients spouse reports he started to feel "funny" 5 mins post vaccination administration. Patients spouse called for assist when he he became unconscious at 7:25pm. He was found unconscious and failed to respond to a sternal rub. EMS called. Initial assessment: HR-weak pulse-not palpable, agonal, shallow breathing, and unresponsive. VS- BP 160/100 HR- 100 Wife used smelling salt to arouse the patient. He was confused after regaining consciousness. 7:37pm- EMS arrived and assumed care, transferring patient to a higher level of care.

Dose 2 of Covid vaccine given 2/18/2021, on 2/19/2021 felt bad, stayed in bed all day and that evening had a sharp pain in chest. chest pain continued intermittent next day and then 2/22/2021 0200 it was a sharp crudhing pain that radiate down his L arm, same arm had the vaccine in, awoke him from sleep

Pt received dose 1 of PfizerBiontech COVID Vaccine AT 1318. He was observed 30min without complaint and left without incident. He returned at 1356 c/o" throat and chest tightness." Upon assessment, wheezing is noted bilaterally. Resp Rate and Work of Breathing Within Normal Limits. Denies any other complaints and exhibits no further signs or symptoms. Albuterol/Atrovent Neb as well as IV Benaryl 50mg administered on scene and patient states his tightness is improving/resolving. Continues to denye further Complaints. Responding units Fire Department and Ambulance arrive on scene and care handed over to crew. Assessments, care, and treatment continued enroute and patient transported to ED

He received first dose of Pfizer COVID vaccine 1/15. Next day, he felt right axilla and trunk numbness after that which lasted 2-3 weeks and was resolving. After the second dose early Feb 5th, he started having difficulty swallowing and SOB and felt a little better after a course of steroids and antibiotics but got a lot worse after finishing the course and presented to ED 2/16 and was found to have supraglottic edema requiring intubation and treatment with IV steroids. Was extubated on 2/19, in ICU until 2/21. He did well with treatment and was discharged 2/22. Patient received a dose of influenza vaccine (FLULAVAL - GSK lot: 7N43B) on 2/22/21 3/2 he started having burning pain in the right midthoracic area, the next day he noticed right hand weakness/numbness (4th and 5th digits), gradually progressed. 3/4 noticed right facial weakness, initially was lower face, Unable to drink without drooling. MRI brain was done 3/5 and was normal. 3/5 facial weakness progressed to upper face. Unable to close right eye for the last 24 hrs. He also reports numbness left 5th digit. Presented to the ED on 3/6. Found to have elevated transaminase in ED. Hospitalization continues at this time. Etiology of symptoms is unknow, but includes vaccine reaction, shingles or early stages of autoimmune disease.

20 minutes of monitored and recorded tachycardia (peak heart rate of 188) while at rest. Accompanied with perspiration, flushing, myalgia and malaise. Tachycardia resolved, other symptoms persisted for 12+ hours.

Significant chest pain in heart area 6 days after first shot, especially if I took a deep breath. I don't think it was even that bad when I suspect I first got Covid 1 year ago. Got mostly better by the next day.

Narrative: Patient C/O mild itching 10 minutes after Pfizer covid vaccine administration. No berthing issue or other symptoms. VS: BP 137/79, 96, PO2 100%. PE: Mild erythema on upper arms, no hives. Symptoms decreased significantly after 10 minutes if observation. Patient released with instructions to take Benadryl if itching recurs or repot to ED if worse symptoms develop.

Tingling in ears and extremities, heart was racing, tickle in throat, dizzy, short of breath, nauseous

Second Pfizer COVID vaccine given 2/12/2021. Developed symptoms one day after 2nd Pfizer vaccination with headache, body aches, chills, followed by abdominal pain, vomiting and diarrhea over the next 3 days, then became confused per wife so he came to ED for evaluation on 3/16/2021 and evaluated by me. Also had black stools and vomiting blood. Diagnoses: Septic shock, Gastrointestinal Bleeding with severe blood loss, Hepatitis with Hepatic Encephalopathy, Liver cirrhosis. Admitted to hospital 2/16/2021-discharged 2/21/2021. Since symptoms developed day after vaccination, I am compelled to report.

For the first 24 hours I had no symptoms other than arm pain. For the next 6 days experienced debilitating headaches, which led to nausea (because they were so severe). Elevated blood pressure also coupled with headaches. I initially took Ibuprofen (which helped somewhat), whereas Tylenol did nothing. I also have a flexible ice pack that I placed over my head. That also helped a little. I went to the doctor on March 17th, but he was dismissive of the headaches being related to the vaccine. I have since been referred to a neurologist (April 1st appointment).

Chest Tightness x 5 min Hx of irregular heart beat x 3yrs. Normal limits: V/S BP= 132/96; HR= 77; RR= 20 No SOB

The patient is a 41 yo male with a history of seasonal allergic rhinitis who experienced DVT and PE temporally related to Pfizer BioNTech COVID vaccine dose #2 receipt. He is a Service Member and reported high levels of baseline activity, including running 10 miles each Saturday. He received vaccine #1 25 JAN 21 (EN5318) without AE. He received dose #2 on 16 FEB 21, (EN6200). He experienced no immediate symptoms suggestive of IgE event. On day 1 he reports feeling cold, mild fatigue but no other symptoms. On day 2 he was baseline. On day 3 he noted numbness, tightness and discomfort to his right calf. On day 4 (Saturday), his usual long run day, he experienced dyspnea and lightheadedness after running 20-30 feet. He states he noted tightness in his calf and instead walked the track while his wife completed her run. He rested day 5. Day 6 he noted significant edema to his calf, which he describes as double normal in size, and iced it. Day 7, he tried to schedule with PCP and based on triage was sent to ER. ER diagnosed R DVT and bilateral PE's. He was admitted overnight, started anticoagulation therapy. He saw hematology, and the workup was negative for other causes.

low blood pressure and dizziness, diaphoresis. Taken to medical observation BP 110/60 At 0954 AM BP was 120/70 Patient stable. Discharged to exit via wheelchair.

previous wounds that had not yet healed having extra bleeding; never get nosebleeds and had one unexpectedly; This is a spontaneous report from a contactable consumer (patient). A 41-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration, administered in arm right on 03Mar2021 09:00 (batch/lot number: EN9581) as single dose for covid-19 immunization in a workplace clinic. Medical history included ongoing wounds that had not yet healed. The patient's concomitant medications were not reported. The patient has no covid prior vaccination. The patient has no other medications in two weeks. The patient has no other vaccine in four weeks. On 04Mar2021, the patient noticed previous wounds that had not yet healed having extra bleeding. The patient informed that he also never got nosebleeds and had one unexpectedly 1 week after vaccine (Mar2021). The patient was not covid tested post vaccination. The patient had no treatment received due to the events. The outcome of the events was unknown.

NAUSEATED, BLACKED OUT, COLD SWEAT. CAME TO FINE WITHIN A FEW SECONDS EPISODE RESOLVED QUICKLY CLIENT MONITORED FOR 30 MINUTES AND LEFT WITHOUT FURTHER INCIDENT.

Patient got their Pfizer covid-19 vaccine and during the 15 minute post vaccination waiting was noticed to be lethargic and just didn't feel right. Upon checking vitals it was determined that the patient's blood pressure was a little high, but all other vitals were fine. Patient still said that he didn't feel right so EMS was called and the patient was transported to Hospital for further evaluation.

Headache - 4 days and still comes and goes sometimes being very extreme. Fatigue - Started feeling tired around 5:00pm the day of the vaccine and I have continued to feel tired after 4 days. Muscle/Joint pain - Started getting sore arm first a couple hours after shot then progressively getting worse on my entire body for 3 days. On day two is was almost unbearable with my lower back being the most painful. I could not sleep because of the pain with no position that would relief it. Chills - Started getting chills on the evening of the vaccine. They came and went for 3 days. On the second day it was uncontrollable shakes no matter how many blankets I used. Fever - Started the night of my vaccine increasing to 102.4 and reaching the highest on the second day at 103.5. I took ibuprofen every 6 hours for two days straight with it staying steady at above 100. Nausea - Started the evening of the vaccine and got very severe. It has continued for 4 days. Fast Heartbeat - It has stayed consistently above 110 and sometime getting up to 130 while laying in bed shivering.

Received Pfizer COVID-19 Vaccine (1st shot) at 10:20am. Dizziness for 5 minutes after receiving injection then it disappeared. When I arrived at home an hour and a half later I was dizzy again and experienced rapid heart beats. Symptoms lasted for 30 minutes and then the symptoms stopped. While I didn?t experience any more side effects today, I did notice that the are around the injection site is significantly swollen and sore. I?m using an ice pack to help bring the swelling down.

started to sweat and felt "not right" post injection a few minutes, states has happened several times in past when getting injections. staff assisted to floor and states did lose consciousness for a moment. felt better once in obs, 1517 bp 119/68 hr 83 rr 20 sats 98% on ra. 1530 bp 138/72 hr 67 rr 17 sats 98% on ra. states s/s resolved, stood up with no issues, escorted to personal vehicle with no issues.

After administering the vaccine, the patient experienced a severe vasovagal response approximately 5 minutes after receiving the vaccine. Diaphoresis was treated with ice packs. PulseOx was normal, blood pressure and heart rate were stable.

on 4/11/2021 approximately 1pm , just left home from lunch and went back to work. started having chest tightness, chest pain, called wife -- he felt clammy and all around not feeling well and above symptoms. Advised him to come home- stayed on phone with him til he arrived home. took his blood pressure with wrist bp machine while sitting at dining table and it was 171/85 and pulse was 85 so called EMS.

Presyncope (lightheadedness, nausea, blurry vision). Normal vitals. Symptoms improved with supine rest and oral rehydration.

I immediately past out twice and was told I had two minor seizures. I declined ambulance and have felt dizzy spells since. I have appointments to get checked out.

Headache, diarehhia, fatigue, muscle and joint pain, swollen lymph nodes (arm pit on side of injection), chest pain

Blood clot in right hand. Could not feel right thumb pointer and middle fingers and they turned purple. Went to hospital and treated with Heprin. Outcome - still have the blood clot. Put on Eliquis. Also developed high blood pressure from event and put on valsartan

PATIENT LOST CONSCIOUSNESS FOR 10 SECONDS , 10 MINUTES AFTER RECEIVING VACCINATION. AFTER HE REGAINED CONSCIOUSNESS HE SAID HE HAD NOT EATEN BREAKFAST AND HAD NICOTINE GUM 10 MINUTES BEFORE GETTING THE VACCINE. ALSO HE MENTIONED THAT IT HAD HAPPENED TO HIM BEFORE WHEN HE GOT A VACCINATION. HE FAINTED WHILE THE NEEDLE WAS STILL IN HIS ARM. HIS BLOOD PRESSURE WAS 142/68. EMT ARRIVED AFTER 5 MINUTES AND TOOK HIM TO THE HOSPITAL

mild myocarditis with fevers +constitutional symptoms, trop and BNP elevation (without other cause), ekg abnormalities, EF wl

Patient developed Chest pain at 0700. Came on suddenly. Pressure, squeezing and tightness that radiated up to his shoulder.

Full syncopal episode lasting 15 seconds per vaccinator. Awake, alert and oriented upon med response arrival. Pt states hx of syncope with blood draws and injections. denies having breakfast today. Denies any food or drink from medical staff. Symptoms resolved and pt left.

Pt c/o chest tightness in middle are of chest Pt assessed: VS: 150/80 98HR 94% Rested for 10 min. After 10 min, VS: 142/80 O2Sat 95%, Denies chest tightness, pressure, heart palpitations.

Vaccine on the 6th Sore arm that day. That night before bed dizzy, tired, back muscles tightening. 7th. Dizzy , tight muscles, sore arm, that late afternoon i sneezed. My back went out. Severe spasms and pain from The 7th-16th. Late night on the 16th. Chest neck and shoulder pain. Heart flutters, tachycardia, oxygen levels dropping to 89. Hovering around 95. Severe nausea. Abdomen pain. Tight painful muscles in legs Same and worse today on the 17th , had ER visit Been taking Valium and Tylenol for pain and spasms per my PCP since April 15

Sleep for a few minutes, I didn't pass out but it was similar; Was pulled over "for minor traffic violation." He was told "to get out of the car and had a field sobriety test, and I looked intoxicated."; Felt heavy and tired/Run down; Had a headache; Upset stomach; sleep for a few minutes, I didn't pass out but it was similar/crashed for 4-5 hours in the middle of the day which I never do; aching; Over all weakness; Started feeling sick again at dinner; Woke up feeling really bad; Bad diarrhea; This is a spontaneous report from a contactable consumer or other non hcp. A 41-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 25Mar2021 (Batch/Lot number was not reported) as single dose for covid-19 immunization. Medical history included drug hypersensitivity from an unknown date and unknown if ongoing Allergic to sulfa, PCN and amoxicillin. The patients concomitant medications were not reported. On an unspecified date the patient experienced sleep for a few minutes, I didnt pass out but it was similar, was pulled over for minor traffic violation. He was told to get out of the car and had a field sobriety test, and I looked intoxicated, felt heavy and tired/run down, had a headache, bad diarrhea, upset stomach, sleep for a few minutes, I didnt pass out but it was similar, crashed for 4 to 5 hours in the middle of the day which I never do, aching, overall weakness, started feeling sick again at dinner, he went to the bathroom a few times, woke up feeling really bad. The patient was worried because everything was coming to a head right now. The caller got the first shot, he waited for 15 minutes and felt fine. As the caller walked to his car he began feeling heavy, had severe diarrhea, headache, aching, it was almost like he passed out, it felt like he went to sleep. The patient got home and crashed 4 to 5 hours in the middle of the day and woke up feeling really bad. The patient went to a very important dinner meeting that night. While the patient was at the meeting he went to the bathroom a few times and then excused himself because he felt so bad. The patient did not even finish one cocktail with dinner. The caller got pulled over for a minor traffic stop, cutting the corner and crossing the line or something small. The officers believed the caller was driving under the influence and started making him do a sobriety test with 40 degree wind gusts, the patient was miserable. The caller told the officers that he needed to seek medical attention but they ignored him. The officers forced the caller to do the urine test. It has been 5 days since his vaccination and he is just now feeling better. The outcome of events was recovering. No follow-up attempts are needed. No further information is expected.

Patient had an episode with convulsions and loss of consciousness lasting a couple seconds after eating a marijuana edible.

Right after receiving the vaccine (approximately 5 minutes after), patient said they were feeling light-headed. I went to go get patient water and a granola bar since he hadn't eaten breakfast and patient passed out. Patient was resting after receiving the 1st dose of the vaccine, and was propped against the wall in the corner on a chair, so he was just leaned up against the wall (didn't fall to the ground). Several patients helped me move the patient to the ground so he was lying horizontal and he woke up almost immediately (max 10 seconds). He wasn't quite oriented to what had just happened but knew he was on the ground. Within 1 minute, patient knew where he was, was feeling fine and wanted to sit back on the chair. He was carrying on a full conversation and did not feel feverish, sweating, tired, faint, or have a headache, just embarrassed. Patient stayed for a full 30 minutes and wanted to drive himself home because he felt completely back to normal. Vaccine administrator calling to check up on patient during next available break.

RN witnessed Patient syncope - fell face down out of chair, landed on forehead/nose area, very brief tonic/clonic activity. Bloody nose, bleeding from cut on bridge of nose, abrasion above R eyebrow. Swelling on bridge of nose, appears that it may be broken. Patient conscious soon after syncopal episode and able to speak to RN and Medic. Patient notes history of syncopal episodes related to needles. Volunteer Medic applies pressure to cut and nose to stop bleeding. EMS called due to concern of patient hitting head during fall, possible broken nose. Patient hypotensive (90s/60s), blood sugar 76 - pt stated only black coffee to eat/drink today, slow to recover, dizzy, unable to sit up. EMS transferred to ED for assessment at ~1000.

Patient states he was sitting when he got very hot and nauseated before fainting. Staff saw patient fall to carpeted floor face first and ran to his side. Patient briefly non-responsive but almost immediately regained consciousness and turned over onto his back. Legs elevated to chair and patient instructed to remain supine. Vitals at 1:35pm 120/80, HR 91%, O2 level 97%. Patient states he tends to get very hot and nauseated with shots. 1:37 pm: c/o tingling in both hands and requested an ice pack. Obtained his wife's phone number and contacted her using his phone. Attempted to cleanse abrasions to (L) forehead and bridge of nose but he was not able to tolerate the smell. Drinking bottled water provided by staff. EMS enroute. 1:40 EMS arrived; BP 112/72, HR 89, O2 98%. Patient remains alert and oriented. Kept supine. Using his ice packs to hands. 1:57pm: Still has tingling and slightly nauseated. EMS requested privacy with patient.

About 10 minutes after receiving the vaccine. I felt hot and sick to my stomach. I couldn't breathe. I took my mask off and fanned myself. I started to feel dizzy and then I fell to the floor and passed out. The paramedics did an ekg and thought I was having a heart attack. They rushed me to the Emergency Room and they performed more tests. The tests showed their was nothing wrong with my heart previously.

Approximately 5 minutes after injection, pt began complaining of "feeling warm." He was provided with water by a staff member. The patient then fell to the floor from a seated position in a chair in the observation area. The EMT and Paramedic immediately responded to the patient. They assessed the patient and brought him into a wheelchair once he was feeling well enough to do so. The patient never lost consciousness. Initial vitals: BP 96/60, O2 95% on room air, RR 24, HR 64. The Paramedic took a 12-lead EKG, result was Sinus rhythm with apparent ST elevation. Subsequent EKG was sinus brady with apparent ST elevation. The patient was free of contusions or scrapes from his fall from the chair. PT initially refused transportation to the emergency department. After some convincing, the patient was agreeable to seek elevated medical treatment and was transported by ambulance.

irregular heart beat/afib; Chills; fever; headache; body ache; upset stomach; irregular heart beat/afib; This is a spontaneous report from a contactable consumer (patient). A 41-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 07Apr2021 08:15 at single dose for COVID-19 immunisation. The patient's medical history included hypertension and afib. Concomitant medications included lisinopril, acetylsalicylic acid (ASPIRIN), both taken for an unspecified indication, start and stop date were not reported. The patient had no COVID prior to vaccination and was not tested for COVID post-vaccination. The vaccination facility type was Urgent Care Center (reported as Doctor's office/urgent care). On 08Apr2021 at 02:30, the patient experienced irregular heart beat/afib, chills, fever, headache, body ache, and upset stomach. No treatment was received for the events. The patient underwent lab tests and procedures which included heart beat: irregular on 08Apr2021. The outcome of the events was not recovered. Information on the lot/batch number has been requested.

Had extreme joint pain. Chest heaviness and chest pain. Potassium and sugar bottomed out to critical levels.

About 40 minutes after vaccination the patient complained of L sided chest pain radiating to axilla/ No other symptoms including sob. EKG normal. BP 129/89 P 71 RR 18 O2 97%

collapsed; weak/weakness; muscle pain; Confusion; Fatigue; Shortness of breath; This is a spontaneous report from a contactable physician. A 41-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date unknown) via an unspecified route of administration on 04Apr2021 at a single dose for covid-19 immunization. Medical history included G72.3 periodic paralysis. Concomitant medication included diclofenamide (KEVEYIS) taken for an unspecified indication, start and stop date were not reported. It was unknown if the patient received other vaccines within four weeks. It was unknown if the patient had covid prior vaccination. The physician stated that the patient received the Pfizer vaccine on Sunday 04Apr2021. The patient collapsed about an hour and half later and, has felt very weak and was experiencing muscle pain since then - all experienced on 04Apr2021. The patient has also been experiencing weakness, confusion, fatigue, and shortness of breath all since Sunday 04Apr2021. The physician reported that there were two different kinds of potassium in the vaccine which he felt was contributing to this. It was informed that the patient has been currently resting and will follow-up if his symptoms don't improve. The outcome of the adverse events was unknown. It was unknown if treatment was received for the adverse events. It was unknown if the patient was tested for covid post-vaccination. Information on the lot/batch number has been requested.; Sender's Comments: Based on available information and temporal relationship, a possible contributory role between BNT162B2 vaccine and the reported events can not be excluded. Case will be re-assessed upon the additional information provided. 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.

Shortness of breath, chest pain that feels like a heart attack, rapid heart rate, headache, muscle fatigue and extreme tiredness

Difficulty breathing and chest pain. Elevated CRP. ON STEROIDS NOW. Suspect potential heart (or peri) inflammation.

24 hours later dizziness, fatigue, headache bleeding nose, sinuses swollen and plugged, bloody mucus, bloody gums/tongue the next morning(heavy). Sinuses went down, bloody nose stopped in 3 hrs, and teeth stopped bleeding a few hours later. No more bleeding now, but still have a little headache.

Pt called call center. Pt c/o fever since 04/22/2021 and headache since 04/23/2021.Also c/o rapid heartbeat. Stated sometimes not able to feel heartbeat on left side,sometimes very rapid. Pt concerned stated might be possible s/e from covid vaccine Pfizer he got on 04/19/2021This writer recommended pt to go to nearest ED/Express care for further evaluation as experiencing rapid heartbeat. Pt assure understanding s

3/26 @ 3:15pm ? Got the first dose of Pfizer COVID-19 vaccine for the 1:10pm appointment. However actual time received was around 3:15pm. No vaccine reaction was observed and drove back home. However did not eat or drink much from morning till 4:30pm due to the long line at the vaccination center 4/4 @ 9:00pm ? Experienced first sign of near-syncope at the dinner table upon picking up a glass of milk 4/6 @ 8:45am ? Experienced brain fog, to be exact head felt like it was filled with cotton candy, at the back and top of the head. Felt this way the entire day. Went to work as usual. Logged out at around 5:30pm 4/7 @ 9:00am ? dizziness started getting worse. Started feeling imbalance and started losing depth perception which climbing down staircase 4/8 @ 10:00am ? started to get easily startled by any unexpected trigger. Whole body would ?twitch? or ?startle? upon slightest unexpected event. For e.g., sound, touch, taste (hot/cold) 4/10 @ 12:00pm ? Went to ER. ER ordered series of book tests, EKG, chest x-ray. Everything came out normal. ER doctor said to wait it out and after a week symptom may go away. ER doctor felt body?s immune response was over-working due to the vaccine immune response and possibly pollen allergy I may have experienced right after getting the vaccine. No prescription meds give. Advised to take Meclizine 25mg and Zyrtec. Below are the symptoms experienced on 4/10: ? Lightheadedness/Sudden Jerking body movements when triggered/passing out momentarily for a second when taking strain/not in my elements ? Feeling extremely fatigued. Did not sleep well at night on 4/8 and 4/9 ? Head feels Intoxicated, foggy, lightheaded, as if stuffed with cotton candy. Startled when unexpected things happen like a sudden jerking movement along with momentary passing out while anything unexpected happens. E.g., when I am pushing myself on the sofa to re-position, I feel my whole body is turning off for a second. Simply does not feel normal ? Rubbery legs ? Worsens after shower. I feel like I need to lay down as the foggy feeling worsens after shower ? Lightheadedness. Losing control sometimes. ? I am easily startled when climbing down the stairs - no Depth perception. ? Don?t have the strength to blow nose or cough. Feels like momentary fainting when doing these activities ? Dis-equilibrium. Whole body is twitching when something unexpected happens to my senses. ? Unable to control while laughing feels like momentary faint. I have felt like this when I was down with a fever. Tickled easily ? Difficulty pulling myself out of bed. Felt like muscle was giving away ? Tingling feeling in the right abdomen area ? Difficulty staying alert or focused and random rather unpleasant thoughts constantly coming to mind. Felt a bit of panic attack. 4/11 ? Went to PCP. Body weakness and fatigue got worse. PCP did blood sugar test and flushed out the left ear. Ordered Brain MRI to see if structurally anything was wrong. Brain MRI came out OK as well however noticed minor sinusitis. Prescribed Amoxicillin antibiotics and nasal spray. Referred me to Neurologist and Head and Neck Specialist. 4/11 ? 4/15 - Above symptoms progressively got worse. Especially weakness in the arms and shoulders. Arms quivered every time trying to stand up and felt like fainting. Hand-eye coordination progressively got worse. For e.g., could not pick up water bottle, hands were quivering badly 4/15 ? Neurologist conducted certain diagnostic tests and concluded that there are no neurological issues. Said with rest and plenty of fluids it should get better. Spinal tap was not recommended and said if symptoms got worse a spinal tap can be done during the next visit. Follow up visit with neurologist scheduled on 4/27 4/15 ? 4/27 ? Weakness in arms got better. Arm strength and coordination has improved however it?s still not back to normal. Brain fog and dizziness still persists with no improvement. Left limb and arms are stronger than the left. Difficulty climbing up and down stairs. Dizziness worsens after shower. Not feeling myself. In addition, not able to multitask - getting startled and need to be deliberate about having to do everyday chores need to just focus on one task 100% completely and if something else comes up then my body just goes into a momentary shock. Mostly I can feel my head feeling heavy and my eyelids shutting down when something shocking happens ? a feeling like body is ?turning off?, almost a fainting or passing out feeling. Sometimes when I turn to one side and sleep, I can feel a flickering sensation in the ear. Still always feeling woozy and as if there is something in my head ? a medicated or intoxicated feeling in the head 4/27 ? Neurologist said she sees a lot of improvement and reiterated again that I don?t have any neurological issues. She said I can go back to work starting 5/1. She said I may have Conversion Disorder / Disequilibrium. It?s hard for me to fathom why she would diagnose me with Conversion Disorder when so many people are reporting very similar symptoms that I am facing on the below forum: https://www.drugdiscoverytrends.com/dizziness-among-common-covid-19-vaccine-side-effects/ 4/30 ? Next appointment with Head and Neck / Audiology

Adverse effect started 24hrs after injection beginning on 24 April 2021. Trended normal resting heart rate range is 55-66bpm; Noted elevated resting heart rate of 104bpm began at 12:00pm 24 April; experienced expected side effects of fatigue, soreness, feverish feeling concurrent to elevated resting heart rate. Heart rate remained high ranging from 88-103BPM throughout the day; took a nap from 430 - 530pm; at 5:20-5:30 heart rate measured 174 BPM. 6:00pm - 10:00pm heart rate ranged from 75-88 BPM; after 10:00pm heart rate returned to normal range. 25 April No side effects experienced Measured Heart rate range for the day was 56-73 BPM

At the medical facility, within minutes of taken the shot, my left eye vision started to get blurry. I started to sweat. Medical personnel took my blood pressure and said it was high. They had me rest on a bed for 10 minutes. They gave me water and juice. After 2 days of the vaccine, I feel strange heart palpitations every 1 or 2 hours. My blood pressure reading is at 147/88.

After several days, severe chest pain developed upon waking up one morning. Pain radiated from the approximate right rhomboid to the sternum. One saught emergency room care to address the pain after three days of intensification. A D-dimer test and chest x-ray were performed, both negative for thrombosis. Upon palpation by the attending physician, the origin of the pain on one's back was localized/identified. At this time, roughly 12 days post-vaccination, the pain is still present but slowly abating. IF the pain does not cease soon, one will seek further testing and treatment via a primary care provider.

TIA ( mini stroke) on fourth day after dose two.; This is a spontaneous report from a contactable consumer (patient). A 41-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EN6208 and expiration date not provided), via an unspecified route of administration, administered in Arm Right second dose on 25Mar2021 15:00 at single dose for covid-19 immunisation. The patient's medical history included Hypertension and Penicillin allergy. The patient's concomitant medications included lamotrigine (LAMICTAL) and bupropion hydrochloride (WELLBUTRIN). The patient historical vaccine includes bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EN6201 and expiration date not provided) via an unspecified route of administration administered in Arm Right first dose on 04Mar2021 administration time: 04:00 PM for covid-19 immunisation. On 29Mar2021 10:00, the patient experienced TIA (mini stroke) on fourth day after dose two. The event resulted in physician office visit, Emergency room visit, and hospitalization for 1 day. The patient was treated and was placed on three medication (unspecified). The patient underwent lab tests and procedures which included Spectrum DNA test: negative on 15Apr2021. The outcome of the event was recovering.

8 days after receiving the shot I was out for a run and had a heart attack. The septal region of my heart was enlarged but nothing else was showing... all arteries wide open, heart functioning at 55, cholesterol 171. My troponin levels were 76...

Nausea: 1hr Palpitations: 24hr Restlessness: 8hr Insomnia: 8hr Fatigue: 36hr Pain at injection site: 5hr Headache: 12hr

a potential false blood pressure readings/The readings were over 200/140/took it on his wrist and measured at 215/147; the pain at the location of the lower arm got near tremble; This is a spontaneous report from a contactable consumer (patient). A 41-year-old male patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration, administered in Arm Left on 28Apr2021 16:00 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. Medical history included blood pressure abnormal, blood cholesterol abnormal, deafness. The patient's concomitant medications included unspecified products received within 2 weeks of vaccination. The patient previously received the first dose of BNT162B2 on 06Apr2021 01:15 PM at arm left for COVID-19 immunization. The patient was not diagnosed with COVID-19 prior to vaccination and since the vaccination, he has not been tested for COVID-19. The patient reported a potential false blood pressure readings on 29Apr2021, a day after administered 2nd dose. The readings were over 200/140 and he took it at home using a blood pressure reading device. He took it on his wrist and measured at 215/147. In his recent doctors visit prior to administer the 2nd dose, the accurate readings was 183/136 (estimated). With the false blood pressure readings, the pain at the location of the lower arm got near tremble due to the fact of the false readings has been taken. The events outcome was unknown. Information on the Lot/Batch number has been requested.

Arm soreness started on May 18 @ 3:30pm. Went to sleep with same arm soreness at 11pm. Woke up at 1:15am on May 19, walked approximately 12 feet started experiencing cold chills. At 1:20am, while standing and holding cellphone in right hand, started experience of convulsive seizure to the point of cellphone health stats saying i walked 103 steps while standing still convulsing. After calming down enough to sit, i sat on couch to sleep. Heart rate was still registering in 200 bpms for next couple hours. May 20, 2021 started experiencing sore throat at 5:30am. As day progresses am experiencing flu type symptoms.

Patient was given vaccine and while waiting the 15 minute monitoring period he fainted. He was responsive right away and needed to throw up. We attended to him and called EMS. He said he had anxiety from the seeing the needle and is probably why he fainted.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Hypertension-Mild, Additional Details: blueish right calf

Shortness of breath weakness tired chills achey heart palpitations headache dizzy confused lasted 2 weeks

Acute myocardial infarction in the LAD. Chest pain migrating to left arm down through elbow. Cardiac catheterization s/p DES-pLAD. Chest pain started roughly 19 hours after the first dose of the Pfizer vaccine.

I felt faint about 20 minutes after I took the first vaccine shot on 4/1/2021. I felt like I had heart palpitations, then a tingling feeling in my left arm. After the second shot, I felt like my balance was off if I laid down or looked down and then pulled my head up. That went away after the first day. Starting the following day, I had some chest pain over my heart, and at times, I would have a burning sensation in my heart. At times, I also felt a tingling down my left arm (sometimes out of nowhere). I would be very short of breath. These symptoms were on and off for the first two weeks after I took my shot. They have since completely gone away.

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

About a week after receiving the 1st Pfizer Covid vaccine, I started experiencing heart palpitations and difficulty walking up stairs and/or hills. I visited the ER the following day because I did not have a doctor nearby. I was referred to a local doctor, who I visited May 6, 2021. He dismissed the notion that anything was caused by the vaccine and put me on a low dose (5mg) blood pressure medicine and a 81mg aspirin. Around 3-4 days after visiting the doctor, I started to feel normal again. Since then I have felt 100% and back to healthy eating and exercise routine. Nothing like this has happened to me before, and it was an abnormal situation. I have not received any other vaccines in many years.

Patient passed out after the vaccine....He had mentioned a history of vaso-vagel response when he got a shot as a teenager. He was sitting for about 5 minutes then told us he didn't feel well, then passed out. However, he came to very quickly. He was given a cold compress, some water and was sitting with legs up. We observed him for 45 minutes until he felt well enough to leave. I don't think this was a problem with the vaccine due to a similar history while receiving a different vaccine in the past.

Patient complained of dizziness about 5 minutes after shot. Also stated felt shortness of breath described as chest tightness but no wheezing. Offered water, Gatorade, and Benadryl. Patient took water and Gatorade. Stated was feeling better. Checked on patient minutes later and had another wave of the feeling. Spacing was further and less severe. At 9:53 am patient got another wave of dizziness/tightness and 911 was called at 9:57am. Patient reported no side effects to first dose but when EMS arrived they claimed experiencing this with the first dose but less severe. EMS took to ambulance to further evaluate.

Had expected fevers and chills day following vaccine. Started approximately 12 hours after shot and abated approximately 36 hours later. Of note, had a fever and chills when falling asleep night of 5/28 On 5/29 woke with specific chest pain localized to heart area. Waited approximately one hour to see if symptoms abated, then proceeded to ER to get checked out. EKG showed left branch block. Administration of Nitro and asprin alleviated chest pain. Was admitted to hospital for observation and testing to ensure heart functioning properly.

He had his 2nd pfizer vaccine on 5/3/21 The next day he felt tired 2 days later (on 5/5) he started with fever, chills and body aches He then started with abdominal pain --hurt to take a breath in, he could not lay flat He went to Hospital and was dx with myocarditis He was started on ibuprofen (changed to naproxen for discharge), colchicine and protonix

Labile BP; Rapid heart rate; Migraines; Body aches; Chest pain and tightness; Chest pain and tightness; Inflammation; This is a spontaneous report from a contactable other hcp (parent). A 41-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EH9899), dose 1 intramuscular, administered in right arm on 22Dec2020 15:00 as 1st dose, single for covid-19 immunisation. Medical history included covid-19. The patient's concomitant medications were not reported. There is no other vaccine in four weeks. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19, covid test type post vaccination was Nasal Swab on 29Dec2020, covid test result was negative. Starting 5 days post vaccine (26Dec2020 18:00), ongoing symptoms of labile BP; rapid heart rate; migraines; body aches; chest pain and tightness; inflammation. Now going on 6 months of ongoing issues that have resulted in 4 ED visits, multiple tests and numerous doctor's office visits. There is some treatment (Medication) for AE. The adverse event result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. The outcome of the events was resolving.; Sender's Comments: Based on known safety profile it is unlikely that the reported events were causally related to bnt162b2. These are probably intercurrent medical conditions. 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 Committees and Investigators, as appropriate.

Short-term (24-36 hours after both shots): Extreme fatigue, muscle pain/soreness, headache, fever, nausea. Worst I've ever felt in my adult life, like my whole body was rebelling against me. Long-term (for roughly 10 days after both shots): Serious shortness of breath, irregular and very high heartbeat, extreme fatigue. Couldn't do any physical activity without immediately becoming out of breath (normally very healthy and active). Heart would race unpredictably, reaching 120 bpm (normal resting for me is 60-70). General malaise. Felt more like 80 years old than 40. Was unable to do normal physical activity and work for weeks. Feeling better overall, but still sometimes feel like I get tired unusually easily and heart behaves strangely now and then.

Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Diagnosis was traumatic hemorrhage of left cerebrum with loss of consciousness.

Pfizer-BioNTech COVID-19 Vaccine EUA: Myocarditis, STEMI Patient received Pfizer COVID vaccines on 4/15/21 and 5/6/21. Patient presented to ED on 5/9/21 with complaints of acute onset substernal chest pain that woke him from sleep. Patient also endorses left arm pain, diaphoresis and nausea. No significant past medical history or family history of heart disease. ECG demonstrated inferior ST elevations. Patient was taken to cath lab and found to have no angiographic evidence of CAD. Patient discharged on aspirin 81 mg QD, Clopidogrel 75 mg QD, Metoprolol 12.5 mg BID, Rosuvastatin 5 mg QD.

Blood clot in left side of brain resulting in stroke and reduced functionality of the right side of my body.

My brother started with some swelling in the legs/feet, followed by chest pains that led him into a heart attack, followed by cardiac arrest. He was shocked back to life where he lay in a coma. His kidneys stopped functioning followed by his lungs and liver?he was kept alive on life support and dialysis, he died after having 4 more heart attacks back to back on June 4, 2021.

Tachycardia, numbness in extremities, dizziness, shortness of breath. All intermittent for about 8 hours following shot. Intense for a 2 hour period 4:30-6:30.

2nd dose of vaccine given 4/19/21. Developed URI symptoms (congestion) shortly after which coincided with young kids having URI as well. On or around 5/10/21 he began noticing exertional chest pain and tightness. Symptoms progressed to occurring with less exertion. Admitted 6/2/21 with late-presentation anterior STEMI, underwent emergent angioplasty of multiple lesions.

On May 18, 2021, Patient said he was experiencing severe back pain and that both of his arms had gone numb and he had vomited. Patient called his mother to come help him with the baby because he wasn't feeling well. When she got there 30 minutes later he was not breathing. They were not able to revive him. He died of a blood clot in the front of his heart.

24hours after vaccine:headache, chill, muscle pain, tireness 48 hours after vaccine: Slow heart rate below 50, chest pain, tightness of heart area from 7am-1pm

PATIENT STATED THAT HE RECEIVED THE VACCINE ON FRIDAY, AT THE END OF THE DAY ON SATURDAY, HIS CHEST STARTED TO FEEL HEAVY AND HE HAS LABOR BREATHING. HE WOKE UP SUNDAY AND DIDN'T FEEL WELL. HE TOOK A NAP AT AROUND 4PM ,THEN WOKE UP AND COULDN'T BREATH WITH HEART PALPITATIONS. HE WAS ABLE TO ARRIVE TO THE EMERGENCY ROOM AND TRIED TO WALK HIMSELF IN. HE COLLAPSED ON THEIR YARD.

I don?t know if it?s caused by the vaccine or not as the timing is so apart, but it is crazy to have something rare like pericarditis all of a sudden so I thought it best to submit to VAERS to let you review in case it was related or coincidental. I?ve had multiple covid tests that are negative but the current theory is this was from a virus I caught while traveling 6/14-6/16. Staring feeling ill 6/17, went to hospital with chest discomfort 6/19, admitted and run through a battery of tests to make sure I wasn?t having a heart attack.

After about 15 Minutes after the injection, My Hands and Feet broke into a sweat, about 1 minute after that the top of my head started to tingle ( like pins and needles) after about another minute it felt like I had to keep breathing on purpose. ( what I mean by that is I was aware of my breathing and had to knowingly take breaths it was like I had been under water and just come up for air) I don't remember the exact time maybe another minute or so, my heart started to race. This All went on for about 45 Minutes. When this first happened the Pharmacist told me that what was happening was common with vaccinations and had nothing to do with the covid 19 vaccination, I asked for the nurse that had provided the vaccine to me and was told she went to lunch. So there was no healthcare professional there to help me. The pharmacist just had me sit in a chair and told me to sit there until I felt better. This happened for both injections. I have never experienced this type of reaction with any other vaccine in my life.

Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Medium

PT REPORTED THAT APPROXIMATELY 6 HOURS AFTER GETTING THE SHOT HE LOST CONCIOUSNESS AND EMERGENCY SERCIVES HAD TO BE CALLED. HE WAS FOUND TOP HAVE LOW PRESSURE. PT IS DOING OK NOW

About 1-week post second injection, patient developed Pulsatile Tinnitus in (R) side. This has continued for two (2) months after the second injection. Additionally, patient has complained of excruciating headaches on the right side of the head, behind the eyes and behind the ear. Patient has throbbing head pain, and becomes lightheaded easy. Blood pressure has increased to a perceived new normal of 140/90+ on most days, even at rest. Patient is normally very active, exercising at least six (6) days per week doing cardio and strength workouts, however has not been feeling well since the second shot. Patient is very fatigued by the end of the day, which is not normal. Patient wakes up in the morning to pounding headaches, pain level 5-7, every single morning with a perceived fast heart rate. Pulsating tinnitus is very loud for patient, and he cannot hear out of that ear, and difficult to understand speech or other sounds. No change in diet, working conditions or lifestyle other than receiving the COVID-19 vaccination. Patient has been monitoring blood pressure at home with a machine and at the clinic. Average blood pressure is 143/90 with some readings as high as 160/95 and as low as 118/80 (after waking up on day 3 of a hospital stay). Patient was admitted to a hospital on 21JUN21 for abnormal ECG, high blood pressure and complaint of chest tightness, debilitating headache as well as pulsating tinnitus in head.

As soon as the vaccine was completed and the bandaid was put on, the patient started having what looked like seizures. He arched his back and reached his arms out to either side, lifted his head and started making a noise. He was sweating profusely. I held him and kept him from falling out of the chair and called for my technician to call 911. Once he called the patient came to after about 2 minutes. His breathing was not hindered so I felt it was not an allergic response. I checked his pulse and started asking him questions such as if he knew who he was and what was going on. I gave him some water and kept checking his pulse. I laid him on the ground while we waited for EMTs to arrive. Once they arrived they took over and checked his pulse and heart rhythm. His pulse was low (in the 40s and 50s) and his pressure was low. He denied going on the ambulance and his brother came and picked him up and took him to the hospital. Total time from beginning to end was about an hour.

Patient walked out the vaccination room for about a minute or so after 1st dose of Pfizer then suddenly blacked out, fell chin down to floor, got a cut on the chin and bleeding; patient sit up after the fall, was responsive, pain level 3-4 due to the cut on the chin, chilling and shaking. Paramedic arrived after 5 minutes and transferred patient to hospital

Approximately seven days following second dose of Pfizer COVID vaccine, I began experiencing heart palpitations, elevated heart rate, chest pressure, difficulty breathing, shortness of breath, and dizziness. Multiple "episodes" each day would occur without warning, did not relate to physical activity, or any other stimulus - would just happen throughout the day, often multiple times per hour. Even to this day, more than 90 days following the second dose of Pfizer, there are multiple times each day when I feel chest pressure, heart palpitations, and slight shortness of breath. It is not as common, or as severe as it was early on, but some symptoms remain.

vaccine was administered and patient lost consciousness. he began to turn red and did not breathe for several seconds at which we were about to administer an EpiPen. He then took a breath and started to convulse. he regained consciousness and was not coherent at first. He was sweaty and pale. Pt became alert and oriented and stayed in the room while we waited for the emt to arrive. He declined to be taken to the hospital. He moved to the waiting room and was monitored for 30 minutes before leaving

The 2nd dose of Pfizer vaccine was injected on May 3rd, 2021 at a clinic. Minor arm ache, fatigue, fever/chills felt for approx. ~1day post vaccination and then felt back to normal. Around day 3 post vaccination felt sudden, sharp, stabbing pain within chest cavity which forced me to take shallow, rapid breaths to avoid triggering pain. Lasted a few minutes before subsiding. Following day or so pain returned as a dull, diffused pain and was felt intermittently for several weeks. Generally I run fairly often for fitness, however activity level was reduced due the ongoing chest pain. Wanted to resume normal activity levels, but decided to consult a Doctor for peace of mind due to pain taking so long to resolve. Scheduled virtual appointment (06/24/21) who advised an ER visit due to it being a potentially risky chest issue, and the fact that they could run the appropriate tests to diagnose it relatively quickly. Walked over to a nearby ER that afternoon and was hospitalized for 1 night, who diagnosed an "Unprovoked VTE" with a "Pulmonary Embolism" in Right lung. Was treated with Lovenox injections at hospital and currently taking Eliquis medication. As a side note: my brother (43yrs old) who lives in another country, was administered the 1st dose of the AstraZeneca vaccine on 05/24/2021 and subsequently fell ill, went to the ER twice and was eventually diagnosed with VTE/Bilateral PE. He is also currently taking Eliquis medication.

