Pfizer

During observation after vaccine, Mom informed Pharmacist that patient was very sweaty. Pharmacist informed mom and patient. to elevate feet, stay seated while an ice pack and cold water were retrieved. Blood pressure was taken (97/56 mmhg 88 bpm). Patient kept feet elevated and ice pack and was coherent the entire time. Denied feeling dizzy, light headed, or seeing "star lights/spots". Patient started feeling better shortly after drinking water, Mom noted the sweating had decreased or subsided. Both denied paramedics to be called. They were advised to continue to sit with feet elevated. after a few more minutes, patient asked if he could leave. Confirmed he was feeling much better. Informed Mom to have him rest, drink water and if there are any further concerns to seek medical attention. Patient walked out unassisted.

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

8 a.m. woke up with fever of 100 degrees Fahrenheit, administered 250 mg of acetaminophen. 10 a.m. fever had gone up to 102 degrees F, administered 250 mg of acetaminophen. 2 p.m. fever had gone up to 104 degrees F, called family health facility, they advised 500 mg acetaminophen every 4 to 6 hours, and if fever doesn't reduce take my son to the ER.

Patient hands felt tingly, head felt tingly, got light headedness. patient was put into a wheelchair and taken to observation room by nurse. Patient was alert and oriented. Patient feels better after drinking some water.

Fever of 102.2 began 27 hours after the shot. Extremely sore arm, hurts to move it. Headache. Dry eyes. Fatigue - extremely tired, took a 3 hour nap. Cold - not chills, just cold in general. Gave motrin, but fever is still at 102.0 nearly 3 hours later.

Pt reported sweating & nausea. BP 101/74; HR 93; RR 24. 30 min post vaccination. Pt feeling much better. Advised pt to get rest, rehydrate & what to do in case of emergency. Released in stable condition

Redness on arms after injection, light-headed Vital Signs: BP 120/84 HR 107 Resp 16 O2Sat 97% Skin Signs: Cool and dry, clammy, diaphoretic Circulation: Cap refill <2sec 1sec Respiratory: Breath sound clear bilaterally Initial Treatment: Vitals taken. Patient felt better after given juice and sitting down. 4:09 PM Vital Signs: BP 110/80 HR 107 O2Sat 99% Notes: Patient heart rate was still over 100 bpm. Other vitals were in good range. Cheeks still rosy with potential rash. Follow up with provider recommended. Parent provided CDC link with information regarding hx of GBS and safety of receiving COVID19 vaccine. Patient discharged home with parent.

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

The patient received his first dose of the COVID vaccine. The father states as they were walking out, the pt complained or "not feeling well". He describes this as feeling of dizziness and nauseaous. The father asked is he could come back to an urgent care room to lay down which is where he had a n episode of emesis.

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

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

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

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

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

Patient is here today for a covid vaccination. It was noted by RN that he was complaining of a headache. At 14:23, call placed to outside EMS. History of: Asthma Nursing Assessment: Airway: Open Breathing: Spontaneous Circulation: Pulse present Mentation: Alert Skin: Normal Patient monitored., Vital signs obtained and recorded. and Oxygen saturation level obtained. BP 118/70, pulse 88, O2 100. He was transported to the emergency department at Clinic via ambulance at 1423. Call type: Minor Time event completed: 1450

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

26 minutes after receiving the vaccine patient complained of headache, weakness of limbs and visual disturbances. Had not eaten or drank fluids since 12noon today. Given water and a belvita cracker which he consumed without issue. Continued to monitor VS were stable (BP 118/76 and pulse 106) and pulse ox 98%. When symptoms continued past 1 hour with no significant improvement EMS were called and patient was transported to the Emergency Room.

sees black, dizzy, blurriness, clammy skin, diaphoretic 84,16, 82/42 86/58, 99, 16, 98% given juice, icepack-- felt better no meds, no previous fainting episode

sees black, was dizzy, blurriness, clammy skin, diaphoretic. Apple juice, Grahm crackers, icepack, fan air-- felt better, having whole conversation, no complaints 18: 50 --84,16, 82/42, 18: 58-- 86/58, 99, 16, 98% monitored for 30 minutes, walked out of clinic with parent in stable condition give juice, icepack-- better no meds, no previous fainting episode

PT was sitting with guardian and started to have seizure like activity for him which consists of audible and visual auras and Right arm twitching. This lasted about 1 min. Once we got him into a dark room he started having slurred speech and Left sided weakness that lasted about a min. He was A&OX1. Pt had a right sided slant in his eyes. His pupils were dilated to a 9 and were equal and non reactive. he became sluggish and kept starring off to the right side. This lasted about 2 mins and 45 sec. His pupils returned to 6 and were equal and reactive and he became less lethargic. He started to complain of a head ache. At 1302 he stated that he stated tapping his face and trying to speak. He began to have a right sided glance again and his pupils dilated to an 9 again and we equal and non reactive. he did not respond to his name. This lasted for almost 2 mins. He then stated he was foggy and his pupils returned back to a 6 and were equal and reactive. He was struggling to find sounds in the room. His Vital signs were initial B/p 138/98 resp 22 HR-78. at 1320 his B/P was 128/68 Resp 20 HR 80. Pt was transported by EMS for medical evaluation by his neurologist.

Fever - 103 degrees and tired; Fever - 103 degrees and tired; This is a spontaneous report from a contactable consumer (patient). A 12-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EW0168), intramuscular in left arm on 17May2021 15:00 (at the age of 12-years-old) as first dose, single for COVID-19 immunization. Medical history was none. The patient had no known allergies. Concomitant medication included fexofenadine hydrochloride (ALLEGRA). Prior to vaccination, the patient was not diagnosed with COVID-19, did not receive any vaccines within four weeks prior. The patient experienced fever - 103 degrees and tired on 18May2021 12:00. Since the vaccination, patient has not been tested for COVID-19. No treatment was received for the event. Outcome of the event was unknown.

Nausea, headache 5 mins post vaccination, minimal epigastric tenderness No shortness of breath, no rash Patient drank water, no vomiting. Patient felt better, no more abdominal pain. Patient craved for fried chicken.

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

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

throat was closing; throat was itching; This is a spontaneous report received from a contactable consumer (patient). This 12-year-old male patient received the first dose of bnt162b2 (BNT162B2), via an unspecified route of administration, administered in arm left on 14May2021 18:00 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. There was no medical history or concomitant medications. The patient previously took penicillin. 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 experienced throat was itching on 14May2021 18:05 and throat was closing on 14May2021 18:08. Within 5 min of shot throat was itching, at 8 minutes throat was closing and 911 was called. The adverse event result in Emergency room/department or urgent care. Treatment received for the adverse event included Oxygen treatment, epinephrine, diphenhydramine hydrochloride (BENADRYL). The outcome of the events was recovering. Since the vaccination, the patient had not been tested for COVID-19. Information about Lot/Batch number has been requested.

Inflammation of arm where injected. A lot of arm pain day after vaccine. Little nausea. Very tired. Night sweats.

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

PT mother states that the next day her son started with fever 24 hours after the vaccine. He had a fever for the next 8 days. At times his fever got up to 103F. His other symptoms were that his lymph nodes in his neck got very swollen and painful to touch and was very tired. He also threw up 3 times on various days. He also had a very mild sore throat before his vaccine. His pediatrician thinks it was the vaccine with in combination with his virus, was tested for strep, mono and covid, and all was negative, also lab work was performed and all was negative. He slowly started to feel better after his fever went down.

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

After half an hour after i had left the pharmacy after the first dose of Covid Pfizer vaccine, Hamza(12 yrs) started clutching his neck saying its on fire, tears were coming from his eyes and he started choking and coughing. He barely managed to say that his throat felt like something burning hot was pouring down. I immediately gave him cold water to drink. He drank and continued to drink in small sips for the next hour and was feeling normal in an hour. He had not eaten or drank anything after his vaccine. He had also had lunch at 3 pm, a full 2 hours before the vaccine.

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

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

within 18 hours, child began with cough and wheezing, requird albuterol treatments wheezing persisted for 40 hours

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

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

Mom reported that pt woke up on Sunday feeling fatigued, achy, h/a. No fever. Those symptoms improved but then a swollen area developed under armpit/axilla about the size of a golfball, not red or warm.

Sore arm at the injection site; whole body and muscle aches; fever of 101 degrees; whole body feels warm; nausea; fatigue and sleeping more than usual. Symptoms started at 4 AM the following morning, gave him some Tylenol to bring down the fever, and have him drinking lots of ice water. He has no appetite because he feels nauseous but he was able to eat a piece of bread which seemed to settle his stomach somewhat.

Very sore arm, shoulder and armpit immediately after dosage, continuing 48 hours after dosage. Chills and headache 12 hour after dosage, lasting 4 hours.

Patient developed a blanching rash and pruritus, beginning upper body (thorax, upper arms, neck, face, scalp). Administered benadryl 50 mg, and topical hydrocortizone 1% on affected areas. Patient reported difficulty breathing. Administered albuterol rescue inhaler multiple times. Overnight, patient slept poorly, self-administering albuterol. ------- 2021-06-06 morning, the upper body rash diminished, but moved toward the extremities (legs, forearms and hands, face and scalp). Labored breathing continued. Patient visited clinic. Patient continued benadryl and albuterol throughout the day. -------- 2021-06-07 morning. Patient reported better sleep the prior evening, with no albuterol required. Rash had largely resolved, with only minor spots. Patient reported moderate headache.

Patient got 2nd shot 12 days after the 1st dose. 1st dose was given 05/20/2021, 2nd dose was given 06/01/2021. He had typical second dose adverse effects such as fever, chills, fatigue that lasted 24-48 hours.

Pt reports fever the day following the injection and sought care at urgent care for further evaluation with father. Denies any other symptoms or complaints.

he took second dose of Pfizer Vaccine on Friday evening (6/4/2021 around 5.30 pm) and following day (Saturday 6/5/2021) he had fever of around 101 degrees and he took tylenol and it made him better. on 6/6/2021 he woke up he had swollen eyes, see below picture.Just wanted to let you know that this might be an allergic reaction to the vaccination so it can be recorded. He does not have any fever (his current body temperature is 97.7) and is able to breathe normally.- family called patient's uncle who is a physician, instructed to give Claritin in AM & PM 6/6/2021, on 6/7/2021 eyes still slightly swollen but improved

My son had a fever, seizure and vomiting. We administered valtoco (diazepam nasal spray) for seizure.

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

Patient stated he was feeling nauseous and had a headache. Patient was given snacks and vitals were taken by EMS. No known allergies. No past medical history. BP: 104/67. Pulse: 95. Os Sat: 98. Patient started feeling better and refused to go to the hospital by EMS.

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

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

Approximately 26 hours after receiving injection (around 6:30 pm on a Friday), he began to vomit and have extreme fatigue. The nausea and extreme fatigue persisted through Saturday and Sunday. He was only able to keep minimal liquids and food down. On Sunday afternoon (around 1pm) we had a low grade fever. This was the first time he was noted to have a fever. After consulting with telehealth, it was determined that there may be concern about his appendix. He was admitted to the ER about 5:30pm on Sunday, and was diagnosed with a perforated appendicitis. An appendectomy was performed at 1am Monday.

Fever, tiredness, sore arm, giant red circle around injection site hot to touch appeared has a red border kinda middle is swollen.

Patient had fever the morning after the vaccine also developed left axillary swelling on the ipsilateral side of he injection. Mildly tender, but improved by the time he was seen in the office the next day.

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

Painful injection site later the same day. Following morning injection site very painful/sore. Headache. Fever.

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

Vaccine given at 5:19 pm. After the vaccine, mom took pt and walked around the store rather than stay in the waiting area. They returned at approximately 5:45 pm, because pt was complaining of a bad headache rating pain 6/10. He denied any other symptoms. We had him sit down in the waiting area and gave him a bottle of water. He started feeling lightheaded a few minutes later and was moved to an exam room. I had him lay down on the exam table. At approx. 5:55pm, I checked his BP while he was laying down and it was 104/62. He reported feeling a little better, so I had him sit up. Rechecked BP and it was 108/70. He reported dizziness had resolved and headache was now 5/10. At some point while I was not with the pt, mom gave him some Aleve, but I don't know what time. Mom decided to take him home at that point.