Fatigue, ache, Extreme swelling of the lips. 4 occurrences so far covering all 4 quadrants randomly. Numbness, tingling, itchy sensation. Last episode involved swelling of the cheek and eye on same side as lip. Chest and back tightness

I experienced similar symptoms the day before the first vaccine - (Just the pain in the chest- like something sticking in my chest. More severe stuff was experienced after the second vaccine. After second vaccine, I had pain in my chest. I had a dull ache - like a broom stick stuck in chest - sometimes front and sometimes back and sometimes both. Goes up my spine into my neck sometimes. Sometimes it comes with shortness of breath. One point when it went down my left arm and into my hands. Dull pain. I have gone to medical center - Urgent Care twice and two different doctors and they haven't found anything yet. I woke up gasping for air - one time last weekend. That lasted for two hours - I was only getting 50% of breath when I breathed in. Today I woke up at 6 am (two hours earlier for me) and again had shortness of breath. The doctors have no idea what is going on. I have never had anything like this before. I'm not particularly stressed so I don't think it's anxiety like one doctor suggested. It's very physical and disturbing so I doubt it's anxiety. Muscular - Skeletal relaxant to take - and that didn't help and I stopped taking it because it didn't feel good to stay on it.

* I am having a fluttering heart problem. * This symptom has begun 10th day after the first dosage of Pfizer-BioNTech vaccination.

Since having my second Pfizer Covid vaccination I have been experiencing heart palpitations. I was seen by my PCP regarding this. I wore a 24 hour halter monitor and did not have any palpitations while wearing the monitor. I have not had any further testing and have not been evaluation by a cardiologist but I do continue to have palpitations.

RAPID HEART RATE - MULTIPLE VISITS TO ER WITH EKG AND BLOOD TESTS -RESULTS NEGETIVE LIGHT-HEADINESS SEVER HEADACHE'S TROUBLE SLEEPING ANXIETY

wife said approximately 6-17-21 they were camping and he started having chest pain. the following monday they went to the ER. He got a complete check up and nothing was found to be wrong with his heart or health

Patient reports to pharmacy on June 29th 2021 that he had pain and inflammation in both arms after both covid vaccines. He switched vaccine administration sites but still had pain/burning after both vaccines. He told the technician that he has myocarditis from the covid vaccine and that he saw a cardiologist.

On Saturday July 3rd I noticed tightness in my chest, lightheadedness, and ringing in my ears. On Sunday, July 4th, I still had the lightheadedness, tightness in my chest, rapid heartbeat, and it was more difficult to breath unless I was sitting a certain way. On Monday, July 5th I had severe chest pain, difficulty breathing, fluttering and pounding heart, when I took a deep breath I would feel my heart pounding but at a much slower rate and then it would go back to normal beats, severe ringing in the ears, extreme tiredness. This lasted for about 1.5 hours and I went back to bed and when I awoke 4 hours later my heart seemed to beat fine. Chest pain lightened up a bit, but breathing is still difficult. I?m very healthy and have not had any health issues. The heart issue this morning was so bad that I?m not sure if I should get the second dose. If things worsen, I will contact my doctor. I?m hoping that it goes away soon and this will be alleviated on its own, but I?m really worried about getting the second dose even though I want it.

Started with Tingling in Upper Right Leg, Chest Pain and Shortness of Breath, Constant Headaches. Passing out, Light headed and dizziness. Joint Pain and All Day Headaches. More recently Been having Sharp pain in kidney areas and back pain and Constant headaches. Tingling throughout whole body at times.

The night of July 3rd, I started getting severe chest pain, that was worse than before. As well as full body nerve pain, obsessive sweating, shaking, my back was twitching, which led to uncontrollable shaking that went into my legs like they were vibrating. It went all over my body, hands, feet, legs, arms, all over. When I tried to stand up I could barely walk, I went to the ER. They took at CT Scan, blood tests, and just sent me home to get checked by a Neurologist. Since then I continue to have these symptoms. Such as trimmers, in my hands and feet. Heat on my skin all over my body at random times of the day. As well as the sensation that I have water or sweat on random parts of my body. I go to the Neurologist, July 15th to do further testing.

Pt called 5/13/2021 regarding of rescheduling of 2nd covid vaccine. Pt stated pt got 1st covid vaccine Pfizer at 12:05 4/23/2021 and next day pt felt soreness on left arm injection site and chest muscle soreness. pt stated it's not chest pain but felt subtle chest muscle soreness. Pt visited MD and done blood work, chest x-ray, ECG;normal. Pt stated pt feels slightly better chest muscle soreness than last week but still carry chest muscle soreness. Pt has scheduled allergy specialist at outside facility 5/19/2021. Noted pt is not taking any medication, no known allergies. Pt requested to reschedule 2nd covid vaccine d/t pt has scheduled allergy specialist.

rapid resting heart rate (~110-130 bpm) for a couple of hours.; This is a spontaneous report from a contactable consumer, the patient. A 41-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EN6204), via an unspecified route of administration in the left arm on 25Mar2021 at 10:00 (at the age of 41-years-old), as a single dose for COVID-19 immunisation. Medical history included congenital/neonatal emphysema. The patient had no known allergies to medications, food or other products. The patient did not take any concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not tested for COVID-19. On 25Mar2021 at 10:15, around 15 minutes after vaccination, the patient experienced rapid resting heart rate of approximately 110-130 bpm for a couple of hours. The patient did not experience trouble breathing and relaxed at the store until the heart rate reduced below 100 bpm for a period of approximately 30 minutes. The patient's normal resting heart rate was 60-65 bpm. The events did not result in doctor or other healthcare professional office or clinic visit, and emergency room or department or urgent care. The patient did not receive any treatment for the heart rate increased. The clinical outcome of the event heart rate increased was recovering at the time of this report. No follow-up attempts are needed. No further information is expected.

Patient reported that his heart rate has increased to 150 pm since the shot, also had shaking chills and 103 fever, severe headache for 3 days

Atrial fibrillation was detected but not sure yet if it was an underlying condition or caused by vaccine.; Tunnel vision; Extreme sense of coldness; Face planted to the floor.; This is a spontaneous report from a contactable consumer or other non hcp. This consumer(patient) reported for himself thata 41-years-old male patient received first dose of BNT162B2 (Formulation: Solution for injection, Batch/Lot number: 59267-1000-01), via an unspecified route of administration, administered in Arm Right on 25Jun2021 18:00 (Age at vaccination 41 years) as single dose for COVID-19 immunisation. Medical history included hiatus hernia and diverticulitis. Concomitant medication(s) included paracetamol (TYLENOL). Patient had no known allergies. On 25Jun2021 18:00, the patient experienced atrial fibrillation was detected but not sure yet if it was an underlying condition or caused by vaccine; tunnel vision; extreme sense of coldness and face planted to the floor. Patient was received treatment for events. It was reported that after patient received shot and exited the medical room, he had extreme sense of coldness come over me, tunnel vision, then face planted to the floor. Ambulance was called, patient regained consciousness about a minute or so later, and my chin was split open. They took me to ER, stapled my chin, and ran tests. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient has been not tested for COVID-19. Other medications the patient received within 2 weeks of vaccination include Tylenol. Patient received Cardizem 1/day till doc follow-up visit. The clinical outcome of all events were unknown. Information on the lot/batch number has been requested.

Acute on chronic congestive heart failure, unspecified heart failure type; Elevated troponin; SOB (shortness of breath)

Immediately after administration the patient started bleeding and swelling/small bump appeared at the injection site. The patient's arm was elevated and the bleeding stopped. An ice pack was applied to the swelling for about 20 minutes. The patient was observed for a total of 40 minutes by pharmacy team. No further bleeding occurred and swelling/bump was going down when patient left pharmacy and he was advised to continue applying ice pack and go to ER if any further swelling, redness, itch or trouble breathing occurred. Pharmacy followed up with patient the morning after vaccine administration and he reported no further bleeding or swelling had occurred.

Loss of taste and smell, resolved within 2 weeks. Fatigue, intermitant dull pain left side chest. Worse at night laying down. Not as noticeable during the day. Fatigue and chest pain are ongoing.

Allergic edema; Hearing loss; swelling at injection site after covid vaccination; vertigo; swelling of hand; high blood pressure; rash on legs; This is a solicited report FACILITATED COLLECT based on the information received by Pfizer from biopharmaceutical company (MFR Control No. # 21K-163-3802407-00) from a non-contactable consumer (patient) A 41-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 1 single intramuscular on 04Mar2021 (Batch/Lot number was not reported) at age of 41 years for covid-19 immunisation; adalimumab (HUMIRA), via subcutaneous from an unspecified date (Batch/Lot number was not reported) to an unspecified date, at 40 mg (40 mg,1 in 7 D) for ankylosing spondylitis . Medical history included asthma from an unknown date and unknown if ongoing. Concomitant medication(s) included omalizumab (XOLAIR) taken for an unspecified indication, start and stop date were not reported. The patient experienced hearing loss (medically significant) on Mar2021 with outcome of not recovered , swelling at injection site after covid vaccination (non-serious) on Mar2021 with outcome of recovering , vertigo (non-serious) on Mar2021 with outcome of not recovered , swelling of hand (non-serious) on Mar2021 with outcome of recovering , high blood pressure (non-serious) on Mar2021 with outcome of recovering , rash on legs (non-serious) on Mar2021 with outcome of unknown , allergy caused eye to swell (coded as allergic oedema) (non-serious) on an unspecified date with outcome of recovering. The patient underwent lab tests and procedures which included blood pressure measurement: blood pressure measurement: high on 2021 . The clinical course was reported as follows: The patient had a relevant medical history of asthma.On an unknown date, the patient experienced allergy caused eye to swell. In March 2021, the patient experienced hearing loss, swelling at injection site after Covid vaccination, vertigo, swelling of hand, high blood pressure and rash on legs. Pfizer BioNTech Covid-19 vaccine was also considered suspect.It was unknown if patient was enrolled in a COVID-19 Vaccine Trial. On 04Mar2021, patient received first dose COVID-19 Vaccine manufactured by Pfizer. On 04Mar2021, after taking Covid vaccine patient had swelling at the injection site, high blood pressure, hand swelling, rash on legs, hearing loss and vertigo. He had an allergy that caused eye to swell.The action taken with Humira was unknown The reporter stated that there is no reasonable possibility that the events are related to HUMIRA .While for Pfizer Biontech Covid-19 Vaccine reporter's causality was reported as probable for Hearing loss and vertigo and unknown for the other events. AbbVie's causality for all events vs Humira was reported as follows: No reasonable possibility The reporter's assessment of the causal relationship of all the events except for hearing loss and vertigo with the Pfizer suspect product was not provided at the time of this report. Since no determination has been received, the case is managed based on the company causality assessment No follow up attempts are possible. Information about lot/batch number cannot be obtained; Sender's Comments: Based on known drug safety profile, there is reasonable possibility of causal association between the events deafness, vaccination site swelling, vertigo, peripheral swelling, hypertension, rash, and allergic edema and the suspect drugs. 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.

A small triangular patch was still swollen under my left eye; a racing heart; severe headache.; Dizzy moments,; feelings of clumsiness; Chills; pain in right knee; pain in left shoulder; mouth and left side of face felt numb; mouth and left side of face started swelling; This is a spontaneous report from a contactable consumer, the patient. A 41-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE: Lot Number: ER8737) via an unspecified route of administration in the arm left on 03Apr2021 at 09:15 (at the age of 41-year-old) as a single dose for COVID-19 immunisation. Medical history included hypothyroidism and general allergies. Patient had birch allergy (as child) and had reactions (fever) after vaccines as a young child. The patient did not have any concomitant medications. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 03Apr2021 at 09:45, the patient experienced numbness, swelling face, dizziness, clumsiness, chills, pain in knee and pain in shoulder and at 3:00 he experienced severe headache. On 04Apr2021, the patient experienced a racing heart and on 05Apr2021, the patient experienced eye swelling. 30 minutes after the vaccine, the patient noticed his mouth and left side of face felt numb and started to swell as he was driving. The sensation felt similar to dental work. It seemed to improve after 1-2 hours (went for a walk and started to do yard work). General numbness and swelling lasted all day. On day 2, a small triangular patch was still swollen under his left eye. In the night (of day1) he woke up at 3:00 with a racing heart and severe headache and had a restless night thereafter (which is highly uncommon). Heart beat went back to normal after waking up and walking outside. Other less severe and persistent symptoms included dizzy moments, feelings of clumsiness (fell playing sports with son, missed a stair), chills, pain in right knee, pain in left shoulder, The patient did not receive any treatment for the events. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of the event headache, dizziness, clumsiness, chills, pain in knee, pain in shoulder and eye swelling was recovering at the time of this report. The clinical outcome of the event numbness and swelling face was recovered on 03Apr2021 and racing heart recovered on 04Apr2021. No follow-up attempts are needed. No further information is expected.

Chest pain; Headache; muscle fatigue; joint pain; muscle pain; muscle cramps; arm soreness; dizziness; vertigo; blurry vision; tingly sensation in arm and leg; sharp toe pain; out of body experience; brain fog; This is a spontaneous report from a contactable consumer, the patient. A 41-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: Unknown) via an unspecified route of administration in the right arm on 02May2021 at 14:15 (at the age of 41-years-old), as a single dose for COVID-19 immunisation. Medical history included hypertension and acid reflux. The patient did not take any concomitant medications. The past drug history was reported as no. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 02May2021 at 18:45, the patient experienced chest pain, headache, muscle fatigue, joint pain, muscle pain and cramps, arm soreness, dizziness, vertigo, blurry vision, tingly sensation in arm and leg, sharp toe pain, out of body experience and brain fog. The clinical outcome of the events chest pain, headache, muscle fatigue, joint pain, muscle pain, muscle cramps, pain in arm, dizziness, vertigo, blurry vision, tingling sensation, pain in toe, out of body experience and foggy feeling in head were not recovered at the time of this report. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Empoyee received his 1st dose of Covid-19 vaccine around 1535 on 12/17 at our vaccination clinic. Around 1545, while being monitored by a registered nurse, he leaned over and grabbed his head. The nurse asked if he was okay and he reported, "no". He stated that he felt nauseated. V/S obtained: B/P 158/80; pulse 99; resp 24; O2 sat 99% on RA; FSBS 267. Pupils were slow to react. Skin was flushed and red. Dr. was notified and assessed the employee. At 1558, the Dr. ordered Benadryl 50mg IM. This was given to employee in Left Deltoid IM at 1558 by RN. At 1559, patient complained of heache, chest tightness, being cold. At 1606, O2 sat was 99% on RA; B/P was 126/90. He reported that his headache was going away at that time and that the chest tightness was going away as well. Headache at that time was a 4/5 on pain scale. Recommended that he be checked at the ER. Between 1620-1625, first responders on site. At 1630, employee was transported to ER for evaluation. Status at time of transfer: Alert and Oriented; headache better, nausea getting better.

Went to ED 6 days after vaccination. "42yoM with a hx of covid-19 infection in 3/2020 with sequelae of chest pain, insomnia, SIBO, and distant hx of testicular malignancy who presents with chest pain and chest palpitations.  Pt received COVID vaccine on Monday, then started to have symptoms reminiscent of his original covid infection on Wednesday, including chills, myalgias, substernal chest pain, heart palpitations, and fatigue. Denies any fevers recorded at home. He feels like he has extra beats intermittently. Also reports some nausea, but denies vomiting or diarrhea. He has maintained good PO intake since symptoms started, but is worried he may be a bit dehydrated because he had a small AKI when he had covid back in March?. Etiology of chest pains unclear, but given all of the above workup, unlikely to be due to an acute cardiac or pulmonary etiology." He continued to have palpitations for the next week and had further EKG's don thru urgent care.

Dizziness, Diarrhea, HYPERtension & Tachycardia Narrative: Mild dizziness 5 minutes after vaccination. 167/110, heart rate 77 at 1408. 144/01, heart rate 68 at 1417. Reported mild anxiety. Observed 30 minutes. No e/o allergic reaction and anxiety resolved.

DEVELOPED DIZZINESS, EXTREME FATIGUE, CHILLS, WEAKNESS, NIGHTMARES AND ELEVATED BLOOD PRESSURES SINCE 1/12/2021 AT NIGHT. UNABLE TO GO TO WORK.

Pt complained of "warm rush feeling" similar to after first dose. No reports of pain or shortness of breath, dizziness, rash, or itchiness. VS monitored, BP initially 196/106, resolved to 137/94 upon recheck. HR 90s- 120 sinus rhythm. PO fluids and supine position for one hour until resolution of symptoms. Discharged and advised to follow up with primary care and allergist as needed. Safety maintained.

States had a syncope event shortly after 2nd COVID vaccine. Vaccine administered approximately 10am then about 40-45 minutes later had a syncope episode and fell from a standing position.

Fever, body aches, and headache as expected starting about 9 pm on 1/17. On 1/18 in late afternoon developed severe cramping in stomach, chest and upper back. Did not eat after cramping started. Got worse at approx 11 pm. Resolved by at approx 3 am on 1/19, after fever broke. Have continued to have headache through time of this report submission.

01/13:BODY ACHES, HEADACHE,FATIGUE, 01/14: FEVER AND CHILLS, 01/15: HIGH BLOOD PRESSURE,NAUSEA 01/16: HEADACHE AND MINDGRAINE

About 3 minutes after receiving the shot, I became dizzy. After 15 minutes, I was still dizzy. I had a little shortness of breath and it felt like my heart was beating faster but this only lasted a few minutes. They had me wait an additional 10 minutes and the dizziness was better but not gone completely. I drove myself home and tried to work from home but was feeling confused. I took the rest of the day off. The next day (yesterday) I woke up exhausted. I took a sick day and slept until noon, which was about 14 hours in total. When I woke up, I felt okay but had no appetite and did not get out of bed for 5 hours. When I finally got up, I still felt dizzy. I ate dinner, watched some TV and went to bed. I woke up this morning without the fatigue but started to feel dizzy in the shower to the point where I almost lost by balance twice. I'm trying to work from home today but feel very dizzy and confused. I couldn't remember my office's phone number. I'm sweating but my temperature is 97.5.

1/28/2021- Seen by FNP for indigestion, chest pressure and palpitations. EKG reviewed and referral made to Cardiology. 1/29/2021-1800 Presented to ED in cardiac arrest-onset PTA. Patient was found unresponsive by his wife at their home. The last known well was at 1530 when she called him on the phone. The patient was pronounced at ~1850.

Pt sitting up in chair became pale, pasty, diaphoretic, states he isn't thinkin straight. Pt laid in floor, legs elevated. EMS activated, evaluated by paramedics, orthostatics negative, patient allowed to rest for until 1635. Patient color returned, states he felt better, ambulated out of clinic independently. Wife at side.

I felt burning sensation at the injection site. Experienced tachycardia 200 lasted about an hour and 160 HR 200 lasted about 10 minutes.

Patient returned to vaccine clinic 1 hour and 45 min after Covid 19 vaccine reporting dizziness and blood in sputum. Pulse Ox was 99%, Pulse was 113. No SOB. Per Protocol called 911 for transport to ED for evaluation

1. That night I had an elevated blood pressure (around 140/100) but it did return to normal levels (typically 125/80) the next day. 2. Also that night, I had significant body aches (joints and muscle) that was strong enough to effect my sleep. 3. I developed a sore throat 3 days post vaccine that persisted approximately 2-3 days.

I have a history of auto immune anemia and ITP. I checked with my hematologist when scheduled if I should take the shot. They stated to take it as not enough data was present to prevent me to take. On 02/11, I spoke with doctors onsite and discussed my medical history. They advised to take the shot as not enough data was present to prevent me to take. On 02/14, I noticed bleeding in gums and petechiae at the injection site. I went to hematologist on 02/15, and platelets were at 2,000. I started 60 mg of prednisone immediately on 02/15. By 02/19, took blood sample and eceived one 70g dose of IVIG. Blood results came back on 02/20, and platelets were at 22,000 but did not cover results from after IVIG treatment. Hematologist decided to stop follow up IVIG treatment and stick to 60mg of prednisone daily as in the past my body has reacted well to it. On 02/24, platelet count went to 300,000. I've started to taper prednisone to 50mg and will continue with weekly blood tests to verify that platelets remain strong. Hemoglobin and all over blood levels in the CBC remained normal during this time. Hematologist has advised not to take second Pfizer COVID-19 shot due to risk.

Systemic: Flushed / Sweating-Medium, Systemic: Hypertension-Mild, Systemic: Hyperventilation-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Tachycardia-Mild

Blood glucose levels elevated to over 300 with in 4 hours of vaccination, and staying high, over 180 on an average. Fasting levels at 190-200. No change in medication, diet or health condition.

He first reported feeling dizzy and that his lips were tingling. His vital signs were monitored every 5 minutes, and he was given 20 mL (50 mg) liquid Diphenhydramine. At 11:50 A.M., his heart rate dropped from 99 to 51, and he experienced a brief loss of consciousness for about 3 seconds. He also became diaphoretic and very pale at the same time. His pulse was weak but present, and his eyes rolled back in his head. 911 was immediately called, and a sternal rub was provided to help patient regain consciousness. EMS arrived at 11:56 A.M. and transported patient to the hospital for further evaluation. Patient was alert and talking upon transport.

Dizziness; high blood pressure; dehydration; severe headache; This is a spontaneous report from a non-contactable 42-year-old male consumer reported for himself. A 42-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EN 6201), via an unspecified route of administration in Arm Left on 13Feb2021 12:30 at single dose for covid-19 immunisation. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not have COVID tested post vaccination and did not have COVID prior vaccination. The patient had no allergies to medications, food, or other products. Medical history included high bp, fatty liver. Concomitant medication included lisinopril (LISINOPRIL), hctz (HCTZ). The patient experienced dizziness, high blood pressure, dehydration, severe headache all on 14Feb2021 with outcome of recovering. The events were reported as non-serious. No treatment was received. No follow-up attempts are possible. No further information is expected.

random heart-racing; random dizziness; occasional headaches; Temperature between 100-102 for 30hrs; flu-like symptoms; extreme burning resulting in fainting; extreme burning; This 42-year-old male patient contactable consumer (reported for himself) received the second dose BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) (lot EN5318,; expiration not provided), via an unspecified route of administration, on 14Feb2021, 12:00 PM (at the age of 42-year-old) as a single dose for COVID-19 immunization, in Left arm. The facility where COVID-19 vaccine was administered was at a hospital. Prior to the vaccination, the patient was not diagnosed with COVID-19. Historical Vaccine included first dose of BNT162B2 (Lot number: el8982) intramuscularly on 24Jan2021 at 09:00 am for COVID-19 immunization on left arm. The patient did not have any other vaccine within four weeks prior to the vaccination. No relevant medical history reported. Concomitant medication included: Levothyroxine 125 "mg", once a day. On 14Feb2021 at 12:15pm, the patient experienced extreme burning resulting in fainting. Ekg normal in ER. Day-2 flu-like symptoms, temp between 100-102 for 30hrs. Day-2 and now day-3, random dizziness, feeling of heart beat, random heart-racing, occasional headaches, no current fever. Events resulted in doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. The clinical outcome of the events extreme burning resulting in fainting, flu-like symptoms, temp between 100-102 for 30hrs, random dizziness, random heart-racing, occasional headaches, was unknown. It was reported that since the vaccination, the patient had not been tested for COVID-19. No follow-up attempts are possible. No further information is expected.

Pt, Very anxious, dizziness,chest tightness. Vital signs taken 150/90 p80 r 16 145/100 80 r 16 160/100 p 81 r16 157/90 p 78 r16

Fever chills aches. Heart rate went into tachycardia with a heart rate up to 200BPM. Rush to the ER by ambulance. Treated and sent home with a heart rate of 95-100BPM

Received 1st dose at mass clinic. After a few minutes while sitting in observation area, pat observed by Dr and med student to be very pale, dyspneic, lightheaded and complaining of nausea. BP 148/94 O2 applied at 1.5 LPN N/C. Pt able to sit in chair without problems, remained responsive. States he was fine until he saw others getting their vaccine and that made him anxious. Observed for 30 minutes, pulse ox 95%. Oxygen removed and pt was able to walk out without difficulty and go home after condition much improved. Local EMS on site with pulse and O2.

Deep itching; dry cough in lungs; chest tightness, heaviness; shortness of breath for 4 days after; This is a spontaneous report from a contactable consumer reported for himself that a 42-years-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at Left arm on 25Jan2021 12:00 at single dose for covid-19 immunisation. The COVID-19 vaccine was administered at Hospital. Medical history included Seasonal allergies, various surgeries. Concomitant medication included levocetirizine dihydrochloride (LEVOCETIRIZIN). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced Deep itching dry cough in lungs and chest tightness, heaviness, shortness of breath for 4 days after, events start date provided as 07Feb2021 04:00 PM. No treatment received for the events. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient was not been tested for COVID-19. The outcome of the events was not recovered. The patient received the second dose of BNT162 on 13Feb2021 11:30 AM via an unspecified route of administration at Right arm for covid-19 immunization. Information on the lot/batch number has been requested.

He was wearing many layers of clothes due to working in a cold environment prior to receiving vaccine. He was also sweating a lot. About 5 minutes after he was vaccinated, he began to drift in and out of consciousness. His blood pressure was high (165 systolic), but glucose was normal. EMS was called and it was determined to be related to blood pressure and a reaction due to the Pfizer Covid vaccine. Patient was released from hospital.

Client received vaccine at 13:50. Client immediately felt faint and presented with pallor and diaphoresis. Client lost consciousness and began to wheeze. Epi administered at 13:53 to right leg. Client then laid to floor and feet were elevated. Client soon recovered and transferred to hospital per protocol for post epinephrine injection. Client coherent, stable and able to independently ambulate.

Intense flu symptoms for three days, to include fever chills, aches, swelling of face and neck. Subsequent to flu, low oxygen rates of 82-91, low resting heart rate of 48-54, extreme exhaustion, swelling of face and neck. General weakness.

Patient was normal upon administration. Was given instruction to wait 15 minutes in the pharmacy to monitor for adverse reaction, per protocol. Pharmacy staff was alerted by customer that patient was "not looking good". As we walked to patient, we slipped out of his chair and appeared to loose consciousness and/or have seizure-like symptoms. Patient looked very pale, perhaps had some minor foam at the mouth and was extremely hot. We stayed by patient, protected his head, allowed him to come to, took coat off and applied ice packs, took BP/pulse (normal) and patient was oriented x3. EMS arrived and took over.

Description of event: Patient received vaccine in his LUE and was instructed to wait in line to schedule next dose. While standing in line, patient was witnessed falling to the floor. He appeared to land on his hands, denies injury at this time. Patient responded verbally when asked if he was okay. Vitals recorded while patient sitting on floor 1500. Patient stated he was ok to sit in chair. Upon sitting in chair for approximately 30 seconds his head fell forward and he was unresponsive. Patient began agonal breathing, eyes were open with fixed pupils, pulse was weak. Staff assisted patient to floor where he regained consciousness after approximately one minute. Patient appeared diaphoretic and pale, but was responding appropriately. An ambulance was called during this time. The patient was able to give contact information for his wife. The patient personally spoke to her on the phone. Meanwhile patient was resting supine on the floor. Vitals at 1552 146/94 P 70, R 20, 98% RA. Approximately 15 min later patient returned to the chair and has been resting since. BP at 1615 119/65. He refused treatment from EMS and is currently calling his wife to pick him up as staff has advised him not to drive. Patient currently eating a snack and drinking water, states he is feeling better.

Pt. began to feel dizzy 10 min after vaccination. He had intermittent syncope, no AMS, symptoms resolved and pt. went home at 1801. BP: 102/67, HR 68, O2 95%

3/4 Moderate stomach cramps day after vaccine. Much less arm pain then following first dose but still present. 3/9 Work up with terrible thoracic back pain with every breath. Went to ER and received shot of Toradol and chest x-ray (negative). Shortly thereafter, had chills and low grade fever. Alternated naproxen and tylenol for the next two days as fever persisted. 3/11 Moderate chest pressure when breathing. Went back to ER. Received COVID test (negative). No fever or chills. 3/12 Light headedness, racing heartbeat and chills early afternoon. Went back to ER. Received Flu test (negative). Blood work showed positive d-dimer test. CT scan showed small pneumonia in lower left lung. Started Amoxicillin and Z-pack. Symptoms improved over course of following 7 days.

After receiving vaccine patient complaints of feeling unwell, diaphoretic, nausea, increased heart rate. BP elevated at 226/107 HR 140. Patient assisted to stretcher given oral fluids and reassessed. patient states he does have a history of SVT, which he takes diltazem and lisinopril for.

Started was a very cramped stomach and then the rest followed. Whole body turned red including eyes. Upset stomach with vomiting and diarrhea. Body was shaking and didn?t have a fever. Skin felt like it was burning whole body felt swollen. Started around 2:30am with the cramping. It woke me up. Once I got up everything came so fast. Was rushed to hospital where I was admitted very quickly. I was blacking out on the drive there and blacked out while in their care. This was from one dose of Pfizer vaccine for Covid. I was put on a GI, Allergy, and steroid medications. I was hooked up to an IV and 3 drugs were injected. I passed out numerous times but was discharged at 5am.

Pt. passed out for about 2 minutes. Skin and lips were very pale. pt hunched over to the right while in chair. eyes flattering and very diaphoretic. Pt was helped to lay down on the floor in supine with legs elevated. clothes loosened, applied cold icepacks and deep breaths were encouraged. Pt . gained consciousness and was able to retell what had happened.

Patient received the vaccination and after he got up from the chair, he passed out and fell to the floor. The intern notified the pharmacist. When I went to see that patient, he was laying on the floor with his eyes rolled in the back of his head and was unresponsive. He was not alert. He started having a mild seizure and I rolled him over on his left side. While I was bracing the patient, pharmacist came in and administered an Epi-pen to his left thigh. Patient stopped seizing so I rolled him back on his back. He became alert and was able to provide me his name, DOB and what he was at the pharmacy for. I rested my hand under his head and monitored his pulse until the paramedics arrived

Abdominal tightness with lower chest with tightness briefly lower chest that resolved with juice. Pt did not eat before coming out to vaccination center with pt feeling better on DC. Vitals stable

Very anxious before vaccine; BP at home 154/90. Felt like "punched in face"/foggy; lightheaded. BP 148/98; pulse 88; p ox 98%; gave water. Continued monitoring; after about 30 minutes, then noted chest "heaviness"; "sore throat"--no tightness, no vision changes. Rapid response evaluated; Patient refused ED; continued monitoring for 10-15. VSS; chest heaviness resolved. Accompanied to hospital entrance; had ride home.

Patient states he received 2nd Pfizer shot 3/26 at approximately 10:40am, approximately 2 hours after developed fatigue. At approximately 2:00pm on 3/29 developed chest pain and shortness of breath. Patient was referred to local emergency room for further evaluation.

Felt a large amount of sensation in my injection arm 1-2 minutes after shot. Started to feel faint and light-headed 3-4 minutes after shot. Passed out about 5 minutes after shot. Felt sweaty, disoriented, spacey, and nauseated shortly after coming back to consciousness. Went to hospital in an ambulance and released a couple hours later.

Patient began to fill itchy at injection site, on lower back, and left wrist. His throat also felt itchy. His shot was at 10:55AM. Patient alerted us to symptoms at 11:15AM. Patient given 50mg diphenhyramine IM at 11:20AM in left deltoid. His blood pressure at 11:30AM was 144/92, which patient said wasn't abnormal for him. His symptoms did not progress and he was feeling fine other than mild itchiness when he left pharmacy at 11:45AM.

Patient suddenly became diaphoretic eyes rolled back in head, almost passed out . Onsite EMS was called vitals HR 42 BP 95/59 98% O2 refused glucose check. Patient felt better and reluctantly was transported to local hospital. No reaction to 1st vaccine on 3/12/21

3-5 MIN POST INJECTION, PT EXPERIENCED CHEST TIGHTTHROAT AND TONGUE TINGLING.hE DESCRIBED FEELING AS IF HE COULD NOT GET AIR. nO STRIDOR OR WHEEZING NOTED. PT.SPEAKING WITHOUT DIFFICULTY. PLACED ON STRETCHER, PALE, DIAPHOREETIC. EPI PEN INJECTED TO LEFT QUAD. BP 147/100sat 100% ON ROOM AIR HR 92. MD AT BEDSIDE AND PATIENT TRANSFERRED TO ER FOR EVALUATION.

Patient was given first dose of Pfizer COVID-19 vaccine. I counseled the patient on side effects and asked him to wait 15 minutes afterwards in our waiting area. After about 5 minutes, the patient starting complaining of feeling dizzy. We asked him to sit back in the chair and brought him a bottle of water. I asked the patient if he had eaten today and he replied no. I offered a snack and also a glucose tablet to help with shakiness. As I went to get a bottle of glucose tablets off the shelf, the patient fainted and fell out of his chair. I immediately ran to get an Epipen while my technicians called for a Code White and 911. I was about to inject the patient with the Epipen when he came to about 10 seconds later. He said he was really hot, sweaty, dizzy, and nauseous. Paramedics and AP arrived to evaluate him and take a statement. Patient left on his own will and received a ride home from his mother-in-law, who is an associate at our store.

Paramedic called to observation for 42 YO male with dizziness, lightheaded, and anxiety. Upon arrival PT found sitting in chair A&OX4, skins: pink/warm/dry, pupils: Equal and reactive. Pt speaks very little English and PT's wife translated for him. PT states that he started feeling symptoms 10 minutes after receiving his Pfizer vaccine. Upon assessment PT states he has 10/10 chest pain non radiating/dull in nature with increased pain on inspiration. Pt states that this has happed before a few months ago and was diagnosed with HTN but was not prescribed any medication by his primary care physician. PT does not take any medications and has no allergies. Pt status did not improve or decrease while in the care of the paramedic. Pt vitals then assessed and were as follows: 0943: BP 172/118, HR 71, RR 24, SPO2 99% RA, Lungs clear/equal bilaterally. 1002: BP 180/131, HR 80, RR22, SPO2 98% RA, Lungs clear/equal bilaterally. The paramedic made the decision to activate the EMS 911 system. Upon EMS arrival report given to responding paramedics and PT care transferred. EMS Paramedics began to treat patient for Chest Pain Protocol, and transported PT to Local ER.

After Vaccine Administration pt pulled to observation lot to wait 15 minutes for observation of adverse reaction. He lost consciousness after becoming confused for 1 minute. He was assessed by a guardsman and EMS staff regaining conciseness within a few minutes

10:45am patient became unconscious and was laid on the floor with legs elevated. Heartrate 50 BP 76/60 10:50am BP systolic 90 HR 60 weakly responsive 10:52am BP systolic 92 10:55am More responsive, eyes open, speaking, HR 64, BP systolic 100. 10:58am EMS arrived, patient declined transport.

Pfizer-BioNTech COVID-19 Vaccine EUA: patient presents to emergency department (ED) from urgent care (UC) reporting six days of vomiting, fatigue, shortness of breath, dizziness, constipation, and polyuria starting one day after receiving vaccination. Initial vital signs blood pressure 127/96 mmHg, heart rate 119 beats per minute, temperature 35.9 degrees Celsius, respiratory rate 18 breaths per minute, oxygen saturation 97% on room air. Patient diagnosed with new adult-onset diabetes, diabetic ketoacidosis, and acute kidney injury and admitted to the hospital. Administered intravenous fluids and insulin with improvement in symptoms and lab values. Currently hospitalized.

small pneumonia in lower left lung; Light headedness; racing heartbeat; Moderate chest pressure when breathing; work up with terrible thoracic back pain with every breath; chills; low grade fever; Moderate stomach cramps; Much less arm pain then following first dose but still present; This is a spontaneous report from a contactable consumer (patient). A 42-year-old male patient received second dose of BNT162B2, (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EN6203) via an unspecified route of administration in left arm on 03Mar2021 (at the age of 42-year-old) at single dose for COVID-19 immunisation. There was no medical history. The patient had no known allergies. The patient had previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL9267) on 10Feb2021 at 11:30 am in left arm for Covid-19 immunisation. There were no other vaccines in four weeks. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient had 3/4 moderate stomach cramps day after vaccine on 04Mar2021. Much less arm pain then following first dose but still present on 04Mar2021. The patient 3/9 worked up with terrible thoracic back pain on 09Mar2021 with every breath and went to emergency room and received shot of Toradol and performed chest x-ray which was negative. Shortly thereafter, the patient had chills and low grade fever on 09Mar2021. Alternated naproxen and tylenol for the next two days as fever persisted. The patient had 3/11 moderate chest pressure when breathing and went back to emergency room on 11Mar2021. There was no fever or chills but had 3/12 light headedness, racing heartbeat and chills early afternoon on 12Mar2021. The patient went back to emergency room. The patient's symptoms improved over course of following 7 days. The patient underwent lab test and procedure which included flu test and resulted negative; blood work which showed positive D-dimer test on an unknown date and CT scan showed small pneumonia in lower left lung on 12Mar2021. The patient started to receive amoxicillin and Z-pack. Since the vaccination, the patient had been tested for COVID-19 by nasal swab on 11Mar2021 and tested negative. Events resulted in emergency room/department or urgent care. The outcome of event pneumonia was unknown; for other events was recovering. No follow-up attempts are possible. No further information is expected.

Approximately one week after my second dose my right leg began swelling. For three weeks after the swelling began it would get better than get worse. On Tuesday, March 30, 2021 my entire leg swelled to twice its normal size at which time I went to the emergency room and a blood clot was diagnosed in my right leg. I completed a multitude of tests and bloodwork with a hematologist and there are no factors or reasons they can identify as to why I developed a blood clot.

Individual felt pre-syncopal. Left obs area after 8 minutes to get fresh air. Sat down on grassy area and was found down, pale and diaphoretic. Suspect LOC. Recovered spontaneously. Normal mental status after event. Treated with oral rehydration. Declined further evaluation. Sent home by POV.

72 hours after receiving the shot I had debilitating vertigo and nausea, as well as rapid heartbeat. I went to the ER and was admitted for 2 days. I am still currently experiencing dizziness on Friday April 16th 2021.

Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Additional Details: AFTER 5 MINUTES OF BEING VACCINATED, PATIENT WAS SEATED WAINTING FOR THE 15 MINUTES AND FAINT LOSSING CONSCIOUSNESS FOR 5 MINUTES, THEN AFTER RECOVERED HE WAS PALE, SWEATING, COLDNESS OF THE HANDS AND DIZZY. WHEN 911 ARRIVED, HE SAID THAT HAD NOT EATEN ANYTHING SINCE 5:00 AM, 10 HOURS BEFORE THE EVENT HAD PLACE, SO MAYBE HE EXPERIENCED A HYPOGLYCEMIC EVENT.

Patient started noticing dark stools the day after vaccination (4/15) and began vomiting blood on 4/16. One episode of vomiting resulted in a syncopal episode in which the patient hit their head, causing a laceration which required staples. The patient does report intermittent abdominal pain over the course of the past few weeks, but today is more severe and the first time he has experienced bloody emesis. Upon presentation patient was tachycardic, hypotensive, and pale. Patient reports he does not frequently consume alcohol. Patient received a pantoprazole bolus and drip, an octreotide drip, and PRBC. Patient also received several doses of ondansetron. Patient is being admitted for care.

3.5 hours after the vaccine shot my body shot full of adrenaline and my heart raced up to 150 beats per minute. I ended up checking myself into the emergency room 5 hours after the vaccine shot because my heart rate wouldn't slow down and my blood pressure increased. They found out my heart had gone into atrial fibrillation. I have had no known history of atrial fibrillation in the past and prior EKG's at physicals have been normal. I am an otherwise healthy individual.The doctor conducted an emergency Cardioversion to return the heart rhythm to normal.

Pt was found in severe distress in the bathroom by his wife. He couldn't walk or stand, complained of being dizzy with slurred speech and was throwing up a lot. 911 was immediately called. The EMTs during their assessment said his BP was normal but when he was asked his name, he started saying the alphabet"ABC... XYZ". He was transported by ambulance to ER. Cat scan showed he had a bleed on the brain. The doctors told us it was because he had very high blood pressure, however where the bleed was, they said he wouldn't need surgery and that the body would reabsorb it over time. He was admitted to the ICU and has been there ever since. Several days later, he started having difficulty breathing and they discovered several blood clots in his right leg that had broken off into his heart and lungs. He had emergency surgery to remove the clots in his heart (approximately 10) and was given heparin in small doses over an 8 hour period so that it wouldn't cause the bleed in his brain to increase. The doctor should fill in the rest.

Patient started 2 days after vaccine with shortness of breath and fever/chills. He says he was unable to get out of bed for 24 hours. He said the rest of the week he didn't feel quite right. A week after the vaccine he started with red capillary veins popping up all over his legs. By Saturday his legs were purple and swollen. He has multiple tests run at the hospital. They doctor believes it is vasculitis that has resulted from patient getting the covid vaccine.

While in waiting area client experienced loss of consciousness and seizure-like activity lasting approximately 48 seconds per nurse that responded to incident. Loss of bladder control noted. Squad responded and transported patient to the hospital via ambulance. Patient was coherent prior to transport. He states he was admitted to the hospital and Observation x 24 hours. He had a CT scan and bloodwork, both normal. Neurologist at the hospital told him he experienced syncope and no seizure activity was suspected. He states a history of feeling faint when he sees blood. He sates the Neurologist advised he get the second dose and lay down after the shot.

Patient got vaccinated at 10:22 a.m. At 10:35 a.m., patient reported severe headache, chest tightness, difficulty breathing, feeling lightheaded. Patient noted to be diaphoretic, less responsive, and having left eye deviation. Patient assessed/examined by Dr. and Medics on site. Vital signs taken: at 10: 38 a.m., BP 177/126, HR 118; at 10:39 a.m., BP 172/120, HR 110, O2saturation 96% on room Air; at 10:41 a.m., BP 173/123, BG: 333, sinus rhythm on cardiac monitor. At 10:47 a.m., BP 158/78 (with manual cuff). Fire Metro Paramedics called; Patient transported to Hospital at 11 a.m.