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

My son has had a fever since the second shot. His fever comes and goes throughout the day varies from no temperature around 98- 101 with no fever reducing medication. He has no other symptoms. He does normally run temperatures.

nausea; Fatigue; headache; fever 100 F; This is a spontaneous report from a contactable consumer (Patient). A 12-years-old male patient received second dose of bnt162b2 (BNT162B2), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as single dose for covid-19 immunisation. Medical history included migraine. The patient's concomitant medications were not reported. The patient previously received first dose of bnt162b2 (BNT162B2), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as single dose for covid-19 immunisation. It was reported that patient did not have fever after first dose of vaccine. On an unknown date, after second dose of vaccine administration, the patient experienced nausea, fatigue, headache and fever 100 Fahrenheit. Events occurred after the use of product. Laboratory tests and procedures included body temperature 100 Fahrenheit on an unknown date. Outcome of the events nausea, fatigue, headache and fever 100 Fahrenheit was reported as unknown at the time of this report. Information about lot/batch number has been requested.

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

Swollen lymph node under left arm. This remained until he got his second shot. He also had a strong response to the first shot with fever and headache. He tested positive for covid in January of 2021.

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

Fevers and fatigue first 24 hours then nausea, vomiting and right lower quadrant abdominal pain. He was found to have an acute appendicitis approx 48 hours after his second covid vaccine. He received preop antibiotics and underwent a laparoscopic appendectomy.

12 hours after the injection chills, fever, aches - treated with cool bath to reduce fever, advil and tylenol The 102 fever lasted 48 hours, and then a rash appeared on the knees and elbows The following day it turned into welts and began spreading all over the body. Treatment included benadryl, claratin and advil for the pain. Calamine lotion was also used for the itching, but nothing really controlled the pain and itching. The welts continued to get worse, until day 6, when the welts started to turn back into an all over the body rash

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

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

My son reported eye hurt on 6/13 afternoon, lasting about 30-45 min, then the pain moved to the nose for about another 45 min. Then both the eye and the nose pain were gone. He was having a headache and a fever at about 100.3 for the afternoon and night. He is all better today, no more side effect.

Headache starting that evening, chills, fatigue, nausea, muscle soreness/weakness, sore throat, muscle aches, red welt at vaccine site that is getting bigger by day.

Grandmother (guardian) said at around 3:30am 6/12/21 patient woke up and came to her bedroom, was shaking uncontrollably, felt cold to the touch, this lasted for about 45 minutes. Patient did not have a fever but continued with the shaking, she said it reminded her of a seizure but patient was able to talk and walk around. Patient was able to go back to sleep after that and only had a fever of 101 during the day of 6/12/21.

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

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

Mother of PT states this survey report is for her her son. Mother of PT states her son received the Pfizer vaccine NOT the Moderna as stated on this survey. Mother of PT states her son received the second dose Pfizer vaccine on 06-10-2021and her son experienced fever, chills, fatigue and more soreness to his left arm with also lump under his left armpit. Mother of PT states she gave her son on the night of the second vaccine, Tylenol for relief of pain. Mother of PT states her son states that as of this morning her son does not have the lump under his left armpit nor any pain. Also Mother of PT states that for her son's first dose, was on 05-20-2021 and that he experienced soreness to his left arm, tiredness, pain and a lump under his left arm pit. Mother of PT states she did not take his son to see a doctor.

Today is day 12 after his 2nd dosis and my son still has: fever, tiredness, heavy cough, congestion, fatigue running nose,

Felt faint and nauseous five minutes after injection. Skin felt hot and sweaty. Said his stomach hurt and he felt like he was going to faint. Removed his jacket, sat him down, fed him crackers and water and he recovered after about five minutes.

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

Low grade fever, pain at the injection site, severe chills, severe muscle and body aches, severe fatigue and tiredness, severe nasal congestion, severe runny nose, unable to perform normal daily activities for 3 days, continued with residual symptoms and mild to moderate activity impairment for 9 days.

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

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

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

Patient had Covid vaccine yesterday morning. Developed fever and vomiting at 9pm last night. Brought to the ER poorly responsive. Found to have a large intracranial bleed with an apparent ruptured AVM. Sent to larger hospital for pediatric neurointerventional radiology and pediatric neurosurgical care.

This 12-year old's first dose of the Pfizer was deemed invalid due to storage error and repeated 13 days later. About 14 hours after revax he had a seizure in the middle of the night, which he reported to his mother the next morning. He also had fever that next day lasting about 24 hours. His mother reasoned his seizure was due to fever since his last seizure was 150 days ago and he had been well-controlled on 2 meds. She presented today for 2nd vaccination, (technically 3rd dose of Pfizer) expressing concerns about another seizure. She was advised to consult his neurologist, for guidance and was advised vaccine will be available if/when she and the doctor deem it safe to give.

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

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

24-36 hours after injection - fatigue and slept for an extended time. Pain in arm of injection. 3 days after 2nd injection, hives on arms, legs, back, shoulders, tops of hands and feet. Raised and looked like target hives. Very itchy.

experienced some fatigue after the first injection; This is a spontaneous report from a contactable consumer or other non hcp (patient's mother) Pfizer sponsored program. A 12-years-old male patient received BNT162B2, (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: was not reported) via an unspecified route of administration on an unspecified date as 1st dose, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced some mild fatigue after the first injection on an unspecified date. The reporter wanted to know why the Pfizer covid-19 vaccine dose was being used in kids only 10 mcg while the dose used in 12–15-year-old is the same as the adult dose, 30 mcg. The outcome of the event was unknown. No further information was provided or obtained.

Blister-like hives appeared on tops of ears, then upper back and back of hand; Sore arm; Nausea; Fatigue; Tremors; Headache; Vomiting; This is a spontaneous report from a contactable consumer (patient). A 12-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number and Expiration Date: unknown), dose 1 via an unspecified route of administration, administered in Arm Right on 14May2021 09:00 as single dose for COVID-19 immunization. The patient medical history and concomitant medication was not reported. The patient previously had the known allergies included hives developed after 1 dose of amoxicillin and Azithromycin, hives present after several doses of m (as reported). The patient did not have the COVID prior vaccination and was not tested for COVID post vaccination. The patient did not receive other vaccine in four weeks. The patient received Multivitamin and Probiotic in two weeks. On 14May2021 at 01:00 PM, after the 4 hours of dose the patient experienced blister-like hives appeared on tops of ears, then upper back and back of hand. Then, sore arm, nausea, fatigue, tremors, headache through night. Following day continued with hives, headache, fatigue, sore arm, plus vomiting. Felt much better by the second day post shot. Just hives and arm soreness continued. The patient did not receive treatment for the events. On an unspecified date, the events nausea, fatigue, vomiting, tremors and headache were resolved. The outcome of blister-like hives appeared on tops of ears, then upper back and back of hand and sore arm were not resolved. Information on lot/batch number has been requested.

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

He began to feel tired; Cold/acting like he had a cold; He started running a fever; This is a spontaneous report from a contactable consumer. A 12-years-old male patient received bnt162b2 ((PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0167, Expiration date was not reported), dose 1 via an unspecified route of administration, administered in Arm Right on 01Jun2021 13:00(Age at vaccination 12 years) as 1st dose, single dose for covid-19 immunisation. Medical history included tonsillectomy from 29Apr2021 to an unknown date, hypersensitivity. Patient family history included she and her husband had it (tonsillectomy, hypersensitivity) and it didn't bother them other relatives had the Johnson and it didn't bother them. The patient's concomitant medications were not reported. The patient experienced he started running a fever that has subsequently lasted every night since on 03Jun2021(2 days later), he began to feel tired on 08Jun2021, cold/acting like he had a cold on 07Jun2021. Patient stated Patient Age at time of onset of reaction was 12 years. Patient took vaccine dose as time for kids to get it for protection from COVID-19, when he comes back in from playing, he is tired. He started to drink a lot of water and lie down on the floor. That day he was at school and they have not called so he is better. reporter is asking is this normal for him a run a fever for this long, He is due for the other shot the 23Jun2021 and should he get the shot if he is still running a fever she wanted confirm. Every night when he went to bed, he would run a temperature. Therapeutic measures were taken as a result of he started running a fever Tylenol was given to break his fever, reporter sometimes gives it twice, but it did work. The outcome of events was running a fever, cold/acting like he had a cold was not recovered and feel tired was recovering. Follow-up(09Jun2021): This is a follow-up spontaneous report from a contactable consumer. This consumer (patient's mother) reported for a 12-year-old male patient (reporter's son) included: Outcome of events updated, relevant medical and family history added. Dose number confirmation to 1st dose captured, Age at vaccination added.

Sore throat; Runny nose; Fatigue; This is a spontaneous report from a contactable consumer (patient's parent). A 12-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number was not reported) via an unspecified route of administration on an unspecified date as second dose, single dose for covid-19 immunization. Medical history included ongoing obsessive-compulsive disorder (reported as His mother noticed some OCD symptoms yesterday which is common when his PANDAS is active). The patient's concomitant medications were not reported. On an unspecified date the patient experienced sore throat, runny nose, fatigue. The outcome of events was unknown. Information on Lot/Batch number can be requested.

He was also tired for a long time; Caller states his stool was green and he was pooping; he got sick; On the 2nd day, he experienced vomiting.; her son lost 5 pounds; he experienced fever; diarrhea; This is a spontaneous report from a contactable consumer (patient's mother). A 12-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, batch/Lot number and expiration date: not reported), dose 1 via an unspecified route of administration in Arm Left on 19May2021 (at the age of 12-years-old) as 1ST DOSE, SINGLE DOSE for covid-19 immunisation. Medical history included covid-19 on an unknown date in Oct 2020, allergy to animal (cats) from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. Prior Vaccinations (within 4 weeks) and AE(s) following prior vaccinations was none. Patient's mother mentioned that day after his shot, he experienced fever and diarrhea (on 20May2021) which lasted for 7 days. Caller states the fever was more like 8 days and the diarrhea was at least 8 days, she would have to ask him when it completely went away. Caller states her son lost 5 pounds (on 20May2021) when he got sick on an unspecified date, he was 90 pounds currently, he was 95 when he got the vaccine. She states he kept losing weight over the week. Caller states his stool was green and he was pooping everything out, it was gross on an unspecified date. On the 2nd day, he experienced vomiting (on 21May2021). He was also tired for a long time on an unspecified date. Caller states her son had been staying at his dad's house when he was sick. She states she would've taken him to be seen earlier because after 5 days of fever, he needed an IGG drip in case it was his heart or similar to Kawasaki. She requested him to get an IgG Drip because, according to her, any child who has a fever for 7 days might have the virus that causes Kawasaki disease. This is based on her experience with her daughter who has Kawasaki disease. The son was not given the IgG drip because the doctors were not sure. They also tested his stool, but he did not have anything wrong. She mentioned that her son had COVID in October, the one that got sick for a week, then goes away, and comes back again. He was sick for a while with all the symptoms, and it was proven that he had it. Caller states when he got sick, they wanted to rule other things out, so they tested his feces for a bunch of things, but he was negative for everything. As of calling, the son had recovered but she was requesting for him to have an ultrasound of the heart. She was asking if he should get the 2nd dose. The events resulted in physician office visit. The patient underwent lab tests and procedures which included culture stool negative on an unspecified date. The outcome of the event fever, lost weight was recovered on 28May2021; vomiting recovered on 21May2021; diarrhea, fatigue recovered on an unspecified date; and the outcome was unknown for faeces discoloured and illness.

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

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

Flu like symptoms- runny nose, headache, fatigue, and small fever; Flu like symptoms- runny nose, headache, fatigue, and small fever; Flu like symptoms- runny nose, headache, fatigue, and small fever; Flu like symptoms- runny nose, headache, fatigue, and small fever; Flu like symptoms- runny nose, headache, fatigue, and small fever; This is a spontaneous report from a contactable consumer (patient's mother). A 12-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: Not provided) via an unspecified route of administration on 26May2021 as single dose for COVID-19 immunization. Patient medical history and concomitant medications were not provided. On 14Jun2021, the patient was having flu like symptoms - runny nose, headache, fatigue, and small fever. He has been scheduled for dose 2 tomorrow (on 16Jun2021). The reported asked what they should do about that and how long can he wait between injections like the max number of days. She states she received the Fact Sheet for Recipients and Caregivers and they didn't mention how long you can go between doses. It only says three weeks. Outcome of the events was unknown. Follow up attempts are needed; information about lot/batch number has been requested.

Mother of PT states her son started showing symptoms on 06-14-2021 after his second dose. Mother of PT states her son had upper respiratory symptoms, such as congestion, fever of 101.6 and ear pain. PT mother states her so was evaluated by his pediatrician who performed a Covid test which was negative. Mother of PT states her son still continues to have upper respiratory infection, but his symptoms are improving.

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

major asthma attack; temp of 102; This is a spontaneous report from a consumer (patient parent) reported for son. A 12-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) Lot number Ew0177, on 14May2021 16:00 at single dose in left arm (at the age of 12-year-old) for COVID-19 immunization. Medical history included asthma. The patient had no Known allergies. The patient had no covid prior vaccination. The patient had no covid tested post vaccination. Concomitant medication was not reported. The patient had seen his pulmonologist the day before and had a really good check up for his asthma. He had his shot on 14May2021. On 16May2021 he had temp of 102. On early hours of 17May2021 he had major asthma attack. Reporter was very well educated in how to help with an asthma attack. So didnt need to seek medical attention. But it took several nebulizer treatments, couple days a prednisone to get him back to his base line. His temperature lasted a total for 4 days and missed 5 days of school. Reporter did call his pulmonologist for directions on what to do. The outcome of major asthma attack was resolved in 2021. The outcome of temp of 102 was resolved on 20May2021.

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

My child began feeling tired and ran a temperature about a degree warmer than usual for the first three days after his second COVID vaccine on Sunday 13 June. (So Monday, Tuesday, Wednesday). Thursday he was extra tired and began to complain of itching under the chin in the evening. Friday morning he woke up and had what he described as itchy/painful raised, red patches of skin on his right collarbone, under his chin, across his face (right cheek, temple). His temperature was about 100* and he was, quite frankly, pretty miserable. These weren't little skin irritations, they were giant patches of inflamed tissue covering the better part of each cheek, his temple, under the chin and then in smaller spots on his collarbones and back. Saturday the rash moved to cover the left side of his face, and the left collarbone. (And no, for the record, I did not switch laundry detergents, change his diet or anything like that.) As of today, 6/21 condition has improved but not fully resolved.

Rash shingles onset 6/17/2021. Fever started 6/20/2021, headache started 6/19/2021. Seen by pediatrician 6/21/2021. Negative Covid and negative strep test. Diagnosis: shingles

Pt states that they are having a hard time seeing. Pt noted to be diaphoretic and c/o N/V within 5mins of vaccination. @15:07 BP 84/39, HR 69-73, RR 20 -- > @1515 111/64, 74, 20, Temp 97.7 and 99% on RA. Pt given H2O, juice, and crackers. Pt states that they have a hx of anxiety w/ vaccines. Did not take any PO intake since the AM (vaccination @ 15:05). By 1515, pt states that they are feeling better. Advised pt to take next vaccine in observation room. Pt stable and released from the vaccination site @1535 w/ father. Pt was ambulating, speaking in full sentences.

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

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

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

ongoing, prolonged headache migraine started within 24 hours of vaccine, to date 19 days of headaches out of 20, same spot on forehead between eyes above, requires multiple doses of pain medication to subside the pain and has required migraine ( headache) cocktail of Benadryl/ ibuprofen/ Compazine on occasion to relieve pressure and pain of headaches, than it returns. Extenuating headaches after Pfizer vaccine, seems the vaccine has triggered a prolonged immune response we have yet been able to stop. Constant daily headache same area requiring more medication and lasting longer, some days after first does of tylenol he will need a 2nd dose of ibuprofen 4/5 hours later as the headache with first does of pain meds did not remove the headache. , achy pressure pain same with each headache, not sever pain but moderate and affects daily movements and activities as to not escalate the pain further, drinking multiple bottles of water and trying to stay hydrated along with medications trying to remedy the prolonged headache from the vaccine . Drs have very limited information on how to treat or handle prolonged headaches from vaccination, information on these events or recommended treatments not easily found.

Chills started at 12:20 am, followed by nausea and vomiting. This lasted for 5 hours. He also had a fever of 101.7 at the highest. This lasted for approximately 24 hours. He also had fatigue and lack of appetite. He was given zofran for the nausea and tylenol for the fever.

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

Headache; fatigue; aches in large limbs; fever; injection site pain-all mild to moderate; This is a spontaneous report from a contactable consumer or other non health care professional. A 12-year-old male patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection; Batch/Lot number was not reported), via an intramuscular route of administration, administered in left arm on 16Jun2021 at 09:45 (at the age of 12-year-old) as a single dose for covid-19 immunization at clinic. The patient medical history included ongoing seasonal allergy. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included oxymetazoline hydrochloride (CLARITIN ALLERGIC) taken for seasonal allergy (received within 2 weeks of vaccination). Since the vaccination, the patient has not been tested for COVID-19. The patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection; Batch/Lot number was not reported), via an intramuscular route of administration, administered in left arm on an unspecified date in May2021 as a single dose for covid-19 immunization and did not experienced any reaction. On 16Jun2021 at 23:00, the patient experienced headache, fatigue, aches in large limbs, fever, and injection site pain- all mild to moderate. Patient did not receive any treatment for the events. Events did not result in hospitalization. The outcome of the events was recovered on an unspecified date in Jun2021. Information about batch/lot number has been requested.

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

He says he woke up and couldn?t smell anything or feel textured with his fingers. He then threw up and got a headache and has a fever of 103.2.

Headache, Fatique, Diarrhea 4-6 times per day, Neck Stiffness and Pain (swollen lymph nodes), Low Grade Fever

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

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

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

nausea; fever; vomiting; chills; headache; This is a spontaneous report from a contactable consumer(parent). A 12-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on 17Jun2021 as a single dose at the age of 12-years-old for covid-19 immunisation. Medical history included crohns disease from May2018 to an unknown date and now he is currently in remission and doing well. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on unspecified date as a single dose for covid-19 immunisation and had no reaction. Concomitant medications included famotidine (PEPCID), vedolizumab (ENTYVIO), vitamin C and a probiotic all taken for crohns disease from an unspecified start date and ongoing. On 18Jun2021 patient experienced nausea and vomiting in morning and also had a fever, chills, headache. The outcome of the events was unknown. Information regarding the lot/batch number has been requested.

An hour after he received his vaccine, he began breaking out in large welts all over his body and got a headache. He has had a headache ever since he got his vaccine. He was seen at the pediatrician's office and was told he had an allergy to something in the vaccine and was not to receive the second dose.

After receiving the injection, within about 5 to 10 minutes patient felt dizzy and fell in his fathers arms. Patient did not pass out but was dizzy, clammy, sweaty and pain in his left arm at injection site. I called 911. 911 came within a few minutes since they are stationed across the street from us. The EMT took his vitals. Vitals initially low at 88/55 then climbed back up to 102/68. No fever. Patient started to feel better. EMT stated patient is ok and may have

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

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

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

About 52 hours after vaccine (2 days and a few hours) his neck started to ache. About 6:30 pm the evening of the 7th. The next morning ( July 8th) his neck still ached and we used a heating pad. No fever at this point. Then about 7:30 p.m. the evening of the 8th he complained of a headache, neck still aching and had a fever of 101.5 (this is the first fever we've recorded/known of).

Next day, developed high fever (104-105) for 2 days. 2 weeks later, developed Bell's Palsy (right-side).

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

Patient came in for second dose of vaccine. Patient and mother read and consented to the vaccination and read the prevaccination checklist. patient advised of potential side effects and recommendations of care for next few days (stay hydrated, possible soreness, take Advil or Tylenol for possible low grade fever or headache). Patient asked about hydration and meal prior to visit. Patient presented with nervousness/ anxiety and mother/ patient still consented to vaccination. vaccination was given, patient was taken to waiting area with crackers and juice given. while waiting the patient became diaphoretic. As patient walked to the back with mother to use restroom, patient showed signs of ataxia. patient was assisted into recovery position and never lost consciousness. Vital signs taken at 11:15 am BP: 99/45 (left leg), HR: 77, SPO2: 99%. Patient was fanned to cool off and decreased in diaphoresis. vital signs taken again at 5 min intervals. Patient monitored for 30 minutes, encouraged fluids with total intake of 700mL fluid. Last set of vitals taken while standing at 11:45 am were BP: 118/60, HR: 102, SPO2: 99%). Patient was given more fluids and monitored for 15 more minutes and then discharged from the clinic with parents.

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

Pfizer vaccine. Pt has had diarrhea since Sunday (7/11) morning. He was also very tired and sleepy on Friday (7/9) evening after the vaccine.

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

Okay so on July 4th 2021, he was fatigued and cranky and I did not realize he was sick. On July 5th 2021 he woke up with a sore throat and not feeling well, on that night he had a 102+ fever, congested and ill. This continued and on Tuesday morning when he woke up, nose red and could not breath out of it. The fever broke on Thursday and he had been treated with Tylenol, Ibuprofen, fluids, Flonase and rest. I tried to help him with steam, to steam out so he could breath better. We did a rapid Covid test on the 6th of July which was negative. On the 9th and 10th he was still tired and had congestion, but on late on the 8th of July the fever did break. He was just miserable, he slept most of that week. He did not have body aches, so I don't think that he had the flu.

After waiting 15 minutes after administration of vaccine., the patient and mother came back to pharmacy window . The mother state the son complained of pain in his throat while walking towards their car. I had them sit for additional 20 minutes and having some water. Child stated he felt better. Child could breathe well . no itchiness.

Patient was given a Pfizer dose that was diluted with 0.9 mL of 0.9% NaCl instead of 1.8 mL of 0.9% NaCl. Patient experienced fatigue starting 07/11/2021.

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

tiredness; weakness; head is burning; fatigue; drooling; hives; itching; redness; gained weight since the vaccine; This is a spontaneous report from a contactable consumer (patient's mother). A 12-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: ER8729; Expiration Date: 31Jul2021) via an unspecified route of administration, in left arm on 27May2021 (at the age of 12-years-old) as dose 1, single for covid-19 immunisation. Medical history included patient had an allergic reaction to penicillin before. The patient's concomitant medications were not reported. The patient had a meningitis vaccine a month before the covid vaccine. Patient's mother was calling on behalf of her 12 year old son. She stated her son received the first dose of the Pfizer COVID vaccine on 27May2021. On 27May2021,6 hours after receiving the vaccine the patient said he was very itchy and had hives on the left side of his chest. At first she thought the patient had poison ivy because it was like 3-4 inches across. The next day the patient said he was itchy when he sat up and it went up onto his neck and cheeks and that's when she realized it was hives. She called the doctor, applied cold compresses to the patient and gave him Benadryl. The hives resolved very quickly, the patient has never had hives or an allergic reaction before. By 2:30 the patient had the Benadryl and you couldn't see the red anymore. The patient could sit up but kept saying it itched and that went on for about 48 hours. You would have to look pretty closely to see the bumps. One week after the patient received the vaccine he was really weak and tired (on 03Jun2021). She stated her son also keeps having episodes of tiredness and weakness. It felt like the patient had been exercising and his legs were tired and his head felt like it was burning (on 03Jun2021). The patient's temperature was 97.7. The patient laid down and he slept pretty hard, and was drooling, for a couple of hours. When the patient woke up he didn't know where he was, the time or date and within a couple of hours the patient was fine. She didn't think anything of it the first time it happened. This event happened again 2 weeks after the vaccine. The doctor said they symptoms sound like mono but the patient's lymph nodes aren't swollen and he doesn't have a sore throat. The doctor thought the patient was having a delayed immune response to the vaccine because of the timing of it. The doctor said that by 3 weeks this should have resolved. The patient has had 2 mild episodes of this since, but he didn't go to sleep he just laid down. The doctor said to wait to get the second dose, so now it is 4 weeks since the first vaccine. The patient was at the 30th percentile for his height and average for his weight. The patient had gained weight since the vaccine but his mother didn't know if that was related to the vaccine. She was afraid of the patient having myocarditis with the second dose. The patient went to sleep after taking the Benadryl last time and she was afraid that the patient won't be able to tell her if he was having chest pain or problems breathing. She stated if his reaction was just hives she would give him Benadryl but with the risk of myocarditis after being given Benadryl he wouldn't be alert enough to tell her if something was going on with his heart due to him having fatigue as well already. The redness went away within 24 hours and the itching was gone in 48-72 hours. The redness was gone the evening of the 28th. The patient could still see and feel the bumps, the bumps were just white. The patient's head was burning happened the first 2 times he had these events. The patient's temperature was 97.7 and 98.1 fahrenheit when this happened. The other two times the patient said his head burned between his eyes and not like a headache. The doctor said that if the fatigue symptom continued he would recommend doing some blood work but since it has gotten better his mother may take him to an allergist. She thinks that the patient may be allergic to something in the vaccine. she was thinking of taking him to an allergist to see if he was allergic to one of the ingredients in the vaccine. She stated from the list of the ingredients the only ingredient she found that could be linked to the vaccine that could cause an allergic reaction would be PEG. She stated her son never had any allergies to medications or vaccines in the past. She stated she was not sure what advice should be given regarding her son receiving the second dose of the vaccine due to him having an allergic reaction to the first dose and tiredness and weakness. She stated she was not sure of the risks of vaccine versus him not being vaccinated. She would like to know if he should receive the second dose after experiencing side effects with the first dose. Reporter seriousness events was unspecified. Outcome of the events hives and itching recovered on May 2021, redness recovered on 28May2021, event tiredness and weakness was recovering and for other events was unknown.