42 y/o male, past medical history of Anxiety, who presents with possible seizure post vaccination. Patient notified one of the observation nurses that he was not feeling well. The NP was assisting another patient but saw that the patient with his head back and pale. As soon as the NP was at the patient side, it was noted that the patient?s eyes were rolling back, his face was pale, and his lips were blue. The NP attempted a sternal rub with no response from patient. NP instructed police to please call Fire Rescue to transport patient to the ER. Patients left upper extremity was flexed at the elbow and stiff. At that time the patient was placed on the floor by several nurses and the paramedic and patient legs were elevated. Within 10-15 mins patient immediately sat up but was instructed to lay down. Patient was placed on 3L of O2 by nasal cannula and vitals were taken. Patient initial vitals 166/94 L Arm, 98% 3L O2, 84 Pulse and EKG was NSR. Patient no longer with pallor and lips were pink. Patient states that he isn?t feeling well and feels a nervousness throughout his body. Patient placed on stretcher in Trendelenburg. Vitals retaken, 137/97 BP, 98% 3L O2, 80 P. Patient pulses were thready and patient became diaphoretic. Fire Rescue arrive to site and transported patient to the ER. CNO and PM present during event and aware that patient transported to the ER for further evaluation

About six hours after receiving my shot, my arm became extremely sore, as to be expected. Circa 9pm I began to have significant trouble breathing, experienced acute pain in my abdomen, and began to hear ringing in my ears combined with feeling like I was going to pass out. I didn?t feel dizzy, rather I started getting tunnel vision that blocked out more of my field of view as the ringing increased. Circa 11pm, I lost consciousness while trying to move and collapsed on the floor. My wife called 911 while I was unresponsive, and I regained consciousness while being attended to by EMTs who checked my vitals. Around 12am I didn?t feel like I was going to lose consciousness again, and the EMTs recommended I be taken to the hospital. Since I was feeling better I politely declined. Today I am still feeling foggy and have joint pain (in addition to some bruising from falling after losing consciousness , but I no longer have the acute abdominal pain.

Patient warned us before his covid vaccine that he has a severe needle phobia and has fainted after vaccines. I gave him his immunization quickly and he did well. He stood up and watched as I immunized his wife. He said he was feeling okay afterwards so both him and his wife left the immunization room. Shortly after leaving he must have started getting dizzy, because next thing I hear is that there is an unconscious man in the waiting room. He is sitting in a chair with his head back unresponsive. His wife if rubbing his arms and lightly slapping his face. He comes to, and we decide to move him to the room that the clinic uses (we have a walk in clinic staffed with a NP). He lays on the floor, and within a minute he proceds to vomit approximately 4 times. He also lost control of his bladder. He was pale with cold and clammy skin. we moved him so we could put his feet up on a chair and allowed him to rest. Someone went to get him an ice pack to put on his head and chest. His blood pressure was low (90/50ish). He still was not feeling better after 30 minutes so we called the ambulance. He did not want to go to the hospital so the paramedics monitored him. his blood pressure slowly started going up and normalizing, and he left with his wife.

Blood clot in leg; This is a spontaneous report from a non-contactable consumer reported for himself. A 42-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via unspecified route of administration on 01Apr2021 02:00 PM at 42-year-old at single dose for COVID-19 immunisation. Patient had known allergies (unspecified) and other medical history (unspecified). There was no covid prior vaccination. There is no other vaccine in four weeks. Other medications in two weeks included antibiotics. Patient experienced adverse event: blood clot in leg on 03Apr2021 02:00 AM. The adverse event resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Life threatening illness (immediate risk of death from the event). Patient received treatment for events included blood thinners. Patient had covid tested post vaccination on 21Apr2021: Nasal Swab: Negative. Patient was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

This is a spontaneous report from a contactable consumer (the patient). A 42-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number not provided), via an unspecified route of administration in the left arm on 13Apr2021 10:45 (at the age of 42-years-old) as a single dose for COVID-19 immunization. The patient's medical history included: tonsils removed at age 6 and heart rate at rest low. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient had no allergies to medications, food, or other products. Concomitant medications included: acetylsalicylic acid/ caffeine, paracetamol (EXCEDRIN EXTRA STRENGTH) and cetirizine hydrochloride (ZYRTEC), both taken for an unspecified indication, start and stop date were not reported. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number not provided), via an unspecified route of administration in the left arm on 23Mar2021 11:15 (at the age of 42-years-old) as a single dose for COVID-19 immunization. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient stated he fainted the morning after receiving the shot on 14Apr2021 06:00. No treatment was received for the event. The outcome of fainted was recovering. It was also reported that since the vaccination, the patient had not been tested for COVID-19. Information about lot/batch number has been requested.

initially began as what felt like jolts to my chest area from inside my chest over five days beginning on March 31, 21 @ 1:20am; next on April 01, 2021 @ 12:02am; then April 02, 2021 @1:02am; then April 03, 2021 @ 1:36am; and on April 04, 2021 @ 2:46am. I ended up in the emergency room the afternoon of Sunday March 04, 2021 with severe chest, abdominal, and intestinal pain. I followed up with doctors on April 05, 2021; April 09, 2021; and April 28, 2021 with continued painful symptoms described below. All they has done so far is 1) took a chest X-ray, 2) taken blood, and 3) referred me to a sleep laboratory. The X-ray and blood work came back negative per ER. Symptoms: 1. Inability to sleep. most nights feels as if I just drank five cups of coffee before bed. When I am able to fall asleep, pain and/or jolts coming from inside my trunk/core area wake me up within about an hour. 2. Constant pain coming from my chest, abdomen, and intestines. Intestinal and abdominal pain (gut wrenching, pain/burning sensation, cramps). At times feels like radiation or waves/currents are passing through my intestines/trunk. I wake up with intestines feeling sore. I also have discomfort when I eat or drink something the following morning. Also, my trunk/core area feels tight all day and night. I constantly feel a burning sensation in my chest and gut areas. The discomfort in my chest area (tightness, burning sensation) with occasional burst of pain the size of a nickel that comes from the left side of my chest and underneath my rib cage. 3. Limbs twitch/jerk on their own (both hands, both feet, neck, both shoulders, both legs, fingers) during the day and during the night. tingling sensations in legs. 4. ringing in the ears with headaches. 5. Woke up from sleep due to both nostrils getting clogged while I slept; woke up gasping for air. 6. Penis no longer has the same sensation and difficulty with erection.

Patient received her second dose of the Pfizer vaccine on 4/28/21 at approximately 7pm. While waiting in the waiting area for 15 minutes after getting the vaccine, she reported feeling chest pain and dizziness. She agreed to have us call the ambulance for her, they came quickly and took her to the hospital. I asked the EMT worker which hospital they were taking her to, but he said he cannot disclose the information. Patient also mentioned that she has hypertension and is on blood pressure medications.

Personality changes; headaches; extreme fatigue; Also, I was unaware on conversations that I had.; I had high blood pressure and insomnia.; I had high blood pressure and insomnia.; It would seem that I had cerebritis from the shot; This is a spontaneous report from a contactable physician (patient). A 42-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: EL1284, expiry date not reported), via an unspecified route of administration, administered in right arm (at the age of 42 years old) on 08Jan2021 14:30 as a single dose for covid-19 immunisation. There were no medical history (reported as none) and no concomitant medications. The patient had no known allergies. The patient had no covid prior vaccination. The patient received the first dose of bnt162b2 (brand as Pfizer) for Covid-19 immunisation on 18Dec2020 (at the age of 42 years old) at 03:30 PM administered on the right arm. The vaccine was administered on a hospital. The patient had no other vaccine in four weeks and no other medications in two weeks. On 08Jan2021 11:00 PM, the patient experienced personality changes, headaches, and extreme fatigue, and also was unaware on conversations that he had. The symptoms lasted about 24 hours acutely, but for the 3 weeks afterwards, patient had high blood pressure and insomnia (2021). It would seem that patient had cerebritis from the shot since an unspecified date in 2021. Adverse events resulted in doctor or other healthcare professional office/clinic visit. There were no treatments received in response to the events reported. The patient was not tested for COVID post vaccination. The outcome of the events was recovered with lasting effects.; Sender's Comments: The information currently provided is too limited to make a meaningful medical assessment. Based on the available clinical data, the event encephalitis most likely represented an intercurrent medical condition not related to vaccination with BNT162B2. This case will be re-assessed when relevant follow-up 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.

The patient received his covid vaccine and minutes later, he had a syncopal episode. He recovered shortly after, but his heart rate was low at 44 bpm. EMT was called to the pharmacy for emergency assistance.

Stroke caused by blood clot. Spent 6 days in medical facility as a result. Unknown if vaccine and blood clot are related - but it seemed wise to report for further investigation

On 25 April I woke up and felt fine and then at 10:30 am I started to feel weak. I had fever and chills and couldn't get out of the bed until 4:00pm that day. I was dizzy and drove to the hospital. They did blood work and did two Covid 19 tests. They released me and the next day I developed Heavy pains. On 27 April I woke up and went back to the hospital. They said I had elevated enzyme levels when they drew blood and they started three iv?s. They said I was having a non emergency heart attack. They had me transferred by ambulance to the another Hospital. They drew more blood and did elf?s and ultra sounds. The next day they said they were going to put a stint in my heart. The next day I was prepped for the procedure and they went in and said my heart didn?t need it. The surgeon said I had Myocarditis and at 7:00 pm that night I was released. My nose broke out with acne bumps and it feels like I have a chest cold and cough.

On 30 Apr, 2nd day after vaccination, I an episode of heart palpitations ("ventricular premature complexes in a pattern of bigeminy"). These were captured on an EKG during a VA disability exam, and started shortly after providing a blood sample (I'm nervous with needles). Previous day (1st day after vaccination) I had a fever of 101.5 F and was fatigued. Suspect the stress of the fever, immune response, and then blood sample caused a stress event that triggered an abnormal heart rhythm. Palpitations not accompanied by light headedness or shortness of breath, so no immediate medical care directed. Episodes of palpitations continued for 4 days, but have mostly disappeared since.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: pt was not feeling well, pharmacist saw patient slumped over in chair, we lowered patient to floor, flat on back, and pulled his knees up. Blood pressure was monitored. 911 was called, paramedics monitored pt and advised him to go to hospital. Patient refused to go to hospital. Pt was lucid, was given saltines/water, was monitored for 30-45 min longer, and was driven home by female companion.

Dizzy, headache, full body muscle aches, chills (over 36 hours), elevated temperate, tightness in the chest, fatigue. Symptoms started mild and by 12 hours after the shot full flu like symptoms last for over 48 hours. Did not subside until the Friday after the shot (60 hours after the shot). No treatment except rest and drinking plenty of fluids.

Syncope. Fell and hit head, woke up within 30 sec - 1 min. Abrasion to elbow and left forehead. EMT applied antiseptic ointment/bandage. Observed an additional 15-20min. Water, crackers given. Stable and released.

I read on the fact sheet that may be a sign I had an allergic reaction; Dull pain: Caller reported that on Wednesday, 14Apr2021, after his heart started beating fast and slowed itself down, it started to hurt; heart started to beat fast; This is a spontaneous report received from a contactable consumer (patient). A 42-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number not reported), via an unspecified route of administration, administered in right arm on 12Apr2021 12:50 (at the age of 42 years old), as single dose for COVID-19 immunization. The patient's medical history included high cholesterol from 2011 and ongoing. Concomitant medications were not reported. Patient stated that he got his shot on Monday 12Apr2021 (he confirmed it was his first dose of the PFIZER-BIONTECH COVID-19 VACCINE) and then went on 14Apr2021 his heart started to beat fast, he read on the fact sheet and he asked if that may be a sign he had an allergic reaction. He went to his doctor, her EKG came back normal, he saw a cardiologist. He asked if he should get second dose. Second was scheduled for 03May2021. He didn't know either. As per response it was reported that as noted in the fact sheet for recipients, patient should not get the PFIZER-BIONTECH COVID-19 VACCINE if he had a severe allergic reaction after a previous dose of the vaccine or if he had a severe allergic reaction to any ingredient of the vaccine. The decision to receive the second dose for any other reason could not be made by Pfizer. They referred him to speak to his healthcare provider about the risks of the vaccine compared to the risks of potentially not being fully protected against COVID-19 infection. His healthcare provider knew his health situation and had access to information that could better help inform this decision. The patient experienced dull pain: caller reported that on Wednesday, 14Apr2021, after his heart started beating fast and slowed itself down, it started to hurt. The patient reported that the dull pain was not as bad. The patient had EKG on 14Apr2021 with abnormal result (as reported). The outcome of the event 'dull pain: caller reported that on Wednesday, 14Apr2021, after his heart started beating fast and slowed itself down, it started to hurt' and 'heart started to beat fast' was recovering; outcome of the remaining event was unknown. Information about lot/batch number has been requested. Follow-up (22Apr2021): New information reported from a contactable consumer (patient) includes: reaction data (additional event: 'dull pain: caller reported that on Wednesday, 14Apr2021, after his heart started beating fast and slowed itself down, it started to hurt'), suspect product details (administration site and time), patient details (medical history and lab data) and event details (outcome of the events updated).

Patient fainted after vaccine but was assisted to the floor. States that he has anxiety. Patient carefully watched in observation and did deep breathing exercises. He stated he felt better and vitals were within normal limits

Ringing and buzzing in ears and head; insomnia; high blood pressure; This is a spontaneous report from a contactable consumer reporting for himself. A 42-years-old male patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration, administered in Arm Left on 04Apr2021 12:00 (Batch/Lot number was not reported) as 2nd dose single for covid-19 immunisation (Age at vaccination 42 years) . The patient medical history was not reported. The patient received the first dose of BNT162B2 vaccine on 14Mar2021. The patient's concomitant medications were not reported. The patient experienced ringing and buzzing in ears and head on 06Apr2021 08:00 with outcome of not recovered , insomnia on 06Apr2021 08:00 with outcome of not recovered , high blood pressure on 06Apr2021 08:00 with outcome of not recovered. All the reported events were considered Important Medical Events. The patient underwent lab tests and procedures which included polymerase chain reaction: negative on 22Apr2021 Nasal Swab. The patient received prednison and zolpidem (AMBIEN) as a results of the event. Information on Lot/Batch number was available. Additional information has been requested.

Patient became diaphoretic, weak and pale. Blood sugar 254, B/P-134/85, P-62, O2 SAT-96% on room air. Assisted patient to floor and elevated legs. Patient stated, "I'm ok." Wife present and stated, "He has done this before but he didn't do this with his first shot." Patient vomited once. Staff called EMS. Patient refused to go to the hospital. Wife drove patient home.

Stroke; This is a spontaneous report from a contactable consumer (patient). A 42-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: EW0151), via an unspecified route of administration, administered in Arm Right on 13Apr2021 12:30 as 2nd dose, single for COVID-19 immunization in a pharmacy/drugstore. Medical history included allergies: sulfa from unspecified date. Concomitant medications included hydrochlorothiazide and metoprolol succinate (TOPROL) both taken for an unspecified indication, start and stop date were not reported. The patient previously received the first dose of bnt162b2 (Lot number: ER8727) on 22Mar2021 9:00 AM at 42 years of age in the right arm for COVID-19 immunization. No COVID-19 prior to vaccination and not tested for COVID-19 post vaccination. On 25Apr2021 18:00 the patient had a stroke. The event required emergency room and physician's office visit and the patient was hospitalized for 1 day. The patient was treated with unspecified blood thinners. The outcome of the event was recovering.

20 mins after I gave him the vaccine, the patient blood pressure went high 142/90 and his pulse was 126. The patient was alert and oriented. He was stable. I kept checking his blood pressure every 15 -20 min until the pulse came down to 100. He was ok ,and went home with his wife. I called him this morning 05/13 and his blood pressure is now 120/80.

Fever and chills: Night of 6May thru mid day 8 May Body Aches: 7May thru 8May Headache: 7May thru 8May Chest tightness: 9May - still ongoing)

1) Rapid heartbeat, multiple incidences in the days after vaccination. No treatment, still in process of experiencing these incidents. 2) Tinnitus

pain in the bones of the left arm and leg and chest persistent for 9 days so far, an e.k.g. was done showed abnormalities not seen in previous e.k.g. done about 2 weeks prior further testing has been set up echo an stress and ultrasound of the leg .

After receiving my second Pfizer Covid Vaccine shot last week (11-May-2021), I suffered nose bleed (left nose) on Saturday morning (15-May-2021) and didn't think much about it. This continued Sunday (16-May-2021), Monday (17-May-2021) and also today Tuesday afternoon (18-May-2021). The amount of bleeding increased significantly through to today and the last 3 times I noticed bleeding in the back of my throat. And I initially tried applying pressure to the nose section and now it is taking more than 15 - 20 minutes for this to stop. I am very concerned and will be contacting my Primary physician as soon as possible. Actually I had 2 other instances of nose bleeds after the first shot (14-Apr-2021) but I brushed it aside thinking it was due to cold weather or irritation from picking. I have not had nose bleeds prior to this event. I did not have any fever or chills from both vaccinations other than the sore left arm so this was not weighing my mind much. However, now I am concerned at the adverse events following Pfizer Covid vaccination shots.

Pt first began to notice left leg "stiffness" after receiving his first COVID vaccine (Phizer) several weeks ago. Pt states that after receiving his 2nd dose on 05/06, he noticed his leg stiffness got significantly worse. He tells me that he tried to "push through the pain" and mow his lawn but had to stop d/t severe cramping of the LLE and pelvis. He states he rested his leg and went to bed, and when he woke up he noticed that his left leg was severely swollen. Pt decided to take 3 days off work to continue to rest the leg, but ultimately came in for evaluation at the suggestion of his coworkers. Pt denies fever, chills, chest pain, or SOB. He denies history of smoking, prior clotting, long car travel, air travel, leg injury, or recent surgery. On exam, the left lower extremity is significantly swollen, erythematous, and hot to the touch. Physical exam otherwise unremarkable. Will admit to the hospitalist service for further medical management. ED Course: Hypertensive with BP 170/93. Initial workup significant for WBC 13, K 3.3, glucose 159. CT chest/a/p with findings suggestive of multiple PE's of the left and right lower lobes as well as extensive LLE DVT extending slightly into the IVC. Trop <0.03. BNP 66. ECG shows sinus tachycardia.

About 5 minutes AFTER RECIEVING THE PFIZER VACCINE 1ST DOSE, THE PATIENT STARTED TO SWEAT, FELT DIZZY AS HE SAT IN HIS CHAIR & PASSED OUT FOR 5-10 SECONDS... CAME BACK GAIN CONSCIENCE AS THE PERSON NEAR BY TAP HIM HIS SHOULDER & ASK IF HE WAS OK. SHE CAME TO GET ME & I GAVE THE PATIENT SOME WATER TO SIP A LITTLE WATER. HE SAID HE FEELS BETTER THAT HE'S OK, HAD NO SHORTNESS OF BREATH. I TOLD HIM I WILL CHECK ON HIM IN A FEW MINUTES AGAIN. A FEW MINUTES LATER, HE DECIDED TO GET UP SUDDENLY FELL TO THE FLOOR. 911 WAS CALLED & FRONT STORE SUPERVISER & I MONITOR UNTIL AMBULANCE CAME FOR HIM. PT JUST FELT WEAK, BUT O SHORTNESS OR BREATH . I HAD THE PATIENT STAYED LYING DOWN ON ONE SIDE, SO AIRWAY IS NOT BLOCKED. A CUSTOMER HELP TALK TO HIM TO MAKE SURE HE STAY CONSCIENCE UNTIL AMBULNACE ARRIVED & TOOK OVER.

Within 10 minutes i felt clammy and light headed. I passed out in my chair. I awoke moments later to fellow patients and staff tending to me. They attempted to move me to a place to lay down. I immediately passed out again trying to stand. I woke up covered in sweat lying flat on the concrete. Staff and customers did not let me fall so no trauma. They called an ambulance. My bp dropped fo 88/50 in the ambulance with a pulse as low as 36bpm. Chills and uncontrollable shivers started about 30 minutes in and lasted for 2 hours. By 3pm I felt better. 2 bags of IV, chest x-ray, and blood work showed everything normal. Home now and will update my report if anything changes. Feeling much better as of 7pm. I belive they called it normal Sinus rhythm with sinus arrythmia

Within 3-5 minutes developed dizziness, tingling in feet and hands, elevated blood pressure, mild nausea. Within an hour started having trouble with focusing his vision. Was given IV fluids at hospital in ER 5 hours after the injection, while leaving the hospital developed a slight limp on right leg Felt feverish when he got home, took Tylenol when he got home. Noted extreme fatigue. The next morning was lethargic, dizzy and right side of face felt heavy, around 11 am. Called for a telemedicine visit around 12:30p. Became weak and unable to use right side of body, upper and lower extremities and right side of face was drooping, visible to wife. Wife had support of right side of body to move around. Went to urgent care around 2p. During urgent care evaluation, his vision became more impaired and speech became unclear, had to really focus to speak. Transferred to ER. Lost ability to write name, couldn't respond when asked for SSN. Admitted as a "stroke 4". Had CT scan, CT angiogram, MRI, blood labs, cognitive tests, neurologic tests. Neurology consult. Had lost sensation to heat and pressure. All imaging and labs were normal. After MRI, had convulsions. Wasn't dx'd as a seizure. Neck felt tight afterwards. Admitted to hospital x 1 week. Had a burning, red, rash on hands, feet. No bumps, hives, but just a "splotchy" red discoloration on surface of skin that would burn and itch, often flaring at night. Rx'd ativan. Checked for autoimmune disease, Bell's palsy, followed by neurologists, repeat MRI normal. Started to improve, discharged after one week with no clear diagnosis. Discharged to rehab facility. Patient preferred to transfer care to outpatient rehab service closer to home with more social support. Repeat hospitalized 3 weeks later, less extreme, went back to ER, stroke eval neg. Developed more aphasia. Called back to ER for further evaluation of C-spine due to mild abnormality on first scan. On further evaluation not thought to be connected to symptoms. EEG report pending. +Right hemiplegia, aphasia persists. +Rash, itching, burning persist.

Having long covid since May 2020, my lingering symptoms have been fatigue, shortness of breath, chest pain, loss of taste. All were subsiding and have come back since the first injection and have not abated for 2 weeks. Fatigue is particularly intense in the morning, loss of taste is now constant.

I woke up from sleeping with one big cough. I felt chest pressure and some pain, trouble breathing, nausea but did not vomit. My wife called 911 and I was admitted to the hospital.

- Uncomfortable feeling in chest around 8pm on 4/24, tried to sleep it off - Couldn't sleep very well, and woke up with a tightness of chest and unable to draw a full breath - Went to county ER and was advised I was suffering a heart attack (non stemi) (troponin levels were over 7,000) - transferred to hospital for further diagnosis and treatment - Had a echocardiogram, cardiac catheridisation and MRI, which found that I had inflammation of my heart muscles - treated symptoms with medication and was discharged after an overnight stay

3 pulmonary embolisms; he started having really bad headaches; he was complaining of the back of his leg hurting; his left shoulder started bothering him and it was radiating from his shoulder up to his chin as well as; This is a spontaneous report from a contactable consumer. A 42-year-old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot number EW0172, Expiration Date 31Aug2021) via an unspecified route of administration, on 28Apr2021 at 09:00 (at the age of 42-years-old) as a single dose in the left "shoulder" for COVID-19 immunization. The patient's medical history and concomitant medications were denied (reported as "He has no medical conditions and does not take any regular medications"). The patient did not receive any other vaccinations within four weeks prior to the vaccine. The reporter says she is reporting on behalf of her husband with regard to the Pfizer COVID vaccination. She just wanted to report that her husband got the first shot 28Apr2021 and Friday 07May2021 he was admitted to the hospital with 3 pulmonary embolisms. When asked when the pulmonary embolism began she says the week before the hospitalization, so the week he actually got the first dose, he was complaining of the back of his leg hurting, in the upper calf area. She says it was either the day after the shot or the next day that he said his leg hurt but he did not think too much about it and it resolved after a couple days and then Wednesday, 05 May 2021 he started getting discomfort in his left upper quadrant, she clarifies his abdomen and rib cage area, and he started having really bad headaches Thursday that continued and during the night Thursday night his left shoulder started bothering him and it was radiating from his shoulder up to his chin as well as he had the severe headache so the doctor told him to go to the ER. The patient experienced three pulmonary embolisms on an unspecified date with outcome of not recovered. The patient was hospitalized for 3 pulmonary embolisms from 07May2021 to 08May2021. He also started having really bad headaches on an unspecified date with outcome of unknown and he was complaining of the back of his leg hurting on an unspecified date with outcome of recovered, his left shoulder started bothering him and it was radiating from his shoulder up to his chin on an unspecified date with outcome of unknown. The reporter commented that she and her husband wanted to report this because of the timing of getting the shot and they are waiting now to go see his primary care they are supposed to be calling to set up an appointment because he is supposed to be having the second dose 19May2021 so they do not know what is going to happen. Therapeutic measures were taken as a result of pulmonary embolism and included Eliquis which he would be on for at least 3 months.

He got his vaccine, his arm was a little bit sore. The next day he was unbelievably tired, wiped out at around 1:00 He also had a headache and also his blood sugar was elevated quite a bit, in the high 200's. Normal BS's are from 35-150. This lasted for approximately 8-9 hours after that, and was back to his normal self by 9-10:00 PM. He has done well since.

1st day - very sore arm of injection, dizziness, and fatigue. 2nd day - very sore arm, dizziness, extreme muscle fatigue, headache, nauseous, shortness of breath, and chest pains radiating to my left shoulder/arm. At one point late in the evening of the 2nd day after the vaccine, I considered calling for medical assistnce. I was unable to sleep well for the first 3 days after the vaccine. 3rd day - sore arm, dizziness, extreme muscle fatigue, neck pain, headache, and nauseous. 4th day - fatigued and somewhat dizzy from time to time.

This is not very clear that the Pfizer vaccine is actually the cause of the patient's Cerebral thrombosis, however, we are reporting to VAERS as this is a unique first case where the patient has Dural venous thrombosis within 2 weeks period of getting 2nd dose of Pfizer vaccine. 05/25/2021: CT HEAD/BRAIN W/ IV CONTRAST showed dural venous sinus thrombosis involving the superior sagittal sinus, right transverse, and sigmoid sinuses, extending into the proximal right internal jugular vein.

Patient received vaccine at 14 days after first dose rather than at 21 days after first dose. Patient reported that he experienced left sided body muscle aches/spasms, fatigue, neck pain and visual disturbances on 5/29/21. Stated his heart felt like it was racing for a short time but it may also have been anxiety because he knew his dose was given early. Symptoms resolved by 5/30/21.

After injecting the second dose, on the 5th day I was getting to work, I went up some stairs and I noticed a mild pain in the middle of my chest and a bit of fatigue. After eight days the pain has decreased, although it goes from the right side to the left side and towards the middle of my back. I am no longer tired but from time to time I feel a burning or discomfort in my chest and I have not gone to a doctor to examine it, since the pain is mild I would like you to tell me if this is a case of normal mild side effects or if I require urgent medical attention.

Patient was given has second dose of Pfizer. He did not have any reactions with his first dose. He felt dizzy, nauseous and had a stomachache. He was also feeling hot and complained of feeling a tingling sensation in his fingers. This was a few minutes after the vaccine was given and he was sitting at the post-immunization area. We directed him to sit on the floor and gave him 2 cold packs to put on his neck. Patient looked pale and weak so we also gave him some cold water. After a few minutes of sitting, he asked for us to call 911. We called 911 and alerted management. After paramedics came, patient was taken away. Patient seemed to be doing fine as he was leaving. He regained color in his lips, but was still feeling the other symptoms.

"I feel short of breath, palpitations and I feel dizzy." RN put Client supine in gravity chair. RN provided juice and a protein bar. After 3 minutes, Client stated, "I feel better now, they symptoms are gone."

3/21/21 - SVT event with easy exercise (2 weeks afer first vaccine) 3/23/21 - worst SVT event of life with intense exercise. stopped exercising 4/12/21 - PVC 4 a minute never had them before. irregular rythm. feeling heart irritation (2 weeks after second dose) 4/25/21 - continues heart inflamation issues pvc's, rythm issues, chest tighteness, complete uncomfortableness 5/14/21 - after 3 weeks of absolute hell worst feeling of my life with my heart inflamation/irritation. test not showing anything I started 600mg of Ibuprofen 3 times a day. 5/18/21 - Cardiac MRI but most irritation was going away after ibuprophen 5/25/21 - EP study and SVT ablation. most issue had subsided before the proceedure from ibuprophen 6/5/21 - inflamation symptoms returned. possible due to proceedure 6/9/21 - 600mb ibuprohen 3x a day started again. conidtion starting to improve again I was running 40 miles a week for over 4 years with no issues. This all blew up shortly after starting vaccination and has been the most horrible experience of my life by far!

Within 5 minutes very sleepy, 5-10 min nausea and fever with chills sweat. Loss of vision and dissy. Medical staff checked and found skin changed color and very low blood pressure. After 25 minutes symptoms started going away.

I had elevated level. I get feedback term but it appeared that my liver that is been stressed.; Body aches in my legs and more over back; Body aches in my legs and more over back; Body aches in my legs and more over back; Prolonged headache for about 2 weeks; Fatigue of head; Sore arm at the injection site; At my second ER visit they told me I had something called the bell's palsy; after taking the first vaccination on 29May2021 at 2 PM, the next day patient had stage 3 hypertension; I have history of hypertension but it was under control prior to the taking vaccination."; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 42-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), dose 1 intramuscular, administered in Arm Right on 29May2021 14:00 as (At the age of 42-years) 1ST DOSE, SINGLE DOSE for covid-19 immunisation. Medical history included hypertension. It was reported that patient had history of hypertension, but it was under control prior to the taking vaccination. Concomitant medication included hydrochlorothiazide taken at a dose of 50 mg once per day for hypertension; amlodipine taken at a dose of 5 mg once per day for High blood pressure. Patient did not take any vaccination 4 weeks prior to covid-19 vaccine. It was reported that patient have experienced side effects after taking the first covid vaccination and he visited the ER two times. Reportedly, after taking the first vaccination on 29May2021 at 2 PM, the next day patient had stage 3 hypertension. He had a prolonged headache for about 2 weeks. Patient experienced fatigue of head, body aches in his legs and more over back. He had sore arm at the injection site and at his second ER visit they said that he had something called the bell's palsy. It was reported that when he went to ER they perform blood tests and COVID test which tested negative. It was reported that he visited his doctor, primary care physician, he ran another lab and he had elevated level. He got feedback term, but it appeared that his liver that was been stressed. It was reported that patient was not treated for liver, he was only treated for the hypertension, for the headache and body ache he was taking ibuprofen over the counter, ibuprofen and the hospital prescribed for the bell's palsy, there are three different medication here valacyclovir, its 1-gram tablet and he take 3 per day. Prednisone, its 20 mg tablet 3 times per day, Erythromycin. The patient underwent lab tests and procedures which included blood test, covid-19: negative, liver function test increased: elevated level on unspecified date. Reporter seriousness for the events was Unspecified. Patient did not got his vaccination card yet as he was not fully vaccinated. The outcome of events was unknown. Follow-up attempts are needed. Information on the lot/batch number has been requested.

Nearly passed out; This is a spontaneous report from a contactable consumer (patient) from a Pfizer-sponsored program. A 42-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 intramuscular, administered in right arm at the age of 42-year-old on 03Jun2021 (Batch/Lot Number: ER8736) as single dose for COVID-19 immunisation. Medical history included None. There were no concomitant medications. The patient experienced nearly passed out on 03Jun2021. As reported as follows: Transferring agent stated, "I have the caller on the line. The reason for this transfer is because he nearly passed out after receiving the first Covid vaccine about 2 hours ago and he wants to know if he should take the second vaccination and if this vaccination card that he received from his first vaccination will be valid for him to get the second one." When paraphrased the concern, consumer stated, "Yes that was half of my question. I wanted to consult with my physician but it is a little late in the day today, so I couldn't get a hold of him after I received it. But I am pretty sure that the second dose probably will not necessarily have this circumstances now, am I correct?" The patient underwent lab tests and procedures which included laboratory test: unknown results in May2021 (3 weeks ago). Not received treatment for the event. The outcome of event was unknown.

Pericarditis; This is a spontaneous report from a contactable consumer (patient). A 42-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 28Mar2021 08:00 (Lot Number: EN6260) age at vaccination 42 years as 1ST DOSE, SINGLE for covid-19 immunization. Medical history was none. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient's concomitant medications were none. The patient experienced pericarditis on 30Mar2021 02:00. The patient was hospitalized for pericarditis for 3 days. Event resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care, hospitalization. Patient received anti-inflammatory mesicarions to treat pericarditis. The patient underwent lab tests and procedures which included Both nasal and blood test: negative on 30Mar2021. The outcome was recovered.

Heart rate speed up to over 180 beats a minute. Fatigue. Out of breath. Felt horrible for two days prior to ending up in hospital for heart.

Pt states 04/11/2021 groggy, fatigued. May 5th high grade fever for 3 days continuing, ER visit with Negative Covid-19 test. Antibiotic prescribed and sent home. 04/17/2021 HBP, high pulse rate, A-fib, 06/11/2021 admitted into ICU for a week with palpations. Discharged 06/16/2021. Sent home with recommendation for follow up with Cardiologist. Currently in A-fib, July 7th appt. set to decide how to correct heart A-fibrillation.

I've had to increase dosage on my blood pressure meds since vaccination AND I've had to add another BP med, and still my blood pressure is not controlled; This is a spontaneous report from a contactable consumer. This 42-year-old male consumer (patient) reported that he received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EN6208), via an unspecified route of administration on 11Mar2021 at 17:00 hours (at the age of 42-years-old) in right arm as dose 2, single for COVID-19 immunization. Medical history of the patient included HIV infection, aortic valve disease, hypertension (start date and ongoing status unknown). The patient's concomitant medications were not reported. It was mentioned that the patient received other vaccines on 11Mar2021. He did not get other vaccine in four weeks. The patient was not diagnosed with COVID-19 prior to vaccination, had not been tested for COVID-19 since the vaccination, had no known allergies. Patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: E19266) via an unspecified route of administration on 18Feb2021 (at the age of 42-years-old) in right arm as dose 1, single for COVID-19 immunization. On 12Mar2021 , patient experienced and had to increase dosage on my blood pressure meds since vaccination and he had to add another BP med, and still his blood pressure was not con-trolled. he believe the correlation might be the vaccine along with his pre-existing heart disease. A bi cuspid aortic valve. Patient had attended doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Congenital anomaly or birth defect. Patient had received treatment for the event as Increase dosage of BP meds and additional BP med a. The Device timestamp was12Jun2021. Outcome of event was not recovered. Information on Lot/Batch number was available. Additional information has been requested.

generally feeling unwell with weakness, body aches, headache since 2nd vaccine on 6/9/21 dizziness started 7/1/21. presented to ED on 7/2/21 and found to have low Hgb, elevated liver enzymes

On June 08 I started to have a cardiac episode with severe chest pain, low heart rate, and lightheadedness. I walked to the ER from my office where an EKG was performed and my heart rate was 47. My blood was tested and my troponin levels were 47. I was given aspirin and waited for 11 hours to be seen before going home and arranging through work to see a cardiologist on Thursday, June 10th. I was given a heart monitor and an Angiogram was ordered. The angiogram came back clear. No blockages and no calcium build-up. An Echocarido was done and shows minimal tricuspid regurgitation. Prior to June 8th, I've never had heart issues. My physical fitness is good. My average resting heart rate is in the upper 50's or lower 60's normally. Now the week following my cardiac episode walking half a mile my heart rate was 125 to 175 where it would normally not be above 90. Over the past 3-weeks I've had less chest pain, my heart rate has risen back to normal levels and my walking heart rate is now in the 90's

Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Weakness-Mild, Additional Details: 10 minutes after receiving vaccine patient experienced shakiness, tingling, weakness, sweating and appeared pale. Checked blood pressure initial reading 96/68. Second BP taken 15 minutes later BP 107/72. Pulse stable at 68 BPM. Patient stayed 35min for oberservation and seemed to feel much better when he left. Water provided to patient.

Heart Palpitations; severe Angina was completely out of the norms; Heart Palpitations; severe Angina was completely out of the norms; Kidney Problem; This is a spontaneous report from a contactable consumer. A 42-year- old male patient received BNT162B2 (sPFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot no: EW0183), via unspecified route as dose 1, single, on on 18Jun2021 for COVID-19 immunisation.The patient had had Covid in Feb2020 and he sustained at the time that he had really severe kidney pain. The patient concomitant medication was not reported. On 18June2021, the patient stated that Within 3 hours of vaccination, he experienced heart palpitations raised, severe Angina because that completely out of the norms for him and he never had a heart problem that kind of result and he was in the Emergency Room of the Hospital The patient was out of the Emergency Room by 10 o clock (18Jun2021) but now he has same kidney problem that he had half and Year ago, severe kidney pain. He had been experiencing that kidney issue all over again. When probed for any treatment for the problems (events), reporter stated, The local Hospital said to take Ibuprofen, lots of water and bed rest but he has not taken anything yet and also on Pedialyte Electrolyte. He was released from the Hospital at 10 o clock on 18Jun2021 because the heart palpitations and severe Angina resolved itself over about the period of about 4 hours. The outcome of events kidney pain was reported as unknown. No follow-up attempts are possible. No further information is expected.

PT WALKED UP OBS NURSE TO REPORT FEELING DIZZY AND LIGHT HEADED. PT LOOKED PALE. LOWER PT TO THE FLOOR KEPT PT IN OBSERVATION FOR EXTRA TIME/ UNTIL PT VOICE AND DISPLAY THAT SYMPTOMS RESIDES.

Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Medium, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Shakiness-Mild, Systemic: Tachycardia-Mild, Additional Details: patient describes shakiness, anxiety, swelling under and around arm, and pain. Reports taking 600 mg ibuprofen on tues and wed (600 mg po bid on Tues and Wed) "went away a bit and came back a little bit"

2nd day after final dose woke up with severe vertigo. Lasted for 5 days. Since then have had increasing chest discomfort and muscle spasms. Left shoulder and arm still hurt 2 and a half weeks after dose.

Rather intense headache and fatigue night of vaccination, but that was expected. Since then (from day 2 up till now), persistent headache (dull at the back of the head), neck and shoulder ache. Very annoying and makes it difficult to think and/or concentrate. Also having strange inflammation (both in the head and cardiac) and erratic heartbeat, likely contributing to increased blood pressure.

SYNCOPE WITHIN 5 MINUTES OF VACCINATION, LASTED LESS THAN A MINUTE. PATIENT WAS ABLE TO PROCEED OUT OF THE PHARMACY ON HIS OWN. NO TREATMENT NECESSARY.

Two weeks after second dose I started experiencing pain in my right hand and muscle twitching. By week 3 the pain began in my left hand and wrist. By June 22nd, I began having severe hand and wrist pain, numbness and tingling in my fingers toes, left pain in my forearm that is sensitive to touch. On June 30th, I had to go to ER due to chest pain and severe night sweats. On July 8th, I developed Shingles. As of today, July 15th, I am experiencing debilitating pain in my hands, wrists and am still recovering from Shingles.

Burning pain in the middle of my chest along with shortness of breath. Pain spreads from my chest to my right arm and makes the muscles in my right arm sore.

Myocarditis; Chest pain; high fever; Inflamed lymph nodes; This is a spontaneous report from a contactable other hcp.A male patient of 43 years old received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration on 26Jan2021 13:00 (Batch/Lot Number: EL3249) as DOSE 2, SINGLE for covid-19 immunisation. Medical history included splenectomy from 1995 to an unknown date, mildly high cholesterol.He gets the Pneumovax because he is immunocompromised and gets kind of sick feeling. He gets it every 5 years and does get a fever afterwards; he got the Flu vaccine in Sep2020 or early Oct2020.he got the Flu vaccine in Sep2020 or early Oct2020.The patient's concomitant medications were not reported. Patient previously received the first dose of bnt162b2 on 05Jan2021 for covid-19 immunization. The patient experienced myocarditis in Mar2021 with outcome of recovered, high fever on 27Jan2021 with outcome of recovered, inflamed lymph nodes on 27Jan2021 with outcome of recovering, chest pain in Mar2021 with outcome of unknown. Stated that he received his 2nd dose on 26Jan2021 and had really inflamed lymph nodes and a very high fever. He didn't have chest pain until 4-6 weeks later; around Mar2021. Stated that his lymph nodes were really inflamed for about 2 months after the 2nd dose. They were so inflamed that he said he had a hard time turning his head. States that the other day he was saying that his lymph nodes were still inflamed. He had a very high fever for about 2 days. States this was concerning because they were told that if he had a high fever he would need antibiotics right away because of his splenectomy. He was having chest pain every night when he laid down, but then it got severe, and normally he doesn't complain of anything. He went to the doctor the next day and had an EKG and blood work. Caller states that she doesn't remember the date this occurred, only that it was probably sometime in Mar2021. States that they weren't worried about anything on the EKG, and he had mildly high cholesterol. His doctor put him on Lipitor and Prilosec OTC, but now they are questioning whether he needs to be on them. Stated that about a month later it came out that myocarditis was a side effect of the vaccine. When they read the symptoms they realized that's what he had because every symptom matched, but at the time the doctor didn't know to be looking for that.Stated that the symptoms have gradually gone away. The patient underwent lab tests and procedures which included blood test: unknown, electrocardiogram: unknown. Therapeutic measures were taken as a result of myocarditis, chest pain. The causality between BNT162B2 and Inflamed lymph nodes, high fever was related.

Headache, body aches, fever/chills, injection site soreness, muscle aches, joint pain, heart flutters/palpitations .

I had a shape left chest pain that lasted for almost 2 weeks starting in the first week of June. The pain started to ease and now I feel it every now and then. I talked to my doctor this morning and he recommended I do the heart echo and report this here.

I started with left sided chest pain, which was worse when I was laying down or taking deep breaths. I was out of the county when I experience it. We came home early. Motrin helped a little. I keep getting worse I went to my doctor, and they did an x-ray and EKG which both came back normal. Those were done on May 20th. By the 23rd I couldn't walk with chest pain. The cardiologist did a scan of my heart, and they found a small left sided pleural effusion. They still do not know why I have that pleural effusion. They check my labs which I had a small elevated inflammatory lab. Over the next few days after that it went way, and I was able to go back to my normal activities. I have not had problems since.