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

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

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

Pt is Spanish speaking. Came in for Covid Clinic at 2pm. Our Weis Markets intern gave the vaccine. Dosage given was 0.6ml. Pt was monitored for 30 mins after the vaccine was given. Pt was called at 8pm and still had not displaced adverse reaction to the vaccine. Pt was called again at 9:30am on 7/21/21 for update. Pt stated he woke up with a mild headache but the headache was gone. I asked his mom to take his temperature while on the phone. Temperature read 97.8 - pt has no fatigue or muscle pain at this time.

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

high fevers 104 very swollen tonsils and sore throat extreme tiredness/sleeping constantly Dr. assumed Strep throat and started on Amoxil July 6th. Finished the 10 day course of treatment. Condition worsened and Dr. started on Keflex July19th. No improvement and was seen in urgent care July 21st. Fever of 99.6 at urgent care and heartrate of 132 and very lathargic and weak.. It is determined that he has mono. He has had mono before but it is explained that possibly the vaccine triggered it to be reactivated in his system. He is on steroid as of July 21st to try to decrease the inflammation.

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

Low grade fevers, headache, body aches about 12 hrs after shot given- Tylenol given around 4pm - symptoms improved

potential not to get the second shot; headache; neck ache; fever; throwing up; This is a spontaneous report from a contactable consumer (grandparent). This consumer reported for a 12-year-old male patient (grandson). A 12-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration, administered in Arm Left on 07Jul2021 11:30 (At the age of 12 year old) as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Caller called on behalf of his grandson (12-year-old) who received the first dose of the Pfizer Biontech COVID-19 vaccine and on the same day he got the shot, he experienced headache, neck ache, fever, and throwing up on 07Jul2021. Stated that the headache gets better and comes better. Stated that it was tolerable and comes back. Stated that the fever comes and goes. Started throwing up 2-3 days ago. She wanted to know if those side effects were related to the COVID19 vaccine and if she needed to go to the doctor and if he could get the second dose. Caller also stated that the side effects outweigh the COVID shot, I do not want my grandchild to suffer like that. Vaccines were supposed to make you feel better, not sick. Caller asked if the vaccine was tested on children and if they had side effects. Wanted to know if she needed to go the doctor because he cannot live throwing up all the time. Stated that he had never been sick before. Stated that he was only 12 years old. Does not think that vaccine was adequate for children. Therapeutic measures included Ibuprofen for his headache and fever. Stated that he had cold compresses for the neckache. Stated that he had ginger ale and Pepto Bismol for throwing up. Outcome of the event headache and throwing up was reported as not recovered at this time of the time. Outcome of the event neck ache was reported as recovered on 11Jul2021. Outcome of the event fever was reported as recovering and outcome of the event potential not to get the second shot was reported as Unknown. Information about the lot/batch number has been requested.

Pt presented to the ER 7/11/21 with joint pain in bilateral arms, left hip, and posterior knees, and 1 episode of SOB for over a week. 3 weeks prior he reported having a fever and headache but that resolved. Pt at this time was Diagnosed with Rhabdomyolysis

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

First dosage: sore arm Second dosage: Headaches, chills, nauseated, lump under left arm pit, and sore arm

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

Vomiting; Low blood sugar; unable to walk without help even sitting in wheelchair; Rash; had reaction to vaccine; Headache; Having hard time eating and drinking; This is a spontaneous report from a contactable consumer (parent). A 12-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection and Batch/Lot number was not reported), via an unspecified route of administration on 14May2021 (at the age of 12-years-old) as dose number unknown, single for COVID-19 immunization. Medical history included Immunodeficiency and Gene mutation. The patient's concomitant medications were not reported. Reporter stated, her child had his Pfizer vaccine (COVID vaccine) on Friday (14 May 2021) and he was fine on Friday, Saturday and Sunday but on Monday patient experienced vomiting, took him to the Hospital of (withheld), he had low blood sugar, he had rash, (headache) and was unable to walk without the help even sitting up in the wheelchair and patient is having hard time eating and drinking as of now. The outcome of the events was reported as unknown. Information about Lot/Batch number has been requested.

Swallowing problems, soreness in throat and only drinking nutrition for the past month. No solid foods. Lost 25#

Tiredness; Loss of appetite; lack of energy; Chills; Fever; Soreness at the injection site; Warmness at injection site; difficult to lift his arm; This is a spontaneous report from a contactable consumer (parent). A 12-year-old male patient received (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot number: EV00191) via an unspecified route of administration in left arm on 22May2021 at 11:00 (age at vaccination 12-year-old) as dose number unknown, single for Covid-19 immunization. The patient's medical history was none. The patient's concomitant medications were none. The patient previously took Flu vaccine, 2 years before, onset Age was about 10 years and experienced flu symptoms. Patient was healthy, no allergies and no medical history. Not even regular vitamins. Patient did not receive any other vaccines on same date of the pfizer suspect. Patient did not receive any other vaccines within 4 weeks prior to covid vaccine. Patient's mother was a bit concerned. He was doing great and then on 23May2021, Sunday onwards he had chills. Then he had a temperature of 100 and she gave him plain acetaminophen and Sunday onward 6 or 7 hours onward he kept getting chills. On 23May 2021, for six to seven hours, he had chills. There have been temperatures of 90 and she has to give him a blanket or heater. It was more or less the same today 26May2021 Attempted to clarify that the caller stated the intensity was a little less. Caller confirmed. She thought it was a normal reaction and waited patiently for 3 days. She was not allowing the temperature to go up as soon as he gets chilled and breaks into fever, she checked his temperature and it was always less than 100 like 99.9 or 99.7 Fahrenheit, axillary. Then he broke into a sweat and feels a little better. He also had tiredness and loss of appetite on 24May2021. She also reported that on 22May2021, his arm was sore and difficult to lift and then it disappeared in one or two days. He took the vaccine on 22May2021 in the morning and then by Monday symptoms were gone, the soreness, and warmness at injection site. Patient experienced tiredness on Monday 24May2021 in the morning after fever, the lack of energy and tiredness started. On 24May2021 patient experienced loss of appetite. His breakfast, lunch or dinner reduced to one fourth. On 22May2021 in the morning started in the evening, around 6 or 7 o'clock, patient experienced soreness at the injection site. On 22May2021 in evening, patient experienced warmness at injection site. The time range for adverse events was 3 to 5 days. 3 days of fever no one gives her answers. Pediatrician says wait and after 4 or 5 days they look into it. Adverse events did not result into emergency room visit and physician office visit. Treatment received for chills was gave acetaminophen every 6 to 7 hours. Treatment received for fever was Tylenol every 6 to 7 hours. Treatment received for tiredness and lack of energy was keeping him hydrated and his appetite was quite less and she was giving him lemon juice keeping fluids. Treatment received for event warmness and soreness at injection site was gave him ice and it helped a lot localized. Patient did not receive any treatment for event loss of appetite. The patient underwent lab tests and procedures which included fever was 99.9 and 99.7 Fahrenheit on 23May2021. The outcome of event chills was unknown. the outcome of event pyrexia, tiredness, loss of appetite and lack of energy was not recovered. the outcome of event soreness and warmness at the injection site and difficult to lift his arm was recovered on 24May2021. No follow-up attempts are possible. No further information is expected.

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

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

Immediate reaction in left arm site of injection deep red rash, skin blotching non-itching . Neck and face rash. Deep purple rash in both feet and toes. Given 25 mg Benadryl po with resolution of rash in 3 hrs. C/O headache and nausea.

PATIENT'S PARENT ADVISED TO PHARMACIST PATIENT HAD FAINTING/PASSING OUT SYMPTOMS IN PAST WITH AN HPV VACCINE. PHARMACIST HAD PATIENT REMAIN SITTING AFTER VACCINATION. WITHIN A COUPLE MINS, PATIENT'S MOM FLAGGED DOWN PHARMACIST, REPORTING EXTREME SWEATING, NAUSEA, TROUBLE SEEING. PHARMACIST CALLED 911 AND EMS ARRIVED WITHIN 10 MINUTES TO MONITOR VITALS. PATIENT WAS RELEASED FROM EMS CARE AND ABLE TO WALK/LEAVE PHARMACY WITHOUT AN ISSUE.

After waiting the 15 minute period, we left the vaccination site. 5-7 minutes later patient began coughing and had watering eyes while describing an itchy throat. Itching sensation continued, along with the coughing, intermittently for about 15 - 20 minutes. We had liquid Benadryl in the car and gave patient one dose of the appropriate amount. Symptoms were already beginning to subside when Benadryl was given and Benadryl was precautionary.

Nausea starting at noon on 5/17/2021. Vomiting grade 1/2 at 1AM 5/18/2021. Fatigue/lethargy/lack of appetite throughout.

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

Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Mild, Additional Details: administered vaccine at 2:56 pm. within 5 minutes patient had loss of color, sweating and felt dizzy. Patient laid on the bench and was responsive the entire time. Called EMS at mother's request. Patient walked out of the store with mom and EMS and seemed fine. Spoke with father about 20 minutes after patient left and he said he was ok. He said he will follow up with us if anything changes.

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

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

Experienced 102 fever 24 hours post dose, 48-72 hours extremely painful and swollen left lymph node--still experiencing this, extreme fatigue.

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

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

Patient has hx of breaking in sweat and getting dizzy Patient received vaccine on cot Patient has these symptoms currently

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

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

Within minutes of getting his vaccine, he felt his throat tighten with mild itching of his throat. He was assessed with normal vital signs, no wheeze, no emesis, no rash. He felt better quickly without intervention. He was observed for 45 minutes and we practiced some calming visualization strategies.

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

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

Patient took his daily Zyrtec for environmental allergies and that was 4 hours prior to vaccine. He started complaining at 12:22 am on May 15, 2021 (13 hours after vaccine of a slight headache. We did not have Tylenol so gave him 4 chewable aspirins. Shortly after taking the aspirins, i.e. 20 minutes he started having involuntarily muscle tremors in his legs. I gave him 20 ml of Benadryl at 1:04 am and by 1:16 the tremors stopped and he told us that he felt completely fine. He slept soundly after the Benadryl. I think he is allergic to aspirin as he has never had it before.

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

Pt c/o lightheadedness, dizziness, flushing/sweating, nausea. Pt vomited 200mL digested food. Pt given PO fluids. BP 93/42, HR 66, RR 20 -- > 105/57, 59, 18 -- > 108/60, 65, 16 -- > 109/68, 68, 16. Pt was COVID positive Jan 2021 (s/sx body ach). No h/o fainting with vaccines or blood draws. Pt's symptoms resolved after drinking water and laying down with knees bent. Advised taking 2nd dose supine.

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

At first patient was fine just sore arm. Approx 2pm the next day we were at Aunt's house & he became very sleepy and fell asleep outside. I nudged him to see if he was okay and he couldn't lift his head up all he said was "I hate you" (he didn't want the shot and I had a feel well) I kept nudging him to go inside and he didn't react. Finally after 25 min I had my brother in law carry him upstairs. He didn't wake up for it (the kid is 13 that never happens). Every hour I checked on him and he wouldn't wake up. I am a nurse do figured the shot made him tired but I did start to get anxious I even sternal rubbed him and he reacted to pain but would not wake up. Finally around 445 I told my husband we need to make him drink something and I stood him up he would not wake up. I was trying everything but we got him up enough to gulp down some gatorade. We put on his sneakers and he basically sleptwalked down the stairs went right to car and fell asleep again. It was like he was too tired to stay awake. We got him home and around 515 kept him sitting up in kitchen. Took him about 20 min to fully open eyes and wake up. When he was fully awake he said it was like the shot moved from his arm to his whole body when it happened and that was it. He was sore and achy after that and even today to generalized body. But he was fine as far as not lethargic after.

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

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

Pt brought to obs room after getting vaccinated. Pt vomited, flushing, sweating. BP 103/61, HR 67, RR 14. 12min later, pt reports feeling better w/o symptoms. Able to drink 16oz of water. Pt reports fear of needles. Educated pt to let staff know for 2nd dose to be taken to obs room for vaccination. Pt and family verbalize understanding. Pt stable and released from vaccination site w/ family.