New onset atrial fibrillation; Myocarditis/inflammation of the heart; pericardial effusion/he had a significant amount of inflammation and fluid around the heart; pericarditis; Tightness of chest; He went in for difficulty breathing; very tired; chest pain; This is a spontaneous report from a contactable consumer (patient's wife) from a Pfizer sponsored program. A 42-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration at age of 42 years on an unspecified date (Batch/Lot number was not reported) at 14:00 as single dose for covid-19 immunisation. Medical history was none. No family medical history relevant to AEs. There were no concomitant medications. The patient experienced new onset atrial fibrillation (AFib) since 27Apr2021 and hospitalized form 29Apr2021, myocarditis/ Inflammation of heart (2021), pericarditis (2021), and pericardial effusion (2021) after receiving second dose of the Pfizer BioNTech Covid-19 Vaccine. Patient sought medical treatment and was hospitalized twice, the first time being 29Apr2021. The patient was still dealing with issues and went into hospital 27Apr2021 (as reported). Since then, he has been going back and forth to hospital and was admitted twice for the same issues. He was diagnosed with Afib and inflammation of the heart. Reporter just wanted to know who needs to talk to because it seemed to be vaccine related. Patient has had to take time off of work and reporter has had to take time off work to take care of him. Patient stayed a week for the first AFib hospitalization. He got out of the hospital (2021) and was at home for a week. That Friday, he went back and was hospitalized for another week (2021). That admission was for both AFib and inflammation of the heart. They saw the inflammation the first time, but it was not a lot and said it was probably normal because of the AFib. When he went back for follow up, he had a significant amount of inflammation and fluid around the heart (2021). He was still dealing with it. He had another issue with going to ER and this was Friday before last. He went in for difficulty breathing (2021) and was told he had more fluid around the heart. He was not admitted for that one. They gave him more medication to control the fluid. Reporter later stated it was prednisone and she did not have a dose, lot or expiration. She then said the dose was increased after he went for follow up and had more fluid. The first time patient was taken to the emergency they could not find anything and the next day, she (reporter) called 911 from her home and saw that he was experiencing some cardiac issues and saw that he was admitted and told he had AFIB. When she called 911 from her home, they transported by ambulance to (#) Hospital in (#), (#) and that was when he admitted and diagnosed with AFIB. Since # was out of their network, he was transferred to # that same evening or day to # and he was there about a week. Then he was released after a week and still had a hard time breathing and walking a few steps with trying to catch his breath and had chest pain and was very tired (2021). Then he went to a follow up that Friday after being released. Unknown doctor in (#) and then he was readmitted at the follow up appointment to #. He was in the hospital for a week that time as well. He was discharged and they prescribed him medication and then he came back home on medication and he has been on several medications. The one to reduce inflammation, starts with a P and she cannot remember name. He finished it and went to a follow up. After he finished medication, he was experiencing side effects (2021) such as chest pain, difficulty breathing and tightness of chest. She then remembered it was Prednisone that he was on, unknown dose, and it is in pharmacy vial with no lot or expiration. There was no seal, and count size is unknown. He no longer has any left. He went to the ER in (#) because he was experiencing the same symptoms. They saw more fluid collecting and put him on the same medication but a higher dosage of Prednisone. This dose is 10mg, 4 tablets by mouth daily. It was also in a pharmacy vial with no lot or expiration. This was where he was now. He has been out of work and so has reporter. The patient had MRI, XRays, Echo, Blood Test and was still doing blood test (in 2021). He has to go back this week. Everything came back as unknown for what caused this. The outcome of events myocarditis/ Inflammation of heart and AFib was recovered/resolved with sequel in 2021, of other events was unknown. Information on the lot/ batch number has been requested.

All issues are still present to this day: Fatigue, lethargic, Brain fog, mild Vertigo, hands and leg numbness (feels like they are asleep), out of breath, can't think of simple words or statements, forgetting what I am doing in the middle of a process (simple stuff), heart arrhythmia.

Bloody nose. Have not had one in years; This is spontaneous report from contactable consumer or other non-HCP (patient). A 42-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: was not reported), via an unspecified route of administration on 21May2021 (age at the time of vaccination 42-years-old), as a single dose for COVID-19 immunization. The patient previously received first dose of BNT162B2 vaccine, via an unspecified route on an unspecified date (age at the time of vaccination 42-years-old), as a single dose for COVID-19 immunization. The patient's medical history was not reported. The patient's concomitant medication included Claritine (Loratadine). Patient had no known allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 22May2021, the patient experienced Bloody nose. Have not had one in years. No treatment was received. The outcome of the event was recovered on an unspecified date May2021. Information on the lot/batch number has been requested.

Tired; Not wheezing but breathing fast; Heart beat was pumping; This is a spontaneous report from a contactable consumer. This 42-year-old male consumer (patient) reported. A 42-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, Batch/Lot Number: EW0168), dose 1 via an unspecified route of administration, administered in Arm Right on 06May2021 as dose 1, 0.3 ml single for COVID-19 immunization.The patient medical history and concomitant medications were not reported. The patient did not receive any other vaccine prior to COVID-19 Vaccine. It was reported that the patient got some kind of side effect that's why he was calling to record. He was in bed and he could feel his heartbeat was pumping (on06May2021) after that day in the evening until Saturday night between 08May2021 and 09May2021. On 10May2021 in the morning he felt normal. . After the first dose, for two days he was so tired (on 07May2021). He saw that it was one of the side effects. The patient also experienced not wheezing but breathing fast on 07May2021 after his first dose. The patient asked if he could take the second dose or not. Someone in his family was a doctor and he said to call that number to see if anyone had the symptoms. The patient did not want medication, he wanted to know if he should move to second dose or not. On 10May2021, the events were resolved. No follow up attempts are needed. No further information is expected.

10 min after injection, my mouth started getting hot, then it moved down my throat and it was difficult and painful to swallow. I got quite dizzy. They initiated rapid response, when they came they simply monitored symptoms and Vitals. Blood pressure and Heart rate were elevated. after about 10 min the symptoms eased, but swallowing was still difficult and slightly painful. then a second wave of dizziness hit me and I nearly passed out. my heart rate was elevated once again and had ringing in ears. these symptoms lasted another 5-10 min then eased. I then had a headache. The symptoms didn't return, just a headache and fatigue the rest of the day. i was then given option to go to ED, which i didn't feel at that time I needed, so I left. The next day, i had some standard symptoms of pain in left arm from injection, and fatigue, but then toward the evening i developed a fever of 101 deg F than continued for a couple of hours. I used ibuprofen and Tylenol rotating to keep the fever down. On day 3 only mild fatigue.

Client started c/o headache, tightness in chest, and was anxious. He was helped out of his truck and taken to triage where they administer o2 4Liters via nasal cannula. He self administered his albuterol inhaler. He admits to having anxiety issues. He was monitored for 20 mins and no other problems arose and he felt better after that. He has had no other problems related to the vaccine since that occasion. He did not contact his doctor.

heart is racing; face felt hot; irregular heartbeat; This is a spontaneous report from a contactable consumer (patient). A 43-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiry date: unknown), via an unspecified route of administration on the left shoulder on 06Jan2021 at a single dose for covid-19 protection. Medical history included with irregular heartbeat (diagnosed years ago). There were no concomitant medications. The patient stated that his heart was racing. He was sleeping and woke up to heart racing 130-140. He had irregular heartbeat and his face felt hot the morning of 07Jan2021. He did not know if it was his heart, nerves or what. was his first dose. He got the vaccine on his job and stated that sometimes his heartrate goes up and down not to this magnitude and not while sleeping. He had asked one of the nurses during vaccination about having irregular heartbeat and taking the vaccine and was told that one could die of much worst than this. Patient wanted to know if he should go to the doctor and what to do. Outcome of the event heart racing was recovering while for face felt hot was recovered on the same day of 07Jan2021, and for the remaining event was unknown. Information on the lot/batch number has been requested.

A few hours after the shot my hands and feet where tingling and felt clammy/ swollen. After work i noticed that my heart rate would increase when walking around and that the heart beat felt heavy. If i was lying down the heart rate would be slightly elevated compared to normal resting heart rate. The heart rate beat felt heavy. I went to bed early and slept through the night. I woke up the next morning and felt fatigued, dizzy, slight body ache and nauseated. no fever, no headache. i tried to take a shower but symptoms got worse. i was unable to go to work that day. I took a few naps during the day and by late afternoon most symptoms where going away. the last symptom was the issue with the hands and feet. Heart rate returned to normal. The next day i was able to return to work.

About 4 hours after injection. My heart started to race and it progressively increased to the point where the resting rate was anywhere from 130-160 beats per minute. When I would move it would increase to the 180s. As of today, the 21st, my resting heart rate has decreased to the 100s and when I move it increases to the 110s.

Erythema to upper chest, diffuse bibasilar diminished breast sounds with subjective chest tightness requiring diphenhydramine IM once and albuterol nebulized treatment once with complete resolution of symptoms.

I had some sort of reaction. I was glad to get the shot and was not nervous about getting the shot. 5 minutes after the shot I felt something cold go down my left arm from my shoulder to my hand. A minute or two after that both my hands went numb, then both my arms went numb. I asked others around me if anyone felt anything and everyone else was fine. A minute or two after that both my legs went numb. I started to black out but made it to a chair before this happened, I drank some cold water and felt awake about 5 minutes later. 30 minutes after that i felt comfortable enough to walk. For the rest of the day i felt like i was legally drunk and felt lots of pins and needles on the back of my hands and feet. I did not feel dizzy or nauseous at that time. i also felt a lot of pressure on the inside of my skin all over my body. I've never felt anything like that and it was a bit uncomfortable. The next day i was too dizzy to walk without becoming very nauseous. I still had pins and needles on my feet. i had chills as well which i guess is a good sign. my appetite was fine. i felt clear-headed as well. Two days after the shot i felt slightly dizzy and by the third day i felt fine except for minor muscle cramps all over my body. For the three days after the shot i also had some pretty strong forearm and calf muscle cramps and my arms (biceps and triceps) felt pumped up like i just had a great arm workout, but they weren't swollen at all.

Patient had vasovagal syncopal event. This event was not a vaccine side effect but a vasovagal response (previous history of syncope with vaccinations/procedures). Patient received 1st dose of Pfizer vaccine around 11am today. Within 2 minutes of receiving the vaccine, he started to feel dizzy and passed out for around 45 secs. He had cold extremities, looked pale and was sweating. He was immediately transferred from chair to floor and his legs were raised. Cold towel was placed on his head. He regained consciousness but was confused for less than a 1min. Vitals were checked and his BP was 95/50's and HR was around 56. Pulse O2 was 99% during entire event. He was able to converse well after that and was oriented. He informed having anxiety/panic attacks, had taken his medication that morning. He reported similar syncopal episodes in the past. He was monitored in same posture. He was gently hydrated orally with water and soda. He was given sublingual zofran due to nausea and retching. He did not vomit. We continued to monitor his BP on regular intervals. He had slow improvement in BP and after 2 hrs while sitting his BP was 104/65, pulse 56/min (reports being an athlete and previous records show baseline bradycardia). He denied any symptoms and was awake, alert, oriented. As he was not accompanied by anyone, his wife was contacted who came to clinic in 10mins and helped to drive him home. He was transported by wheelchair till entrance of clinic. He reported feeling better and thanked for helping. He does not have any contraindications to receive 2nd dose of vaccine.

Approx 10-15 minutes after the shot client started c/o severe nausea and did vomit. He was sweating, and c/o throat tightening, was pale and still nauseated. Benadryl 50 mg Im given. His brother in law was called to drive him home. After he was stable, and no longer c/o any symptoms he was release to his brother-in=law. He says he went home and slept 3 hours and then slept til noon the next day which is not normal for him.

Woke up the next morning feeling a little weak, muscle soreness, and slight sore throat. About 30 minutes after waking up I passed out and fell while taking a shower. I have no history of passing out for any reason and have had no side effects with any other prior vaccinations.

I noticed on Thursday and Friday that my blood sugar levels were elevated. I didn't eat anything unusual and my increased blood sugars did not respond to my insulin as I would expect. The highest my blood sugar got to was 250. Wasn't a huge deal and today is Saturday and my blood sugar is back to normal.

Vomiting. He anxiety with symptom vomiting. Heart rate decreased as relax sat in lobby away from people and felt better went home

Lips went numb, partial tongue numbness, spread to the face, elevated blood pressure 180/130, elevated heart rate 131 at its highest.

Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Hypertension-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium

Woke up at 4 am on 01/31/2021 with muffled hearing and numbness on left side of body. BP increased to 150/100. Vomiting and diarrhea. Went to ER on 02/01/2021 and had MRI of the brain to check for stroke/TIA. Had an EKG and carotid artery scan. All tests came back normal. Continued to have neuropathy only on the left side of the body since 01/31/21. Pain travels from nerve to nerve. Occasional HA with pain only on the left side of the head. Cold tightness in chest. Seen PCP numerous times and had bloodwork done, Symptoms have continued since onset on 01/31/21 with no increase or decrease in severity. PCP has referred him to a neurologist.

Pt reported before shot that has had history in past of fainting after vaccinations. After receiving the shot, had him sit in a chair next to the table for a few minutes to see if would occur again. After about 2 minutes, pt began reporting that he felt that he was about to faint again. He began to dry heave and passed out momentarily for 2 seconds before coming back to. Pharmacist caught him before he fell. Gave pt water and took blood pressure. Patient began to feel better. Sat for 30 minutes and then he felt fine to leave.

Pt received their second dose of the vaccine in a recliner from a physical therapist at approximately 08:50am. Pt reported Hx of vasal vagal response with shots in general. A RN took over monitoring the pt. The pt reported feeling light headed. Vitals were obtained and showed the patient was hypotensive. The team lead was notified and 911 was called. Pt vitals were obtained frequently, water was provided, and feet were elevated. EMS arrived at 09:07 and took over. Pt refused EMS care and went home after waiting an additional 10 minutes.

After about 10 minutes I started feeling weird. I became light headed. Then I felt a burning sensation done both arms and my tounge. My heart was beating fast and I was struggling to get my breathing under control. My throat also got tight or warm and that feeling seem to go down through my chest. The monitor told me to take off my mask and gave me water. Shortly after I started to gag and almost vomited. The monitor checked my blood pressure and it was 180 over 120. I was admitted to the ER. I stayed there for about an 90 minutes as was released as the symptoms seemed to leave. While driving home many of the symptoms resurfaced. When I returned home I took a zyrtec and an anxiety medication. A day after I am light headed and a little nautilus but otherwise ok.

Patient found on ground by bystander. Patient responsive, alert and oriented. States does not know what happened. Patient stood and sat in chair. A few seconds later patient had syncopal episode and nursing staff assisted him to the ground. BLS provided, airway maintained. Patient pale, diaphoretic and clammy. BP 110/60, P 51, O2 98%, T 96.3. Monitored until EMS arrived. Paramedics on scene. Vitals BP 89/60, P 67, O2 100%, Blood sugar 81. Patient taken to hospital via ambulance.

Increase heart rate indicated by Apple Watch. Highest recorded was 148 BPM and it slowly decreased over a period of 3 hours back to normal. No other issues noticed at the time such as shortness of breath, chest pains, dizziness, etc.

Per patient, left site feeling fine, after being monitored for 15 minutes per protocol. Claims he felt light headed, nervous, and blacked out and hit a car in front of him. Per client, he was taken to the hospital and all tests came back clear. He later walked to another mini pod and reported the incident to them.

Light headed followed by losing consciousness for about a minute. Then nausea and throwing up. Fatigue rest of the day.

Patient experiencing shortness of breath, on Friday 3/5 heart beating real hard, felt weak, fatigue, lasted about 15 minutes, called ems went to ed, was given prednisone, calmed down, helped with inflammation but still lethargic, chest pressure, and pain, stomach pain, feels like a weight and pressure in chest, feels like sinus infection in head, mucus in them morning was red and thick, also having night sweats

Patient passed out immediately , pale Patient regained consciousness within a minute. No further issues.

Pt. looked pale & sweating, RN asked if he was okay, stated he felt like he was going to pass out. Pt clampy and sweating. HR 47, Osat 97%. Pt had difficulty breathing with conversation. @1354 Lowered to the floor to lay flat. 1355 BP 101/62, HR 78, O2Sat 98%. @ 1403 BP 100/68, O2Sat 96%, HR 79, pt sitting. @ 1405 pt states "feels ok now" Sitting on the floor 1410 HR 85, O2Sat 94%, Pt remained talkative, alert & oriented sitting on the floor until 14:32. Pt standing 1433 "feels fine" alert and oriented x 3. Pt discharged 14:42. HR 82, Osat 98%

Became very dizzy within moments after administration. Sudden onset. Reported to attending medical staff who held me for evaluation. During evaluation BP was found to be elevated (160 or 180+/100+ approximately (don't recall exact numbers). Within an hour subsided enough for me to return to work, and dizziness subsided over the next several days. Similar reaction to booster dose on 2/16/21; less acute but dizziness continues 1 month later. Severity is not debilitating at this time.

@ 0830, Mr. Started complained of feeling chills, and burry vision. Upon assessment, patient was diaphoresis, minimum tremors, AO x 4 time, place, date and situation. VS taken @ 0830 BP 56/38, HR 65, O2 sat 98%. Patient was offered water to drink and wet towel was applied to front head. Another set of VS was taken @ 0837 with BP 92/50. 911 was called @ 0850 and AMR (department #338) arrived @ 0855. Patient was assessed by medic, 12 leads EKG was done NSR. Patient denied transfer to the hospital. Medic left @0900 after explaining to the patient the risks and need to go to the hospital. Patient called his wife. Wife came at 0903. Patient was assessed, no complains of dizziness, was able to walk steadily, before leaving with wife @ 0905.

Body aches, fever (+/- 101°), back ache, chills, severe headache, slightly elevated heart rate, fatigue. Symptoms lasted approximately 24+ hours. Moderate to severe arm soreness at site of vaccination for >36 hours and continuing

I had experience of muscle cramps of left calf muscle in Feb / march and observed 3-4 times over a period of 2 months . I was thinking that could be due to dehydration . On 03/ 14 /21 morning , I got severe left leg pain and could not able to walk. I took pain killers and did not subside and that end up going to hospital emergency . I was diagnosed with 2 blood clots in left leg . I do not have family history of clots nor any h/o major medical issues . All my previous and recent blood reports normal . I am currently in use of blood thinners

Passed out 9 hours after injection on 03Mar2021; This is a spontaneous report from a contactable consumer. A 43-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration on 03Mar2021 18:00 (Batch/Lot number was not reported) as SINGLE DOSE, and dose 1 via an unspecified route of administration, administered in Arm Right on 10Feb2021 18:00 (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient previously took amoxicillin and experienced drug hypersensitivity. The patient experienced passed out 9 hours after injection/also reported as 03Mar2021 03:30. The outcome of the event was recovering. The patient did not receive treatment for the event. Information on the Lot/Batch number has been requested.

High Fever (102 versus normal of 96), high heart rate (135 to 150 for 12 hours at rest including sleeping), chills, and tiredness. I went to the emergency room to get it checked out. Received Toradol for headache, ice pack and IV fluids. Heart rate reduced to 100 and temperature down to 97. HR elevated throughout Sunday (80 to 100 at rest) I was symptom free from AS with Enbrel treatment, but after adverse event severe inflammation in chest and upper left quadrant. Restarted enbrel use but flair up worse than anything seen throughout 8 week cessation of Enbrel usage.

Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Patient experienced syncope briefly he thinks due to sudden drop in blood pressure but recovered within minutes.

That evening had tachycardia symptoms and trichina symptoms (about 12 hours after vaccine). I had fatigue and headache the following morning. Severe myalgias - in the epigastric cisternal area and in the back of my shoulder blades. 36 hours later - low grade temperature. At 48 hours I felt normal. Eye - 10 days later (vaccine) - I noticed a visual deficit in the left eye along with a line and the following day - on the 17th, I saw my ophthalmologist - left branch retinal vein occlusion. Since then I've had an Forestine Angiogram: and a video of my retina - branch retina arterial occlusion - so they are having trouble telling the difference between the two. I still am being followed for my eye. They did a carotid ultrasound - my carotids are fine. I am due to get an echo cardiogram. I am taking baby aspirin mg for now - not sure if it's helping or not. It takes a year and a half to go away.

3/13/21 - 3:00 PM. LEFT EAR ACHE 5:00 PM. ARM HURT WHERE I GOT THE SHOT. TOOK 2 ADVIL 9:00 PM. HEAD AND THROAT ACHE 10:00 PM. CHILLS AND SWEATS 12:00 PM. EYES WATERING 3/14/21 THROUGHOUT THE DAY. SWEATS AND CHILLS, WATERING EYES, HEADACHE, FATIGUE TOOK 2 TYLENOL EVERY 4 HOURS 3/15/21 8:00 AM - SLIGHT WATERY EYES. 9:00 AM - UPPER LIP BEGAN TO SWELL, TOOK TWO ALEVE 10:00 AM. UPPER LIP COMPLETLY SWOLLEN AND ON FIRE. TOOK 2 BENADRYL 11:00 AM. FATIGUE 12:00 PM. CHEST BEGAN TO TIGHTEN AND SHORTNESS OF BREATHE, TOOK 2 BENADRYL 4:00 PM. TIGHTNESS OF CHEST AND BREATHING WORSENED 4:30 PM. WENT TO EMERGENCY ROOM. 3/16/21 - 3/20/21. FATIGUE, SWELLING OF UPPER LIP, TIGHTNESS OF CHEST, SHORTNESS OF BREATHE 3/22/21 - PRESENT. TIGHTNESS OF CHEST, SHORNESS OF BREATHE

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Syncope-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Additional Details: Bradycardia

Patient reports he has noticed over the past week increased shortness of breath on exertion--at baseline able to exercise with walking 45-60 minutes without dyspnea, however noticed over the last week getting some shortness of breath even walking to the garage. No chest pain, no fevers, chills, cough. He saw his PCP for these symptoms who ordered EKG and CXR 1 day PTA which per patient were normal--plan was for referral to cardiologist. However on the morning on presentation around 6:45 AM after taking an elevator for work he began feeling lightheaded and lost consciousness, awakening on the floor. He went home as he was not feeling well however proceeded to have another 2-3 episodes of loss of consciousness at home witnessed by his girlfriend--the later 2 occurred while lying down and were not clearly associated with any presyncopal symptoms.

skin was burning itchy and red; skin was burning itchy and red; sunburn; trouble breathing; tongue swelling and discoloring; tongue swelling and discoloring/ he saw that his tongue was dark chocolate like he had just eaten a black licorice; felt like breaking out in hives/chest was beat red was referring to hives; chest started to get broken out and got beat red; allergic reaction; got beat red; This is a spontaneous report from a contactable consumer. A 43-year-old male patient received the first dose of BNT162B2 (BNT162B2, lot number: EP6955), via an unspecified route of administration in the left arm, on 15Mar2021 3:00 PM (received at the age of 43-years-old) at a single dose for COVID-19 immunisation. Medical history included Attention deficit disorder, cholesterol, benign heart palpitations. He also had a previous reaction to insect bites and followed up with an allergist. He went over a decade ago for the insect bite, they gave him epinephrine at the urgent care and said to call or come back if it worsened. The next morning, his symptoms from the insect bite were worse and the urgent care told caller to go to the ED (emergency department). Concomitant medications included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) from an unspecified date and ongoing for Attention deficit disorder; metoprolol from an unspecified date and ongoing for benign heart palpitations; simvastatin from an unspecified date and ongoing for cholesterol; vitamins and minerals; ubiquinol from an unspecified date and ongoing; fish oil from an unspecified date and ongoing. The patient previously had a flu shot in Aug2020. The patient previously took epinephrine and experienced insect bite were worse, and metoprolol and experienced reaction linger. The stated he thought he had an allergic reaction to the Pfizer covid19 vaccine on 15Mar2021. He states that his tongue was swollen (15 min after receiving the vaccine, at 03:15 PM), he broke out into hives. He was in the restroom of the facility where he received the vaccine and that he did not have hives yet after getting the vaccine, but then asked the nurse if he could take Benadryl and was told yes. He states they then let him go because he had no trouble breathing at that time. He drove home and was going to reroute to hospitals if needed. He took 50 mg fast melt Benadryl as soon as walked out of the facility. He drank water, drank two larger bottles of water. His chest started to get broken out and got beat red. He took another 25 mg of Benadryl and then drove home. He then proceeded with Benadryl 50 mg every 6 hours. At 1 AM, the next morning (16Mar2021), he woke up with trouble breathing and tongue swelling and went to ER. They gave him Prednisone 60 mg and then started on 5 days of prednisone. They told him to continue Benadryl, and water and to follow up at hospital if worsens and to follow up with his physician. He stated that he had a previous reaction to insect bites and followed up with an allergist. He went over a decade ago for the insect bite, they gave him epinephrine at the urgent care and said to call or come back if it worsened. The next morning, his symptoms from the insect bite were worse and the urgent care told caller to go to the ED. He added that this experience with the Covid19 vaccine was milder comparatively as they gave him just steroids and not epinephrine this time, and, they told him he was not having trouble breathing this time. Last night, 16Mar2021, at around 10:30 pm, a half hour before next dose of 6 hour Benadryl was due, his skin was burning itchy and red so he took Benadryl a half hour early and set alarm to wake up before next dose. He woke up 4 hours later and waited to see if he would have a reaction and he has not taken it since. He took the morning dose of Prednisone with improvement and is carrying Benadryl in his pocket just in case. He later clarified that he took his 11 o'clock dose last night and then set a 2:30 am alarm to see if it was worse again or about the same. Regarding the allergic reaction, he first noticed around 3 pm Monday 15Mar2021. Within 15 minutes after the vaccine, he was going through his phone and thought he felt strange while waiting at (Name) after the vaccine to see if he had a reaction. This feeling continued until 11 pm last night, 16Mar2021. He took 50 mg of Benadryl when this first happened on 15Mar2021 and then took another 25 mg 15 minutes after the first initial dose. At the time of call, he notices no redness or itchiness or swelling of the tongue. He feels like he is going in the right direction. He noticed tongue swollen within 15 minutes of receiving the vaccine and that it was also discolored (15Mar2021 15:15) and asked a friend who has allergic reactions if this happens and the friend told him that it sometimes happens to other people with allergic reactions. He went to the ER on Tuesday 16Mar2021 at 3 am, exactly 12 hours after he received his shot, because of the swelling of the tongue. This was his first-time experiencing difficulty breathing and gasping for air as well. States that he does not have it now. Prednisone and Benadryl have knocked it out. He was not admitted and was released from the ER about an hour and a half after he got there (discharged at 4:30 am from the ER). He did notice at 3:30 pm that his chest was beat red. He was hanging out and his body would tell him when it was close to 6 hours that he needed to take Benadryl because he would be breaking out in hives. He has to take Benedryl within 6 hours. This is ongoing but he has not had any today. He clarifies that the chest was beat red was referring to hives. He felt yesterday 16Mar2021 that he had a sunburn and that his face was kind of red but he had not been in the sun. He clarified on timeline that he went to check for swelling and hives in bathroom after receiving the vaccine on 15Mar2021. At that time, he saw that his tongue was dark chocolate like he had just eaten a black licorice. There was no redness or anything but he felt like it was going to be occurring so he asked the facility if he could take Benadryl. He is scheduled for his second dose of the vaccine on 05Apr2021 and may be possibly returning but is not sure. He also noticed on Tuesday 16Mar2021 that while sleeping on the couch at 3 am he was going to take the next dose of Benadryl and woke up gasping for air. He got up to drink more water and took a shower and made coffee. Then, he went to the ER. He was really tired. He wanted to be alert to drive. It seemed like the water helped and he drank a lot of water. He did not want to take the next dose of Benadryl. He noticed that it did get better, and he did not want to stay home so he went to the ER. Outcome of the event allergic reaction was recovered with sequel on 16Mar2021. Outcome of swollen tongue, skin was burning itchy and red, got beat red and hives was recovering. Outcome of other events was unknown.

Systemic: Dizziness / Lightheadness-Medium, Additional Details: Patient turned pale. Color resumed after sitting for ~15 min. was okay when left the facility

Upon presentation to Tent 4, participant identified himself as being, "a big baby when it comes to needles". Received vaccine to LUE and was waiting in Obs area with son (who reported only being seated for approx 5 mins.). A loud noise was heard and participant was observed laying out prone on the floor. Clinicians assisted him to roll over where his eyes were red, wide-open gaze, and diaphoretic but was not responding to commands. After turning him to his Rgt side he began to sit up and became slightly combative and was able to be calmed down. Moved to Tent 6 to cot via wheelchair where is RUE BP was 180/100 at 11:09, and Lft radial pulse taken by MD was "60 and weak", Resp 16 and unlabored so no oxygen in use but nearby. Upon further assessment, participant repeatedly stated that, "he just did not feel well" and when probed, c/o frontal headache, nauseated (but did not vomit), and weak. Offered water to sip and by now lip no longer bleeding. When asked, "what did you feel prior to falling out of your seat?", he stated, "I just remember that you all were around me asking me questions...hence could not recall moments leading up to being found on the floor and no type of aura was identified as well. Reported a h/o HTN but did not take his medication today...other history is unremarkable. Ambulance arrival approx 11:13, VS taken, assessed and transported to nearest facility. Family returned and later reported that he sustained only a large "goose-egg" on the forehead and fat lip but otherwise was treated and released.

Patient developed signs of syncope within five minutes of receiving the second dose of the Phizer COVID-19 vaccine. Patient stated he ate little that day and often has similar episodes after giving blood. The patient also stated a fear or needles and taking a look at the needle today caused anxiety.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Medium, Additional Details: After patient had vaccine sat down, then felt light headed and broke out into a sweat. Pulse very shallow = 60bpm. Would get better than worse again. Called emt's, came w/i 15 minutes. Said had high bp, but on no meds. when emt's came he passed out and pulse down to 40bpm, emt's gave epinephrine. pulse back up to 60, put on stretcher, passed out again. Took to local hospital/ER

On March 24 I got the first dose of the Pfizer COVID-19 vaccine and I experienced side effects almost immediately. By the time I got to the resting/observation area I felt that the site of the injection got really warm and I became dizzy/lightheaded and started to feel heavy on the chest and little problem in swallowing and breathing. I was taken to the paramedics on site, they checked my blood pressure (which a little high 150/90), oxygenation, pulse, and EKG (which were normal). It did not became too bad after and was allowed to come back home. However, the heavy chest and swallowing problem lasted for three days. The heaviness in the chested turned into a sensation of feeling like my trachea or the anything under the sternum area was behind strangled. Although I felt like this my breathing and swallowing was almost normal. Every now and then when I swallowed I felt some pain but I could withstand it.

Client became dizzy and lightheaded in the observation area, "he was seeing stars". On exam, no evidence or symptoms of an allergic reaction. BP 70/50, O2 sat= 80%, Pulse=50. Skin= pasty gray. EMS was called due to low O2 sat and hypotension but client was not transported. No chest pain was reported. After 20 minutes, he felt better and BP responded to hydration with water. Skin color returned to normal. Wife drove client home. Client disclosed he recently lost 10lbs and though he was dehydrated. Advised to eat salty foods and drink lost of fluids. Assessment: vasovagal reaction secondary to vaccination, worsened by dehydration prior to clinic.

Within 15-minutes of vaccination, the patient experienced a syncopal event. EMS evaluated the patient on-site. The patient was hypotensive (54/31) and bradycardic (42bpm). EMS transferred the patient to Medical Center Emergency Department. In the ED, the patient reported a syncopal event that lasted 1-minute. Th patient was resting comfortably in no acute distress and reported feeling improved. Physician administered 1L IV normal saline. After noted improvement, the physician discharged the patient with diagnoses of Vaccine reaction and secondary Near syncope.

I woke up at 2am, with a fever, flu like symptoms, and a bad headache. I took a nap from 8-10am that morning and woke up at 10am with repeating, recurring chest pain every 2-3 minutes, the pain would only last a second then go away. My BP and pulse were very high. This all continued through out the day. I went to a walk-in urgent care clinic around 4PM, and then to the ER around 6PM.

Patient has a history of fainting after vaccination. Had patient sit for awhile before releasing him to the recovery room. He informed the vaccinator he was fine and was released to the recovery room. Just about to sit down, fell over off chair to the left. Had patient lay on his back and elevated his feet. Checked BP several times 130/70 then 170/100 then 142/100 and finally 150/100. Pulse ox readings were 97 then 99 SpO2. Pulse was 90 and fell to 82. Patient was stable and had a friend give him a ride home.

44 y/o male presents for HA, fast heartbeat and L arm numbness/tingling 10 min. Pt has hypertension and DM2. BP 178/96, HR 105, o2 98% RA BP 156/85, HR 100, 02 98% RA Pt states he feels better and ready to go.

Patient received vaccine at 1144a, left site, started feeling palpitation and drove back to site. MD assessed, O2 at 93%, O2 4L initiated by onsite Paramedics. Pt vomited and stated he feels dizzy and has SOB. Ambulance called, vitals taken: BP 159/96, HR 88, 98% 4L NC. Last taken BP was 133/66, patient stated he was feeling anxious, recommended to go to the hospital for further assessment. Patient was driven by his wife.

Shortness of breath, tight chest, burning sensation in the eyes, significant fatigue, and joint pain in all fingers, hands, knees, toes and neck.

Hx of HTN, Baseline BP 140/90, did not take BP meds the night prior. Reported dizziness, BP 169/114 HR73 RR18, then second reading 153/109 HR83 RR18, left in stable condition

Massive Heart Attack. Was given stent and Dr believed the injection possibly pushed me over the edge with blockage

Patient received dose at 1:19pm walked to OBs area, sat in chair. Started texting, noted weakness, c/o sweaty feeling, alerted staff. Placed in WC, back to Med Eval tent where he was diaphoretic, pale. Did not lose consciousness. Patient admits to not eating or drinking today at all, very stressed about vaccine. Drank a bottle of water, and gatorade, fan for air circulation. Patient recovered well on cot in supine position, walked out without incident. Likely vasovagal response without syncope. NP

Cold sweats starting Thursday evening, Friday sweating at night, and Saturday morning ~6:00 am with chest pain and sweats. Pain intensified and brought to Urgent Care at 8 am where an EKG was completed and showed signs of a heart attack. Was rushed to Hospital Emergency room. Admitted and examined. Completed an angiogram and noted that there was a blood clot that appeared to dissolve. Troponin levels were high showing damage to the left artery. Spent the night in the hospital. Prescribed medication for cholesterol, blood thinners, and seeing a cardiologist.

Nurse was called to check on a patient in the vaccination area. Patient was given his first dose of Covid vaccine . He immediately stated he needed to lay on the floor. Patient was diaphoretic and pale. P. McGrath RN obtained vitals: 112/68, HR 62, pulse ox 97% room air. Patient's wife stated he has these episodes all the time. Patient stated he felt fine and wanted to get up. Patient was assisted up. VS rechecked 112/80, HR 66, 98%. Patient was given water and escorted to the monitoring area. Patient was monitored for an additional 30 minutes without further incident

43 y/o male, past medical history of Hypertension (untreated) presents with numbness to the left ear, left neck and left upper arm shortly after vaccination. Vaccination site was the left deltoid. NP and Paramedics at side. Negative Stroke Scale. Vitals taken and patient noted to be hypertensive with BPs ranging between 145/94-166/114, all other vitals normal. Advised patient on the need to transport to the ER via Fire Rescue due to symptoms and bps. Fire rescue arrive on scene where patient refused transport. Patient signed our AMA form in addition to Fire Rescues AMA form. Patient left on his own account.----------------------End.

Bilateral pulmonary embolism which was diagnosed on 4/14/21 after 2 days of severe shortness of breath. Associated with hypoxia requiring supplemental oxygen. Patient is morbidly obese which is only other risk factor for pulmonary embolism. He denies history of increased sedentary activity, denies recent travel, denies known history of a hypercoagulable disorder or family history of blood clots. No other causative factors for the pulmonary emboli have been identified.

Fainting. It was sudden onset, I felt fine for 24h after the injection (and had no side effects to the first dose), then felt very suddenly dizzy and lightheaded, then passed out for a few seconds. After I came to, I was able to quickly catch my breath and recover with no additional episodes. Beyond this, I had a mild fever but no other serious adverse effects.

Patient received COVID19 Pfizer BioNTech vaccination approximately 1:10p. After vaccination administering RPH requested patient wait for 15 minutes prior to leaving. Approximately 1:20p patient began to feel faint - lightheadness, clammy skin, and pale skin. RPH took pulse over 30 second time period and reported HR of 44. Patient was offered water and RPH assisted patient to lay on the floor with legs raised above head. Skin color slowly returned. Pulse was taken again and came back up to the low 90s. Patient laid on floor for 15 minutes prior to being assisted by RPH to sit in chair. Patient then sat in chair for approximately 10 minutes prior to feeling comfortable leaving. EMS was not called to scene. Patient stated that he had not eaten prior to vaccination. RPH counseled patient to eat prior to receiving second vaccine and to inform vaccinator prior to second dose of previous reaction.

One minute following the shot, began to experience rapidly increased heat and pressure from my chest/breastbone area. Akin to having a heart attack with a feeling of a die pumped from a CAT scan. Sweating, dizziness, and rapid heart beat. Paramedics on site measured my vitals within 3 minutes and reported pulse over 100, BP at 160/100. This feeling gradually subsided over the next 15 minutes but the chest felt as if it was punched. Day 2 and day 3. Extreme fatigue and uncontrolled Heartburn. Was unable to quench heartburn that radiated through my neck, face, whole chest. Took 4000 mg of tums and Pepsid 20mg . Heartburn feeling persisted for 5-7 hours both days.

Vasovagal syncope; Blood pressure drop - fainting; This is a spontaneous report received from a contactable consumer, the patient. A 43-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EP6955), via an unspecified route of administration on arm left on 31Mar2021 08:00 AM at single dose for COVID-19 immunization. The patient medical history included methylenetetrahydrofolate reductase gene mutation from an unknown date and unknown if ongoing , wolff-parkinson-white syndrome from an unknown date and unknown if ongoing , blood cholesterol increased from an unknown date and unknown if ongoing , gastrooesophageal reflux disease from an unknown date and unknown if ongoing. The patient concomitant medications included omeprazole (ZEGERID [OMEPRAZOLE]) taken for an unspecified indication, start and stop date were not reported; ubidecarenone (COQ10 [UBIDECARENONE]) taken for an unspecified indication, start and stop date were not reported; vitamin d [vitamin d nos] (VITAMIN D [VITAMIN D NOS]) taken for an unspecified indication, start and stop date were not reported, fish oil, quatrefloic within 2 weeks of vaccination. The patient previously took ampicillin and experienced drug hypersensitivity. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 31Mar2021 08:30 AM, the patient experienced Blood pressure drop, fainting, vasovagal syncope.The seriousness criteria of the events has not resulted in death, Life threatening, Caused/prolonged hospitalization, Disabling/Incapacitating, Congenital anomaly/birth defect. The event was assessed as serious based on seriousness criteria. The patient did not receive any treatment for the events. The outcome of the events was unknown.

Chest Pain as a Result of Elevated Troponin Levels Caused by Myocarditis; Chest Pain as a Result of Elevated Troponin Levels Caused by Myocarditis; Chest Pain as a Result of Elevated Troponin Levels Caused by Myocarditis; This is a spontaneous report from Pfizer Sponsored Patient Support Program. A contactable consumer (patient) reported for himself that a 43-year-old male patient received his second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EN6202), via an unspecified route of administration at the age of 43-year-old at arm left on 09Mar2021 14:00 at single dose for covid-19 immunisation. Medical history included high blood pressure. The patient wasn't allergies to medications, food, or other products. Concomitant medications included metoprolol tartrate and vitamin D NOS. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EN6202) at left arm on 15Feb2021 6:00 PM for COVID-19 immunisation. The patient experienced chest pain as a result of elevated troponin levels caused by myocarditis on 27Mar2021 14:00. The events were serious for being hospitalized (duration 3 days). The adverse events result in Emergency room/department or urgent care. Facility where the most recent COVID-19 vaccine was administered in hospital. Prior to vaccination, the patient wasn't diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19. The patient underwent lab tests included nasal swab: negative on 29Mar2021. The patient was received treatment (Heparin, Nitroglycerin and Cardiac Catheterization) for events. The outcome of events was recovering.

received vaccine pfizer 4/18 reports cramping to forearms and calves; soreness to neck, shoulders, chest. Used no meds to Tx. Denies SOB, flutters, palpitations. States his chest discomfort feels like muscle pain after lifting or a rigorous workout rather than cardiac in nature. Referred to ER

Patient presented with HR of 38 and BP was 90 palp. Loss of consciousness. HR returned to 60s . Patient refused transport.

Pfizer-BioNTech COVID-19 Vaccine EUA - About 10 minutes after receiving the first dose of the Pfizer COVID-19 vaccine, pt complained of being dizzy and faint. Pt broke out in a sweat and complained of tingling down his left arm (site of administration was left deltoid) and into his fingers. Pt was instructed to lay down on his side and was given an ice pack to apply to his wrist for the sweating. He was also offered water and to call EMS, which was refused. At this time his blood pressure was checked reading, 102/63 pulse 62. Pt continued to be closely monitored for 30 minutes. During this time he was able verbalize symptoms and continued to complain of dizziness and generalized weakness. After 30 minutes pt sat up and waited an additional 15 minutes before he decided to stand up and at that time decided he was fit to leave. Another blood pressure reading was taken 110/64 pulse 67. He stated that a normal blood pressure reading for him was around 135mmHg systolic.

1110: Alerted that we had a medical patient. 1111: At patient side to find the patient wa slouched over and having snoring respiration?s. The patient appeared pale and diaphoretic. 1112: Contacted Safety Supervisor and also contacting 911. 1113: The patient was seated upright to open airway and asked if he could wake up. Patient was breathing on his own, eyes open, but not tracking. The patient was not responding to painful stimuli. 2 person lift assist to get the patient off the chair and laying on the floor. The patient then had seizure like activity, arms clenched at his side. 10 second passed by, the patient having minimal postictal phase, and the patient immediately sat upright, asking what happened. The patient informed mobile crew that he started to feel hot and dizzy before he started to dream. Vitals taken: BP: 110/54, HR: 40, R: 18, SPO2: 99%, CBG: 108. 1116: Patient care transferred to paramedic unit to transport to closest hospital.

The same day, I was exhausted. It lasted 2 days. After that, on the 2nd or 3rd day after my shot, my right calf began to hurt. I knew it was connected to the vaccine, but I figured it would go away. Once the information came out about blood clots and my calf still hurt and didn't get better, I decided to go and get it checked out.

passed out; body temperature rose fast; sweating; blood pressure and ECG went low; blood pressure and ECG went low; This is a spontaneous report received via COVAES from a non-contactable consumer (patient). A 43-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, first dose via an unspecified route of administration, administered in right arm on 01Apr2021 10:00 (Lot Number: EP7534) as single dose for covid-19 immunisation. Medical history included allergies to penicillin. Concomitant medication(s) included diphenhydramine hcl. Side effects started about 4 minutes after getting the shot. At first, the body temperature rose fast, and patient started sweating. Then, patient passed out, and both blood pressure and ECG went low. Patient was sent to the emergency room and released a few hours later. AE resulted in Emergency room/department or urgent care. Treatment included fluids. No Covid prior vaccination. No Covid tested post vaccination. The event outcome for events was recovered. No follow-up attempts are possible. No further information is expected.

Patient given vaccine, was 10 minutes into the waiting period, passed out of his chair, appeared to have a seizure. Myself and the RN on duty giving vaccines provided first aid to make sure breathing, heartbeat, etc. Kept airway open. He came out of it in about 3-4 minutes and was coherent before the paramedics arrived (6-7 minutes) and was conversing with us and the paramedics. They took him to the ambulance to be checked out.

I had trouble after the shot, with a chronic headache that started a couple hours after the shot and wouldn?t break no matter what I took or did. I also had chest soreness and a reduced heart rate that started about 4 days after the second shot, which was similar to what I felt when I thought I had COVID in 2020 (my doctor denied my request to be tested and told me to just quarantine until my symptoms were gone for 48 hours). I tried everything to resolve my symptoms. I could get my heart rate up with vigorous exercise (mountain biking), and it would recover just fine, but the chest soreness and headache persisted. After a week, I called my doctor?s office to get in for an evaluation, thinking my thyroid medication needed adjustment. The doctor who saw me sent me to the ER because she had no answers as to the headache and very low heart rate, which kept dropping into the 30?s... normal is around 50 for me. She thought I could be having a heart attack. After 4 hours and a couple tests, the ER released me with no trouble found. I still had the headache, and slow heartrate with mild chest soreness. The headache subsided about 4 days later, and my heart rate returned to normal. The chest soreness continued for 4 weeks, and is still present, but slowly improving I think.

The next day after the second shot, my right foot got acute pain. I had some fatigue on my left foot on the day I took vaccine and I had got it examined by the doctor, He did. To find any issue on my left foot and suggested it might be a regular sprain. He also examined throughly the right foot and it was perfectly fine in the day time of vaccinations. The pain on right foot joints got so acute that I could not move out of my bed. I waited for two days hoping that the vaccine effect will go in couple of days.but it became unbearable. I saw my pcp and the blood work showed erratic inflammatory markers and unusable high glucose very low platelets and I was given steroid for six days. The inflammation was coming down when I was on med and bed rest, last Saturday my right heel started showing a new and sharp throbbing pain. I went the ortho and they found that possibly my burssaties sack is inflameated. The pain is so unbearable that I am, prescribed some opioid based pain killers, the PCP and hematologists had a discussion , I was told that I may be developing auto immune disorder. I never had a history of ITP. I am still hopi g it is a shock and body will calm down soon but I am on so much in pain and in a small place to get an immediate medical attention is so hard.

Post vaccination patient started to feel flushed, light headed and dizzy- Patient skin pale vitals T 98.7, 113/56, HR51, B/S144, 02 96

Patient experienced a seizure resulting in cardiac arrest. Witnesses described patient "began convulsing and then tipped over". AED applied with no shock advised. Unknown down time prior to initiation of CPR. Rhythm PEA upon arrival of EMS. 7 mins CPR before ROSC obtained. Initial troponin 12. 12 lead EKG without ischemic changes, arrhythmia, etc. Transthoracic echo without regional wall abnormalities or significant findings. CT of head negative for acute intracranial process. No history of seizure, cardiac issues, drug use, etc.

myocarditis; severe pain in my left shoulder, radiating down my left arm all the way to my fingertips; severe pain in my left shoulder, radiating down my left arm all the way to my fingertips; severe pain in my left shoulder, radiating down my left arm all the way to my fingertips; This is a spontaneous report from a contactable consumer (patient). A 43-year-old male patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration at the age of 43-years-old, administered in Arm Right on 26Mar2021 12:30 (Lot Number: EA8732) as single dose for COVID-19 immunization. Medical history included allergies, asthma, genetic predisposition to heart disease. Concomitant medication included unspecified medications. The patient previously received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration at the age of 43-years-old, administered in Arm Right on 05Mar2021 12:30 (Lot Number: EN6199) as single dose for COVID-19 immunization. The patient reported, "I had severe pain in my left shoulder, radiating down my left arm all the way to my fingertips. The pain was severe enough to be admitted to a hospital, where they performed an angiogram and MRI, resulting in a myocarditis diagnosis. The doctors suspect that these symptoms may have been at least partially triggered by." The patient experienced myocarditis and severe pain in my left shoulder, radiating down my left arm all the way to my fingertips on 28Mar2021 18:00. Events resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization. The patient was hospitalized for the events for 3 days. The patient underwent lab tests and procedures which included angiogram: myocarditis diagnosis on 28Mar2021, MRI: myocarditis diagnosis on 28Mar2021, SARS-CoV-2 test: negative on 02Mar2021. Therapeutic measures were taken as a result of the events which included Ibuprofen, Colchicizine, and Metoprolol. The outcome of the events was recovered/resolved with sequel on an unspecified date. No other vaccine in 4 weeks. Not diagnosed with COVID prior vaccination.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Medium, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: Patient was coherent after shot sat down passed out. Hit head trauma scrape on head and knees and called ems showed up 5 minutes took pt walking away.

Pt. had a Syncopal episode post 10 from vaccination. Was lowered to floor without injury .Did not recover immediately . Became nauseous and shaky then began vomitting. Pt remained lightheaded and near syncopal whenever brought to a sitting position or standing position. Pt. refused Benadryl . Pt. admitted having nausea and diarrhea for past 1-2 days intractable vomitting 5 yrs ago Agreed to EMS transport to ED

painted fainted, woke up in under a minute, checked by EMS, refused to go to hospital because said was ok

Sharp, quick pain in L pinky finger, repeating at intervals over the course of the day. Slight L-side chest pain.

massive heart attack; knee pain; This is a spontaneous report from a contactable consumer (patient). A 43-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EN6206 and expiration date not provided) via an unspecified route of administration, administered in right arm on 12Mar2021 12:00 as a single dose for COVID-19 immunisation. Medical history included heart attack in 2019, heart disorder (Heart), Blood cholesterol abnormal (cholesterol), hurt his knee at work prior and torn meniscus. Concomitant medications included ongoing ticagrelor (BRILINTA) for the heart; ongoing atorvastatin for cholesterol and ongoing carvedilol (COREG) for the heart. The patient previously took clopidogrel (PLAVIX) for heart attack. The patient did not receive any other vaccine within 4 weeks prior to the COVID vaccine. No adverse events following prior vaccinations. The patient called about the COVID 19 vaccine. He received his first COVID-19 vaccine on 12Mar2021 and suffered a massive heart attack on the same day. After the event, his cardiologist reviewed video from the heart catherization to open the blockage and the cardiologist indicated that the area that was obstructed with this heart attack had not been obstructed 2 months ago. The cardiologist believed that the COVID 19 vaccine is the culprit in causing the massive heart attack. The cardiologist believed the area of the blockage was too dramatic. The cardiologist encouraged the caller to report the event and the cardiologist will offer his expertise in this matter if needed. The patient also tried to report to his local health department but is waiting on a call back from them. He reported that he had a heart attack in 2019. He was taking Plavix but after this heart attack his cardiologist has changed some of his medications. He reported he believes his medications were changed at his follow up visit with the cardiologist on 23Mar2021. He reported that he had continuous blood work done while in the hospital. They were monitoring his troponin levels. He also had a chest X-Ray, EKG and after the heart attack he had an echocardiogram to monitor the extent of the damage caused by the heart attack. He clarified that he did go to the emergency department on 12Mar2021, the same day he received the Covid 19 vaccine, but for knee pain. He received a pain relief injection of fentanyl that day. He had hurt his knee at work prior. He had previously had an MRI of his knee that showed a torn meniscus. He does not believe his knee pain on 12Mar2021 is related to the Covid 19 vaccine as he had already had an MRI that showed a torn meniscus. He had gone to the emergency department for pain management of his knee. He thought he would be given a lower strength pain medication but received Fentanyl. While the patient was at the emergency room for his knee, he suffered a massive heart attack. The patient clarified that he went to the emergency department because of pre-existing knee pain and while at the emergency department caller suffered a massive heart attack. The patient was hospitalized for massive heart attack from 12Mar2021 to 18Mar2021. The outcome of the event heart attack was recovering while the outcome of the event knee pain was unknown.; Sender's Comments: Based on temporal association, the causal association between BNT162B2 and the massive heart attack cannot be completely excluded. The knee pain was assessed as an intercurrent condition and is unrelated to BNT162B2. 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.

Pt received Pfizer COVID vaccine on 3/26 at facility. Pt presented to the ED on 3/30 for evaluation of chest pain at around 0722 on 3/30. Per ED provider note, "This patient is a 43 y.o. male who presents to the ED for evaluation of chest pain. The patient drove here two days ago and was feeling well when he went to sleep. He was awoken from sleep early yesterday morning with "intense" left sided chest pain with radiation and tingling sensation down his left arm. The patient says that his pain has since been fairly constant, waxing and waning in intensity. He says that his chest pain is still currently present, mostly localized in his left shoulder, but improved when compared to the pain that woke him up again this morning around 03:00. No reported vomiting, abdominal pain, fevers, chills, cough, or shortness of breath. Patient notes that he received the second dose of the COVID-19 vaccine 4 days ago. Patient reports family history of cardiac disease in his father. He denies any personal history of cardiac disease, and says that his last cardiac work up was a couple years ago for PVCs. The patient is not a smoker and denies any history of diabetes, hypertension, or high cholesterol. There are no other complaints. There are no other exacerbating or alleviating factors. There are no other reported associated signs or symptoms" Pt was given nitroglycerin ointment and aspirin chewable 324mg in the ED. " In addition, "This is a 43-year-old male presenting to the emergency department with just over 24 hours of left-sided chest pain with radiation into the left shoulder and down the left arm. Symptoms were more severe prior to the patient's arrival to the hospital. He was given nitroglycerin and aspirin upon arrival here. EKG shows subtle ST abnormality in the inferior lateral leads. Troponin is elevated at 11. Differential includes non ST-elevation myocardial infarction, myopericarditis. Patient will be admitted to telemetry. He will undergo a cardiac catheterization today." Pt was admitted, and per hospitalist note on 4/1, "Patient presented hospital with chest pain and EKG changes-there was initial concern for NSTEMI. Had cardiac catheterization with clean coronaries. Then thought to have pericarditis. Patient had trivial pericardial effusion on echocardiogram. Had MRI that demonstrated myocarditis as well. Patient improved on colchicine and NSAID therapy. Discussion had with cardiology will continue this and to be tapered in the office setting. Will continue NSAIDs for approximately 2 weeks then begin tapering. Will likely need colchicine for approximately 3 months. Patient was placed on beta-blocker to help with symptomatic treatment and help alleviate plain. Patient was started on metoprolol, was cautioned side-effects of hypotension, bradycardia, exercise intolerance .Patient should monitor heart rate and blood pressure daily. Hold if heart rate <50 or blood pressure less than 100 systolic and notify provider. Patient was advised he may follow-up with Dr. Caution GI upset, nausea vomiting diarrhea. If diarrhea with colchicine would recommend back down to daily from b.i.d. treatment. Patient was ambulatory and functional without significant symptoms, vital signs within tolerable limits, and agreeable to discharge plan.. Patient ultimately discharged in stable condition. All questions answered to apparent satisfaction. Patient cautioned side effects of medications. Patient was instructed if reoccurrence or any concerning symptoms to contact provider or present to nearest emergency department based on acuity. Patient and family voiced understanding of recommendations and in agreement with discharge plan."

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypertension-Severe, Systemic: Hyperventilation-Medium, Systemic: Tachycardia-Severe, Additional Details: Patient was unconscious for few seconds after the shot administration. he then became conscious but was dizzy, weak, pale. He was given water and sat down for few minutes. we called 911 and he continued to feel weak and dizzy. EMS said he had high blood pressure, high heart rate , they thought he possibly was in cardiac arrest. Patient was taken to the hospital via ambulance

Full Body Hives over 90% of body. Redness, itching. Temp of 102.5. Elevated abnormal heart rate of 132 BPM Treated with antihistamines: cetirizone, famotidine, and hydroxzine. Hive were much less significant after 24 hour with continued use of antihistamines but still present 4 days later at the time of this reporting.

About 10 minutes after first dose (lot EN 6202, 2/25/21), briefly felt very flush in the face and faint. That passed quickly. Then had extreme burning sensation near injection site for about a minute. Did not report this at the time or before the second vaccine for fear of not being given the second injection. About 10 minutes after second dose, suddenly realized it was difficult to breathe. Removed mask. Started to feel better after a few minutes, replaced bottom, more breathable mask (did not report to observers). Was urged to leave vaccination site due to backlog of patients, so walked back to car. Began to feel pretty out of it (faint again, plus heart racing) on the way back to the car. Considered getting the shuttle back to the injection site, but instead sat in the car until it passed. About 25 minutes after the vaccine, started feeling very hot all over. 30-40 minutes after the vaccine, all reactions seemed to have passed and drove home without incident.

myocarditis; Chest pain; This is a spontaneous report from a contactable Physician. A 43-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE Solution for injection), dose 2 intramuscular on 23Apr2021 (43-year-old at time of vaccination) (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 had no prior vaccination. Patient had no known allergies. Patient previously took dose 1 of BNT162B2 (lot number: not available/provided to reporter at the time of report completion) for COVID-19 immunisationThe patient presented with chest pain found to have myocarditis on 27Apr2021. The patient was hospitalized for myocarditis and chest pain for 2 days. Patient resulted visiting emergency room and physician office due to myocarditis. Patient had test post vaccination test which is nasal swab (COVID-19 virus test) on 27Apr2021, and the result was negative. Outcome of the event s was not recovered. The events assessed serious as these caused hospitalization, disability and was life threatening. Information on the lot/batch number has been requested.

Right after receiving the vaccination began to develop very high resting heart rate(150bpm), along with dizziness and some mild shortness of breath, along with an out of body feeling. Some muscle tightness in neck. Took one benadryl after 15min, began feel better after 1hr. Then had more common reactions later that evening. Regular bpm is 55-60.

Pt had sudden onset of diaphoresis, pallor to face, left hand tingling and nausea @ 1135.BP 99/69, HR 78, RR 16, temp 97.8. Pt provided bottled water and consumed 2 bottles, tolerated well. Color returned to normal and no longer diaphoretic. Patient nausea and left hand tingling resolved.

Decreased blood platelet counts; spiked up glucose; immobility; foot joint pain; This is a spontaneous report from a contactable consumer (patient). A 43-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), second dose at the age of 43-years-old via an unspecified route of administration, administered in arm left on 12Apr2021 11:30 (Batch/Lot Number: ER8734) as single dose for covid-19 immunisation. Medical history included blood cholesterol increased (other medical history: High cholesterol) from an unknown date and unknown if ongoing. The patient has no covid prior to vaccination, has not been tested post vaccination and has no known allergies. There were no concomitant medications. The patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) at the age of 43-years-old on 03Mar2021 11:00 (lot number: EN6204) on the left arm for covid-19 immunisation. The patient reported soon after his vaccination, he was in acute foot joint pain on 13Apr2021 03:45. Immobilized depending on she'll chair (for further clarification). His blood report on an unspecified date showed decreased blood platelet counts and spiked up glucose and so many other bio markers. He was on steroid and painkiller to manage the pain but he was not getting relief. New pains coming up. He was loosing lots of employment and fun actionable opportunities due this pain and immobility. The events resulted in doctor or other healthcare professional office/clinic visit, disability or permanent damage. The patient underwent lab tests and procedure which included platelets: decreased and glucose: spiked up on an unspecified date. Therapeutic measures were taken as a result of foot joint pain and immobile which included steroid, Tylenol 3000 mg, Diclofenac 150 mg. The patient did not recover from the events.

during the following 3 weeks, I'd experienced weird things like anxiety( excessive worries about anything, feeling of my heart beating fast, sometimes feeling my breathing is very fast, chest tightness or heaviness, and feeling that I'm losing control for few seconds, feeling cold that I put on the heavy jacket that I never used except in cold winter! feelings of boneaches especially in my fingers joints, some days I'd nausea and feeling that my stomach torture me! All the previous symptoms were on and off many times per day, I was using Tylenol and Ibuprofin almost every day. lately, I'd 4 days of continuous symptoms, that I feel like panic and cold with all the above symptoms.(from 29th April to May 3rd).

syncopal episode; mild seizure activity; This is a spontaneous report from a contactable healthcare professional. A 43-year-old male patient received his first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: Ew0161) at the age of 43-years-old, intramuscular in left arm on 20Apr2021 at 11:00 at single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were reported as none. He has no COVID prior to vaccination and denied being allergic to anything. There was no other vaccine in four weeks and no other medications in two weeks. The patient received his first dose of COVID-19 vaccine in a workplace clinic on 20Apr2021 and experienced syncopal episode with mild seizure activity at 11:15, within the 15-minute period post vaccination (as reported). No treatment was given in response to the events. It was unknown if the patient was tested for COVID post vaccination. The outcome of the events was unknown.; Sender's Comments: A contributory role of BNT162B2 to the reported events cannot be fully excluded based on close temporal relationship and lack of alternate explanation at this time. However, the information provided is very limited and does not allow for a complete medical assessment. 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.

Ventricular arrhythmia; Heart palpitations - ventricular arritmia; This is a spontaneous report from a contactable consumer (patient). A 43-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: 92EL9267) via unspecified route of administration on left arm on 11Feb2021 at 12:00 (at the age of 43 years) as single dose for COVID-19 immunisation. The patient had no medical history and allergy. The concomitant medications the patient received within 2 weeks of vaccination included Vitamin C and D. The patient did not receive any other vaccine within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. Patient was not tested for COVID-19 since the vaccination. On 14Feb2021 at 00:00, the patient experienced heart palpita-tions - ventricular arrhythmia. The adverse event resulted in doctor or other healthcare professional office/clinic visit. The patient received amioadoron as treatment. The outcome of the events was unknown.

client received of 1st dose Pfizer Covid Vaccine approximately 1400. Ancillary signaled PHN client was not feeling good. Client sitting in chair, pale, stated feeling dizzy and seeing blurry. EMT began taking vitals at 1405: blood pressure 142/110, pulse 75, oxygen 98%. Per client had just received vaccine. Client able to transfer self to anti-gravity chair at 1407. Client asked for water, PHN advised to take small sips. Vitals 1410: blood pressure 140/110, pulse 77, oxygen 99%. Per client vision slightly better, dizziness same, new onset of headache and nausea. PHN gave client emesis bag. Per client no pertinent medical history, no current medication and no history of allergies. Per client does not know if he has hypertension, does not regularly follow up with provider. No history of vision problems. Vitals at 1415: blood pressure 138/110, pulse 75, oxygen 98%. Client stated feeling the "room was spinning", nausea. Vitals at 1420: blood pressure 138/108, pulse 77, oxygen 97%. Per client dizziness, nausea same, vision improving slightly. PHN asked client if someone would be able to pick him up, per client no one, he would drive home. Vitals at 1425: blood pressure 140/106, pulse 74, oxygen 97%. Client stated headache to temporal and occipital area. 1430 client stated feeling eyesight heavy. Client alert and oriented. Vitals at 1431: blood pressure 134/108, pulse 75, oxygen 97%. Per client when he moves head quickly is when dizziness worsens. Client denied history of vertigo. 1434 PHN offered client paramedics so client could be further evaluated, client denied. Vitals at 1435: blood pressure: 132/103, pulse 73, oxygen 97%. Per client blurry vision, nausea and dizziness same. Per client wanted to leave facility and go home. PHN advised client to stay longer in observation as symptoms had not resolved and he wanted to drive home. Client declined, stated he felt well enough to drive. PHN asked client to stand by chair to see check dizziness and if client could walk without complaints. Client was able to stand and take steps without assistance. PHN gave client ER precautions, asked client if he wanted to anyone else to pick him up and he declined. Client left facility with steady gait at 1441 against medical advise, symptoms had not resolved.

Per patient: Patient received vaccine around noon on the 12 of March 2021 at Community Church. Patient states about 10 -12 hrs later, began an adverse cardiac event. Patient states the day before he injured his knee at work and went to ED from an injury the day before. At the ED they gave Fentanyl and he got sick and told the nurse that he was experience chest pain. Felt burning or falling asleep sensation in arm and chest. Told the nurse he felt like he was having a heart attack. They came in ED with crash cart and confirmed that he was having a heart attack while in ED. Transported from church to hospital.

At 1935 received the first dose of Pfizer at 1935. At 1952, the client's partner approached the EMT table to report the client was complaining of his "heart racing." EMT responded at that time. The client was sitting in his seat in no obvious distress, no swelling observed around his mouth or tongue, skin color appeared normal. At 1955, the client's vital signs were as follows: heart rate 65, respiratory rate 12, O2 96%, and blood pressure 110/palpable (the client continued to move his arms during the blood pressure reading.) Per the client, he did eat breakfast that day, but no dinner, and he just drank some coffee. The client stated that he has no medical history, takes no medications, and has no allergies. At 2001, the client's heart rate was 70 and his O2 was 97%. The client stated that his symptoms had resolved at this time and refused Benadryl. The client stated that he wanted to go home and his partner stated she would drive him. Education provided regarding recommended 30 minute observation, AMR activation and emergency management,, and primary care follow up. The client left the building at 2005 accompanied by his partner, ambulating with a steady gait.

-Patient received vaccine -Sat in observation area -Passed out and slumped over, was prevented from falling by wife and pharmacist. -Patient appeared to be sleeping but was roused after a minute or 2. -Paramedics were called and examined the patient, gave fluids and took to hospital -Patient called back and said they were released shortly after (low glucose and BP)

18 hours after receiving the vaccine, passed out while walking in my house. No signs of dizziness or nausea preceded the episode. Lost consciousness for about 10 seconds, then was disoriented for about 2 minutes before being able to get up with assistance and move to my bed.

fainted; fell to the floor; hit his head; This is a spontaneous report from a contactable pharmacist. A 43-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), intramuscularly, administered in the left arm on 30Apr2021 at 12:15 PM (Batch/Lot Number: EW0172) as the 2nd dose, single for COVID-19 immunization. The vaccination facility type was reported as the pharmacy/drug store; the vaccine was not administered at the military facility. The patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on an unspecified date. Relevant medical history included past experience with fainting on an unknown date. The patient had no known allergies. The patient's concomitant medications were not reported. The patient had vaccination on 30Apr2021 and then proceeded to the front of the store to check-out. On 30Apr2021 at 12:20 PM, he fainted and fell to the floor and hit his head. The 911 was called immediately. The reporter checked the blood pressure and gave patient some water. The paramedics arrived and took over. The patient refused paramedic transport to hospital. The patient's father picked him up from the store. It was unknown if the patient has ever had an adverse event following any previous vaccine. The patient underwent lab tests and procedures, which included blood pressure with unknown results on 30Apr2021. The outcome of the events was unknown. Information on the batch/lot number has been requested.; Sender's Comments: Based on the current available information and the plausible drug-event temporal association, a possible contributory role of the suspect product BNT162B2 to the development of event Faint cannot be excluded. The case will be reassessed if additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Increased heart rate a couple of minutes after the shot. Unusual sensation. Had to lower my mask for additional air. Symptoms subsided completely after about 5 minutes following the shot. Remained in the lobby area for a few minutes past my required 15 minutes. After leaving I felt fine. No symptoms hours later or to this point, 5/24/2021 other than pain at the injection site for 2-3 days.

Presented to ER 5/9/21 with chest pain for 2 days. Noted fever day one and two after 2nd Covid Vaccine 5/4/2021. T max 102. Abnormal EKG with inferior and lateral TWI. Elevated Troponin, peak 9.69 ng/ml. Cardiac catheterization -Normal coronaries, mild hypokinesis anterolateral wall. Echocardiogram - normal. Diagnosis - Myocarditis

Pt. Had glucose level drops. Down into 60's with no previous issue with hypoglycemia, pale skin in face. Severe fatigue, low blood pressure readings of 112/60 and 110/90. Hot flashes and nausea. Non-coherent with glassy eyes with no awareness. Fluctuations in symptoms and slept for Three days in and out. Pt. Took approx. Three days to feel back to himself.

Three days after my second shot (on 05/03/2021) I started to feel pain in my left arm, tightness in chest, and I became very light headed. I tried to go to shower but I could not walk and laid down. My ears felt very tingly and I thought I was going to pass out but as far as I know, I did not. I went to my primary care doctor and he has me taking baby aspirin daily (in case blood clot) and wanted to see if it got better I am going to follow up with a cardiologist. I've never had a problem with heart before and get an annual physical at work.

client had reported effects after 1st dose and medical team had approved for client to receive 2nd dose today. Baseline vitals: blood pressure 162/90, pulse 94, oxygen 97%. Within 5 minutes of receiving vaccine client reported feeling dizzy, nausea, and blurry vision. Upon arrival client sitting in anti-gravity chair, pale, with mild diaphoresis. Client alert and oriented x4. RN took vitals at 1610: blood pressure 140/80, pulse 85, oxygen 97%. 1613 client reported blurry vision had resolved. Vitals at 1615: blood pressure 150/85, pulse 82, oxygen 97%. Per client dizziness and nausea had also resolved, skin color normal for ethnicity. Client denied chest pain, shortness of breath, headache, palpitations. Per client history of hypertension but provider had removed medication years ago as it resolved. No allergies. Client reported not following up with provider after first dose or for regular check-ups. Vitals at 1620: blood pressure 170/110, pulse 79, oxygen 97%. Retake blood pressure 172/110. Per client "feels fine". Vitals 1625: blood pressure 168/118, pulse 84, oxygen 95%. Per client no symptoms at this time. PHN advised client to follow up with provider regarding blood pressure. ER precautions given. Per client would make appointment with primary. Last vitals at 1653: blood pressure 160/110, pulse 80, oxygen 97%. Client able to stand with no complaints of dizziness, blurry vision, or nausea. Client denied chest pain, palpitations, headache, blurry vision at this time. Client stated drove alone and felt fine to drive. Client left facility with steady gait at 1640.

Pericarditis. Pressure in upper chest, trouble breathing, slight fever, rapid heartbeat. Given 800mg Ibuprofen 3 times a day for 5 days and doing much better.

chest pain made him go to the emergency room because it was too much, it was multiple throughout the day not just one time; his penis sensations are a lot different; has had a bad headache where it feels like he has vibrating inside of his head, in his chest and in his abdomen; when he falls asleep he wakes up in an hour; getting shocked in the middle of the night when he is sleeping- in his chest and intestines; getting shocked in the middle of the night when he is sleeping- in his chest and intestines; limbs twitch; This is a spontaneous report from a contactable consumer. A 43-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 Vaccine, solution for injection, Lot Number: ER8732; Expiration Date: 31Jul2021), 1ST DOSE SINGLE via an unspecified route of administration, administered in Arm Left on 27Mar2021 for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient experienced chest pain made him go to the emergency room because it was too much, it was multiple throughout the day not just one time, has had a bad headache where it feels like he has vibrating inside of his head, in his chest and on 31Mar2021, when he falls asleep he wakes up in an hour 31Mar2021, getting shocked in the middle of the night when he is sleeping- in his chest and intestines on 31Mar2021, getting shocked in the middle of the night when he is sleeping- in his chest and intestines on 31Mar2021, limbs twitch on 31Mar2021, his penis sensations are a lot different. It was reported that 5 days after he got the first dose of the COVID vaccine he started getting pains and the major thing is at night. If he falls asleep, he wakes up in an hour and that has been every night for a month and a half. That is the main thing that is pissing him off. He confirms that he is having issues with his chest and his intestines like he mentioned previously and he has started keeping track and has kept a journal of the pains. This stuff is new. He has never experienced this before and it has been happening every day starting 5 days after when he got the COVID vaccine. He had the COVID vaccine on 27Mar2021 and on 31Mar2021 he got the first shock in his chest at 0120 in the morning when he was sleeping. Then that went on for a week, he had it on 31Mar2021, 01Apr2021, 02Apr2021, 03Apr2021 and 04Apr2021 where he was getting shocked in the middle of the night when he is sleeping. On 04Apr2021 he had to go to the emergency room and have them look at him. But since 31Mar2021 he has been getting up every hour after he falls asleep. This was all worse when it first started because he has never experienced anything like this. The first shock he had was a hard feeling in his chest and then he couldn't go back to sleep. It is so bad. After he went to the emergency room, that is when it started being not as much of a shock pain that woke him up but he was still waking up every hour. The pains are in his upper chest and in his intestines. Also his limbs twitch and he has had a bad headache where it feels like he has vibrating inside of his head, in his chest and in his abdomen. He confirmed that these also began on 31Mar2021 and have been happening whenever they want and he has never experienced all of that before. Never. Everything has all stayed the same. The sad part is that he just thinks that he is getting used to this "new normal" because he is now going on the second month of this and his body is adapting but this is not normal. Also, he guesses that he shouldn't be shy now but the last thing is that his penis sensations are a lot different and he didn't notice until the first time that he was having relations with his wife after the COVID vaccine and it is all different. He noticed and she did too as far as whenever they were trying to have relations. It has been more than once, it has been every time they have tried afterwards. He says his doctor is going to send him to a sleep lab but he wasn't expecting that. He thought that maybe he would need to go somewhere else. But there he will go to sleep and be hooked up and they will read his whole body and tell the reason why he is waking up every hour. The outcome of the event headache, sleep disorder, chest discomfort, muscle twitching was not recovered and penis order, headache was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

On 5/3/2021, patient called hospital call center to report side effects experienced 4/17 from 1st dose Pfizer vaccine. Patient denied emergency symptoms at time of call. Patient only wanted to report symptoms experienced in the past. Advised by PCP to report side effects. 3 days after 1st dose Pfizer vaccine on 4/13, patient reported having pain and numbness in both arms and hands, pain in legs after walking and chest pain. Patient states he did not seek emergency attention on 4/17, but later scheduled an appointment with his outside PCP. Patient underwent blood tests and reports being prescribed a stronger dose of Ibuprofen for 2 weeks.

PATIENT DID WELL UPON IMMEDIATE RECEIPT OF VACCINE. MOVED PATIENT TO OBSERVATION AREA. WITHIN 10 MINUTES PATIENT FAINTED ONTO FLOOR,HIT HEAD AND BECAME NONRESPONSIVE. WE CALLED 911. WITHIN SECONDS HE BECAME RESPONSIVE AND DID NOT WANT EMS TO COME. WE GOT ICE PACKS FOR THE BACK OF HIS NECK AND FOREHEAD AND MADE HIM COMFORTABLE ON THE FLOOR. HE CONTINUED TO SAY HE WAS FEELING BETTER AND THAT IT JUST CAME ON VERY QUICKLY. AFTER 20MINUTES HE WANTED TO SIT UP IN THE CHAIR. AFTER A FEW MINUTES WE MOVED HIM TO A MORE COMFORTABLE CHAIR. PATIENT CONTINUED TO TALK AND RESPOND. AFTER 15 MORE MINUTES HE DECIDED HE WAS GOOD ENOUGH TO LEAVE.

Increase Heart Rate of 148 BPM about 15 minutes after injection; This is a spontaneous report from a contactable consumer (patient). A 43-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot Number and expiration date were not reported), via an unspecified route of administration in the left arm on 26Feb2021 09:45AM (at the age of 43-years-old) as first dose, single dose for COVID-19 immunisation at a workplace clinic. Medical history included Sulfa allergy from an unknown date and unknown if ongoing. Concomitant medication included fexofenadine hydrochloride, pseudoephedrine hydrochloride (ALLEGRA-D) taken for an unspecified indication, start and stop date were not reported. The patient previously took codeine and experienced drug allergy. No other vaccine was given to the patient in four weeks. The patient had no COVID prior vaccination and was not tested for COVID post vaccination. On 26Feb2021 10:00AM, about 15 minutes after injection, the patient experienced an increase in heart rate of 148 beats per minute. No treatment was taken as a result of the event. The event resulted in a doctor or other healthcare professional office/clinic visit. The patient underwent lab tests and procedures which included heart rate: 148 beats per minute (increase in heart rate) on 26Feb2021. The outcome of the event, which lasted for three hours, was recovered on 26Feb2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Dryness in his throat/ extremely, extremely sore and dry throat; Headaches; Feeling terrible; Fever; Chills; Chest pain; Oppression in his chest that does not allow him to breathe normally/ pressure in his chest not letting him breathe normally; Sore throat/ extremely, extremely sore and dry throat; Chest pain is like a pressure; This is a spontaneous report from a contactable consumer (patient himself) via Medical Information Team. A 43-year-old male patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration on 27May2021 09:00 as 2nd dose, single dose (at the age of 43-years-old) for COVID-19 immunization. Patient medical history and concomitant medications were not reported. Historical vaccine included BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration as 1st dose, single dose for COVID-19 immunization. Patient mentions that yesterday (27May2021) he got the second dose of the Pfizer covid vaccine at 9 am and since then he had fever, chills, sore throat, chest pain like a pressure in his chest, oppression in his chest that does not allow him to breathe normally. On 28Feb2021, experienced dryness in his throat (extremely sore and dry throat), headache, feeling terrible. He wants to report the situation. Patient what should he do, does he need to go to a hospital. Communication included Advising patient to seek medical attention or the care of a doctor. The outcome of the events was unknown. No further information is provided or obtained. Information on lot/Batch number has been requested.

Pt fainted shortly after vaccination and remained unconscious for approximately 30 seconds to 1 minute. Was fine afterward.

Left chest pain similar to pericarditis in my medical history from 2005/06. Additionally, experienced body aches, headache, chills, fever and sweating episodes for several days.

Developed right neck swelling/adenopathy which spread to the left. Significant to impair neck mobility. Developed high fevers roughly 12 hours later with rigors. Was seen in the emergency department. Found to be febrile, significantly tachycardic (sinus) . Was given vancomycin, ceftriaxone empirically. Felt ill for the next 48 hours afterwards with weakness, slow to resolve tachycardia and cough. Neck swelling subsided however, right neck lymphadenopathy persisted for well over a month. Was sent home from ED with Bactrim and keflex for coverage of possible neck cellulitis. However, I do not believe it was a cellulitis. Neck was not tender, not indurated nor erythematous. I am a hospitalist and had colleagues take a look as well.

Tachycardia, shortness of breath, right heart strain evident on EKG. Follow-up tests showed no blockages or anatomical abnormalities. Symptoms are resolving.

Patient had systolic and diastolic heart failure on 02/20/2021 possibly related to COVID-19 Vaccination given 12/30/21 & 2nd Dose on 01/20/21 (heart inflammation?); Grade III left ventricular diastolic dysfunction was observed during hospital stay; cause unknown; EF of Lt. Ventricle has increased form 21% on 02/22/21 to 33% on 04/29/21 per two echocardiograms on each date. Pt. was given meds for Heart Failure, BP and Hyperlipemia; Pt. had a Cardiac Cath of Rt. & Left Heart on 02/23/21; no signs of coronary disease. Pt. is receiving ongoing outpatient chronic care treatment for issue.

A few days after the second shot lymph nodes under arm very very swollen under left arm as large as an apple now several months later lymph nodes are still swollen and resting heart rate is quite high and wife has cystic acne also months after and NEVER had acne previously.

Started out as strong flu-like symptoms for several days starting about 54hrs after first Pfizer injection 5/26. Fever 101+, body termperature regulation out of whack (intense chills or sweating) body aches and soreness intense headaches and sharp pains in head. Aceteminophin and Ibuprofen alternated and symptoms would subside for a couple hours at a time. Into the second week still had more mild flu-like symptoms that have persisted to today, 18 days after shot. These include headahce, low-grade fever (99-100), continuous tiredness and fatigue, strong aches in lower back, and occasional sharp pains in head, aching behind eyes and occasional chest pain.

Pt presented with an itchy throat and forearms approx 15 min post vaccination. Pt was given 25mg iv benadryl. Pt stated that the benadryl helped but did not completely resolve the issue. Pt remained for approx. 30 minutes. Pt complained of chest discomfort. 911 was called. EKG was normal along with vitals. Pt refused transport and treatment. PT was advised to follow up with his PCP before his next shot.

Vertigo, dizziness, on-a-boat feeling, headache, sinus pressure, brain fog, elevated blood pressure, elevated pulse. Most symptoms lasted for 6-9 weeks. Dizziness, on-a-boat feeling, occasional headaches continue still (3 month after)

After 2nd dose following events occur deteriorating overall health. I don't have any preexisting health conditions. 1. On May 24th at around 12.15 am, I started experiencing 100 degree fever followed by chills. The blood pressure shot up to 165-95 and heart rate was around 140. Was feeling breathless and sweaty and was being rushed to ER . 2. On 30th May again experienced BP at 165-90 and pulse was at 150 and rushed to ER 3.Again on May 31st, BP shoot up to 170-90 and pulse 145 and ER visit. 4. Consulted cardiologist and on Metoprolol medicine 5. Always feeling dizzy and lightheaded with unprovoked rise in BP and pulse. 6.Unable to resume regular day to day activities including office work. 7. Daily fluctuation in BP and pulse observed till now since 2nd dose of vaccine.

Developed mild pain in the chest the day following the first vaccine dose, painful muscle cramps at arm/injection site, muscle cramps in feet, and very painful colon inflammation which made it difficult to move around. Also felt feverish for two nights after the injection but did not take temperature to confirm. All other symptoms and body inflammation appeared to have resolved with the exception of painful inflammation in the knees which appeared after all other inflammation symptoms at various other body sites dimminished.

Fever, severe chest pain/throbbing of the chest area, heart arrhythmia. Fever began Thursday 5/13, with the chest pain, throbbing and arrhythmia following early morning on Friday 5/14. 911 was called Saturday afternoon, 5/15. Was taken by ambulance to hospital, after which several tests were administered including a chest X-ray, blood tests, heart stress test, as well as an ultrasound of the heart/chest area. Stayed in hospital for from Saturday 5/15 to Monday, 5/17. Was released 5/17 at approximately 6:00 pm. Further treatments included prescriptions of Amoxicillin, Atenolol, and Ibuprofen.

tired / fatigue; headache; soreness; chest had a weird feeling like pressure, along with some stinging sensations localized; chest had a weird feeling like pressure, along with some stinging sensations localized; passed out while he was sitting and hit his head that left a bloody scrape; felt dizzy, hot, clammy; felt dizzy, hot, clammy; felt dizzy, hot, clammy; heart rate increased; felt anxious; passed out while he was sitting and hit his head that left a bloody scrape; This is a spontaneous report from a non-contactable consumer (patient). A 43-year-old male patient received BNT162B2 (Lot Number: EW0178), dose 1 via an unspecified route of administration, administered in arm right on 11Jun2021 15:00 (at the age of 43-year-old) as single dose for covid-19 immunisation. Medical history included slight heart myopia, high tryglicerides that medicine was keeping at normal levels. No past drug history. Concomitant medication included atorvastatin and fenofibrate. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Within 5 minutes of the injection (11Jun2021 15:05), the patient felt dizzy, hot, clammy, his heart rate increased and felt anxious, then he passed out while he was sitting and hit his head that left a bloody scrape. Then it took about 45 minutes to feel a little better. Then 24 hours later (12Jun2021) the patient really was tired, headache, fatigue, soreness, and his chest had a weird feeling like pressure, along with some stinging sensations localized. The outcome of events felt dizzy, hot, clammy, heart rate increased, felt anxious, passed out while he was sitting and hit his head that left a bloody scrape were recovering, the rest of events were unknown. No follow-up attempts are possible. No further information is expected.

First four days normal symptoms. Patient started having tremors and shakes. Patient felt somethin in his lung almost like he had Pneumonia. Patient stated that he would go to sleep and wake up disorientated. patient is experiencing neck stiffness and tightness in his right arm.

Over a period of about a month I had 3 superficial blood clots the first being in the left leg and the 2nd 2 in the right leg each about a week apart.

Intense joint pain lasted over 2 months. Had to have a steroid prescribed to combat the pain and symptoms. Blood pressure went from normal to being high, I had to have medication prescribed. 3 months after the second dose, I still don't feel back to normal.

Kind of fainted because he was not able to say anything/severe pass out and couldn't see anything like everything was black/Suddenly all stuff fell off on floor, started reacting very bad; Blood pressure went down; Suddenly he started sweating/sweat the entire body; He started shaking his body head, hands and feet; Dizzy/Kind of fainted because he was not able to say anything; Slight headache on and off; Weakness; This is a spontaneous report from a contactable consumer (wife of the patient). A 43-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot number: EW0171), via an unspecified route of administration, administered in Arm Left on 27Apr2021, at 12:30, as dose 1, single (age at the time of vaccination: 43 years), for covid-19 immunization. Medical history was not reported. The patient concomitant medication included multivitamins (he just takes multivitamin) taken for an unspecified indication, start and stop date were not reported. The patient experienced kind of fainted because he was not able to say anything/severe pass out and couldn't see anything like everything was black/suddenly all stuff fell off on floor, started reacting very bad, blood pressure went down, suddenly he started sweating/sweat the entire body on 27Apr2021 12:45, he started shaking his body head, hands and feet, dizzy/kind of fainted because he was not able to say anything, slight headache on and off, weakness on 27Apr2021. The wife stated that, her husband took covid19 vaccination and it was his first dose. When he had his vaccine he came out and was sitting on the chair, as was asked to stay for 15 minutes. After 5 minutes of chitchat, he was just kind of holding some stuff, the paper they gave and water bottle and some stuff in his hands and suddenly all of the stuff fell off on the floor and he started reacting very bad to the vaccination and he started shaking his body head, hands and feet. Reportedly, the pharmacist was there and he came and asked the patient whether he need water or juice something and after few seconds he responded that he would have juice, but then again like second time the patient could not see anything like everything was black and got dizzy and kind of fainted because he was not able to say anything. Reportedly, within 5-10 minutes of vaccine, at 12:45 PM, the patient had a severe pass out and his blood pressure went down and suddenly he started sweating and sweat the entire body. The pharmacist was really not sure what to do for that. Adverse events resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. Upon further inquiry, it has been reported that the patient was just having the normal side effects like slight headache on and off and some weakness. Reportedly, no other lab tests were done. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and no other medications were received within 2 weeks of vaccination. The patient was not diagnosed with COVID-19 prior to vaccination and since the vaccination, patient has not been tested for COVID-19. The seriousness criteria was reported as non-serious. The patient underwent lab tests and procedures which included blood pressure measurement: went down on 27Apr2021 within 5-10 min. severe pass out, Blood pressure went down. Treatment was reported as Monitoring of all the body in the hospital for the events: the patient had a severe pass out and his blood pressure went down and suddenly he started sweating and sweat the entire body and no treatment was received for the rest of the events. The outcome of the events: the patient had a severe pass out and his blood pressure went down and suddenly he started sweating and sweat the entire body was recovered and recovering for the rest of the events.

Patient called in stating his arm and top of shoulder are swollen and "bruised" from vaccine, no arm/back pain, felt like his blood pressure was raised and slight fever. Just discovered today that his back looks "bruised". Denied emergency symptoms, but states wants to be seen in person. Offered urgent care provider appointment 5/30/21, but declined, wants to go to emergency room to be seen in person.

High blood pressure; This is a spontaneous report from a contactable consumer (patient). A 43-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration, on 03Mar2021 (Batch/Lot Number: EN6202), as dose 1, single, at age 43 years old, for COVID-19 immunisation, at a hospital. Medical history included sciatica from an unknown date, not reported if ongoing or not. The patient had no known allergies. The patient was not diagnosed with COVID-19 prior to vaccination and was not tested for COVID-19 since the vaccination. The patient received unspecified medications within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. On 04Mar2021, the patient experienced high blood pressure which has not gone away since. The event resulted to emergency and physician's office visits. Treatment for the event included clonidine. The outcome of the event was not resolved. No follow-up attempts are needed. No further information is expected.