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

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

He started vomiting just before midnight and he was vomiting violently for about 6 hours. The next morning, I kept him home. Vomiting was slowing down. There was no fevers as of yet. He was very tired. He started having abdominal pain. We made an appt with the doctor. The next day, he started having fevers to 101.9. I gave him Motrin and that brought the fever down. He started food and drinks again. The day after all of his symptoms resolved.

very dizzy starting 05/19/2021 upon awakening almost one week since covid vaccine; pt switched his clonidine paltch to a new patch and put it on the same arm that received the vaccine; over the area where received his shot and within 2 hrs began to feel very sleepy and very dizzy ; went to dr yest and bp 82/58; dad to provide more info so that VAER can be done it was a new box of patches ; looked same as always ; took patch off 5/19 around 530 pm; seemed to wear off 30min later; and started to feel better and less dizzy ; and tic symptoms increased. Needed to take 0.1mg tab at bedtime to sleep next day dizziness "barely there" has been drinking approx 4 waterbottles per day and eating well

Patient was given the shot at 9:36 am and was asked to sit down for 15 minutes to watch how he reacts with the vaccine. He had been very nervous and anxious before getting the shot because he never had a shot before and was afraid of needle. After around 5 minutes, his dad notified me that his son had upset stomach. I asked the patient if he ate or drank anything in the morning. His dad and he confirmed that he didn't eat or drink anything (because dad thought that he should not eat anything before getting the shot like getting blood drawn). He confirmed that he breathed okay and didn't have swelling of lip and throat. His father told me that his son did feel a little bit dizzy and sweating. Since the clinic is full of patients and humidy, I told him and his dad to sit in a room in clinic without patients and bring a fan to the room. After 15 minutes (around 9:51am), after drinking water and eating a banana, all the side effects were gone. He felt better, and he could watch videos/games and have full focus. At 10:24 am (which was more than 30 min resting in clinic), his father and he confirmed that he was feeling better and didn't have any side effects and decided to leave the clinic and go home.

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

Was fine the night before. Woke up and his eyelids were swollen and his lips were swollen. Immediately, my wife called Telehealth and described the situation. They said to get him some Benadryl and we gave him that. He also had a headache - we might have give him a Tylenol. With Benadryl - he took four or five doses according to the protocol on the Benadryl. He did not go to school. The next day, he was swollen but not as bad. My wife bought him Claritin and he didn't do anything because he didn't know which to take (Benadryl or Claritin). His swelling went away quite a bit that day without taking anything and he went back on Wednesday -there was still a little bit of swelling but not much. He wasn't feeling great though that whole week. He was still tired and was a bit headachy until Friday or so. Somewhere on the weekend he felt back to himself. He is due for second vaccine this weekend and we aren't going to have him take it then. We're concerned and have decided to hold - the physician said he shouldn't have had a COVID vaccine two weeks before this Pfizer one (he received the Varicella) on the 29th of April- -Dr said it should have been a month or so of waiting still before he had this vaccine after that.

5/23-5/24, nose pain, swallow inside and under nose, fever, joint pain, muscle sore and headache 5/25-5/31, nose pain, infection area developing, fever, headache visited urgent care on 5/28, prescribed cephalexin (keflex) and mupirocin.

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

High fever of 103.9 approximately 27 hours post vaccine. Fever was hard to treat and bring down. Finally after about 5 hours was reduced to 100.9. Woke the next morning with a 100.9 degree fever.

Patient became dizzy/started losing his vision fairly quickly after receiving the vaccine. He kept repeating he couldn't see. He stumbled forward then fell down. Patient did hit his head. Store associate got him up and into a chair and started asking him questions. Mom stated he had just received vaccine. They were not told by the pharmacist on duty to stay to be monitored for 15 minutes after. He did say that he had a headache. Gave the patient some water, had him move his arm around, and monitored patient until pharmacy closed.

Sudden chest pain radiating toward armpit; Dizzy; Sweaty; Rapid pulse rate; Nausea; This is a spontaneous report received from a contactable consumer (patient). A 13-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), via an unspecified route of administered in left arm on 21May2021 13:30 as single dose for COVID-19 immunisation at School or Student Health Clinic. Medical history was reported as none. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient did not diagnose with COVID-19. Since the vaccination, patient had not been tested for COVID-19. The patient did not receive other medications within 2 weeks of vaccination. The patient's concomitant medications were not reported. Patient had no allergies. On 21May2021 22:30, the patient experienced Sudden chest pain radiating toward armpit, dizzy, sweaty, rapid pulse rate, nausea. The symptoms resolved after about 10-15 minutes. This repeated a second time on Saturday 22May around 4 pm. Repeated a third time on Sunday 23May around 3 pm but was less in severity. Lot number on card not clear but appears to be EN0185 or EW0185. The events assessed as non-serious. No treatment was received for the events. The outcome of the events was reported as unknown. Information on the lot/batch number has been requested.

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

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

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

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

Site: Pain at Injection Site-Mild, Systemic: Abdominal Pain-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Medium, Systemic: Nausea-Mild, Additional Details: Patient felt light headed, nauseaous with abdominal cramping and little confusion. He felt exhausted. Called ambulance and paramedics monitored the patient's vitals and send him after he felt better

Woke up with headache at 9am. Fatigue, achy, sweats and chills starting around 10am and ongoing at present time of 245pm. Vomiting three times (as of now) between 12pm and 245pm.

Pt felt feverish and lightheaded within 5 minutes of vaccine. He experienced sweating and chills. Administered one dose of acetaminophen. Pt was monitored for 30 minutes and felt better prior to leaving. We followed up later in the day and he did not experience any further symptoms.

Body aches, nausea, lethargy, decreased appetite, possible fever, sleeping difficulties approx. 24 hours

Small rash developed near his lip; excessive tiredness; he wasnt able to eat.; This is a spontaneous report from a non-contactable consumer (parent, caregiver). A 13-year-old male patient (reporter's son) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot/batch number unknown) via an unspecified route of administration in May2021 about one week ago at 13 years old at 1st dose, single for COVID-19 immunization. The patient was a special needs child who was non verbal autistic. Concomitant medications were not reported. The patient experienced small rash developed near his lip last Thursday (20May2021) and by the weekend (May2021) he was not able to eat. His mom took him to see hcp and antibiotic cefalexin (CEPHALEXIN) was prescribed which was helping. The patient was having excessive tiredness on May2021 but was unsure if related to covid vaccine. Was it common to have excessive tiredness one week after the covid vaccine? Therapeutic measures were taken as a result of small rash developed near his lip, and he was not able to eat. The outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Patient received vaccine on 6/4/21 at 2:30 pm. Patient woke up early (before 6 am on 6/5) and complained of headache and feeling tired. Patient had fever that reached as high as 101F at 2 pm. Patient felt chills and sweats while he had fever. Patient felt better by 9:00 pm with fever down to 99F. Fever was resolved by morning of 6/6/21. Patient also had moderate pain at injection site and swollen lymph nodes in left armpit (injection side). Patient slept during the day on 6/5 and drank extra water and fluids during the day. No other treatment was provided.

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

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

Fever - up to 102 - lasted until yesterday - it was back down to normal yesterday. He has had a sore arm - at injection site; the arm also was hard - a lump that was a little bit palpable - which is gone now; - body aches - gone now, chills, difficulty swallowing. He didn't have trouble breathing, but he felt his throat tighten when he swallowed (still has this); upper right abdominal pain - that is the real bad symptom still. His eyes hurt when he moved them around. Fatigue. He's been glued to the couch since Friday. I had given Advil and Tylenol. After the prolonged fever, I eventually called into the doctor's office. The pediatrician said it was common and said to wait it out but seek treatment if it got worse. He is able to eat but is awful nauseous. He is eating what sounds good. The pain stays the same when he eats.

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

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

Fever, chills, headache, difficulty hearing starting the night of the shot and so far the next day as well. Given Tylenol every 6 hours.

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

"Pfizer-BioNTech Covid-19 Vaccine EUA" Severe Soar Arm Pain In The Injection Area Fever Of 102.3 started at around 2 A.M

Rash on chest and back still present, gave antihistamine allergy medicine. Headache, stomach ache, body ache, injection site soreness, still ongoing

Auditory and visual hallucinations, confusion, headache. Symptoms waxed and waned for approximately 15 hours and were preceded by chills, mild fever, myalgias, malaise and anorexia.

He had hives all over his torso and legs,. Gave him a dose of Benadryl and within a few hours the hives were gone. He continued to have soreness in his arm and felt achy and not well for two days following the shot.

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

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

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

13 year old male received Intramuscular Pfizer vaccination (Lot# EW0191) in right deltoid on June 9th 2021 at 12:44pm . At approximately 1:00pm the client complained of headache and dizziness to his guardian. (Name) who has her BSN in nursing and her interim permit at observation went over to assess the patient with other onsite staff. The patient denied difficulty breathing. Patient was oriented x 3 with stable vital signs. Vital Signs were taken at approximately 1:00 pm Pulse 58; RR: 12; B/P: 113/67; O2: 100%. Second B/P was taken at 1:19 pm and was 129/79. Client stated he ate breakfast today. No medication was given. Denied having difficulty swallowing. Water was provided. The client stated he was feeling better and after waiting an additional 20 minutes left home with his guardian.

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

numbness in fingers with contraction. lips and tongue swelling. later on with aphagia. next day with low grade fever

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

Bad rash all over torso and both arms (not head or legs). Mild fever. Lethargy. Muscle pain -- especially neck and left ear. Rash was red bumps like Chicken Pox/Shingles -- about a hundred of them, not particularly itchy. Patient has had full course of all recommended childhood vaccines, but none recently. Symptoms started to subside on third day. Ibuprofen reduced aches. After fourth day, bumps are still visible but fading and causing no more discomfort.

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

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

Vomiting, can't eat or drink without vomiting 1 day after shot. When tried to eat, vomited repeatedly. Other symptoms include fever, achy limbs, and a severe headache and sleepiness.

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

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

Headache; Arm hurt; This is a spontaneous report received from a non-contactable consumer. A 13-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 03Jan2021 as unknown, single dose for COVID-19 immunisation (Age at the time of vaccination 13-year-old). The patient medical history and concomitant medications were not reported. It was reported that, the patient had COVID shot on 03Jan2021, on the next day (04Jan2021) patient arm hurt with headache. Cleared by next day. The outcome of events was recovered on 05Jan2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