Bad intermittent headache resembling a migraine; Felt a pain in chest each time patient breathed in; Felt a consistent heaviness orpressure in my lungs; Occasional shortness of breath.; Minor nausea; This is a spontaneous report from a contactable consumer, the patient. A 43-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 right arm on 26Mar2021 at 10:30 (at the age of 43-years-old) as a single dose for COVID-19 immunisation. The patient did not had any relevant medical history. The patient was not allergic to food, medications, or other products. The patient did not receive any medications within two weeks prior to the COVID-19 vaccine. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 26Mar2021 at 10:30, the patient felt a consistent heaviness or pressure in lungs, occasional shortness of breath and minor nausea which was present at times. On the same day at 10:45, within 15 minutes of receiving the vaccine, the patient felt a pain in chest each time the patient breathed in which lasted for an hour. On 01Apr2021 and 02Apr2021, the patient had bad intermittent headache resembling a migraine. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The patient did not receive any treatment for the events. The clinical outcome of the event felt a pain in chest each time the patient breathed in was resolved on 26Mar2021 in about one hour. The clinical outcome of the events occasional shortness of breath, minor nausea, bad intermittent headache resembling a migraine, and consistent heaviness or pressure in lungs were not resolved at the time of this report No follow-up attempts are needed; information about lot/batch number cannot be obtained.

I start having SOB and fast heartbeat around the end of April. It got worst through May. I went to the ER They did blood work, that came back abnormal. So, they did a CT scan, it show that a had pulmonary embolism, which confirmed that I had a blood clot. The blood clot caused a strain on my right side of my heart. I am not taking blood thinners. I have never had blood clots before the vaccination.

Patient experienced vasovagal symptoms, dilated pupils, increased HR, syncope, and had pale skin tone within less than 1 minute of administration.

Dizzy, rapid heart beat, nausea, ended of having a ?zombie like episode? according to my 10 year old daughter who was with me. Apparently I fainted but she described me as twitching and having my hands up and my head to the side with my eyes closed. I can remember a repetitive loop that I was experiencing. It was an image that was distorted and I could not control it and I could not get out of it I could hear my daughter but not control my actions. After I came to a few moments later my legs felt tingly and tired and were shaking like they had the chills. Was advised to go to hospital by EMS Still having very achy joints all over my body. Diarrhea, sweats/chills

Systemic: Confusion-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Medium, Additional Details: Patient received vaccine and 10 minutes later, he fainted. We sat with patient until emergency services arrived. Patient reporst history of fainting for the past 10 years and takes no medication. Patient was breathing normally and regained consciousness fully AxO x3 after recovering from fainting. Patient drank water. After emergency services arrived, patient began vomiting under their care. Patient ended up leaving with the emergency crew.

extremely bad dry mouth; lips were going numb; facial numbness; rash from his neck to his nipple line; BP was 180/110 / BP stayed around 160/100; felt an "amped" feeling; felt flush; uncomfortable; This is a spontaneous report from a contactable healthcare professional. A 44-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number/expiration date unknown), dose number 1, intramuscularly on 21Dec2020 14:00 at a single dose on the right arm for COVID-19 immunization. Medical history included gluten allergy with causes dermatitis herpetiformis, osteoporosis, and fibromyalgia. The patient previously took Benadryl and experienced allergies. Concomitant medications were not reported. The patient reported that immediately after receiving vaccine on 21Dec2020, he felt an "amped" feeling and felt flush. It was uncomfortable but not alarming at first. About ten minutes after shot, he started to have extremely bad dry mouth. He went back to work, but he went back downstairs after feeling like he was getting seriously ill and his lips were going numb. His BP was 180/110. The facial numbness went away but his BP stayed around 160/100. He was asked to go to ER, but he refused because he would have to pay for it and he was feeling better. He also noticed after going back upstairs that he had a rash from his neck to his nipple line. The doctor asked for Benadryl, but he was not given due to possible Benadryl allergy. He went home and his BP returned to normal 2 hours later. The patient was not diagnosed with COVID-19 prior to vaccination, and was not tested for COVID-19 since the vaccination. The outcome of the events was recovered in 21Dec2020 for blood pressure increased and facial numbness, and recovered on an unspecified date for the other events. Information on the lot/batch number has been requested.; Sender's Comments: Based on available information, a possible contributory role of the subject product, BNT162B2 vaccine, cannot be excluded for the BP increased and other reported events due to temporal relationship. There is limited information provided in this report. Additional information is needed to better assess the case, including complete medical history, diagnostics including EKG and chemistry panel, counteractive treatment measures and concomitant medications. This case will be reassessed once additional information is available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Dizziness-10 min post injection resolved within 60 min, headache-10 min post injection resolved within 60 min Rash, neck and chest area 50 min post injection resolved with 30 mg Claritin reditabs 90 mins post injection Body ache- few hours post injection resolved in 24 hrs Injection site/arm pain 20 min post injection resolved in 3 days Blood pressure increased to 170/100 30 min post injection resolved 60-90 min

PATIENT BECAME DIZZY, LIGHTHEADED AND PALE. PATIENT LAYED IN SUPINE POSTION AND GIVEN FOOD. BP OF 99/69, HR 72, O2 100% RA BS 159. CALLED 911- PATIENT REFUSED TRANSPORT. PATIENT MONITORED AN ADDITIONAL 15 MINS WITHOUT ANY PROBLEMS. ALL SYMPTOMS RESOLVED.

onset of body aches, fatigue, tachyccardia a few hours after receiving his second vaccine dose on 1/8/21. onset of and L3 dermatome shingles on 1/10/21 pulse was 138 on presentation for evaluation 1/13/21. Hypertensive 170/80

his arm being sore from the vaccination; experienced increased heart rate/Heart rate went up; Mouth dry; He was calling because he is wondering if this is (increased heart rate, mouth dry) considered a severe allergic reaction; This is a spontaneous report from a contactable physician who reported for himself. A 44-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot: EH9899) 1st dose via an unspecified route of administration on 17Dec2020 in the evening time (around 6-7 or maybe a little later) at single dose on arm for COVID-19 immunization. Medical history was none. The patient's concomitant medications were not reported. After getting the COVID Vaccine that same day, his heart rate went up and then it came down and he was fine. Later that night while sleeping he got up again because he could feel his heart rate going up. It was not way up, but he could tell it was up. He was trying to catch an actual reading on the monitor of his heart rate, but he was not able to before it came back down. He was calling because he is wondering if this was considered a severe allergic reaction. He got the vaccine and was able to walk to his car. His mouth got dry right after the vaccine within a minute or two and noticed his heart rate went up. Treatment: He took some deep breaths and drunk water and it got better. He drove home, but that at nighttime while sleeping he noticed his heart rate went up a couple of times, but then it came back down. He could not get a reading of heart rate right away. The highest he saw on the monitor that he was able to capture was 101 and then it came back down. He was not sure if this was because he was nervous. He just had a couple of episodes that night and then nothing again. He also experienced his arm being sore from the vaccination. However, he stated that is to be expected. He stated the arm sore started a few days after getting the COVID Vaccine and then it was gone. Stated he was calling because he was concerned because Pfizer said to report any issues. He started to feel better and added this may not even be an issue. He just got concerned. Mentioned he was not sure if real side effects or if he was over thinking things. Outcome of the events was resolved.

I experienced a fast heartbeat at about 10 minutes after the shot. I did a few deep inhale/exhale repetitions to calm it down. I think this lasted less than 1 minute. I did not have other symptoms.

Chest tightness, spasmodic retrosternal pain. Occurred within 24 hours after first dose and 48 hours of second dose.

About 5 minutes after getting the vaccine injection my heart rate suddenly increased (My heart rate went back down to normal about 2 or 3 minutes after it initially increased), I was short of breath, and slightly dizzy. The night of and the next morning after the injection, I have been tired, my left arm of the injection site, left shoulder, and lower back have been aching. The next day after the shot, I have been unusually tired, also.

10 min after vaccine-twitch in left calf, quad twitching, bicep, glute--only twitching on left side for first 30 min following vaccination Then after 30 minutes it switched to right side twitching (twitching not painful) Employee also had trouble breathing at that moment and was diaphoretic--Rapid Response Called VSS--employee returned to work Two hours later employee experienced diaphoresis, presyncope--went to Emergency Dept at this time--all labs and tests came back WNL 1/7: Fever 100, twitching continues (superficial) 1/7-14-superficial twitching throughout body 1/14-1/15?twitching seems to go deeper--in intestine, deep in LRQ 1/22 still having these twitches (not painful, just disturbing/odd)--Employee estimates these twitches happen 20x an hour

s/p vaccination with 2nd Covid Vaccine dose, developed low grade viral type illness with fevers up to 102 with myalgias, fatigue. Began to recover, teh awoke in the morning of 1/16/20 wtih crushing, substernal chest pain. Presented to the emergency department. Was admitted to he hospital - diagnosed with myopericarditis. Stayed in the hospital one night, and discharged the next day.

Elevated blood pressure (180/116 highest recorded); dizziness; weakness lasting several hours; This is a spontaneous report from a contactable consumer (patient). A 44-years-old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in the left arm on 20Jan2021 14:15 at single dose for COVID-19 immunisation at Public Health Clinic/Veterans Administration facility. The patient medical history was not reported. Concomitant medication included atorvastatin (LIPITOR), 40 mg daily, butalbital, caffeine, paracetamol (FIORICET). The patient experienced elevated blood pressure (180/116 highest recorded), dizziness and weakness lasting several hours on 20Jan2021 14:30 with outcome of recovering. The events were considered life-threating (immediate risk of death from the event) and resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care visit. No treatment was performed. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination the patient had not been tested for COVID-19. Information on the lot/batch number has been requested.

Pt reports that from day 7-10 (post vaccine) he had a 'cytokine like response" with redness, swelling and pain extending from left shoulder to under arm and chest area. Did not see PCP. Took OTC analgesic, resoled on day 10 post vaccine the response dissipated.

Pt became pale, diaphoretic, dizzy and light headed. Pt moved to recovery area and laid on cot, vitals done Pt after 15 minutes states he fell fine and left the area on his own power.

Fever/a temp of 101; feels something is different; intermittent minimal pain especially when he wakes up; Tachycardia; His CRP was up a little at 1.1; Nausea; Shortness of breath; Fatigue; Pain at injection site left shoulder; This is a spontaneous report from a contactable physician reporting for himself. A 44-year-old male patient received the first dose of bnt162b2 (BNT162B2, lot number and expiry date were not reported), via an unspecified route of administration, on 28Dec2020, at a single dose on the left shoulder (arm left) for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient received the first dose of the vaccine on 28Dec2020. Since receiving the vaccine, he has experienced multiple side effects at varying time points: pain at injection site left shoulder (experienced pain first day of receiving vaccine on 28Dec2020 and couple of days after fever (unspecified date) resolved (on an unspecified date); he was currently experiencing intermittent minimal pain especially when he wakes up; feels something is different; fever (experienced 08Jan2021); fatigue (developed 07Jan2021). He went to the ER on 08Jan2021 when he developed fever, nausea and shortness of breath which also resolved that day. When he went to ER, his CRP was up a little at 1.1. His PCR and antigen test was negative at that time (08Jan2021); a retest of PCR done 5 days after sxs started (unclear of time window) was negative. He was concerned that he had the fever many days after the vaccine. HCP was asking if any cases of fever and fatigue reported after 7 days (around the 10 day mark) of receiving the first dose. He stated that he is planning on taking the second dose. The patient is a physician calling about the Pfizer covid vaccine. He received his first dose on 28Dec2020. He had a little bit of pain in his left arm on same day, but it went away. About 10 days later, 07Jan2021, he had fever and fatigue. On 08Jan2021, he went to the ER with a temp of 101. He had tachycardia, nausea and shortness of breath. He was not admitted, stated his fever was controlled and his breathing was better. His oxygen was 100% and everything was ok and he was sent home. In the ER he had xrays and labs and everything was ok, except his CRP was a bit up. In the ER he had an antigen and pcr covid test (08Jan2021) and they both came back negative. About 4 or 5 days after the symptoms started, he had an outpatient repeat pcr test and nucleic acid rapid test (unspecified dates) and they both came back negative. He is on his way to get his second dose and he is asking if the symptoms could be side effects from the vaccine. Outcome the event fever was recovered on an unspecified date. Outcome of nausea and shortness of breath was recovered on 08Jan2021, while outcome of pain at injection site left shoulder was recovered on 28Dec2020. Outcome of the remaining events was unknown. Information about lot/batch number has been requested.

I developed acute right posterior pleuritic chest pain and shortness of breath. Diagnosed with multiple pulmonary emboli (see below). I was started on Eliquis initially, but then had worsening symptoms on 2/4/21 and switched to Lovenox injections. Symptoms have been slowly improving since then.

The morning after receiving vaccine I worked out lifting weights and jumping rope. After about a half hour I suddenly stopped sweating became very chilled (shivering), weak, very nauseous, felt rapid heart rate.

Started itching of mouth face and upper body within 10 minutes of injection. Became dizzy with tunnel vision. Went to urgent care had elevated blood pressure of 178/110. Receive steroid injection and prescription for hydroxyzine.

Patient states he had vaccination at 1030 today and did not want to wait the recommended observation time of 15 minutes in the hospital lobby. He is currently a highway patrol officer. While driving in his patrol car, at 1035, he felt tightness in the back of his neck and tightness to his airway- he described it feeling like someone hit him in the neck. He denied having any trouble breathing. Later, he noted his hand was twitching. 1045, he came back to lobby and made an RN aware who brought him to employee health. He declined to go to ED (I found out later). BP was 153/115 HR 102 initially, no hx of high bp. No noted hives or swelling to face or mouth/tongue or L deltoid region. Pt. denied feeling any itching anywhere. Pt. rested for about 15 minutes on exam table. Re-check of BP was 151/113 HR 84. Pt. states he feels better and feel like that feeling of tightness in his neck is decreasing. Made aware to follow up with PCP regarding BP and giving informational handout regarding blood pressure. RN recommended he go to any ED if he has any trouble breathing, swelling of tongue, etc at any time after he leaves this hospital. Pt. verbalized understanding.

Patient had recieved vaccine and was walking toward the waiting area in the bleachers. He began to feel dizzy and light headed. He syncopized and struck his head on a concrete stair. He was immediately seen by provider who was at a nearby table. The patient regained consciousness within moments without any evidence of post ictal confusion. He suffered a laceration to the head. Bleeding was controlled, EMS was contacted expiditiously, and the patient ambulated from the building approximatelyh 20 minutes later and was brought by EMS to the nearest emergency department to be evaluated.

The patient is a 44-year-old male that after receiving the vaccine (IM) in the left-deltoid muscle (13:20) proceeded to walk to the observation room where the Paramedic noticed him pale and having difficulty walking (13:21). The patient requested a chair to sit down and the Paramedic assisted the patient to do so. The patient expressed verbally to the Paramedic having a difficulty with needles and subsequently the patient lost consciousness while on the chair but maintaining a pulse and a hoarse respiration (snoring). Thereafter the patient was placed on a medical code in supine position with an immediate clearing of hoarse respiration. Evaluation by the Paramedic revealed an intact HEENT, (continued on page 2)...

On the 8th day after shot I started getting pain under left armpit. The pain became worse over the next several days resulting in what I'd describe as an electrical shock/burning feeling whenever I moved my left arm the wrong way (seemingly pinching the lymph nodes). I'm currently on day 5 of the pain and it's still present although it has lessened on the 5th day. On the 2nd day the pain started to move down from the armpit closer to the pectoral.

My blood pressure shot up to 155/105, I got flush, dizzy and had a headache. I had a tingling sensation around my nose and upper lip. Prior to this, my blood pressure had been in the 120's / 70's. I went to the emergency room and was sent home 4 hours later. I had headaches every day, multiple times a day, for the next 10 days and my blood pressure was fluctuating between 130/90 to 150/99 during that time. On February 25, my blood pressure dropped back down to 123/88 in the morning, but shot back up to 152/93 by the evening. My blood pressure continues to fluctuate from 124/89 to 146/106.

Pfizer-BioNTech COVID-19 Vaccine EUA: During observation, vaccine recipient had a near syncope event. They were diaphoretic. They were monitored by the EMS. No further intervention.

small heart attack; myocardial/paracardial issues.; My injection location had redness, hardness; My injection location had redness, hardness; pains in chest; headache; chill; running nose; shortness of breath.; This is a spontaneous report from a contactable consumer (patient). A 44-years-old male patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in left arm on 19Feb2021 17:45 at single dose for COVID-19 immunisation at hospital. Medical history included coronary artery disease. The patient's concomitant medications were not reported. The patient previously received the first dose of bnt162b2 on unknown date for covid-19 immunisation. The patient did not have covid before vaccination. The patient experienced small heart attack and myocardial/paracardial issues on an unspecified date with outcome of unknown. These events were serious as life threatening, disability and requiring hospitalization from 21Feb2021 till 23Feb2021 at 14:00. On 20Feb2021 07:00 the patient experienced headache, chill, running nose, shortness of breath with outcome of recovering. The patient experienced also pains in chest on 21Feb2021 11:00 with outcome of recovering and injection location had redness, hardness on an unspecified date with outcome of recovering. Clinical course was as follows. 19Feb2021-5:45pm the patient went to receive vaccine shot. 20Feb2021 the patient had headache, chill, runny nose, and shortness of breath. 21Feb2021 11am still had shortness of breath and pains in chest. Went to clinic had a rapid Covid test come back negative, pain increased and he went to emergency room. The patient was admitted to the hospital with small heart attack and myocardial/paracardial issues. Inflammatory response seems to possibly triggered possible underlying issue of minor heart disease. Then induced heart attack and myocardial issue. The patient would gladly be admitted to a clinic for observation and testing to assist Pfizer in understanding this unfortunate situation. The injection location had redness, hardness. The events resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. The patient received treatment due to the event which included multiple lab tests, Angiogram, CR scan and pain medicine.

Patient received a dose of the Pfizer COVID-19 vaccine. Before he could exit the room to begin the observation period, the patient became unconscious and slipped into a seizure. Uncertain if it was hypersentivity coupled with vasovagal response, an epi pen was primed but not administered. The patient was unresponsive for a minute then came out of his apparent seizure

Pale, diaphoretic (reacted this way in past with other vaccines) - placed in gurney. Juice provided. Vitals within normal limits.

sitting in car in 30 min line, got dizzy, thought was because of playing on phone, then mouth went numb, tongue swelling and lower jaw numbmess. Notified the MD's taken out of car had BP given claritin was being monitored and BP kept rising given epipen. The epipen helped felt swelling go down started to relax. Taken by ambulance to hospital. Treated with Steroid and benadryl and prevacid. No breathing treatments given epipens there and taken home prescribed. after he went home sore arm, dizzy, tired then symptoms started to come back took steroids and bendadryl which helped the reaction to go away. sx lasted 2-3 days. mild towards the end.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Patient was feeling paralized. However, we can cleary see the patient moving all his extremities-Mild, Systemic: Headache-Mild, Systemic: Weakness-Mild

Received vaccine at 8:45am, at 09:00am began feeling "woozy" then complained of chest tightness. Vital signs checked, HR & SpO2 . 911 called. EMS transported patient to area emergency room.

pt got vaccine and was sitting for observation. Pt thought he was having a panic attack so he put his head between his knees, he fainted, hit is head on the floor, and a witness said he was shaking on the floor. The patient came to quickly and said he passed out due to stomach cramps . EMS was on site and did an evaluation. Pt was given ice for his head and had vitals checked and and EKG done. EMS recommended hospital transport but patient refused.

RACING OR ACCELERATED HEART BEAT EARLY AM LASTING BETWEEN 30-40 MINUTES NUMBNESS OF TONGUE AND FINGERS LASTING ABOUT FORTY FIVE MINUTES. SEVERE VERTIGO LASTING AROUND ONE MINUTE PER EPISODE EXPERIENCING FIVE EPISODES SO FAR OCCURRED AFTER FIRST WEEK OF VACCINATION 1ST DOSE.

P found in car sweaty, pale. VSS. No breathing difficulty, weak. hx of anxiet and passing out with shots. 911 called. vss. pt tried to stand causing sx to return. pt transported to hospital via ambulance.

lightheaded with fainting episode from seated position hitting head on ground, unconscious about 10 seconds, evaluated by EMS, recommended transport but refused

Patient felt unconscious for 5 seconds and slide off his chair at observation area after vaccination. No allergic reaction noticed to injection site. Gained consciousness soon and was alert and oriented x 4. no visible trauma, v/s stable during the triage period. Patient stated that he did not eat breakfast and not well hydrated, is taking anti anxiety medication on regular basis. Patient has history of passing out during blood draw (acc to him). A bottle of water and juice given to drink. Pt had mild redness at right elbow after fall, no swelling noticed, icepack applied, no pain, no skin tear. Patient felt better and walks comfortably through the hall to parking lot after 25 min of incident.

Nnurse was called to assist a patient that had left the monitoring area. Upon arrival, patient was sitting in mall with back leaning on wall. Patient was AAAx3. He was pale and diaphoretic. Patient stated he waited his 15 minutes and felt fine. Patient received dose 1 of Pfizer Covid Vaccine (Lot #EN6207, Exp 5/31/21). When he was walking back to his car he "blacked out" and fell to the floor. Patient stated he hit his head on the ground. No visible injury to back of head was observed. Patient reported he did not eat or drink anything prior to coming. He stated it was warm in the mall and he was having difficulty breathing with the mask on. Patient was instructed to take his mask off. VS were assessed: 98/68, HR 82, pulse ox 98% room air. Patient was given water and some chocolate. Patient stated he started to feel better. Patient was assisted into wheelchair and continued to be observed. Patient stated he initially started to feel better, but then felt lightheaded again. VS reassessed @ 0948 BP 92/64, HR 72, pulse ox 98% room air. This nurse advised patient EMS should be called for further evaluation. Patient refused and stated he did not want to go to the hospital. Nurse again advised that his blood pressure remained low and he should be further evaluated. Patient continued to refuse. Patient was advised to call someone for a ride home as it was advised he should not drive at this time. Patient called his father for transport home. Patient was given a sprite to drink while waiting for his ride. Patient was accompanied by monitor until ride arrived. Patient was picked up and left without further incident.

After dose administration, while waiting during the 15 min observation period, the patient stated that he did not feel well. The pharmacist asked the patient to have a seat and applied a cold, wet towel to the back of his neck. While seated the patient became pale, began sweating and became unresponsive for about 10- 15 seconds. After the 10-15 seconds the patient began to rise up and response to his name being called. 911 was called and the patient was evaluated for vitals. The patient declined hospital transfer and waited for his with to pick him up.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient received a pfizer covid19 vaccine and sat on the floor during the monitoring period due to dizziness. Patient was given a bottle of water and reported fainting briefly before resuming consciousness. Patient waited at the pharmacy and was given a protein bar and gatorade to help because he reported not eating or sleeping. Blood pressure was taken and was 155/75 mmHg which then decreased to 119/82 mmHg a few minutes later and then normalized to 121/82 before the patient left. Full recovery

After the shot, which I received on a Saturday, I developed pain and redness in my right leg. Two days later, on Monday morning, I contacted my primary care physician's office, who told me to go to the ER to be evaluated for a blood clot. At the ER, they performed a doppler ultrasound on my right leg and found a superficial clot in the greater saphenous vein of my right leg. There was no evidence of a DVT in the right leg.

Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: ANXIETY-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Patient drank water as we talked to him. He started to look and feel better after a few minutes. He was able to hold a steady conversation throughout event. Within 5 minutes of being notified of event, patient was scrolling through his phone with no difficulty. We made patient wait for 20 additional minutes while monitoring him and patient stated \"I feel back to normal\" before leaving.

couldn't sleep one night; have had a tightening in the chest; This is a spontaneous report received from contactable consumer (patient). This 44-year-old-male patient received dose 1 of BNT162B2 (PFIZER BIONTECH COVID-19 MRNA VACCINE; lot number EN6206) via an unspecified route of administration on 04Mar2021 at 13:30 (at the age of 44-years-old) as a single dose in the left arm for COVID-19 immunization. Medical history included high blood pressure and COVID-19 diagnosis on an unspecified date prior to vaccination. The patient did not receive any other vaccines within 4 weeks prior to the vaccine. Concomitant medications included lisinopril and hydrochlorothiazide from unknown dates for unknown indications. On 07Mar2021 at 23:00, the patient could not sleep one night and since had a tightening in the chest. The events were reported as non-serious. The patient was not hospitalized for the events. The patient did not receive any treatment for the events. The outcomes of couldn't sleep one night and tightening in the chest were not recovered. It was also reported that since vaccination the patient had not been tested for COVID-19. No follow-up attempts are needed. No further information is expected.

He had his first vaccine March 19th, 2021 at 12:15, same lot as above, and 24 hours later he had difficulty breathing, shortness of breath, fatigue, shakes, chills and feeling of weakness/dizziness. It lasted a few days. Then, April 9, 2021, he received his second Covid19 Pfizer shot, same lot at 12:15 pm and the next morning, Saturday, April 10th around 9 am Ira felt the same symptoms from shot 1, but more intense. He was feeling weak, had chills, shakes, profuse sweating, difficulty breathing, shortness of breath, dizziness and vomiting. He was unable to keep water down and stayed in bed. A little after 12pm, he complained of difficulty breathing and possibly not getting enough oxygen so I grabbed my equipment (since I'm a CNA) and checked his vitals. His B/P was very high ( 166/107), no fever (96.7), pulse was normal 72, and low respiration but oxygen was above 90. He said he needed to use the bathroom, I suggested using his urinal but he said he needed to have a bowel movement. Once he was in the bathroom, I went downstairs for a glass of water and then suddenly I heard a huge thump. I ran upstairs, knocked on the bathroom-no response but I could hear noises, so I opened the door and I saw he was face down on the floor, head under the bathroom sink counter, blood everywhere, and he was convulsing. I grabbed him immediately and moved him to his side (I had my fitbit on, it said it was 12:30pm), and he kept seizing. He looked discolored almost blueish color. I held him on his side, he vomited, making noises, but unable to speak, continuing to have a seizure. Seizure lasted three minutes. At 12:33pm, once he had calmed, I ran downstairs to find my phone. I was back at his side calling 911 at 12:35. Paramedics arrived 9 minutes later and took him to the hospital. My brother picked me up and took me to the hospital. Once outside his door, I noticed he was finishing taking X-Rays when he suddenly had another seizure.

Severe headache that started the day after the shot, developed change in taste, neck muscle pain. Symptoms progressed until 4/8/2021 and woke up with left sided facial drooping. He was seen and in the ER and diagnosed with bell's palsy. Was hypertensive 180/110

Patient was seen at Hospital for seizure, fall and head injury. Subsequent workup following transfer to another hospital revealed L frontal lobe parenchymal hematoma with overlying subarachnoid hemorrhage, no underlying aneurysm or vascular malformation. He had MRI with and without contrast revealing partial occlusion and thrombus of the superior sagittal sinus with adjacent hemorrhage and edema. Treated with heparin, transitioned to coumadin.

March 14 2021 - 2 days after first vaccine shot, leg pain, 1-3 days later diagnosed with superficial blood clot in left leg via ultrasound, treated with baby aspirin for 3 days and heat pad, symptoms slowly lessened till 2nd dose of vaccine on April 2nd, after second dose symptoms worsened again, both legs still fatigue very quickly to this day (April 15 2021) when I'm sitting down on chairs, seats etc. April 8 2021, 12:30pm - heart pain for 30 minutes, felt very weak, similar to light heart attack, ER visit later that day couldn't find any explanation

Acute kidney failure, unspecified Hypocalcemia Hyperkalemia Syncope ARF (acute renal failure) Abnormal EKG Elevated troponin Elevated LFTs

Client got Pfizer COVID vaccine at 1405, started feeling light headed, dizzy, and sweaty with a rapid pulse at around 1410. Client was unresponsive and out of it like he passed out for a few seconds and came out of it and was coherent and responsive again. Client was safe, with three EMTs and lead nurse alongside him. Vital signs taken at 1414, BP 138/88, O2 99%, and P 80. Client started feeling better, no longer sweaty or dizzy at around 1415. Client informed healthcare staff that he had not eaten or had any water since 0800. Vital signs taken again 1425, BP 140/90, O2 100%, and P 72. Client was stabilized and ambulated out of the facility and driven home by his mother at 1430.

As I was administering the vaccine I was discussing with the patient the adverse reactions I wanted to monitor after the injection. The patient winced as the vaccine was being injected and said it was more painful than the last time he go it. He immediately stated he didn't feel well. I applied a little pressure to the injection site which he said made it feel better but he was starting to feel flushed and faint. I kept the patient in the chair and got him some water. He reported that he had experienced this before with vaccines but it had been a long time. He asked to lay on the floor so we got him into a prone position on the floor on his right side. He laid there for a few minutes then drank some more water and laid back down. After a few more minutes he was ready to sit up. He moved to a chair in our waiting area left when he felt well enough. I called patient 2 hours later to check on himand he reports he is doing fine.

Mild Chest Pressure Urgent care and ER visit. Abnormal EKG. Follow ups with cardiologist still pending. Change diet to eliminate possible acid reflux symptoms.

As soon as pt received vaccination, he said he felt tightness in his chest, heart racing, irregular heart rate, SOB, nurse noted he was ?swallowing hard?. EMS called ASAP, BP 172p (pt obese) hr 108 sao2 98%. He was soon able to get out of the drivers seat to allow is mother to drive, moved for further obs. Stated chest felt intermittently tight and burning. No rash, swelling of tongue lips or airway noted, pt admitted to h/o anxiety, next vitals similar, pt released after 30 min by EMS into the care of his,other

Patient passed away on 4/13 after presenting to local hospital with near syncope and AKI. Records from local hospital are unavailable, unclear regarding cause of death and circumstances thereforth.

Vaccine administered 13:54, adverse event started 13:55 same day. Patient had syncopy, flushing/sweating. BP 115/72 -- > 101/67 -- > 110/78, HR 64 -- > 58 -- > 60, O2=100% -> 97% -- > 98%, RR = 16, Temp 95.1F -- > 96.6F -- > 97.3F. At 15:01, Patient stated no longer lightheaded, patient stable, released from vaccination site.

Pt fell out out of chair onto floor. Was pale and clammy. 4:26 BP 89/50, P 83, o2 95% 4:28 BP 91/54, P 83, O2 95% 4:31 BP 120/82 4:39 92/62 , BG 113 Vaccine site closed at 5 , Pt had no one to contact for a ride home. Transported to hospital via ambulance for further eval, discharged home from ER.

4/21/2021 was observed post Covid-19 immunization for 30 minutes based on pre-vaccination screening . During the observation period, he experienced an adverse reaction with the following symptoms: nausea and tingling and numbness to cheeks and tongue/ c/o of tiredness. Assessment : Time of assessment *1634. Alert and oriented, Tachycardia, Pallor, Diaphoretic, Clammy and Nausea. Actions taken: Vitals sign taken VAERS form obtained and completed by RN. Water x 2 and 1 juice, VS taken at 1634- BP- 141/89, P- 110, O2- 98%, 1642, BP- 139/88, P- 102, O2- 100 %, 455pm, BP- 123/78, P- 97, O2- 100%, 514pm, BP- 123/81, P- 100, O2- 100% Medications administered: Loratadine (Claritin) 10 mg by mouth. Time: 1645. Administered by RN. Famotidine (Pepcid) 10 mg by mouth. Time: 1645. Administered by RN. Diphenhydramine (Benadryl) 12.5 ml (25 mg) by mouth. Time: x 2 doses at 1634 and 1645. Administered by RN. Disposition: Reports no further symptoms of adverse reaction after observation for 60 minutes. Discharged home. The Patient was provided with Vaccine Information Sheet and instruction to access the V-Safe system. Wife with patient. Immunizations Administered Name Date Dose VIS Date Route Pfizer COVID-19 Vaccine 4/21/2021 4:16 PM 0.3 mL 2/25/2020 Intramuscular Manufacturer: Pfizer, Inc Lot: ER8735 NDC: 59267-1000-2 Electronically signed at 4/21/2021 5:33 PM Immunization on 4/21/2021 Detailed Report Note shared with patient

Pt became diaphoretic and light-headed 5 minutes after vaccine was administered. He requested water and as I was giving it to him he started to pass out. He was conscious but slightly convulsing. He appeared to have a minor seizure for approximately 5-10 seconds. He was transferred to a wheelchair and sent into our recovery room. As we were transporting him, he had two episodes of vomiting and continued to feel diaphoretic and weak. He rested laying down but was not feeling better. He could not tolerate any water or juice.

Dizziness, light headedness, nausea, cold sweat, fatigue, sleepiness accompanied by low blood pressure of 90/59 and a low pulse rate of 50 bpm 10 minutes following injection. Symptoms alleviated within 30 minutes of onset except fatigue without further intervention.

Patient received 1st Pfizer dose of Covid-19 vaccine at approximately 9:55am. Patient reported feeling lightheaded and dizzy and "not right" at approximately 10:00am. Pharmacist took blood pressure reading (90/59 with pulse of 50) and initiated emergency response system (911). Paramedics arrived at approximately 10:05am and assessed the patient. After approximately 5 minutes under paramedic observation, the patient stated he was feeling better and the paramedics assessed the patient's blood pressure was normalizing. After another 5 minutes, the paramedics left when they thought the patient was fine. We kept the patient under observation for another 15 minutes and the patient, who was back to normal, left.

Pt received Covid vaccine complained of pounding headache, dizziness, chest pressure, feeling hot all over. BP 131/87. HR 82, RR 18, O2 sat 98%, temp 98.3. Pt taken to Emergency Department to further care required.

With first vaccine on 3/11/21 pt. had syncope due to vagal response-has "needle phobia". Second vaccine was given 4/1/21, while supine, with no problems. Two days later he began experiencing shortness of breath which lasted about 5 days. He was about to call his doctor when it subsided. He is a runner and has no health problems (except seasonal allergies) and does not take any regular medications. He was not experiencing seasonal allergy symptoms during the episode of SOB.

Patient started feeling sweaty and clammy about 20 minutes after his second vaccination. We were watching him for 30 minutes. He asked to have his blood pressure checked. He was cold and sweating and said he was having chest pain. We called 911. his blood pressure was high but his pulse was normal. The EMT took the patient to run tests.

Client fainted after receiving the COVID-19 vaccine. Attending nurse administered ammonia inhalant. Client woke up. Fire Rescue arrived to evaluate. Clients vitals all within normal limits. Client showed no other signs of distress. No further evaluation needed as per Fire Rescue. Client was released to home at 10:05am.

Sweaty, pale and Dizzy reports has not eaten. Has a hx of anxiety b/p 110/78 PSO2 98% pulse 64 respirations 14 monitored condition improved. informed to seek medical attention with any further problems.

A couple minutes after patient got the first dose of Pfizer vaccine, patient complaint not feeling well, sweating, tongue feeling funny and not able to see. My technicians laid him down on the floor and contacted 911 to send medics. Patient was still alert but later complaint difficulty breathing. Pharmacist notice swelling around pt's neck area and weak pulses. Pharmacist administered an epipen and stayed with patient. A few minutes later, patient symptoms subsided , medics arrived and brought him to the hospital.

Developed Deep VEIN thrombosis (DVT) in the left leg and a Pulmonary Embolism. Was hospitalized for 5 days and had to have a surgical procedure to insert a screen into my inferior vena cava

ITP - he received the Pfizer COVID vaccine the day prior to admission. He subsequently felt fatigued and awoke this morning with intermittent petechiae. While golfing, he subsequently noticed increased bruising over his left shoulder. He had two episodes of epistaxis for which urgent care and then ED evaluation revealed evidence of thrombocytopenia. Platelets found to be 3,000, normal Hb, normal WBC, no splenomegaly, no lymphadenopathy,. Oncology saw recommended decadron 40mg daily for 4 days

I got a very bad nose bleed that has been bleeding for about 30 minutes now; This is a spontaneous report from a contactable consumer, the patient. This 44-year-old male patient reported that he received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: EW0170) via an unspecified route in the left arm on 22Apr2021 at 15:30 (at the age of 44-years-old) as a single dose for COVID-19 immunization. Medical history was not reported. The patient did not have any known allergies. The patient did not receive another vaccine within 4 weeks prior to the COVID vaccine. The patient did not have COVID prior to vaccination. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number: ER8732) via unspecified route in the left arm on 30Mar2021 as a single dose for COVID-19 immunization. Concomitant medication included fluticasone propionate (FLOVENT). On 24Apr2021 at 22:00, the patient experienced a very bad nose bleed that had been bleeding for about 30 minutes now. When he put gauze up his nose to try and stop it the blood clotted into a very thick globule but it was continuing to bleed. The patient was not treated for nose bleed. The clinical outcome of nose bleed was not recovered. The patient was not tested for COVID post vaccination.

Onset of warmth, dizziness, sweating after the vaccine. No Syncope. Felt better quickly when supine. VSS No orthostasis before dismissal. Self resolving vasovagal reaction.

Patient is a 44 y/o gentleman with acute renal failure, elevated BNP and LE edema. Pulmonary consulted for medical management. Thrombocytopenia: - plt count stable today, Hgb stable - hematology consulted, appreciate recs: plan to send for serum antibodies to test for drug induced thrombocytopenia for carbamazepine and valproic acid - will hold protonix as possible offender - peripheral smear (Mercy OKC, 5/8/21): macrocytic red blood cells, moderate thrombocytopenia, rare focal platelet clumping present - less likely vaccine induced TCP---usually this is seen with the AstraZenca and Johnson and Johnson vaccine, not in Pfizer vaccine - if plt remains stable, may d/c home with plan for f/u with Dr outpt COVID-19: - case discussed with Health Department, COVID test for variant testing sent 5/6 - for now, will cont care in isolation - patient with positive COVID-19 test - positve COVID-19 test in January 2021, negative COVID-19 screen in April 2021 - pt with no active respiratory sx AMS: unchanged - waxing and waning mental status - improved AMS with improved renal fxn Acute renal failure: improving - Cr: 1.64, cont PO intake LE edema: - unchanged, low albumin levels, need to increase protein intake Chronic systolic heart failure: stable - cont to hold diuresis Disposition: - cont care in COVID unit, Pulmonary to follow Estimated length of stay is 5 day(s).

Full body rash with swelling and hives and pain in his foot hands torso legs. He was given 100 mg of Benadryl by mouth and partial Medrol pack by family. Then later that day he went to the emergency room and was only treated with Decadron 10 mg and Benadryl 50 mg. He was discharged with a Medrol dose pack. Continues to have hives and pain all over his body.

Heart racing Pulse: 87 Respirations :16 SPO2: 100% BP 130/78 Drunk water, rest to normal then discharged tp home

Intermittent pain in left arm/shoulder and left breast, internal, feeling like spasm in vein or similar, middle of night, woke me up from sleep, also slight heaviness in chest feeling, but no other symptoms

Patient hospitalized within 6 weeks of receiving COVID vaccination. Diagnosis was multiple subsegmental pulmonary embolism.

5/24/21 - 44-year-old male with a past medical history significant for nicotine dependence, marijuana use, who presents for slurred speech. Accompanied by wife. Patient was in his normal state of health until Friday when he got his Pfizer Covid vaccine. About 5 hours later he was noted to have a headache and some slurred speech but patient and wife did not think anything of it. They went to some graduation parties this weekend and his speech continued to get worse which is what prompted them to present to the ED today. He denies that this is happened before. Feels like it is difficult for him to find words but not to actually say words. He does surf but denies being in murky water or swimming in fresh water. He denies IVDU. No underlying coagulopathy or cardiac history.

chest pains during breathing (harshness of this has subsided), severe joint pain, chest pains what feels like behind my heart, and it comes and goes

Patient had syncopal episode within 15 minutes of vaccination. Had history of similar episodes after previous vaccinations. Patient felt better and was released to home.

Fainting; Remained unconscious for a few seconds; Sweating; Minor tightness in the chest; Blurred vision; This is a spontaneous report was received from a contactable consumer (patient). A 44-years-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: ER8734), via an unspecified route on 08Apr2021 at 13:15 as 1st dose, single in the left arm for covid-19 immunisation. The patient's medical history was not reported. The patient's concomitant medications included Betamethasone Dipropionate Cream USP 0.05%. The patient had known allergies with Keflex (cephalexin). Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 08Apr2021 (5 minutes after vaccination), the patient experienced sweating, minor tightness in the chest and blurred vision followed by fainting and remained unconscious for a few seconds. After regaining consciousness, continued sweating for maybe 10 minutes. The patient visited emergency room. The patient did not receive any treatment for the events. On an unspecified date in APR-2021, the patient had recovered from the events.

Patient experienced apprehension, flushing and numbness and tingling. Patient verbalized "Throat tightness" and elevated BP even though pt reports being on BP medications. O2 sat and pulse remained normal. Lungs CTA. Patient has a history of reactions to bee stings. Pt was given 50mg Diphenhydramine observed by staff and released

Pt felt dizzy immediately after injection, pt had a slight tremor and labored breathing, counselled pt to take deep breaths and stay seated, pt tried to stand and fell to the floor unconscious where he remained breathing but unresponsive for over 1 minute, came to on his own.

Would occasionally have difficulty catching my breath while not doing anything. I occasionally felt my heart flutter or it would possibly skip a beat. Mild chest pain below above the sternum but I get that feeling from my Eosinophilic Esophagitis. I've become more concerned recently as I almost fainted once on 5/19 while working at my computer. I've had two other instances of feeling faint, most recently occurring on 5/27. I historically have had no heart issues and can ski and hike all day and feel great so this recent change has been concerning. After reading articles on the covid vaccines I realized that my symptoms are similar to the heart related issues and took ibuprofen when I felt additional chest pressure. That has helped to alleviate the pressure at least.