inflammation in his intestines and his stomach; petechial rash on his legs, which is still getting a little bit worse; HSP; stomach pain/extreme stomach pain started again and so on/intermittent stomach pain/lower left abdominal pain; lower left abdominal pain and he doubled over in pain and started vomiting; Caller states again he had intermittent pain throughout the day; vomited about three times in total, it wasn't like excessive vomiting; didn't feel well/feel sick again; This is a spontaneous report from a contactable consumer (patient's parent). A 13-year-old male patient received the first dose of BNT162B2 (PFIZER COVID-19 VACCINE, lot number: EW0164, expiration date: 31Aug2021), at the age of 13 years old, in left arm on 14May2021 16:00 at single dose for covid-19 immunisation. The patient medical history was not reported. The patient was a normal 13 years old, he doesn't take anything, he's active. The patient did not receive any other vaccines within 4 weeks prior to vaccination. The vaccines administered on same date with BNT162B2 was none. The previous immunization with the Pfizer vaccine was none. The patient previously received the flu shot every year and experienced no adverse event. On 16May2021, about 48 hours after the vaccination, the patient started having stomach pain in the middle of the night. It began 16May2021 in the evening and into 17May2021, the patient was having stomach pain and not feeling well. Reporter stated the patient woke her up. Reporter stated they thought it was some food he ate. Reporter stated they tested his covid antibodies and they also personally at home on 17May2021 night, they tested him with a home kit for covid just to double check because nobody really brought it up and it was negative also. Reporter confirmed the home covid test was done on 17May2021. Reporter stated there was no known exposure, they just did it to make sure he didn't have covid. The patient was taken to the emergency room on 18May2021. Reporter stated they were waiting because patient felt good during the day and they thought nothing was wrong, but then the extreme stomach pain started again and so on 18May2021, she took him to the local emergency room. Reporter stated they didn't do much other than push on his stomach, she was worried about appendicitis. Reporter stated they didn't worry too much, but she thought maybe it was his appendix. The doctor examined him and said he had a stomach issue and released him with medicine and that was the 18May2021. On 19May2021 and 20May2021, the patient would get intermittent stomach pain, again thinking it was a stomach bug or something. On 20May2021, the patient experienced petechial rash on his legs. Reporter called the pediatrician and again the patient was having intermittent stomach pain and kept having it intermittently. The patient would feel fine then feel sick again then on the 22May2021, the patient had more bad stomach pain and some vomiting so he wound up back in the emergency department, it was a different one than the first on 22May2021. The patient did a lot of blood work, his labs came back good, but he did not do a CAT scan, but reporter tried to do everything else, tested patient for covid, antibodies and everything and they sent him home again on the 22May2021. The patient had intermittent pain again throughout 23May2021 then on 24May2021, he went to visit the pediatrician just for a visit and they were thinking its Henoch-Schonlein purpura (HSP) which is an autoimmune response and they still didn't have a diagnosis for his stomach. Reporter stated patient was perfectly fine at the pediatrician, then when they got home, he started having lower left abdominal pain and he doubled over in pain and started vomiting. The patient vomited about three times in total, it wasn't like excessive vomiting. Reporter stated the pain would bring it on, he does have a rash, which is still getting a little bit worse. Reporter stated they took him back to the emergency room, they did a CAT scan and that showed he had inflammation in his intestines and his stomach so they kept him in the hospital. The patient was admitted on 24May2021 when he visited the emergency room for the third time. Reporter stated because patient was in pain, they admitted him to watch him. Reporter stated they were worried about the patient having intussusception with the bowel, where his bowel can go inside each other and can create a blockage, so they wanted to admit him to make sure that didn't happen. Reporter stated the worst of the stomach pain was on 25May2021, which would have been at 19:00. The patient had not had an episode since then, he hadn't had an attack like that since. The whole week before from 17May2021, or the 16May2021 when it started through 25May2021, it was very intermittent of a lot of pain. So far, knock on wood, the patient hadn't had it since 25May2021 at 19:00 and hopefully tonight it won't happen. Reporter stated it will be about 48 hours of not having the bad pain. Reporter stated he still has some pain, but not like where she had to rush him to the emergency room. The patient's vomiting ended on 24May2021 or 25May2021. He had recovered completely from vomiting so far. The patient was released on 26May2021 with a diagnosis of HSP, which was an auto immune response, and he'd never had this happen before. Reporter stated if she googled HSP, it said it can still get worse, but it was not the worst case of HSP. Reporter stated the patient has never had anything like this before, he was perfectly fine, they made it through covid and didn't get covid and he is a healthy kid so she thought Pfizer should know. The outcome of the events HSP, stomach pain, petechial rash was not recovered. The outcome of vomiting was recovered on 24May2021 or 25May2021. The outcome of the events inflammation in intestines and stomach, didn't feel well/feel sick, intermittent pain and lower left abdominal pain was unknown. No follow-up attempts are needed. No further information is expected.

Fever like 101.44; This is a spontaneous report from a contactable consumer or other non hcp. This consumer reported for a 13-year-old male patient received bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: EW0178, Expiration date: unknown), via an unspecified route of administration, administered in left arm on 03Jun2021 as 2nd dose, single dose for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. He was a healthy kid before vaccination. Patient received dose 1 of bnt162b2 on 13May2021 for Covid-19 immunization and experienced mild side effects. On 03Jun2021 the patient experienced fever like 101.44. He started running fever after second dose of vaccine. The patient underwent lab tests which included body temperature 101.44 on Jun2021. Therapeutic measures were taken as a result of fever like 101.44 includes Its going down with Ibuprofen and Acetaminophen that seemed to get under control, but it kept coming back and the reporter just didn't know that was something normal that she should expect. Reporter was just curious that her 13-year-old got his second dose of Pfizer on 03Jun2021, so its 06Jun2021 and he was still running a fever like 101.4. The outcome of fever was not recovered.

His son had a weepy nose (runny nose)/A lot of sniffing; This is a spontaneous report from a contactable consumer (parent). A 13-year-old male patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: UNKNOWN), via an unspecified route on 07Jun2021 (at the age of 13-years-old) as 2nd dose, single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received first dose of BNT162b2, via an unspecified route on unspecified date as 1st dose, single dose for covid-19 immunisation. On 07Jun2021, the patient experienced a weepy nose (runny nose)/a lot of sniffing. Caller advised that her 13 year old soon to 14 year son got his second dose today and he is okay but he has a runny nose and a lot of sniffing and she wanted to know if it would be alright to give him Benadryl. The clinical outcome of the his son had a weepy nose (runny nose)/a lot of sniffing was unknown. Information about batch/lot number has been requested.

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

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

injection site pain, headache, daytime sleepiness, sleep excessive, sore throat, swallowing difficult (because of throat pain), difficulty talking because of pain, lethargy, nasal stuffiness, nasal drip, swollen cervical glands, cough lasted 5 days, left cheek swelling

13 yo M with a history of autoimmune hepatitis who presents with 1 day of fever, headache, altered mental status, and vomiting. He received his 2nd Pfizer Covid vaccine on 6/12 and began having symptoms the next night. He began taking ibuprofen for headache and fever. His symptoms worsened through the day until he had vomiting. He was saying strange things and behaving oddly. He became very hot and agitated at home, prompting mom to bring him into an outside hospital ED. There, rectal temperature was 106F and he was noted to be combative. A CMP was obtained, which was mostly normal. CT of his head was obtained, during which he had an episode of left upper extremity shaking concerning for seizure. He was reportedly alert throughout. Patient is a 13 yo M with a history of autoimmune hepatitis who presents with 1 day of fever, headache, altered mental status, vomiting, found to have cerebral edema and elevated CRP. There is no acidosis, elevated lactate, or metabolic derangement, and utox is neg. The etiology could be related to the vaccine. Ingestions are also possible given the high fever and altered mental status - particularly serotonin syndrome. Infectious etiologies are also possible given the fever. Treatments: hypertonic saline given x1 EEG started Tox screen negative Ceftriaxone and vanc given

Pfizer-BioNTech COVID-19 Vaccine EUA Injection site pain - started 1hr after shot, lasted for 2 days Tiredness - started 4 hr after shot, lasted for 2days Headache - started 1.5 hours after shot, lasted until next day morning Fever - started morning of the day after shot, lasted until same day evening

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

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

About 1 hr after the vaccine, he started to have left eye blind spot, circular. Also had mild vision change on the right but not as severe as left. Unable to see details of image. 2 hrs after receiving vaccine started to have headache on right temple.

During the night that he got the vaccine my son woke up with hives and I gave him some Benadryl. I gave him his rescue inhaler in the afternoon. He has not used his inhaler for over a year. The next day he had hives were much worse and his fever was going up. The hives were worse on his left arm and his arm was red around the vaccination site. He also had swelling in his face and he was having a little trouble breathing. I gave him Benadryl and Zyrtec which helped as well as Pepcid. The breathing difficulty subsided after that. He got a different rash on his back that was different from the original hives. We continued the medications and he was still Febrile until the sixth day. The sore throat is still present after nine days but the fever and hives are gone.

Inappropriate age at vaccine administration; fever at 100.2F; Pain in arm; headache; nausea; This is a spontaneous report from a contactable consumer or other non HCP. A 13-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0167) intramuscular, administered in Arm Left on 15May2021 17:00 (at the age of 13-years-old) as 1st dose, single dose for covid-19 immunisation at store. The patient had no other medical history and no known allergies. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No any other medications the patient received within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. On an unspecified date of May2021, the patient experienced pain in arm, headache, nausea, fever at 100.2F. The patient did not received treatment for the adverse event. The outcome of the events was unknown.

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

This is a spontaneous report from a Pfizer-sponsored program. A contactable female consumer (patient's mother) reported that a 13-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number not available), via an unspecified route of administration on 16May2021 at 12:30 PM (at the age of 13 years old) as first dose, single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced pain at the injection site, vomiting and feeling tired on 16May2021. The reporter said that her son's second dose was scheduled on June 6, 2021. The outcome of events was unknown. Information on the lot/batch number has been requested.

Headache, extreme fatigue, disconnect with reality. Stopped communicating; developed paranoia, began to have self neglect, not caring for self ir doing normal Hygiene Within days had visual and tactile hallucinations, flat affect, began cutting self.

Immediately had an pain at injection site, then 16 hours later had moderate to severe pain requiring ibuprofen, repeated ibuprofen 6 hours later and then again 6 hours later for arm pain. Generalized fatigue and headache throughout starting 16 hours out from vaccine.

feeling horrible; Since the first dose he woke up with what mother states is herpes zoster on his lips; Arm hurt; headache; Tonsils hurt; didn't feel well; This is a spontaneous report from a contactable consumer (patient's mother). A 13-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), Solution for injection, Lot number: EW0167, expiry date: Aug2021), dose 1 via an unspecified route of administration, administered in left arm on 13May2021 at 12:15, as 1st dose, single for COVID-19 immunization. The patient's medical history and other allergies compromised immune status, respiratory illness, genetic/chromosomal abnormalities, endocrine abnormalities (including diabetes) and obesity were none. The patient's concomitant medications were not reported. The patient had no family medical history relevant to AE. The patient received no other vaccinations within four weeks prior to the first administration date of the suspect vaccine. No additional vaccines administered on same date of the Pfizer Suspect. On 13Jan2021 at 20:00, 8 hours after getting the shot, the patient experienced tonsils started hurting. He didn't feel well and had headaches. On 14Jan2021, he had some pretty bad symptoms on Saturday morning, he woke up with herpes zoster on his lips and his mother called to pediatrician and he was very dismissive about it and said that if the body was under stress it can come out, but he never had anything like this before. It looks like little pustules around his mouth and looks like when my mom had shingles. He did mention his arm hurt a little but went to soccer practice. Clarifies the herpes zoster didn't show up until Saturday evening/night and it was starting to go away. She took son to get Covid PCR testing on 14Jan2021 and it was negative and was told that the herpes zoster was probably a reaction to the vaccine. The patient received treatment with Abreva. The outcome of the events Since the first dose he woke up with what mother states is herpes zoster on his lips was not recovered, and the other event feeling horrible was unknown, and all other events was recovering. PSCC Communication: PC Filed Product Complaint: Yes, Description of Product Complaint: Description of complaint: Asks if this could be a bad one since he was so sick and took him to get Covid PCR testing and it was negative. Thought was weird since she and her husband both had the Pfizer Covid shot and did not have any reactions. This was son's first Covid vaccine, Lot number: EW0167, expiry.

Patient received the vaccination and per the mother's account "seemed tense when he got the shot". The patient started to walk to the waiting area after receiving the vaccine when he dropped to his knees and reported feeling dizzy. Our physician observers noticed the patient was also sweating and quickly moved him to a stretcher to recover. After a short time of observation (30 min +), the patient was feeling well and sitting up eating and drinking water. According to our physician observers, the patient never lost consciousness and was not injured.

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

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

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

PT developed a fever of around 102 as expected about a day and a half after his second dose. After four days I called the nurse at his pediatrician and she said kids his age can have fevers longer than adults did, and not to worry if it lasted a week. He ultimately had a fever for nine days, slowly lowering to 99-ish the last few days. He felt relatively fine throughout, only a little tired the first couple of days. I do not consider this a serious reaction (especially as the nurse said not uncommon). He did not see his pediatrician in person. I'm only reporting it bc the VSafe person I talked to said to.

Fever; Dizziness; Headache; Night terrors; Slept all day; This is a spontaneous report received from a contactable consumer (Patient's mother). A 13-year-old male patient (reporter son) received BNT162B2 (PFIZER-BONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EW0182) dose 2 via an unspecified route of administration on 11Jun2021 16:30 (at the age of 13-year-old) as single dose for covid-19 immunisation. Medical history included ADHD (attention deficit hyperactivity disorder). The patient's concomitant medications were not reported. No prior vaccines (4 weeks), no other medical conditions. Reporter Stated, he did not have any other medical conditions besides ADHD. Patient historic vaccine included first dose of BNT162B2 (PFIZER-BONTECH COVID-19 VACCINE, Lot number: EW0182) received on 21May2021 at 2:00 PM, administered in left arm via IM (intramuscular) route, and experienced night terrors and fever. On an unspecified date in Jun2021, the patient experienced fever, dizziness, headache, night terrors and slept all day. The patient, on Friday afternoon at 16:30 received his second Pfizer vaccination and he had the most he had common obviously he had the fever the next day, the dizziness, the headache, slept all day, he had the fever all day, around 6:30, he had a really bad night terror and he also had that with the first injection too. Reporter stated, she thought that he just had it with the first injection and that was gonna be it but she didn't think that he was gonna have the same results with the second injection cause he had it with the first one but he had it a really bad night terrors with the second one as well so he's pediatrician wanted her to report it again with the second one because his pediatrician hadn't been seeing that with any other children. She did not know if any other parents had been reporting these. When Probed if the patient was still experiencing these problems, reporter stated that, the symptoms were improved he did not have them since. Reporter Stated, she gave him paracetamol (TYLENOL) for the fever and the headache. It was 200 mg. The outcome of events was reported as recovering. Follow-up attempts are needed. Further information is expected.

Pt has been hospitalized with new onset DKA on 6/20/21. Mom describes onset of fatigue and malaise following the 2nd vaccine given on 6/16/2021.

Few minutes after getting the shot, Mom knocked on the Pharmacy door. The child was on the floor and the Dad's hand was supporting his head. Patient was totally alert and spoke perfectly fine. He demonstrated and said that he has some tingling in his hand and something in his stomach. Child slightly diaphoretic. We called 911- vitals normal and "everything checking up good" paramedics left. When leaving patient said he is feeling anxious, nothing else.

On 06/19/2021 was noted to have decreased energy and temp was ~100, tylenol given. A few hours later after completing his morning therapies he showered and went to take a nap. At this time he was febrile to 103.6. At 1600 he had seizure-like activity with trunk and upper extremity shaking as well as eyes rolling back and drooling. Parents put him in car and transported him to an outside hospital. He did stop seizing prior to getting to that hospital. Parents reported seizure lasted approximately 15 minutes with no loss of bowel or bladder control. By time he arrived at local emergency room he was back at his neurological baseline. At the outside hospital our PICU was consulted and he was given ceftriaxone and vancomycin in meningitic dosing.

fever (101.2 at home) and repeated vomiting starting a few hours after 2nd covid vaccination; guardian attempted to give Tylenol at home but patient immediately vomited so brought to ED for evaluation and treatment.

Patient developed tactile fever and shingles rash near the L arm, below the L axilla and the L upper back about 2 days after receiving the vaccine. Rash appears like vesicles in clusters. Patient describes rash as itching and has burning sensation at the site of the rash. Of note, patient had chickenpox infection around 1 year of age. Denies any recent illnesses.

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

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

3 days post injection patient developed increasing dizziness, light headedness, headache, nausea, achey muscles, decreased appetite, shortness of breath with exercise (new complaint), slight cough symptoms persist still 11 days after injection

13 year old male patient who after two minutes of receiving the second dose felt dizziness, he appears sweaty and vomited once He sits in turn to get evaluated.

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

extreme fatigue and malaise for 11-12 days, with very little appetite, nausea, and abdominal pain. No fever, chills, vomiting. Mother is an MD and started Amoxicillin TID for presumed sinusitis on 5/30, two days after vaccine.

Headache (for the past 2 weeks), and Rash (neck) Bell's Palsy-Patient presents with mild worsening weakness of the right side of the face.

Pain at injection site and entire leg, Nausea, severe exhaustion, chills, general feeling of sickness

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

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

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

Fever over 101.0, vomiting, body aches, chills, described as very bad pounding headache. Fever began at approximately 10:00 pm 6/23 same day as vaccination. vomiting began approximately 2 am ending by morning. Fever chills headache continued until 6/25. Conditions subsided by the evening of 6/25. Minimal effects by bedtime, tired, some body aches. Extra strength Tylenol was used for treatment

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

not talking right; sweaty; appeared disoriented; This is a spontaneous report from a non-contactable consumer. A 13-year-old male patient received bnt162b2 (BNT162B2), via an unspecified route of administration on 09Jun2021 11:00 (Batch/Lot Number: EW0171) as unknown dose, single for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Unknown if Covid prior vaccination. The patient experienced not talking right, sweaty, appeared disoriented on 09Jun2021 11:30, was transferred to a clinic/hospital resulted in Emergency room visit. Treatment received first aid, vitals. The outcome of event unknown. Patient has not been tested for COVID-19 Since the vaccination. No follow-up attempts are Possible. No further information is expected.

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

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

This is day 3 of moderate to severe persistent headache. He had been alternating Motrin and Tylenol throughout the day for the last 2 days with no significant improvement. Denies hx of migraine headache. Ordered Maxalt as abortive therapy- outcome pending.

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

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

Patient experienced fatigue and soreness at the site that improved. This morning developed uticaria - all over .

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

Chills; Fever; Vomiting like "20 times"; Severe stomach ache like sharp pain; This is a spontaneous report from a contactable consumer (patient's mother). A 13-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date (Lot number and expiration date was not reported) as dose 2, single for covid-19 immunization at the age of 13-year-old. The patient medical history and concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date (Lot number and expiration date was not reported) as dose 1, single for covid-19 immunization.The reported stated that the patient got a worse side effect. On the night of vaccination, the patient experienced side effects of chills, fever and at 4:00, had started vomiting like 20 times and had severe stomach ache like sharp pain. The reporter went to the pediatrician of her son but that did not help and the pediatrician told this symptom is not a COVID vaccine (as reported). The reporter stated that the patient never got sick before and that her son was feeling better at the time of this report. The outcome of the events was recovered. Therapeutics measures were taken for events chills and fever and included acetaminophen (TYLENOL) and ibuprofen (ADVIL). Information on lot/batch number was requested.

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

Fever, vomiting, rash, hepatitis with direct hyperbilirubinemia, acute kidney injury (resolving) Amoxicillin for strep throat, IVIG for possible Kawasaki disease,

7/2/21 at 5:00 am patient had a fever from this point until 7/3/21 at 2:00am of 100.4 7/2/21 at 5:00 am patient began vomiting and did so two times 7/2/21 at 5:00 am patient felt muscle aches and pain until 7/3/21 at 2;00am.

Severe headache, 10 days after vaccination he started having a rash at the injection site. Soreness in the arm, chills, fever, fatigue.Took tylenol.

Bells Palsy in right side of his face. Pain in jaw, eye twitching and fatigue. Went to ER same morning of 6/28/21 and received 10 day dose of Prednisolone.

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

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

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

I took the first dose of the vaccine( lot numberEW0196 ) on 06/16/2021, and the second dose (lot number FA6780) on 07/07/2021, The injection site started to swell and be very painful and the lymph nodes under the armpit were very swollen and painful, I also had tiredness and a headache, and I don't really get headaches. The whole left arm was also very painful. This lasted for two and a half days.

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

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

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

36hr after first Covid vaccine, developed urticaria multiforme; diffuse head to toe pruritic rash with welt, wheals, hives, some swelling around hands and feet. Also with cough and headache, no fever.

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

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

Patient didn't have any side effects from his first dose. With his second, he felt fine for about 15 hours. Then his lips and eyes started to swell, his throat got itchy, & he started taking deep breaths. These are telltale signs of him starting to have an anaphylactic reaction. I gave him two Benadryl immediately, and monitored him. His breathing improved and I didn't have to inject him with his Epipen or take him to the hospital. The swelling in his eyes and lips didn't subside, however, so I gave him routine doses of Benadryl for about 12 hours while monitoring him. He was fine again, for another 20 hours or so, and then his symptoms started to come back. Benadryl stopped it completely that time and I didn't have to give him anymore.

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

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

Pt reports headache daily x9 days following the second dose of COVID vaccine. Headaches occurred every day, lasting most of the day. Headaches resolved with Tylenol 1-2 doses. Headaches started the day after the second dose of the vaccine. Today is day 11 following vaccination, he did not have a headache yesterday or today.

Systemic: Flushed / Sweating-Severe, Systemic: Headache-Medium, Additional Details: at 4:08pm 5 mins after giving shot, pt and mom complained of sweating and headache, put fan on pt while sitting and was fine after few minutes pt left with mom 4:18pm no issues

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

Patient stated he felt light headed and dizzy with the first Pfizer vaccine and requested to lay down to have the Vaccine administered. The nurse took the patient to a private area, with the mother and brother. The nurse vaccinated the patient at 1423, patient then had a seizure at 1425, I was called to assisted. Patient at the time was crying and felt sick. I asked for the nurse to place the patient on his left side while I obtained the necessary equipment for vital signs. Patient then became no verbal, I Immediatley asked for the staff to call 911. Patient was cool, diaphoresis, not responding. I sternal rubbed the patient as he was not responding. He was breathing, O2 saturation was 98%, HR 59. Vital signs 100/60 RR 16. Patient remained non-verbal. I asked the mother if the patient had any medical conditions and she stateed no. I asked about seizures and then the brother stated the patient had seizure when he was child about 3 years ago and the patient currently is not on any seizure medication. EMS was called at 1427 and are in route. Vital signs again, 110/78, HR 78, resp 18. I continued to ask the patients questions and the patient remained no-verbal. The patient followed directions, but remained non verbal. EMS arrived 1435 and took over. Patient did awake a little more and stated he didnt want to go to the hospital. EMS took the patient to the nearest Hospital

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

That evening of the vaccination, he had fever- Ibuprofen was given The next morning- Really hot, blurred vision, 102.8 fever, sweating really bad, headaches Called doctor and was informed to take him to the hospital.

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

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

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

Fever (104); achy; sore throat; congestion; ear pain; difficulty hearing (said it was muffled); tired; This is a spontaneous report from a contactable other HCP. This 13-year-old other- HCP (patient) received bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, Solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left on May2021 12:30 PM (at the age of 13-years-old) (Batch/Lot Number: EW0177) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included penicillin, prior EM reaction when on Penicillin and received: 2 vaccines at 1 year of age and autism (high functioning) from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient previously took intuniv 2 mg for autism spectrum disorder. The patient experienced Fever (104), achy, sore throat, congestion, ear pain, difficulty hearing (said it was muffled), tired. Fever improved with Tylenol Started with sore throat 15 hours after injection. Symptoms began to improve 40 hours after injection on unspecified date on May2021 03:00 AM.The patient took treatment for fever with treatment drug as tylenol and no other treatment were taken for other events. The patient underwent lab test body temperature with result Fever (104) (unspecified date in May2021). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and patient did received other medication within 2 weeks of vaccination. The patient prior to vaccination, the patient was not diagnosed with COVID-19 and Since the vaccination, the patient had not tested for COVID-19. The outcome of all events was recovering. Information on the lot/batch is available. Other information is expected

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

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

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

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

In the first few minutes, I had a very mild sharp, needle-like pain. The next morning, my arm hurt very badly. Throughout the day, I had moderate fatigue. Also, I had nausea, dizziness, chills, and a feverish feeling (all symptoms were wild). That night, I ate a light, protein-filled meal, 325 mg of Tylenol, laid down for a while, and went to sleep. When I woke up, I feel perfect and had no symptoms.

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

Voiced complaints of dizziness and top of head headache. 1st vital signs - HR: 64 BP: 120/70 O2Sat%: 99 2nd set of vital signs - HR: 95 BP: 104/80

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

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

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

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

Flushing/sweating. BP 97/54, HR 78, RR 22 -- > 101/60, 87, 18. Pt stable and released from the vaccination site.

Pt screened to wait for 15 mins and when asked if he was feeling okay to leave, reported fatigue and tightness in throat. Father reported hx of asthma. I evaluated him and determined reaction to be anxiety-induced. HEENT and Pulm exams normal. I encouraged hydration, and calmed pt down with casual conversation and held for 40 mins

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

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

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

He noted his skin was sensitive/tingly in his trunk/abdomen and that he felt a little achey when he woke up yesterday morning (5/17/2021) but nothing severe, I just assumed is was post injection soreness, he also had some left arm soreness about 18-24 hours post injection. Around 5pm yesterday (5/17/2021) he has sudden onset of fever (103 degrees) and he had just been checked for volleyball practice at 2:30pm and was afebrile. Fever continued through the night between 102 and 104 with Tylenel every 4 hours and one episode of Ibprofen. Fever down to 99 degrees by 7am this moring (5/18/2021). Did rapid COVID test from drug store and was negative. Pediatricians office said to monitor through day, call back if high fever returned and to notify VAERS.

Seeing colors History of reacting poorly to vaccines Mild headache at 11:00am BP 106/80 P 100 Resp 18 O2 97%

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

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

Time to onset: 6 hours. Patient developed full body hives, severe congestion, lip, tongue, throat, and eye swelling. Wheezing. Difficulty swallowing. Treated with Claritin 20 mg po, Benadryl 25 mg po, albuterol inhaler 2 puffs, prednisone 50 mg po, and Asmanex 2 puffs. Within 1 hour hives and lip swelling began to resolve. 1 hr after taking prednisone, tongue and eye swelling resolving. As of 740 am on 5/19/21, hives resolved. Only continuing sx was mild throat swelling sensation.

Pt experienced headache, blurry vision, "muffled sounds," flushing/sweating & experienced dizziness. Juice was given, mom stated this happens for all shots, crackers given, pt lay down & rested. Provider cleared pt, pt stable & released from vaccination site

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

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

Sore throat, headache, body aches, fatigue, cough, dizziness, Fever and nausea. Still ongoing. Went to clinic to get COVID tested it was negative. Seen by a nurse practitioner, gave him meds for cough and nausea. Still hasn't resolved 7 days later.