1st shot 4/13, no issue with injection site. About a week later had trouble breathing, chest pain, felt like lungs were hurting in my back, weak, tired, couldn't catch my breath when i went upstairs and almost passed out. 2nd shot 5/04, felt pain at injection site (that was expected), that night started to get a bad headache and got worse and worse. Next morning, whole body aching, upper body, lower back, bad headache, Left underarm (lymph) swollen. 2nd day slight headache, neck ache, left underarm swollen. That night had rash on arms, chest, and stomach. 3rd day, nighttime rash arms, chest, stomach. Still red where band aid was over injection site. Over a week later still have redness shape of band aid, Seems I have sensitive skin since the 2nd covid shot. 10 days after 2nd shot I still have redness the shape of the Band Aid on my left arm. Got a red spot on my nose (looks like Rosacea). 4 weeks later, still have a red spot on my nose. I have itchiness between fingers left hand, on my face left side, neck, arms (left wrist, right arm in places) redness on chest, and rashes on back, left buttocks, and itchiness on legs. i noticed that it gets worse at night. As far as i know i did not get the Covid Virus, i did the rapid test and regular test and both were negative. But i was very sick with my stomach and had issues breathing in late 2019 and again early 2020, took medication (antibiotics) both times. I had to write on this form over and over again kept getting frozen with error from the PDF. Even if I hit OK, it keeps popping up and does not let me finish, so I can imagine that lots of people gave up, like I may. Pfizer 4/13/2021 EW0162. After 5pm Pfizer 5/04/2021 EW0170. After 2pm

Patient presented to the ED on 5/8/21 with hypertensive emergency. Per ER provider's notes: He was at the VA today getting his 2nd Covid vaccine (Pfizer) and during the post vaccine waiting period, he developed frontal headache and transient L arm tingling. He was sent to ED in Superior and BP was as high as 219/114. He was given amlodipine and toradol and dilaudid and BP did not come down. He also had a slight elevation in troponin and had second episode of L arm tingling. Decision was made to not give ntg since he already had a headache. No chest pain or other neuro sx. Head CT neg for bleed. No chest pain. Patient presented to the ED again on 5/11/21 with similar symptoms as previous visit.

rash on arms; little restless; noticed how sore his arm was/pain in his arm; trouble sleeping/problems with sleep; felt movements in his chest at times; felt like he had COVID all over again/ if he possibly has COVID-19 again; soreness; heart rate accelerated; some swollen in lymph nodes; This is a spontaneous report from a contactable pharmacist (patient) via a Pfizer sponsored program. A 44-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 22Mar2021 at around 13:00 or 13:30 (at the age of 44 years old) (Lot Number: EP7534, unknown expiration) as 1st dose, single for COVID-19 immunisation. Medical history included COVID-19 in Nov2020; sneezing and runny nose both on 21Mar2021. The patient's concomitant medications were not reported. The patient reported that he received his first dose of Pfizer COVID vaccine on 22Mar2021. He felt fine after receiving the vaccine, but there was little bit rash on arms just afterwards and felt maybe a little restless but felt fine and went for a walk on 22Mar2021. As the night went on, he really noticed how sore his arm was/pain in his arm and when he was sleeping, he had trouble sleeping/problems with sleep (Mar2021) and felt movements in his chest at times (Mar2021). It felt like he had COVID all over again and had chills, soreness, and his smell was kind of gone in Mar2021. He was previously feeling pretty good. He had COVID-19 in Nov2020, and his symptoms feel very similar including loss of sense of smell but no coughing. He had a fever but that has gone away in Mar2021 and he did not take aspirin or anything for it. He also had fatigue, some swollen in lymph nodes, and his heart rate accelerated in Mar2021. He had sneezing and runny nose the day prior to receiving the vaccine. The patient would like to know if his symptoms are related to the vaccine or if he possibly has COVID-19 again. His symptoms are the same as COVID as far as what he can see, and his symptoms are really high. He would like to know if he can still receive the second dose of the vaccine if he has a positive COVID test after the first dose of the vaccine. The patient mentioned that there was very pretty high percentage of people having the symptoms after having the vaccine, kind of virus "causing". The patient asked if he needs to be tested to see if he had the virus before he was vaccinated and to know if these are one of the side effects or one of the symptoms of the virus, and to make sure that these are not actually corona virus. The patient recovered from fever in Mar2021, while unknown outcome for the remaining events. No follow-up attempts are possible. No further information is expected.

Headache, stomachache, tightness in chest, shortness of breath, onset at ~2:30am, approx. 14.5 hrs after first shot. Headache lasted approx. 3 hours. At time of this report, the stomachache, chest tightness, and shortness of breath are continuing.

Patient who had been infected with COVID19 in December 2020 and received bamlanivimab therapy. After recovery he received his COVID-19 vaccine series 4/1/2021 & 4/22/2021 with Pfizer-BioNTech. Patient then developed headache, chills, fever, body aches, thrombocytopenia, and elevated troponin levels on 5/10 and was admitted to the hospital 5/14. Concern for COVID-19 vaccine induced MIS-A or myocarditis. Patient received IVIG after ruling out other diagnosis and had a good recovery resulting in discharge home.

fainted three times felt heavy tunnel vision and ringing in my ear 10 minutes after receiving the vaccine

Tingling hands and feet started same day. Continues off and on for 6 weeks now. Chest pain upon even mild exertion like walking around the block. Lasted for a few weeks. Right arm bone pain severe lasted for about 3 weeks Spine felt swollen near coccyx/sacrum and C7-C6 pain. Feeling of Lower spine swelling and pain started less than 24 hrs. after. Lasted approx 2 weeks. Extreme tiredness lasted 2 weeks Baseball shaped raised area on chest near right arm(vaccinated arm) started perhaps a week in and lasted about a week.

Blood clotting; This is a spontaneous report from a contactable consumer (patient). A 44-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EW0164), via an unspecified route of administration, administered in arm left on 21Apr2021 at 09:00 (at the age of 44-years-old) as 2nd dose, single dose for COVID-19 immunisation. Medical history included high blood pressure and COVID-19 from an unknown date and unknown if ongoing. Concomitant medication included desvenlafaxine succinate (PRISTIQ) taken for an unspecified indication, start and stop date were not reported. The patient previously received the first dose of BNT162B2 (Batch/Lot Number: FR2613), administered in arm left on 25Mar2021 at 09:30 AM, for COVID-19 immunisation. The patient experienced blood clotting on 16May2021 at 22:00. The patient underwent lab tests and procedures which included sars-cov-1 test: positive on an unspecified date (prior to vaccination). There was no treatment received for the event. The outcome of the event was recovering. No follow-up attempts are possible. No further information is expected. Information on lot number already obtained.

WITHIN MINUTES OF TAKING THE FIRST DOSE, MY BLOOD PRESSURE AND PULSE DRAMATICALLY INCREASED. I FELT DIZZY, AND MY FACE WAS NUMB. WITHIN MINUTES OF TAKING THE SECOND SHOT, MY BLOOD PRESSURE AND PULSE SPIKED. SINCE THE SHOTS, I HAVE EXPERIENCED DIZZINESS, FEELING OF FAINTING AND ELEVATED BLOOD PRESSURE. I HAVE EXPERIENCES PIERCING PAIN IN MY HEART, PRESSURE IN MY CHEST AND INCREASED PULSE EVEN WHEN RESTING. I HAVE EXPERIENCED HEADACHES, BLURRED VISION.

Heart rate increased (sitting heart rate jumped to at least 110), breathing felt slightly more labored. Visited emergency room and underwent tests, no specific treatment given. Outcome is heart rate slightly lower, but still appears to be higher than previously observed.

Sore at injection site; Bloody nose; Diarrhea; Fatigue; This is a spontaneous report from a non-contactable consumer (patient). This 44-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number EM9810), via an unknown route, on 02Feb2021 11:30 (at the age of 44-year-old) as single dose for COVID-19 immunisation, administered at hospital. No other vaccine was received in four weeks. Pre-vaccination and post-vaccination COVID tests were not performed. The patient did not have a relevant medical history and concomitant medications. On 03Feb2021 at 10:00, the patient developed sore at injection site, bloody nose, diarrhea, and fatigue. The patient was not treated for the events. The patient had recovered from the events on unknown date in 2021. No follow-up attempts are possible. No further information is expected.

Waxing/waning constellation of symptoms that include shortness of breath, chest pain, tachycardia, and fever along with recurrent eosinophilic pleural effusions.

Altered sense of taste and smell. Things tasted different. I had a very dry mouth as well. I also smelled things that were not there. I lost my sense of smell 10 years ago due to sinusitis. I experienced lethargy about 5 days after the shot up to 4 weeks after. I had some tightness in my chest, my albuterol inhaler helped with that. The tingling in my hand and feet happened on a few occasions. I had numbness that lasted about an hour. I had frequent night sweats that woke me. I had muscle tightness in my leg and abdomen. I also had soreness in my arm, which made it hard to grasp a pen. I did test my reflexes which were normal.

Interrupted his sleep; Stuff in his throat/weird stuff on his throat; Cough; weird stuff on his throat; Rapid heart rate; really bad chest pains; vomit; nausea; gasping for air; Neck spasms; Blood pressure, clarified as low blood pressure; It was like he was catching pneumonia but then his nose was running,; severe congestion, like bad stuff in his chest and lungs; severe allergies; tired; he got really sick; It was like he was catching pneumonia but then his nose was running,; This is a spontaneous report from a contactable consumer (patient) via Medical Information Team and from a Pfizer sponsored program. A 44-years-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: EW0167, Expiry date: UNKNOWN, NDC number: Unknown), via an unspecified route of administration at the right arm on 29May2021 11:15 as a SINGLE DOSE for covid-19 immunization. Medical history included myocardial infarction from an unknown date and unknown if ongoing, illness from Feb2020 to an unknown date, whole family was sick in February, palpitations from an unknown date and unknown if ongoing. History and investigation included "he said he had nothing to add during that time. But about a year ago he had gone to the emergency room for a heart attack scare. he thought, because this was when COVID first started happening, his whole family was sick in February and they would not test them at that time because they had not been to China and they never found out if they had it but he ended up getting tested for COVID when he was sick like 6 months later and then that went away and he started having heart palpitations and then after that he thought he would get a COVID antibody test and that came back negative, they told him by the time he got the antibody test, they told him he could have had it but it is not showing up on their antibody rapid test thing. He confirms this all occurred last year in 2020, he thinks it was almost a year ago. He would be sitting on the couch and his heart started racing like crazy. He did not know what that was all about". He said he had no discomfort at all. Concomitant medications were not reported. On an unspecified date in 2021 patient experienced it was like he was catching pneumonia but then his nose was running, neck spasms, blood pressure, clarified as low blood pressure, tired, he got really sick, severe congestion, like bad stuff in his chest and lungs, it was like he was catching pneumonia but then his nose was running, on an unspecified date in 2021 severe allergies, on 29May2021 rapid heart rate, really bad chest pains, stuff in his throat/weird stuff on his throat , cough, on an unspecified date in May2021 vomit, nausea, on an unspecified date in May2021, gasping for air, on an unspecified date interrupted his sleep. Caller received his first dose and was experiencing symptoms such as rapid heart rate and neck spasms and blood pressure. He was too tired to go to the emergency room. He had the weird cough and also stated he had weird stuff on his throat and severe allergies. Regarding his second dose, he wanted to receive but he wanted to know if he could receive a half dose. He also had really bad chest pains and he was going to go to the emergency room but he was too tired to even go. The other reason for calling, he was trying to find out because he was afraid to take the second dose, he wanted to know if he could take a half dose or something, he was trying to find out what he should do. Severe allergies, caller clarified it was like severe allergies or like hay fever kind of, but it was different. Rapid heart rate: He said this began happening the same day as the dose was given, 29May2021, 4 hours after he got the shot. It was not ongoing, it lasted about a day. The rapid heart rate went away the next morning, it stopped doing the crazy things it was doing the next morning, 30May2021. He confirmed that has recovered completely. The chest pain coincided with the rapid heart rate. It went way the same time as the rapid heart rate. It seemed like they both would come and go until the next morning, He confirmed that had recovered completely. He said then the low blood pressure was going on too. It was like it interrupted his sleep, he did not know how to explain it, like he had low blood pressure or like his heart would stop beating and he would wake up gasping for air. It was kind of like a nauseous feeling, he wanted to vomit. It happened with the low blood pressure and was mostly when he was sleeping and a little through the day, the nausea he means, it lasted about a day and a half. The nausea went away on the 30May or the 31May he cannot remember for sure. The cough and stuff in his throat began at the same time the heartbeat stuff started and the cough went away after 2 days. He felt pretty good for about 3 days and then he got really sick, with severe congestion, like bad stuff in his chest and lungs. It was like he was catching pneumonia but then his nose was running, it felt weird like a sickly poison kind of feeling like after he got the shot, he could not tell but it seemed like severe allergies or like hay fever kind of but it was different, it was a weird feeling. He had taken a bunch of herbal remedies Benadryl took herbal allergy stuff and it worked really fast and after like 3 days it was gone. He does not know what that was but it was pretty intense. No further information provided. It was reported that, caller got his first dose of the Pfizer Covid-19 vaccine on 29MAY2021 and had side effects. He wanted to know if he could get only a half dose of the COVID-19 vaccine. He also wanted to know if there was any correlation to having COVID-19 and having more of a reaction. Caller wanted to know if there was a correlation between having COVID-19 and having more side effects to the vaccine. He stated that his Pharmacist said there might be a correlation to people having COVID before getting the vaccine and having more problematic side effects from the first vaccine instead of the second. Response was given as "he should not get the Pfizer-BioNTech COVID-19 Vaccine if he had a severe allergic reaction after a previous dose of the vaccine or if he had a severe allergic reaction to any ingredient of the vaccine. The decision to receive the second dose for any other reason cannot be made by Pfizer. He was referred to speak to healthcare provider about the risks of the vaccine compared to the risks of potentially not being fully protected against COVID-19 infection. Healthcare provider would have known the health situation and could access to information that better help inform the decision. From the CONS document on efficacy. Two shots were generally needed to provide the best protection against COVID-19 and the shots were given several weeks apart. The first shot primes the immune system, helping it recognize the virus, and the second shot strengthens the immune response. Side effects after the second shot might be more intense than the ones experienced after the first shot. The side effects are normal signs that body is building protection and should go away within a few days". The patient underwent lab tests and procedures which included sars-cov-2 antibody tested negative. Therapeutic measures were taken as a result of severe allergies (drug hypersensitivity). He visited emergency room due to the event chest pain. On an unspecified date in 2021 the outcome of the events it was like he was catching pneumonia but then his nose was running, neck spasms, blood pressure, clarified as low blood pressure, tired, he got really sick, severe congestion, like bad stuff in his chest and lungs, it was like he was catching pneumonia but then his nose was running was unknown, on an unspecified date in 2021, severe allergies was recovered, rapid heart rate, really bad chest pains, cough was recovered on 30May2021, on an unspecified date in May2021 vomit, nausea was recovered, gasping for air, interrupted his sleep and stuff in his throat/weird stuff on his throat was unknown. Information on the lot/batch was available, Additional information has been requested.

experience chest pain and tightness. He had some dyspnea. This occurred for the next week or so with the patient. He suspected it may be a myocarditis event. The pain is no longer present in

Headache, congestion, aches and pains, joints, loss of energy, Concentration, loss of testosterone, chest pain, heart

Throbbing in my head as if to start a headache, shortness of breath, pressure in the chest, dizziness, fluttering of the heart, feeling agitated.

Cardiac arrest, followed by seizure and death. Pt was hospitalized, undetermined cause of death, case send to a medical examiner. Case was noted upon chart review by reporter.

Large rash on chest, pain through the body, wakes up drenched in sweat, low grade fever and chills, sensations throughout body, feels as though electricity is going throughout body, stabbing pains in veins, heart pains, organ pains, reflux in veins and legs stabbing pains in eyes, double vision, blurred vision, light headed and dizzy, allergic reactions to foods. Doctor's were unable to diagnose him with anything. He stated that he has a history of mental illness,

Severe stiffness and pain in upper neck/base of skull. Severe headaches. Blurred vision. No treatment.

Pt fainted falling on L/side of head in 15 minute waiting area after vaccination. BP112/62 P62 R16 O2 SATS 96%. Red bump noted on L/side of head. Moved to resting are via w/c. 3:45PM Alert & talking. Left w/o assistance.

The patient stated he was getting tunnel vision. At this point I came to the site of the patient and his pupils dilated. He became unresponsive. The patient started responding after about 1 minute. When the patient finally became responsive he began sweating quite a bit. We immediately began the emergency response and called 911 and called for store help. I stayed with the patient and when the paramedics got there they took over in the patient's care. The patient remained hypotensive, so the paramedics advised him going to the hospital. The patient agreed and was taken to the hospital.

Patient received Pfizer BioNTech COVID-19 Vaccine at approximately 9:43am. Patient was then sitting in the post-vaccination waiting area in a chair and at approximately 9:46am when patient had syncopal episode and fell to the floor off of his chair. Pharmacist ran out to help patient who came to after approximately 5 seconds of being unconscious. Patient rested on floor for approximately 30 minutes before he felt comfortable enough to rise. At this time the patient's mother presented to the pharmacy to help. Mother reported that the patient and his sister have had previous episodes of syncope. Previous episodes were not reported by patient on consent form prior to vaccination. Patient left the store with his mother declining to fill out accident form with store management.

Extensive right lower extremity DVT; "Extensive occlusive thrombus in multiple calf veins extending throughout the external iliac vein and becomes partially occlusive in the distal common." found July 22. Likely developed much sooner.

This is a spontaneous report from a contactable consumer (patient). A 44-year-old male patient received bnt162b2, via an unspecified route of administration, administered in Arm Right on 21Apr2021 (Lot Number: EN6204) as DOSE 1, SINGLE at the age of 44 years old for COVID-19 immunization. Medical history included iodine dye sea salt allergy from an unknown date. Concomitant medications included testosterone taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The facility where the most recent COVID-19 vaccine was administered was in the doctor's office/urgent care. The patient has not been COVID-19 tested since the vaccination. The patient was not diagnosed with COVID-19 prior to vaccination. On 21Apr2021, the patient experienced having blood pressure stayed about 161/110 for 4 days until given steroid shot. Sea salt allergy went from mild to anaphylaxis in 2021. Trip to ER on 29May2021. Two trips to ER in June with abnormal heart beat and breathing issues in 2021. Now having diabetes issues in 2021. Doctors are puzzled that it all started with first Pfizer shot. No blood pressure issue at that time. Blood pressure randomly goes high and pulse will drop as low as 36 bpm in 2021. The events resulted in doctor or other healthcare professional office/clinic visit; and emergency room/department or urgent care. The outcome of the events was not recovered. No treatment given to the patient for the events.

Blood pressure randomly goes high and pulse will drop as low as 36 bpm; Blood pressure randomly goes high and pulse will drop as low as 36 bpm; Now having diabetes issue; Two trips to ER in June with abnormal heart beat and breathing issues; Two trips to ER in June with abnormal heart beat and breathing issues; Having reactions to anything with sodium over 50mg.; Sea salt allergy went from mild to anaphylaxis; This is a spontaneous report from a contactable consumer (patient). A 44-years-old male patient received second dose bnt162b2 (BNT162B2, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 12May2021(age at vaccination:44 Years) as single dose for covid-19 immunization. Patient didn't received other vaccination within 4 weeks prior to vaccination. Medical history included iodine allergy from an unknown date and unknown if ongoing, food allergy sea salt allergy from an unknown date and unknown if ongoing. Concomitant medications included testosterone (TESTOSTERONE) taken for an unspecified indication, start and stop date were not reported; diphenhydramine hydrochloride (BENADRYL) taken for an unspecified indication, start and stop date were not reported. Patient was not diagnosed with COVID-19 prior to vaccination and was not tested to COVID-19 to post vaccination. Patient previously received first dose bnt162b2 (BNT162B2, Solution for injection, Batch/Lot number EN6204) via an unspecified route of administration in Arm Right on 21APR2021 as single dose for covid-19 immunisation. It was reported that blood pressure stayed about 161/110 for 4 days until given steroid shot. Sea salt allergy went from mild to anaphylaxis. Trip to ER on 29May from Turkey with sea salt. Since then having reactions to anything with sodium over 50mg. Went on low sodium diet. Two trips to ER in June with abnormal heart beat and breathing issues. Now having diabetes issues. Doctors are puzzled that it all started with first Pfizer shot. Was given Benadryl shot with second Pfizer shot on 12May2021. No blood pressure issue at that time. Blood pressure randomly goes high and pulse will drop as low as 36 bpm. Patient went for Emergency room and physician office visits for the events. The outcome of the events anaphylactic reaction, diabetes mellitus, heart rate irregular, dyspnoea, hypertension, heart rate decreased, reaction to food additive was not recovered. Information on the lot/batch number has been requested.

Profound malaise, nausea, vomiting within 24 hours afterward. Then ongoing cardiac palpitations and a sense of skipped heart beats and vague dyspnea, still ongoing as of 7/23/2021 here in urgent care.

About 15 minutes after vaccine was given, patient started feeling numbness and pain in right upper arm where vaccine was given. Patient has a PMH of stroke on the right side and diabetes. Patient also reported itchiness in right leg and dizziness. Vitals were taken and neuro exam performed. Patient given water and snack but started feeling stiffness in neck. Referred to ED for evaluation of symptoms.

passed out; twitching; Gasping for air on the ground for less than a minute.; This is a spontaneous report received from a contactable consumer or other non hcp. A 44-years-old male patient received the second dose of bnt162b2 (COMIRNATY,Batch/Lot Number: Ew0168), via an unspecified route of administration, administered in Arm Left on 27May2021 09:00 as a single dose, and dose 1 via an unspecified route of administration, administered in Arm Right on 06May2021 09:15 (Batch/Lot Number: Ew0171) as a single dose for COVID-19 immunization . Medical history included blood cholesterol increased from an unknown date and unknown if ongoing and High cholesterol and triglycerides , blood triglycerides increased from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. On the third day after the second shot the patient did some yard work and then after coming inside passed out and was twitching and gasping for air on the ground for less than a minute. I then sat up took some juice and was fine. The patient experienced passed out (loss of consciousness) , twitching (muscle twitching) and gasping for air on the ground for less than a minute (dyspnoea). patient underwent lab tests and procedures which included blood cholesterol: high on High cholesterol and triglycerides , blood pressure measurement: fine and blood triglycerides. Prior and since the vaccination, patient was not tested for COVID-19. The patient didn't take any other vaccines 4 weeks before the COVID vaccine. The patient took the covid19 vaccine in hospital. Device date reported to be 11Jul2021. Follow-up actions are needed. Further information has been requested. Follow-Up (16Jul2021): Follow-up attempts are completed. No further information is expected.

Blurred vision, dizziness for several days. Developed Ringing of the ears and some chest pains. Vision disturbance and ear ring still present on this date Of report.

Hypertension; Tiredness; Weakness; losing some muscles; He is also experiencing muscle deterioration (no muscle pain); he's been feeling a light body (not hard to move); elevated liver enzymes; he told him he doesn't get enough sleep; nervous; This is a spontaneous report from a contactable consumer or other non hcp. A 44-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EW0171), via an unspecified route of administration on 22Apr2021 (at the age of 44-year-old) as dose 2, single for covid-19 immunisation. Medical history included, hypertension from 29Apr2021 to an unknown date, glucose tolerance impaired from 2010 to an unknown date Verbatim: Prediabetes, haemorrhoids from 09Mar2021 to an unknown date Verbatim: Hemorrhoids, hypovitaminosis from an unknown date and unknown if ongoing, asthenia from an unknown date and unknown if ongoing, pain from an unknown date and unknown if ongoing. Concomitant medications included paracetamol (TYLENOL) taken for haemorrhoids, pain, start and stop date were not reported; ascorbic acid, biotin, folic acid, iron, nicotinic acid, pantothenic acid, pyridoxine, riboflavin, vitamin b1 nos, vitamin b12 nos, vitamin e nos (CENTRUM ADULT B+ IRON) taken for hypovitaminosis from an unspecified start date and ongoing; ascorbic acid, bioflavonoids nos, hesperidin, malpighia glabra, rosa canina, rutoside (VITAMIN C [ASCORBIC ACID;BIOFLAVONOIDS NOS;HESPERIDIN;MALPIGHIA GLABRA;ROSA CANINA;RUTOSIDE]) taken for covid-19 immunisation from an unspecified start date and ongoing; vitamin b complex (VITAMIN B) taken for asthenia from an unspecified start date and ongoing. Patient previously took BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: ER8737), via an unspecified route of administration on 01Apr2021 (at the age of 44-year-old) as dose 1, single for covid-19 immunisation. On 25Apr2021, patient experienced losing some muscles, 0n 26Apr2021, patient experienced weakness, on 27Apr2021, patient experienced tiredness, on 29Apr2021, patient experienced hypertension. on an unspecified date in 2021, patient experienced muscle deterioration, he's been feeling a light body, elevated liver enzymes, he told him he doesn't get enough sleep, nervous. The patient underwent lab tests and procedures which included aspartate aminotransferase: 28 on 22Sep2020 Normal, aspartate aminotransferase: 46 on 30Apr2021 slightly elevated, blood test: elevated liver enzymes on 30Apr2021. Therapeutic measures were taken as a result of hypertension included losartan 25mg. The outcome of the events losing some muscles, tiredness, weakness were not recovered and the outcome of the remaining events were unknown.

Patient became unresponsive for 10-15 seconds. Medical emergency called, along with 911. Upon reobtaining consciousness, patient was diaphoretic and clammy. Vital signs obtained - SBP in the 70s and HR in the 40s. Patient transport to the ED.

palpitations, chest tightness/heaviness, scratchy throat/frequent throat clearing, head heaviness, blurred vision, elevated blood pressure. Evaluated in ED received solumedrol, benadryl. Discharged home and returned to hospital as direct admit due to continued symptoms. Pertinent labs reveled AKI, elevated LFTs. AKI and LFTs improved with IVFs.

12/23/2020 sharp pain left lower breast, chest constriction lasted approx for 2 days on and off. 12/26/2020 swollen left armpit, resolved 01/04/2020. Antibiotic prescription provided.

Patient received vaccination approximately at 10:45 am, he had told immunizer he had felt nervous and had fainted previously with other vaccinations. Patient was monitored after vaccination patient said he felt dizzy, approximately 11:15 am he feel forward from chair and was attended to by staff. EMTs were called and patient was taken to hospital for observation. After vaccination pt had blood pressure readings of 130/80 5 min after 150/80 15 minutes after his blood sugar readings reported by family member on scene were 325 the previous evening and 255 the morning before he came in. EMTs took a blood sugar reading 365 upon their arrival.

While on duty and in uniform as an emergency paramedic I received my second scheduled covid19 vaccination. Approximately five minutes after receiving C19 dose 2 vaccination (1335hrs). I experienced a syncopal episode while walking back to my work area and was lowered to the ground by another EMS provider. I was then placed in a wheelchair by the EMS provider and an RN and taken to the emergency department at Medical Center. (1337hrs) I regained alertness and felt severe nausea and general weakness and was assisted into in ER bed. Staff doctor attended along with RN . An assessment was completed, 12 lead EKG completed, IV established, 8mg Zofran administered, 1000ml of Normal Saline was bolused. Labs were drawn. ED staff continued to monitor me for the next 2 plus hours I was monitored for anaphylaxis and other symptoms. My symptoms of nausea mostly resolved and my strength returned. A Resident MD completed a final evaluation and determined it was safe for me to be discharged. (1607hrs)

Increased bp, diaphoretic, skin turned red, pins and needle sensation, increased heart rate , swollen lower lip, nauseated, weird sensation of not feeling right almost like out of body

Diaphoresis, petechiae, and tachycardia. onsent post vaccine, Benadryl 25 mg by mouth, 2nd round of sweating onsent: Benadryl 25 mg by mouth. Lower lip swelling, administered Epi-pen, called rapid response. Transferred to ED at 09:11am

Frequent unifocal premature ventricular contractions; This is a spontaneous report from a contactable other healthcare professional. A 45-year-old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date unknown), via an unspecified route of administration on 21Dec2020 09:30 at a single dose on left arm for COVID-19 immunization. The patient medical history was not reported. Concomitant medication included fish oil (FISH OIL), zinc (ZINC). The patient previously took amoxicillin and experienced allergies. The patient experienced frequent unifocal premature ventricular contractions on 01Jan2021 12:00 AM. Patient reportedly lost his card. No treatment received for the adverse event. The outcome of the event was not recovered. The event was assessed as non-serious. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, was the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. Information on the lot/batch number has been requested.

Rash/rash on his forearm that went to both forearms; elevated blood pressure/He already has high blood pressure and it was elevated after the vaccine; felt warm inside; This is a spontaneous report received from a contactable consumer (patient). A 45-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE lot number and expiry date unknown), via an unspecified route of administration in left arm, on 06Jan2021, at single dose, for COVID-19 immunization. Medical history included high blood pressure from Apr2020 and ongoing. Ongoing concomitant medication included lisinopril from Apr2020 for blood pressure/high blood pressure. The patient received the vaccine between 1:30-2:00pm yesterday afternoon (06Jan2021). He waited for 15 minutes after receiving the vaccine and he was ok. Later, on 06Jan2021, he developed a rash on his forearm that went to both forearms. He already has high blood pressure and it was elevated after the vaccine. During the night he felt like he was warm inside. He took a low dose Bayer Aspirin. The outcome of the event rash and hypertension was not recovered, and the outcome of the event feeling hot was recovered on 07Jan2021. Information on the lot/batch number has been requested.

Patient received a shot at 12:12. This was his second shot in the series. By 1530, his heart rate was elevated (120 to 130 beats/minute) . He was afebrile, with no shortness of breath or chest pain. He came back and reported the problem without wanting to go to the ED. He decided to go home. By later on that evening, his heart rate was normal. To note: He stated that with his first shot, he had nausea, fever and fatigue.

PT C/O FLUTTERING HEART, HEART BEATING FAST, DRY MOUTH, TINGLING IN CHEEKS. 1140: V/S TAKEN BP:158/100 P: 110 RESP 16 SPO2 99%, ELEVATED BP AND PULSE. 1145: ADMIN OTC BENADRYL x 2 CAP PO. PT TOLERATE WELL. 1148: V/S TAKEN BP:150/96 P: 92 RESP 12 SPO2 99%. 1150: PT STATES THAT HE IS FEELING BETTER. A&Ox4. 1153: V/S TAKEN BP:150/96P: 92RESP 12 SPO2 99%. 1200: V/S TAKEN BP:146/92P: 91RESP 12 SPO2 98%. PT INSTRUCTED NOT TO DRIVE, AND F/U WITH PCM IN REGARDS TO H/O OF TIA WITH TODAYS V/S ELEVATED BP AND PULSE. PT WAS FEELING BETTER AND STABLE.

coronary spasm; STEMI COVID vaccine induced; slight 1-2/10 substernal chest pain on/off; fever of 101 to 101.7; diffuse severe muscle aches; tachycardia of 110 to 130; painful lymphadenopathy of the ipsilateral axilla and clavicular lymph node (LN); This is a spontaneous report from a contactable physician (patient). A 45-year-old male patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EL0142), via an unspecified route of administration in the left arm on 13Jan2021 at a single dose for COVID-19 immunization. The patient's medical history included benign prostatic hyperplasia (BPH). Concomitant medication included alfuzosin. The patient previously took the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EH9899) in the left arm on 23Dec2020 16:00 at the age of 44 years old for COVID-19 immunization. On 14Jan2021, the patient started having fever of 101 to 101.7, diffuse severe muscle aches, and tachycardia of 110 to 130. Thursday evening (14Jan2021) through Sunday (17Jan2021), the patient also had painful lymphadenopathy of the ipsilateral axilla and clavicular lymph node (LN). Thursday evening (14Jan2021), the patient had slight 1-2/10 substernal chest pain on/off. Friday evening around 23:30 (15Jan2021), the patient had chest pain substernal 7-8/10 that lasted for one hour. The burning sensation was worse with cold air. It resolved with paracetamol (TYLENOL) and ibuprofen. Monday early morning at 04:00 (18Jan2021), the patient experienced STEMI COVID vaccine induced wherein the patient woke up with 10/10 chest pain and shoulder pain which lasted for 30 to 40 minutes and resolved with paracetamol and ibuprofen. The patient also decided to check blood work Monday morning (18Jan2021) while in the hospital. Trop came back 16.28 ng/ml. This is the old trop not high sensitivity. Normal high is 0.30 ng/ml. The patient went to the hospital. ECG showed ST elevation inferior lead. Left heart catheterization was done. The patient have clean coronaries. No evidence of any atherosclerosis. Echocardiogram showed normal EF. No wall motion abnormality. It was concluded that the patient also had coronary spasm. The patient underwent other lab test and procedure which included nasal swab COVID test showed negative on 18Jan2021. Outcome of the lymphadenopathy was recovered on 17Jan2021, of the chest pain was recovered on Jan2021, of the coronary spasm and STEMI was recovering, while of the remaining events was unknown. The events coronary spasm and STEMI resulted in hospitalization and life threatening illness.; Sender's Comments: The reported coronary spasm with chest pain and suspected STEMI were likely related to the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) due to plausible temporal relationship, and no evidence of any atherosclerosis during left heart catheterization. The case will be reassessed should additional information become available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

The next morning I started to have some pain in my right calf which worsened throughout the day. The following day I went to the ER with a DVT. I was given Xarelto for treatment.

Approximately 5 min after receiving dose, I felt dizzy/lightheaded and asked the nurse to check my BP. BP was markedly elevated at 188/96. Waves of dizziness every 5-10 minutes for an hour, and became milder through the day. BP remained elevated 140s-150s SBP until next day when back to normal at 115-125 SBP.

approximately 30 minutes after injection of shot, felt dizzy, confusion, face and throat swelling, rapid heart rate, feeling on the verge of passing out. Was driving home at the time and pulled over to call 911. 3 to 4 minutes of very intense reactions, had initial difficulty calling 911 and driving off the road to pull over. Paramedics arrived 10 minutes after the initial call to 911, symptoms had improved greatly after 3 to 4 minutes and after 10 was starting to feel back to normal.

I received the first dose on 12/23/20 and 1/13/21. 1-2 weeks after the first injection, I started to have occasional cardiac arrhythmia but I did not pay attention to. After the second dose, I found I have more frequent cardiac arrhythmia and now it is more frequent. Sometimes I also felt chest pain. As a scientist, I started to think about the possibilities. I think my current heart problem is associated with COVID-19 vaccine. It is possible antibodies raised against the spike protein generated from muscle cells cross-react with a protein in the heart and cause the problem. I am going to visit a family doctor or cardiologist to see what is going on in my heart.

Fever of 103-104 degrees for 10-12 hours; chills; congestion with bloody mucous; congestion with bloody mucous; This is a spontaneous report from a contactable consumer. A 45-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on 15Jan2021 at 08:30 (at the age of 45-years-old) as a single dose in the left arm for COVID-19 vaccination. Medical history included GERD and sleep apnea, both from unspecified dates and unspecified if ongoing. It was reported that the patient had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications were not reported; however, it was reported that there were no other medications taken in two weeks. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) on 27Dec2020 at 08:15 (at the age of 45-years-old) in the left arm for COVID-19 vaccination. On 16Jan2021 at 03:00 the patient experienced fever of 103-104 degrees for 10-12 hours, chills and congestion with bloody mucous. It was reported that the patient did not receive treatment for the events. The clinical outcomes of the events fever of 103-104 degrees for 10-12 hours, chills and congestion with bloody mucous were all recovered/resolved on unspecified dates in Jan2021. It was also reported that since the vaccination, the patient had not been tested for COVID-19. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Patient presented in normal healthy condition. After describing side effects and precautions, patient was administered vaccine through intermuscular route. Patient appeared to have a normal response to the administration and showed no reaction. The patients wife was the administered the vaccine within 2-3 minutes in the same treatment room. After her administration, the patient was noted with his head positioned forward, pale skin color and no response to questioning. At that point an emergency response was called. The patient remained unresponsive. At the time he was seated. Within about 2 minutes, the patient was laid on the floor and quickly returned to normal consciousness. The emergency squad was called and responded in about 10 minutes. By the time the emergency arrived the patient was fully recovered; he did not require further medical intervention.

45-year-old male follow-up from the ER. He received a COVID-19 vaccine on 1/22/2021. This was his first dose. He began having bilateral lower extremity pain the following evening. In addition to the pain, he has been dealing with headaches, dizziness, auditory hallucinations, and large areas of redness and warmth on the left upper extremity and bilateral lower extremities. He went to the ER on 1/27/2021. Upon review of those records, he had microscopic hematuria. The patient states that he passed some kidney stones this week. Other abnormal labs include very elevated liver enzymes which the patient has not had before. He does not drink any alcohol. No new medications. He also had thrombocytopenia. O) Gen: Patient is in a wheelchair during today's exam. This is the first time he ever been in the exam room in a wheelchair. He required assistance to stand up. He says the pain is what makes it so difficult to stand up. Skin: On the left forearm, there is a large area of redness and swelling. The redness is relatively faint. On the lateral aspect of the right thigh, there is a large area of redness and swelling which is more prominent. ASSESSMENT 1. Severe myalgias 2. Elevated liver enzymes 3. Thrombocytopenia PLAN 1. Check sed rate and CRP. 2. Recheck CMP along with viral hepatitis panel and lipase. 3. Recheck CBC with differential. 4. Further recommendations based on these results. ADDENDUM Patient called on 2/1/2021 and reports his pain is getting worse to such an extent that he has been unable to make it to the bathroom fast enough and has been having accidents.

Pt received vaccine on 1/22/21. On 1/31/21 he presented to urgent care with fever and morbiliform rash. He tested negative for the flu and was given empiric oseltamivir. He had persistent fever and was given doxycycline and ceftriaxone by urgent care on 2/2. On 2/4 at urgent care he was noted to be hypotensive and referred to ER. He had findings of cardiogenic shock and intra-aortic balloon pump was placed. He was treated for acute heart failure with improvement in symptoms. He was also treated for pneumonia with piperacillin/tazobactam as well as amoxicillin / clavulanic acid. He was discharged with resolved fever, resolved rash, and improvement in EF based on cardiac MRI. Workup for other viral causes of myocarditis was negative.

fainted; nausea; left arm began to tingle; dizziness; Broke out in a cold sweat; chills; Lost control of my bladder.; This is a spontaneous report from a contactable consumer (patient). A 45-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL6269), via an unspecified route of administration in Left arm on 04Feb2021 15:00 (at the age of 45-years-old) at SINGLE DOSE for COVID-19 immunization. Medical history was reported as none. There were no concomitant medications. 51 hours after receiving the vaccine, the patient was sitting down watching a film. His left arm began to tingle, and he felt a wave of dizziness and nausea come over him. He stood up, walked a few steps and sat back down. He broke out in a cold sweat, chills, and saw stars. He leaned forward with his head in his hands, and apparently fainted for a moment and lost control of his bladder. All events started on 06Feb2021 06:00 PM. No treatment received for the events. The outcome of the events was recovered in Feb2021. No covid prior vaccination, no Covid tested post vaccination, no known allergies.

2 days after 2nd dose of vaccine, there were vision changes (blurred vision), pressure in head, and palpitations. Vision (only have one eye) has been hazy when looking at computer. This is still on going. Work up done by optometrist at this point eye checks ok but problem persist. Referral to ophthalmologist is place. Feeling of fogginess in head - "drunk like feeling" persisted for several weeks. This still seems to be on going. Palpitations and some check pain. - This was never a finding prior to 2nd dose of vaccine. This has resolved.

Patient received his first dose on 2/1/21 and was observed for 15 minutes. He reported that after returning home he has dizziness and weakness that lasted 45 minutes and then resolved without treatment. He did not seek care. On the day of his second shot (2/22/21) he said he had not taken his blood pressure medication that morning. His blood pressure was143/98 and pulse 70 prior to vaccination. At 10 minutes after the injection he reported feeling dizzy and having shortness of breath and feeling dry mouth. His O2 sat was 98%. Pulse had increased to 82 and then several minutes later was 110. He was placed on a monitor but a large size cuff was not available at the vaccination site. He continued to feel weak and more short of breath, so he was given a dose of epinephrine by autoinjector and EMS was called to transport him to the ER. At the ER, he was given diphenhydramine and his condition continued to improve. He was observed in the ER for 3 hours and discharged home.

Roughly 30 minutes after administration of vaccine patient endorsed weakness, dizziness and shortness of breath. His blood pressure and heart rate increased during the event. He was treated with epinephrine 0.3mg IM due to concern for anaphylaxis and transferred to the ER via EMS. In the ER his vitals were stable and he was observed in the ER for 3 hours, with improvement in his symptoms. During the course of his stay he was treated with Benadryl, dexamethasone and albuterol. He presented with no hives, pharyngeal edema, wheezing, hypoxia or nausea/vomiting/diarrhea.

Extreme fatigue, Joint Pain full body, muscle pain, rapid heart rate, chest discomfort onset within 2-3 hours. Progressive joint pain and headache within 24 hours, chest discomfort in and around the heart. Sought medical treatment after pain discomfort dis not alleviate within 3 days, on 3/1/21. Dr. prescribed steroid injection for inflammation, ordered cbc (negative) with follow up. Possible indications of possible Pericarditis. Follow up within 24-48 hours. Joint pain has lessened from total body to being located in wrists, knees, ankles, toes. Pressure/discomfort around heart/chest has lessened but not been eliminated. Awaiting possible ECG/EKG

patient was sitting after the shot in the waiting area for 15 min after the shot and one of his college who is sitting near by called me and said he passed out twice but when I went with the nurse he was ok and he said he did not. but his friend said no he did. we kept watch him closely for one hour. no symptoms observed. no sob , we offer him epipen or bendryl but he refused. I asked to call his family dr of pcp he said he does not have one. I called the patient on his sell phone after 6 hr of incident and he said he had no issue after that

Recipient stated began feel bad almost immediately after his injection, stayed 15 minutes and left vaccination area but waited in the parking lot and reported back into the vaccination clinic approx 45 minutes. Reported feeling very bad all over, trembling, glucose per his report of 148. skin was somewhat clammy to touch, bp 150/105 and 5 minutes later 170/110, hr 120s, rr 20, referred to PCP

Recipient reports feeling bad all over started immediately, shaking but waited in his car in the parking lot after the 15 minute waiting period. Reported back into the vaccination site approx 45 minutes after his injection. Elevated BP 150/105, few minutes later was 170/110 hr 125 rr 20 skin clammy at intervals. Glucose 148 per his report from his insulin pump. No hypertension history or meds per his report.

Acute right index finger digital ischemia after initial complete numbness from PIP joint distally absent any previous symptoms ever. Recurrence Jan 20 of same symptoms. Suspect antibody complex clot blocking terminal branches of digital arteries.

pt felt lightheaded and was taken to triage area. vitals taken and were bp 147/83, HR 86, Po2 97. pt had a vasovagal episode and lost consciousness for 1 second. regained consciousness. pt states this has happened before. last time was 1 .5 years ago at work. pt states he is feeling well and feels fine to go home.

45 yo M had syncopal episode after getting vaccine. Has hx of vasovagal syncope, usually with medical procedure or blood draws. Passed out for about 40 seconds, witnessed by son who was in the car. On my evaluation, symptoms had resolved,pt was asymptomatic, vitals unremarkable. Given juice, and observed in car. Subsequently discharged home.

6 min after receiving vaccine dose, patient stood up, reported feeling light-headed and lost consciousness, striking his head while falling to floor. LOC x 10-15 sec, regained consciousness on own and was speaking immediately after. EMS was activated and patient was transported to local ER for eval via ambulance.

After 2nd dose, I did not have a high fever but been fatigue and lightheaded/energy drained for 3 days with heart palpitations like If I had OD on energy drinks. The symptoms disappeared on 4th and 5th but returned the 6th day morning ... feeling like I woke up after 2 tablets of Bynadril

A few days after receiving the vaccine my blood pressure became elevated to 190. If I calmed down it got better. I felt like my heart rate raised a couple of times a day. The spikes in my blood pressure and heart rate lasted about four days. It felt a little like an anxiety attack. I was prescribed a Diuretic which I took for a week. When you got the second dose I did not have any of the same symptoms.

Nausea, denies chest pain, SOB, no difficulty swallowing. Initial BP 143/87 (pulse 64), 100% O2 sat. Final BP 133/89 (pulse 63), 100% O2 sat.

After vaccine vaccination, patient has vasovagal syncope. Patient states swelling of tongue, blurry vision, nauseous hands tingling, dizzy and lightheaded. Called code green, paramedics arrived. Laid patient down flat down on cot. Patient is stable. BP 106/67 98% o2sat HR 65 RR 16

0950 pt reported feeling "hot and sweaty and dizzy " 10 minutes after receiving vaccine dose. Instructed to lay down on floor as also reported "feeling like I am going to pass out". Pt placed on gurney via backboard and placed in Trendelenburg position. transported to medical observation area. vs taken upon arrival to medical observation BP 116/79 P 93 pox 95%, strong pulse, pallor noted. Pt stated "feeling better" and color improved to pink , strong pulse noted. Pt placed in supine position on gurney. 0958 Pt continued to improve with HOB elevated to 45 degrees and pt given graham crackers and 4 0z apple juice . BP 133/89 P 90 pox 95%. 1010 Pt reports feeling much better, drank 4 oz water and ate more graham crackers. Pt reported that he had not eaten breakfast and only drank a cup of caffeinated coffee prior to receiving vaccine. Reports "feeling much better" with the water , juice and crackers. BP 124/84 P 89 pox 97%. 1025pt sitting in chair and reportins feeling "back to normal" BP 125/84 P 83 pox 96%. Pt discharged with instructions to f/u with pcp if any other symptoms today. instructed to remain hydrated today and to eat healthy lunch and dinner.

Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Fainting / Unresponsive-Medium

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

Patient told the monitoring nurse he is going to pass out; monitoring nurse stayed with patient and called paramedics for help; while waiting for paramedics patient passed out in the nurse?s arms; patient did not hit the ground; patient woke up after 30 seconds; paramedics arrived in two minutes; patient was offered Gatorade; patient rested and was not transported.

I fainted about 5 minutes after the injection. When I awoke, my fingers tingled, I was hot, and my breathing was labored.

A few minutes after shot administered pt slumped in seat was unconscious for a short time. he came too was embarrassed said he felt fine but a few minutes after he stated he was not feeling well at all. pt became pale, extreme sweating, and low blood pressure/pulse with BP machine. at that time paramedics was called and arrived when patient was beginning to feel better. Paramedics offer to take to hospital but pt declined and could walk with not feelin dizzy. followed up with patient this evening and he is feeling much better. Patient contact his MD and discussed with him. His MD advised him to receive shot lying down for second shot.

Within 3 minutes of receiving vaccine I had Instant fever, nausea, arm pain, face and lips numb, dizziness, blood pressure low, chills. The pharmacy had to call 911 for a paramedic. I'm still feeling symptoms almost 24hrs later. I chose not to go to hospital in ambulance.

Within 60 seconds of receiving the injection, I experienced moderate breathing difficulty. After 10-20 minutes, I noticed that my throat felt slightly swollen (slight difficulty swallowing). Due to a hyperallergic event that occurred about 12 years ago, I occasionally run into something that triggers the respiratory effect - although usually the reaction is milder than that caused by the vaccine. However, the throat swelling is new. I took a single puff of an Albuterol inhaler around 5 minutes after the injection, but it had no effect (usually the case for me when the cause is allergic in nature). About 37 minutes after the injection, medical staff advised me to take an antihistamine. I took approximately 6 mg of doxylamine succinate (orally). However, by this point, the breathing had already started to ease slightly. Approximately 30 minutes later, my breathing was back to normal and the throat inflamation was gone. It's uncertain how much of that would have occurred through time alone and how much of it was the antihistamine starting to take effect. My BP was very high when measured during treatment. Partially explained by the albuterol inhaler combined with pseudoephedrine taken earlier in the day, along with anxiety and exertion from the event itself.

Reports had covid in Janurary. Complained of being lightheaded. Came in waves. Chest tightness 5 minutes. 1040 b/p 136/100 pulse 74 1050 b/p 126/78 pulse 62 1100 b/p 130/90 pulse 67 respirations even and unlabored.

Went to get up to get ready for work and instantly collapsed-scraping up knee. Became extremely nauseous, weak, excruciating headache and dizzy. Unable to stand, had to crawl to nearby chair and call for wife. Thought might be dehydrated, extremely pale, tried to drink water, but began vomiting. BP was elevated, but no temperature. Tried to eat crackers and drink more water, but continued to violently vomit. Never felt so badly in entire life. No strength to stand or get up the stairs to be taken to ER, so had to call paramedics. When they arrived, BP had come down, but they felt needed to be transported to ER, so they took to healthcare facility at about 1:30 pm.

On initial assessment, client found sliding downwards from the chair, skin pale, diaphoretic, cool to touch, speech slurred. Client aroused to verbal stimuli. Client transferred to cot after ~ 15 seconds. Able to ambulate to observation with assistance.

first, 2 days arm soreness, the 4th 5th 6th continued, nausea throwing up, chills, chest and body pain when coughing, headache, light shortness of breath.

chills, fever, shortness of breath, headache, vomiting, nausea, chest and rib pain when coughing, sweating

DVT in calf that turned in to substantial pulmonary embolisms in both lungs with no prior blood clot history. Treatment included a TPA to dissolve clots as well as vascular surgery to remove clots not dissolved in the left lung.

- In the early morning of 4/14/21 Pt called Kaiser help line complaining of cold hands/ feet, restlessness, pallor, R arm pain. - Telephone visit 4/14/21 complained of chills, nausea, vomiting, abdominal cramping, diarrhea. Fluids and rest recommended. - 4/15/21 presented to Kaiser with chest pain, shortness of breath, abdominal pain. Diagnosed with late presentation of acute coronary syndrome / anterior ST elevation MI. Echo with low EF < 25%, LV apical thrombus - 4/16/21 heart catheterization showed 100% occlusion of LAD treated with PCI / DES x 2, IABP. Endotracheal intubation for respiratory failure.

Suffered ischemic pontine stroke 4 days after vaccine received. Does have significant risk factors including DM2, HTN, hyperlipidemia, family history of stroke.

HE PASSED OUT ABOUT 7 MINUTES AFTER RECEIVING THE VACCINE. ON SITE EMS RESPONDED. VITALS LISTED BELOW. HE SAYS HE HAS A HISTORY OF PASSING OUT. HE RECOVED AND DID NOT WANT TO GO TO ER, SO HE WAS RELEASED TO HOME.

Patient received his second Pfizer vaccine on Friday. Saturday he came down with symptoms that we considered were like the stereotypical second dose. Fever, cough, shortness of breath, coming and going. It lingered until Tuesday, at which time he got a Covid test- negative. Went to dr, and he said there was a possibility of blood clots. Tests showed that he had severe pulmonary embolisms in both lungs- the main and 3 secondary arteries.

passed out; fingers were tingling on both hands; very hot and sweating; breathing was labored; very hot and sweating; This is a spontaneous report received from a contactable consumer (patient) . A 45-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) dose 1 via an unspecified route of administration, administered in Arm Left on 27Mar2021 (Batch/Lot Number: EP7533) as single dose (at the age of 45 years old) for covid-19 immunisation. The patient medical history was 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. Concomitant medication(s) included magnesium citrate taken for an unspecified indication, start and stop date were not reported. It was reported that about five minutes after the shot, the patient passed out in the observation area. When he awoke, his fingers were tingling on both hands, a was very hot and sweating, and his breathing was labored. Events onset date was 27Mar2021. The patient received lactated ringers as treatment. The outcome of the reported events was recovered. Since the vaccination, the patient has not been tested for COVID-19.

3/28/21 Patient presented to ED w/SOB x 5 days, fever and cough for one day. RA pulse ox 42%. CXR showed bilateral infiltrates. Pt refused intubation and was started on BiPAP w/FiO2 of 100%. Given Remdesivir and Decadron. Was placed in ICU. Also covered with zithromax and rocephin which was stopped after procalcitonin found to be normal. 4/1 Pt was weaned off BiPAP to HFNC 4/3 Pt was weaned off HFNC to 4L per NC. From 4/3-4/5 he had significant improvement. On 4/5 did not require O2 at rest but still had desaturation to 88% with ambulation. The team wanted to keep him an additional night but he demanded D/C. He finished 5 day course of Remdesivir prior to D/C and was to finish 10 course of Decadron after discharge

Day after shot, progressively felt sicker and more sore throught the day. Had a slight fever at 4 pm. By 630 pm at a 102 fever. Very high blood sugars that I couldn't manage for the day. Night sweats and fever over night but fever broke by morning. Felt off on the third day. On the fourth day woke up with a locked neck which never happens and felt ill, tired, sore, had a cough and mild vertigo for next 4-5 days.

~2230 chest tightness/pain (unlike asthma) that radiated to neck and left arm with left arm numbness, anxiety He had taken 325mg of ASA 4x that day d/t right shoulder pain from previous injury

8 hours after 2nd pfizer covid vaccination. Fever 101.3 , chest pain with diaphoresis, trended troponins to a nadir of 19.0. EKG changes with ST changes in 3 non-contiguous leads. Initially treated for an NSTEMI with heparin. Transitioned to colchicine and ibuprofen for myocarditis.

Patient experienced a headache within 4 hours of vaccination. Took recommended dose of Tylenol. 4 hours after that (8 hours after vaccination) he was still experiencing extreme headache and also vomiting and took another dose of Tylenol. Was still feeling poor at 1am but coherent and talking, not thinking that it was serious enough to warrant going to hospital, as he believed it was just a bad headache and the vomiting was from the headache. At 6am, he was found blue/dead in his bed.

mini stroke; This is a spontaneous report from a contactable consumer (patient). A 45-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number was not reported) via an unspecified route of administration, administered in left arm, on 30Mar2021 at 09:00, as a single dose, for COVID -19 immunisation. The patient's medical history included slight issues with cholesterol and pre diabetic, but the patient has been healthy. The patient has no known allergies and other medical histories. Concomitant medication was not reported. On 03Apr2021, 4 days after the patient received the vaccine shot, he was diagnosed with a mini stroke. The patient was shocked as he was too young and have had no medical issues in his entire life, only change was the shot. The patient also experienced numbness in his right arm and hand which subsided but he still has some numbness on the right side of this face. The patient was hospitalized for 1.5 days and treatment included taking low dose aspirin and Lipidore (as reported). The patient had no COVID prior vaccination and no COVID tested post-vaccination, the patient also had no other vaccine in four weeks and other medications in two weeks. Outcome of the event was recovering. Event resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care, hospitalization, and disability or permanent damage. Information on the Lot/Batch number has been requested.

Symptoms consistent with myocarditis; EKG showed very subtle diffuse ST elevations; chest pain; dyspnea; Troponin trended to 19; This is a spontaneous report from a contactable physician. A 45-year-old male patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration on 08Apr2021 (Batch/Lot number and Expiration date were not reported) as a single dose for COVID-19 immunization. Relevant medical history included chronic back pain, degenerative disc disease, and Clostridium difficile (C. Diff) colitis; the patient had no risk factors for cardiac disease other than obesity; all from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient previously took cyclobenzaprine and pregabalin (LYRICA) and experienced allergies. It was unknown if the patient had other vaccine in four weeks. The patient had no COVID-19 prior vaccination. On 08Apr2021, 8 hours after the 2nd Pfizer vaccine was received, the patient developed chest pain with dyspnea. It was also reported that on 08Apr2021, troponin trended to 19; electrocardiogram (EKG) showed very subtle diffuse ST elevations; and the symptoms were consistent with myocarditis. All the adverse events (AE) resulted in a doctor or other healthcare professional office/clinic visit; an emergency room/department or urgent care; and hospitalization on an unspecified date for 3 days. The patient underwent lab tests and procedures, which included other/Xpert Xpress SARS-CoV-at assay: negative on 10Apr2021 (post vaccination). Therapeutic measures were taken as a result of all the events, which included colchicine and ibuprofen. The patient was recovering from all the events. Information on the batch/lot number has been requested.; Sender's Comments: Information provided was so limited to prevent a meaningful medical assessment. Other than a temporal association, there was no evidence or argument suggesting a causal relationship for BNT162B2 in the reported events, serious due to hospitalization. Otherwise, this patient did not show risk factors for cardiac disease, except for obesity. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

After being seated for monitoring period after 2nd dose, patient was witness to loose consciousness. When nurse arrived to assist patient, patient took a deep, snoring breath and regained consciousness. After being placed on monitor, patient noted to be bradycardic with HR as low as 36. Pulse palpable. O2 sats remained stable. BP noted to be 80 palp. Blood glucose level noted to be 91. Patient coloring noted to be very dusky originally and patient noted to be clammy. Patient oriented when regaining consciousness. O2 applied via nasal canula and HR returned to low 70's. Patient given Gatorade and monitored by EMS. Patient declined transport to hospital and left ambulatory without any lasting symptoms.

acute dyspnea started 4/10, 1 day after second vaccination, no other provoking factors, symptoms persisted for 3 days, CT chest 4/13 showed extensive bilateral PE

Fever Cough Fatigue Muscle or body aches Elevated BP Shortness of breath Congestion or running nose

Pt presented to the hospital after a cardiac arrest. Work up showed renal artery thrombosis b/l causing renal failure and hyperkalemia. ROSC was achieved and pt coded multiple times after. We were unable to obtain CT A 2/2 to pt being unstable so only U/S imaging with doppler was used for diagnosis. Pt was treated with heparin gtt., hematology work up was sent but cause not identified. ECHO did not show thrombosis in the heart. CCRT was attempted but pt expired.

stroke/mini stroke; he couldn't move/loss of motor function/movements were off; Loss of motor function including movement and speech/couldn't speak; head was very tingly; speech was not slurred but more like there was an impediment; he couldn't move his mouth properly, his tongue and the bottom of his jaw wasn't moving like he wanted it to; Caller states he thought he was going to die, his body was shutting down; behavior change; his legs are shaky; eyes feel a little dry; thumbs weren't working right; rule out MS or Parkinson's; rule out MS or Parkinson's; I have had some sort of off feeling in my head, occasionally worse than other days/feels like he has a really tight cap on his head; he was a little dry thought he may be dehydrated; very tired; pounding headache in the back of his head constantly; he was twitching; really off-feeling; digestive issues/digestive problems; eyes were real mucusy/First week mucous in my eyes/could be allergy; eyes were real mucusy/First week mucous in my eyes/could be allergy; This is a spontaneous report from a contactable consumer (patient). A 45-year-old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: ER2613), via an unspecified route of administration, administered in Arm Left on 25Mar2021 as single dose for COVID-19 immunization on an unspecified facility. There were no medical history. No known allergy. The patient had no health issues with any severity, he is pretty athletic, pretty healthy. The patient's concomitant medications were not reported. No COVID-19 prior to vaccination. On 26Mar2021, the patient had digestive issues/digestive problems, eyes were real mucus, first week mucous in my eyes which could be allergy which resolved on 01Apr2021. On 06Apr2021 08:00 the patient reported that he couldn't move/loss of motor function and movements were off but his cognitive functions were fine, loss of motor function including movement and speech/couldn't speak, had some sort of off feeling in my head, occasionally worse than other days/feels like he has a really tight cap on his head, suffered a stroke or mini stroke and was sent to the emergency room. On 06Apr2021 at unspecified time the patent couldn't move his mouth properly, his tongue and the bottom of his jaw wasn't moving like he wanted it to, head was very tingly, speech was not slurred but more like there was an impediment, very tired, pounding headache in the back of his head constantly, he was a little dry thought he may be dehydrated, he was twitching, really off-feeling, and states he thought he was going to die, his body was shutting down. On an unspecified date, the patient had eyes feel a little dry, thumbs weren't working right, his legs are shaky, and noticed behavior change. The patient was hospitalized for 3 days from 06Apr2021 to 09Apr2021 due to thought he was going to die, his body was shutting down, stroke/mini stroke, couldn't move his mouth properly, his tongue and the bottom of his jaw wasn't moving like he wanted it to, couldn't move/loss of motor function/movements were off, head was very tingly, speech was not slurred but more like there was an impediment, loss of motor function including movement and speech/couldn't speak. The patient underwent lab tests and procedures which included IGG antibody test: positive and IGM antibody test: negative both on 19Apr2021, computerised tomogram: showed nothing on 06Apr2021, echocardiogram: unknown result on unspecified date, magnetic resonance imaging brain: showed nothing both on an unspecified date in Apr2021 (not sure if 15Apr2021 or 16Apr2021) and on 07Apr2021, COVID-19 test: negative on 06Apr2021, repeat COVID-19 test: negative on 07Apr2021. Therapeutic measures were taken as a result of stroke/mini stroke, loss of motor function including movement and speech/couldn't speak have had some sort of off feeling in my head, occasionally worse than other days/feels like he has a really tight cap on his head which includes TPA and digestive issues/digestive problems were treated with high fiber diet. The outcome of the event he was going to die, his body was shutting down, stroke/mini stroke, he couldn't move/loss of motor function/movements were off, head was very tingly, speech was not slurred but more like there was an impediment, loss of motor function including movement and speech/couldn't speak, have had some sort of off feeling in my head, occasionally worse than other days/feels like he has a really tight cap on his head, very tired, pounding headache in the back of his head constantly was not recovered, for the events digestive issues/digestive problems, eyes were real mucusy/first week mucous in my eyes/could be allergy was recovered on 01Apr2021, while for the rest of the events was unknown. Caller states he has an appointment with a neurologist and he's trying to get it moved up. Caller states his doctor wants to do a lumbar puncture to rule out MS or Parkinson's that sort of thing. Caller states but at this point they are trying to rule things out. Caller states he doesn't have a family history of really either them. Caller states there was no diagnosis. Caller states the doctor said he was pretty sure its a stroke, mini stroke, but his general practitioner doesn't think its a mini stroke. Caller states the effects are so long going and they will improve and fall back and then the doctor also said at the fact that has been cognitively aware the whole time, so there's been no official diagnosis yet.

It's difficult to pinpoint the exact time the symptoms started, but they were definitely present by the time I awoke the following morning. No arm pain -- but nine days of brain pain, waking up feeling like my head was split, at least five days of altered vision, and most disturbed were my breathing and my heart. I felt for many days like I had a Brillo Pad in my lungs and heart, as well as lots of pressure in the chest and shortness of breath/labored breathing. Two days ago I thought I might be having a heart attack. The symptoms lightened yesterday morning (day nine) though I still have strange sensations in the head and taking a full, deep breath is not totally easy yet. .

three blood clots in right leg; This is a spontaneous report from a contactable consumer. A 45-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: ER2613, Expiry date not reported), via an unspecified route of administration, administered in the left arm on 25Mar2021 15:00 (age at vaccination was 45 years) as single dose for COVID-19 immunization. Medical history included drug hypersensitivity (sulfonamide allergy) from an unknown date and unknown if ongoing, and seasonal allergy from an unknown date and unknown if ongoing. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was vaccinated at a clinic. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, the patient has not been tested for COVID-19. Concomitant medications included fluticasone propionate taken for an unspecified indication, start and stop date were not reported; olopatadine hydrochloride (PATADAY) taken for seasonal allergy, start and stop date were not reported. The patient experienced three blood clots in right leg on 09Apr2021 20:00 with outcome of recovering. Therapeutic measures were taken as a result of three blood clots in right leg (thrombosis) that included blood thinners (Eliquis). The event was reported as serious, medically significant. No follow-up attempts are possible. No further information is expected.

fever and malaise began 4/12/21 followed by migratory headaches and myalgia, several days morbilliform rash, brief diarrhea and abdominal pain

Myopericarditis with fatigue, myalgias, joint pains, and dispnea on exertion since his second COVID 19 shot. Pt also found to have a DVT.

nearly fainted twice; I've been having weird pains in several spots inside my muscles all over the place in my legs, feet, arms, neck, chest, face and even my left hand ring finger tip. It's pain that is in spots, it feels; I've been having weird pains in several spots inside my muscles all over the place in my legs, feet, arms, neck, chest, face and even my left hand ring finger tip. It's pain that is in spots, it feels; pains in chest; catching my breath; very cold and clammy; This is a spontaneous report from a contactable consumer (the patient). A 45-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot number EW0169), via an unspecified route of administration, on 14Apr2021 at 11:30 (at the age of 45-years-old) as a single dose in the left arm for COVID-19 immunization. Medical history included cardiac disorder from an unknown date and unknown if ongoing, irregular heart beat and depression from an unknown date and unknown if ongoing. Concomitant medication included metoprolol (METOPROLOL) taken for an unspecified indication, start and stop date were not reported. The patient did not have any other vaccines within four weeks prior to the vaccination. The patient stated that when he first got the shot he actually nearly fainted twice and had to lay on the floor for a while. It was very scary, he thought he was going to die. He got very cold and clammy and had pains in chest and had a hard time catching his breath. They checked his vital signs a couple times and said they looked good. But he still felt sick and they said if he did not feel better soon they may have to call for an ambulance for him. Eventually he felt better enough to where he was able to get up off the floor and on handicap cart to drive out of there. Also, he's been having weird pains in several spots inside his muscles all over the place in his legs, feet, arms, neck, chest, face and even his left hand ring finger tip. It's pain that is in spots, it feels like mini-charley-horses that lasts anywhere from 20 something to 30 something seconds. Now it's mostly continuous pains in his thigh muscles between his legs. And a pain in one spot in his left arm bicep. This has been happening for days." The patient experienced "nearly fainted twice" on 15Apr2021 with outcome of not recovered, chest pain, got very cold and clammy and had a hard time catching his breath on 15Apr2021 with outcome of not recovered. He also reported that he has been having weird pains in several spots inside his muscles all over the place in his legs, feet, arms, neck, chest, face and even his left hand ring finger tip. it's pain that is in spots, it feels starting on 15Apr2021 with outcome of not recovered. The patient underwent lab tests and procedures which included unspecified investigation: myalgias on an unspecified date . Therapeutic measures (unspecified) were taken as a result of the events.

Deep vein thrombosis (DVT). Woke up on 4th day after vaccine (May 5, 2021) with pain in calf. Swelling continued to get worse. Went to an emergency room just over one week after vaccine (May 8, 2021) and was diagnosed with DVT in the lower left calf (after D Dimer test and ultrasound). No family history of clotting issues. And no personal history of clotting issues. Currently on Rivaroxaban (Xarelto), 15 mg twice per day. Will be on for at least 3 months (moving to 20 mg once per day after the first 21 days).

Syncopal Episode with seizure episode then syncope again. EMS at vehicle. Close to refused transport to hospital. Called emergency contact after EMS checked client out.

patient was Diagnosed with Pulmonary Embolism after her second covid vaccine. patient symptoms were dyspnea and syncope . Patients treatment is to take Eliquis everyday.

about 10 minutes after the shot his fingers felt "strange". Soon after his chest felt tight and he felt weak. No SOB. No tongue or month swelling. He felt faint, but did not have a syncope episode. Vitals were taken x 2 )201/106 pulse 117 pulse ox 97%. Patient was A&Ox3 and laid down on a cot. He was sent to hospital via ambulance. EMS called at 1202 and arrived at 1215. left facility at 1220.

pain in his leg that felt like a clot; pain in his leg; This is a spontaneous report from a contactable consumer, the patient. A 45-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration in the right arm on Mar2021 at 11:15 (at the age of 45-years-old) as a single dose for COVID-19 immunization. Medical history included ongoing venous insufficiency since 2019. Concomitant medications were none. The patient did not receive any other vaccinations within 4 weeks of the vaccine. The patient stated that he received his first dose on 30Mar2021 or 31Mar2021. On an unspecified date, the next day after the first vaccination, the patient experienced pain in his leg that felt like a clot for the first week and a half to two weeks. Then, the patient got a little bit better, even though he had almost gone to the emergency room, but he got better after a couple weeks. The clinical outcome of "pain in his leg that felt like a clot " was resolved on Apr2021. Information on the lot/batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021507016 Same patient/drug, different dose/event

Shortly after receiving the vaccine the patient fainted and bumped his head from the fall. He was very pale, clammy, hot and somewhat disoriented from the reaction. After some water, food, and sitting patient recovered almost fully. He does report having similar reactions to other vaccines/blood draws. He was checked on by phone that same night and about 36 hours later and overall was doing ok.

Developed high heart rate >150bpm with irregular rhythm on 5/16 around 12:00pm, Sought care at Emergency Department, diagnosed with paroxysmal atrial fibrillation, first known occurrence. Treated with metoprolol and metoprolol tartrate, and returned to normal rate and sinus rhythm by 3:00pm.

Significant increase in neuropathic pain lasting over 45 days. Breathing difficulties, daily nausea episodes, upper right abdominal pain, muscle weakness, increased pain to all areas below T6, inability to breath without pain. Fatigue. Lasted acutely for over 30 days. Symptoms including breathing difficulty, nausea, and increased peripheral nerve pain continue to linger.

From hospital discharge summary: "45 y.o. right-hand-dominant male who presents with few hours of improving left arm heaviness/left hand cramping in the setting of getting his second Pfizer COVID-19 vaccination in his right arm 3 days ago and 3 weeks of mildly increased exercise/intermittent fasting. The patient reports getting his first Pfizer COVID-19 vaccination on April 7, 2021. Reports some mild symptoms afterwards. Around that same time, the patient reports having a checkup with his primary care doctor that was notable for a cholesterol elevation to 200. This prompted him to try and lose weight including intermittent fasting and increase in exercise, especially for exercises and cardio. The patient reports approximately 20 pound weight loss over the past 3 weeks. 3 days ago, the patient reports getting his second Pfizer COVID-19 vaccination in his right arm. Reports fever (maximum 103 Fahrenheit) and mild headache the subsequent 2 days after the vaccine. Last night, the patient went to sleep on his left side at around 8 PM. He woke up at 4 AM with significant left arm heaviness and left hand cramping. He tried to massage his hand with some slight improvement of the symptoms but otherwise the symptoms persisted. Hence, this morning, he called his PCP, who told him to come into the ER for further evaluation. Here, the patient reports improving left arm heaviness/left hand cramping. He also does report family history of heart attack and an uncle at a similar age and massive heart attack of his grandfather in their 60s. He denies fever, anorexia, unexpected weight change, headache, blurry vision, sinus pressure, cough, hemoptysis, orthopnea, PND, SOB, DOE, chest pain, pleurisy, changes in taste/smell, N/V/D, abdominal pain, flank pain, urinary sxs, genital sxs, black stools, incontinence, absence of flatus, calf pain, leg swelling, numbness/tingling, streaking redness/rash/skin changes, easy bruising. Also, deny history of HTN, DM, smoking, prior MI, prior PCI, prior CABG, prior TIA/CVA, or history of PAD. Further, denies recent trauma/fall, history of cancer, blood thinner use, recent drug use, recent travel, sick contacts, family history of connective tissue disease/congenital aortic anomaly, or family history of similar sxs. --- Hospital Course by Problem # Troponinemia (Likely myopericarditis) The patient has a family history notable for MI and CABG in relatives aged 50-70 on his mother's side. The patient notes that most of these family members were heavy smokers and drinkers, which he is not (never-smoker, rare EtOH, never illicit drugs). His symptoms are notable for L arm heaviness/cramping that began around 8pm on 4/30/21 at 9/10 severity and subsequently was 3-4/10 severity on presentation to ED and is 0-1/10 severity at time of admission to the floor; he has no associated numbness, weakness, coolness, or pallor. His symptoms are non-exertional. He denies CP, SOB, lightheadedness, nausea, jaw pain, abdominal pain, fatigue. He noes that he recently got the second COVID shot in the R arm, and had a post-vaccine course notable for Tmax 103 ~3d ago and 101 as recently as yesterday. His EKG was notable for ST-elevation in II/III/aVF and his troponins were elevated 305 -- > 298 -- > 328. Of note, his CRP was elevated at 69. The patients symptoms and findings could certainly be compatible with atypical ACS and, given the low risk of bleeding associated with heparin, he was treated conservatively upon admission with heparin infusion, metoprolol tartrate 6.25mg q6h, atorvastatin 80mg (he received ASA 325mg in the ED). However, given his recent covid vaccination and elevated CRP and reported fevers, this could also be compatible with myocarditis or other inflammatory etiology. TTE on 5/3 demonstrated preserved EF 55% with no WMA. Given reassuring TTE, a cMRI was ordered to assess for myocarditis vs scar tissue from recent ischemic event. Cardiac MRI on 5/5 was notable for finding consistent with myopericarditis (see below). Aspirin and atorvastatin was stopped on discharge. Patient was discharged with metoprolol 25 mg daily."

A little more than 5 minutes after receiving shot had a seizure. Told me his wife he didn't feel right and hands were very sweaty cold his eyes rolled back in head. Lost his color loss control of bodily functions( urine). Throwing up hard. EMT were called vitals were alright. Once we were home vomiting subsided and he slept hard.

Approximately 5 minutes after administering the vaccine, he was waiting in his car with a friend, He became unresponsive and appeared to have lost consciousness. Upon arrival to the vehicle he looked to be having a seizure. Did not respond to verbal commands but did respond to sternal rub. EMS called. BP 118/58 and pulse 60. He was diaphoretic and pale. EMS arrived and during their interview he had another more intense and longer seizure. Transported to the Emergency Room.

Eosinophilic myocarditis presenting as pleuritic chest pain, elevated troponin and cardiogenic pulmonary edema related to heart failure, ejection fraction and improved and patient successfully discharge from the hospital. Of note, patient also tested positive for rhino/entero on RVP and FIP1L1-PDGFRA rearrangement.

Symptoms: chills, low body temperature (especially at night, last night's measure: 96.2 F), muscle pain (particularly around kidneys' area), joint pain, and headaches. Treatment: after 3 days of persistent symptoms, I talked to a doctor who recommended taking ibuprofen. I took ibuprofen for 3-4 days which mitigated the symptoms. Symptoms returned after a few days and persisted until now (17 days after vaccination)

Shortness of breath when physically active. Chest pains, pain / numbness in arms. Elevated Blood Pressure, sweating, light headedness, dizziness, nasuea.

-tightness in inner thigh- day or so after first dose -tightness in calf worsened over the course of a couple weeks -swelling and soreness in calf gradually increased until doctor visit -doctor visit and ultrasound found multiple blood clots in mid thigh and calf -doctor prescribed blood thinner -continued swelling and tightness in thigh and calf

Unwell feeling; Nausea; diarrhea; heart beats a bit higher than normal at rest (+10 mre than usual); This is a spontaneous report from a contactable Other Healthcare Professional. A 45-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: Unknown), via an unspecified route of administration on Left arm on 11Feb2021 at 02:30 PM, (at the age of 45-years-old) as a 1st dose single for COVID-19 immunization at Public Health Clinic The patient's other medical history was not reported. Patient had Advil PM (DIPHENHYDRAMINE CITRATE, IBUPROFEN) the day before, and a Pre-workout supplement in two weeks both on unspecified dates. Patient did not have any known allergies. The patient did not receive any vaccine within 4 weeks prior to the dose of vaccine. He did not have covid prior vaccination. On 12Feb2021 patient experienced Unwell feeling. Nausea, diarrhea and heart beats a bit higher than normal at rest (+10 mre than usual). Patient did not have any treatment for the events. He had tasted for covid post vaccination for Nasal Swab, on 02Jul2020 which was Negative. The Outcome of the events was not recovered. Information about lot/batch number has been requested. Follow-up (12MAY2021): Follow-up attempts completed. No further information expected.

I woke up with petechiae on 5/10. By 5/11 the petechiae developed into thrombocytopenia purpura with a platelet count fo 1000, including mouth lesions and prolonged mucosal bleeding. Admitted Hospital for treatment on 5/11. Treatment included a high dose of oral dexomethasone for four days, IVIG transfusion for two days, and a single platelet transfusion. Fluid developed in the lungs, but that was determined to be a byproduct of treatment, and not part of the adverse reaction. By the time of discharge on 5/14, platelet count had risen to 88000. One week later at outpatient, platelet count had risen to 180000.

Vasovagal episode following vaccination. Spontaneous resolution once placed in supine position. Paramedics on site. No treatment required.

Two to Three days after my 2nd dose of the Pfizer vaccine I woke up around 4 am by a foul odor taste and or smell i stayed in bed the smell and taste got very bad for 2 weeks and went away on it's own,on the 4th day after vaccine i woke up and went to brush my tooth It Felt like I pour acid into my mouth with a severe burning feeling followed by severe gum and tooth pain also some sporadic chest pain.I looked into my mouth and noticed my entire mouth looks like bumps and or hives looking about 7 days later most of the bumps/hives turned into ulcers.this symptoms is still present,also around day 4 or 5 I shaved my short beard and noticed a tiny balled patch of beard under my chin ever since this is getting worse and it is about the size of a quarter or more.I went to see my Family Physician and was told these symptoms i having could be from nasal polyps and or sinuses she did blood work to check for sickness everything came back negative,i was told to talk to my Immunologist and or an ENT I went 05/25/2021 to see the Immunologist and he said their was no evidenvce of nasal polyps that the vaccine must have did something to my immume.

severe headache by night time; got a light nosebleed; This is a spontaneous report from a contactable consumer (patient himself). A 45-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: ER8737; Expiry date: unknown) via an unspecified route of administration, administered in Arm Left on 07May2021 as single dose for COVID-19 immunization. Patient medical history included food allergy, allergic to aspirin and shellfish, everybody got COVID-19 in the house from, local anaesthesia from 07May2021 to 07May2021, Caller stated he had a dental cleaning that same morning as the vaccine with anesthesia that was local, from 07May2021 to 07May2021. Patient's Medical History (including any illness at time of vaccination) was none. Family Medical History Relevant to AE(s) was not provided. The patient had not any other products. The patient had not received any other vaccines within 4 weeks of COVID vaccine. The patient's concomitant medications were not reported. The caller reported that he was about to get his second dose of the vaccine and the nurse asked about his first dose. On 07May2021 after first dose he had a severe headache by nighttime about an hour later which lasted for 4 days. Caller stated the nosebleed started on the same day 07May2021 as receiving the vaccine around 10:00-10:30 which lasted until Sunday. The pharmacist asked him to call us to see if he could get the second dose. They did not know what could happen to him with his second dose because of this. He stated he was really allergic to aspirin and shellfish too and didn't know if that was the problem. The caller wanted to know if shellfish was a part of the vaccine. It was enquired that, Pfizer-BioNTech COVID-19 Vaccine contain aspirin or not. Patient was not visited to Emergency Room/ Physician Office. Reporter seriousness for headache and nosebleed was Unspecified. AE(s) following prior vaccinations was not provided. Caller stated he just took Tylenol for side effects and went to bed. Patient had not any relevant tests. The outcome of event headache was recovered on 09May2021 and nosebleed on 10May2021. Information about lot/batch number available, no further information is expected.

1 day after receiving vaccine I experienced "brain fog". Approximately 10 days afterwards (around 2/25), I experienced symptoms of a minor stroke - I experienced lack of coordination in typing and later that evening experienced difficulty with speaking and comprehension, but only for a few minutes. A few days later, that weekend, I had some issues playing songs on the piano I had played before, making a lot of mistakes. About another 2 weeks afterwards, on 3/9/2021, I experienced more symptoms of stroke. For most of the day I had issues with typing, and later that evening I had some coordination issues with closing a soda bottle. On the morning of 3/10/2021, I continued to experience issues with typing and also had difficulty speaking and understanding my wife. At this point I went to the emergency room and was found/diagnosed to have experienced multiple TIA strokes.

15 - 20 min post vaccine, patient complained of bilateral hand/feet tingling/numbness. Vague heaviness across chest and throat. Feels warm and anxious. Treated with diphenhydramine 25 mg po x 1, diphenhydramine 25 mg IV x 1, Diphenhydramine 50 mg IV x 1 (had developed angioedema/throat swelling). Admitted to hospital and then transferred to another facility.

I almost got fainted or black out; My blood pressure and heart rate dropped to 76/55/42 respectively; My blood pressure and heart rate dropped to 76/55/42 respectively; Sweaty; Clammy; This is a spontaneous report from a contactable consumer. This 45-year-old male consumer (patient) received the first dose of bnt162b2 (BNT162B2), via an unspecified route of administration administered in arm right on 27May2021 12:26 (Batch/Lot Number: EW0180) as single dose for covid-19 immunisation. There was no medical history or concomitant medications. 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. The patient received first Pfizer dose in his right arm at 12:26 PM on 27May2021. even minutes after vaccination, at 12:33 PM, he almost got fainted or black out. His blood pressure and heart rate dropped to 76/55/42 respectively. The patient was sweaty and clammy for about 3 minutes. At 12:40 PM, his blood pressure and heart rate elevated to 103/69/65. At 1:05PM, his blood pressure and heart rate came back to normal 120/84/67. The patient drove home afterwards without further reaction. He was a heathy male with no underline health condition. The patient have been testing for COVID-19 once a week since 07May2021 and all test results came back negatives (on 28May2021). The events result Doctor or other healthcare professional office/clinic visit, Life threatening illness (immediate risk of death from the event). The outcome of blood pressure and heart rate dropped was recovered on 27May2021 1:05PM, of other events was recovered in May2021. No treatment was received for the events.

6/11/21: heart palpitations followed by subconjunctival hemorrhage in left eye. Never had one before. My wife had exact same thing happen to her on 6/6/21, but in addition to palpitations and burst eye vessel, she had temporary high bp/pulse. I did not measure mine. Reporting because we both had same vaccine not terribly far apart and now both of us got burst veins in our sclera. Not sure if just odd coincidence or something more, so reporting it. We both will be getting COVID testing to rule that out.

Acute pericarditis; This is a spontaneous report received from a contactable consumer (patient). A 45-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number EW0162), via an unknown route in the left arm, on 15Apr2021 (at the age of 45-year-old) at single dose for COVID-19 immunisation. Historical vaccine includes the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number ER8730) administered in Mar2021 for COVID-19 immunisation. No relevant medical history was provided. The patient was not diagnosed with COVID-19 before vaccination. The patient did not have concomitant medications. No other vaccine was received in four weeks. On 13May2021 at 13:00, the patient was found to have acute pericarditis. The event was assessed serious because requiring hospitalization. An angiogram was done, and results were not provided. On 14May2021, a Nasal Swab was done and resulted negative. The patient was recovering from the event.

Severe migraine severe dizziness vertigo brain fog it?s relentless nonstop 24 seven from the time I wake up until the time I go to sleep severe pain in every single droid back arms legs feet it doesn?t matter I literally can?t function thank you I really appreciate the vaccine and went along way to help give me Covid symptoms is what I did I?m beyond frustrated every single day I can?t go to work I can?t do anything I can?t live I can?t function I?m in chronic pain. Let?s not forget the increased heart rate where I feel like I?m going to die Please get this poison out of me help me The pain is relentless in all my joints I can?t function why did I take this my push something. Everywhere I?ve ever had a problem from concussion two herniated disc it seems like the pain is exacerbated in all these areas even my notes wrist arms. I was perfectly fine until I got the shot. Oh I also can?t look at a cell phone I can?t look at screens that makes the migraines worse. 2 months of daily suffering thanks

Symptoms started morning after 1st shot and increased in severity through out the day. Vertigo, dizziness, light headed and fainting. Mobility was mildly impaired in the morning. By midday mobility was severely impaired, not able to walk straight, head spins, mild nausea.

- Chest pain after 1.5 months from the second shot - Left arm numbness - Shortness of breadth - Hard to stay asleep - Lack of energy

After the 1st dose (3/29/2021), neck inflammation started on the right-side of the neck. The neck inflammation got worse after the 2nd dose (4/19/2021). The neck inflammation is still present. Starting 5/11/2021: Intense adrenaline surges started happening every night between 3 am-7 am. My heart feels like it is beating extremely hard. I have checked my pulse and it is normal during the events (ranges from 65-90 bpm). I have checked blood pressure and it is usually in the 120/80 range (normal for me). However, there have been occasions where blood pressure drops to 100/70. These adrenaline surges and hard heart beats tend to get better if I stand up and move around. It will get worse again if I lay down. I have these on occasion during the day, but I am usually able to calm myself down. I have had scenarios where I feel fine during the day, but will lay down. The hard heart beats start almost immediately. I'm also exercise intolerant now. If I do anything more than a brisk walk, I feel very terrible and faint with a hard heart beat. One interesting data point, my father has the same symptoms and his started about the same general timeframe after his second dose of the Pfizer vaccine.

No side effects after the 1st vaccine. No noticeable side effects until 58 hours after the 2nd vaccine. Fatigue most likely started until 48 hours after the shot. At hour 58 post-vaccine and for the next 36 hours: fever up to 102F, chills, cold sweat, muscle pain. Headache (pain level 4). At hour 96 post-vaccine and for the next 36 hours: urinary incontinence, cluster headaches (pain level 8, which required a tele visit and a Diclofenac prescription). An easy exercise outdoor (a walk) was attempted on day 6 after vaccine; abandoned after 0.25 of a mile due to chest tightness and a discomfort in the heart area. Slow return to easy exercises attempted again on day 8 after the vaccine. Max athletic output at 50% of capabilities prior to the vaccine. As of June 10th chest tightness and dull pain in the center/right side of the chest still experienced, which was reported to the primary physician during the annual checkup. As of June 21th chest tightness and dull pain in the center/right side of the chest still experienced; in addition ? a dull pain in the shoulder blade area when air was inhaled and held. As of June 25th max athletic output at 80% of capabilities prior to the vaccine.

After receiving my first dose of the Pfizer vaccine I experienced erratic heartbeats/afib. It started on Saturday, two days after receiving the shot and I debated on whether to go to the ER. I ended up seeing my cardiologist the following week but by then was feeling better. The irregular heartbeats last about 3 days, getting progressively better by the third day, but it was a very slow process. Obviously very scary since it was pretty severe at first and I didn't know if I was having a cardiac event.

PERICARDITIS; This is a spontaneous report from a contactable pharmacist (patient himself). A 45-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration on 13Jan2021 at 13:00 (Batch/Lot Number: EL3248) (at the age of 45-years-old) as unknown, single dose for COVID-19 immunisation. Medical history included blood pressure. Prior to vaccination, patient was not diagnosed with COVID-19. Concomitant medication included lisinopril taken for an unspecified indication, start and stop date were not reported. On 13Feb2021 at 09:00, patient experienced pericarditis. The event resulted emergency room/department or urgent care. Patient was given Naproxen 500mg twice a day as treatment. Outcome of event was recovering. Since the vaccination, patient has not been tested for COVID-19.; Sender's Comments: Based on the information currently available, a causal association between the reported event pericarditis and BNT162B2 cannot be fully excluded. Case will be reassessed when additional information is available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and investigators, as appropriate.

Site: Pain at Injection Site-Mild, Additional Details: Patient was sitting in chair and fainted approx 5 mins after vaccination. His mother got my attention after he picked himself off the floor. Pt reported blacking out and falling on the carpet. He had a small bruise with a little bleeding (from carpet burn). His mother gave him water and I got him some paper towels to wipe off the small amount of blood on forehead. I asked pt if history of fainting and he said yes. He said he didn't mention it because the more it is discussed, the worse it is.