Fatigue started 3 hours after shot. Woke up with bad fatigue the next morning, muscle aches, and headache. Headache has persisted. Treating with Ibuprofen

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

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild

Pt c/o flushing/sweating and lightheaded/dizziness immediately after vaccination. H/o lightheadedness with flu vaccine in the past. Pt ate rice and eggs at 2pm today, no breakfast. Pt's symptoms resolved after drinking 500mL apple juice and laying down with knees bent. Advised taking 2nd dose supine. BP 109/69, HR 63, RR 18 -- > 108/68, 64, 16 -- > 112/79, 75, 16. Pt stable and released from the vaccination site.

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

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

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: patient was sweating and feeling dizzy after the administration of the vaccine. patient felt better after drinking water and resting for 15 minutes

Patient felt itchy throat (discomfort at a 4 out of 10 scale) and difficulty breathing (discomfort at a 5 out of 10 scale) with 5 minutes of being vaccinated. Vaccine administering pharmacist gave Patient a 25 mg Benadryl tablet , which provided no relief 10 minutes later. Pharmacist then injected .3 MG Epinephrine shot in Patient's left quadricep which provided instant relief for about 30 minutes. Patient then proceeded to the ER where he was given a 20 MG Pepcid tablet, Two 20 MG Prednisone tablets and discharged a few hours later with the instructions to: take One 25 mg Benadryl tablet every 6 hours as needed; One 20 MG Pepcid tablet twice a day and Two 20 MG Prednisone tablets for Five days with a follow up visit to Patient's allergist.

Nausea,chills,headache,body aches. They went away after the 4th day . He started having symptoms the night he got the vaccine.

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

My son started sweating profusely few seconds after the vaccine injection was administered. He felt intense heat all over his body and his vision blurred. The symptoms lasted for about 20 minutes.

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

Patient developed fever, starting low and increasing to 102.1, as well as feelings of hypersensitivity in his skin, chills and extreme fatigue about 20 hours after his first dose of Pfizer. Symptoms resolved by the following morning - lasted about 18 hours.

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

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

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

PT STARTED TO FEEL NERVOUS. PT SAID HE FELT HE NEEDED SOME AIR SO HE WALKED OUTSIDE. MOTHER WITNESSED HIS FALL. PT FELL ON HIS ELBOWS, HANDS SHOOK FOR 2 TO 3 SECONDS. PT DID NOT RECALL FAINTING. REPORTED HAVING A HEADACHE IMMEDIATELY AFTER.

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

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

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

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

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

Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Weakness-Medium

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

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

Fever (high 101.7), chills, sweating, fatigue, headache, stomachache, nausea, leg weakness. Started upon waking in the morning 06/05, resolved by the time he woke on 06/06. Took Tylenol for fever twice on 06/05.

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

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

6/2, complained of feeling hot and sick, no fever. Joint aches and leg weakness 6/3 had a strange bruise like spot on the back of his neck. Continues leg aches and weakness 6/4 had a strange bruise like spot near corner of mouth. Neck was better though. Never pain at the bruise like spot sites Spot on face is fading, but still present on the face as of today. All other symptoms resolved besides the spot on his face

Low grade fever: 98.9, joint pain, body aches, fatigue, nausea, vomiting, headache beginning overnight after receiving the vaccine.

Fever for 24 hours (99, 100.6), sore arm, chills, discomfort, muscle aches/pains, sensitivity to light/eye strain, headache --- treated with Tylenol.

Runny nose - four - five days; sore throat for two days. Treatment - increased water intake and rest. Went to doctor on June 1st

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

Pain at injection site, painful/swollen lymph nodes under arm (injection arm). Complaints 2.5 days later of acute stomach pain, and swollen lymph nodes persists. Complaints of severe headaches since 6 hours after second injection and fatigue.

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

My son initially had side effects (tired, hot, sweaty) about 24 hours after receiving his first dose. About 58 hours after the first dose, he started having trouble breathing. He called me in a panic and asked me to come home because he couldn't breathe. It took me ~15 minutes, and by the time I arrived, he was having some trouble breathing so we took him to the emergency room. They did some tests and sent him home. By that point, the symptoms seemed to have resolved on their own. But then he had some labored breathing later that night.

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

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

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

Approximately 10 hours after the administration of the shot, my son began shaking uncontrollably. He also described visual and tactile disturbances - a sort of hyper awareness as if a precursor to hallucinations - and a racing mind. The shaking and visual and tactile sensations resolved after roughly two hours. He then developed a fever of 100.8, that lasted another 4-5 hours. His symptoms resolved completely within about 14 hours of onset.

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

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

-Large red blotch on neck immediately after injection; resolved within 20 minutes, no shortness of breath or other signs of allergic reaction - Extreme fatigue next day (slept 15 hours) - diarrhea (moderate, x4 day on Day 2 and Day 3 after injection ) - stomach/abdominal cramps - feeling unwell day of injection, and on Day 2 and Day 3 after injection - headache - feeling hot (but no fever) - severe arm pain (injection site) - no appetite Note: it is now the end of Day 3 after the vaccine, and my son feels well.

The morning after the second dose of the vaccine he woke up and felt hot and my head hurt. He had woken up feeling similar a few times during the night. When he got up he felt really queasy and threw up. He felt really warm and continued to throw up. With Tylenol the fever was 104 degrees and it continued for several hours even after two doses of Tylenol. I was told to give Benadryl and Ibuprofen. The fever returned to 102 degrees and four later the fever broke. It was almost 10 hours where he was throwing up and the fever fluctuated between 102-104. It is very unusual for him to have any fever. We continued the Benadryl and Ibuprofen the following day because he still had a low grade fever and some dizziness followed by diarrhea. The dizziness and Diarrhea occurred again the next day three after the vaccine. It has been five days and he feels better but his stomach is still a little sensitive. It is possible that he had Covid-19 last year.

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

Eye pain. Right eye only. Started day following the vaccine. Triggered by lateral and medial eye movement. No vision changes. Fatigue and headache as well. Chills initially, now resolved. Will be seeing eye doctor tomorrow.

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

Arm hurt, could barely move it. Then he got the chills and a fever, and really tired. Hours later, he said his tongue started to hurt. I tried to log this on the daily check in but by the time I clicked on the link it said it expired - 12 hours after receiving - why wouldn't they give you 24 hours?

Intense pain at injection site. Site is red and swollen on 2nd day. Extreme tiredness and feeling of being sick

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

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

Fatigue - began about 14 hours after, lasted 12 hours Sleeplessness - began about 14 hours after, lasted 12 hours Headache - began about 14 hours after, lasted around 12 hours

Headaches aches fatigue since shot, headaches more severe at night, can?t sleep Severe allergic reaction with trip to ER following excederin 6/5 Headaches continue trying Tylenol and imitrex

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

COVID vaccine (Pfizer) given 5/13/21 and 2nd vaccine given 6/3/21. Both given in L-upper arm. No urticaria after 1st vaccine. Initially after 2nd vaccine he developed symptoms of tired, fever Tm 101.1 F, upset stomach, headache, body aches, chills and sensation that arms and legs were "numb" about 12 h after vaccine. The "numb" sensation lasted 30 min and no longer present. Denies enlarged lymph nodes, extremity edema. No hx/o COVID in the past. Went to Urgent care on 6/7/21 due to full body hives, so given benadryl and topical steroid triamcinolone. It continued to worsen during the day so taken to ER later that day and given Pepcid, steroid IM and benadryl. Discharged home on PO prednisone 20mg x 5 days. No Epi was given. Given benadryl every 6 hours and by the 4 hour mark it would come back. Given zyrtec twice daily 10mg/dose on 6/8/21 evening, 6/9/21 BID. Overnight didn't wake him for benadryl (last dose 8pm). On 6/10/21 given steroid, pepcid and zyrtec and seen by PCP in clinic for ER follow-up. No hives present on exam on 6/10/21 (present the night before). Hives would fade and then come back and were migratory. Hives were pruritic. Also used calamine. Once his lips were swollen, but denies any tongue swelling, itchy throat, cough, wheeze. Denies N/V/D. Mother cooked with a new crock pot seasoning at Farmer's market used at dinner the night before the hives developed. Also had strawberry short cake for dessert the night before. The day he had hives he also had strawberries and complained of stomach pain after eating them. No hx/o strawberry allergies or food allergies in the past. No knew meds, detergents, lotions, soaps prior to hives. No recent illness.

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

Within 5 minutes of vaccination he was in the waiting room and became very dizzy, sweating and was having trouble breathing. I reported to the closest worker and she called in another person, assuming one was a nurse and one was not. She had him look into her eyes, which was difficult, then she had him out his head between his knees for a minute and he was then able to come out of it. Still a bit dizzy, they moved him to a room with a bed where he could lie down and they put a cold, wet paper towel in his forehead. He rested there for an additional 10 minutes. They had him get up and walk before they allowed him to leave. He had not eaten anything since the night before and he has severe ?needle anxiety ? which both could have contributed to the reaction. He has not had any issues since, except for a sore arm.

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

During monitoring period post Pfizer COVID-19 vaccine, pt experienced lightheadedness, feeling faint, sweating. 2 minutes post vaccine, BP was 108/70, P-64, O2 100% RA. Patient was easily aroused, stated he hadn't eaten or had hydration for > 12 hours and "needles make him nervous." Crackers and orange juice provided. After extended observation patient stated he felt better and symptoms were relieved.

Day 2 chest hurt to breathe in deeply gave Tylenol subsided 2 days later. Had UTI symptoms on day 3 gave cranberry juice also subsided 2 days later symptoms were frequent urination, pain and burning during and after, hurt when laying down. Never had any type of infection in urinary tract before. All symptoms were very treatable just didn't know he would experience these. All other symptoms he went through were expected. Fever never went above 101 and he had a temp and flu symptoms for 3 days with swelling under his arm

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

Patient began to feel light headed and sweaty after 5 minutes of receiving the vaccine. Pharmacist laid patient down where he started to feel better and regained color in face. After a 2-3 minutes patient was sat up again to read blood pressure where it read 90s/80s and in 5 minutes 80s/60s where patient started to feel light headed again; during this time paramedics were called and came within 5-10 minutes where they assessed patient.

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

06/08/21 2nd dose of Pfzier.Vaccination administered @ 10:44. According to client arm fasciculation ? started one minute after vaccine. Nausea 2 minutes after. Complaints of dizziness. Respirations 24 at 10:59. Respirations 28 and irregular at 11:04. Tightness in throat @11:10. Tongue not swollen. Breath sounds unobstructed(report given via school nurse), RN, PHN 06/09/2021 Mom reports child had fever and lump in throat the evening of event. The next morning child vommited x1. RN, PHN 06/11/2021 Mom reports no new side effects since the morning of 06/09/21 and the child is feeling fine. RN, PHN

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

On the 5th day patient woke with nausea and extreme exhaustion and weakness in legs. After a few hours nausea subsided but limb weakness persisted. Patient had a hard time walking unassisted. Visited Dr office in early afternoon where neurological assessment occurred. Patient limb strength was normal while seated. All other tests passed. Patient tested negative for covid in pcr exam that day. Symptoms increasingly improved over next few days and symptoms are non existent 1 week following second vaccination on June 5th

He was taking ibuprofen 200 mg two tablets, every 4 hours. The fever went down, and the pains in the body were reduced, currently he still feels it in less intensity.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Weakness-Mild, Additional Details: Pt reported feeling hot, tired, weak. Gave water, provided fan, and patient rested. Offered to call ambulance if needed (pt refused and mom ok with refusal). Called mom on phone after patient went back home. Per mom, pt ate and drank at home and felt much better (no symptoms).

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

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

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

14 y/o gentleman with PMH only significant for R orchiopexy 3 years ago who presents for persistent right inguinal pain and lymphadenopathy. The patient was last seen on 6/10 for right inguinal pain with workup significant for right inguinal lymphadenopathy on US and normal scrotal ultrasound. Patient was reportedly started on antibiotics by his PCP with no improvement. He reports overall decrease in appetite and nausea, but no emesis. He has been febrile at home up to 101F.

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

Around 3 am he woke me up saying he couldn?t feel his legs and had a stomach ache. He got up in the morning to use the bathroom and almost passed out. Headache stomach ache , slight nauseous feeling lasted until about 12/1 pm. Very tired slept all day until around 6 pm. Very tired into the next day. Around noonish the following day he seemed to be back to normal.

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

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

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

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

Stomach pain; fever for 101.5; Headache; 14 years patient received the BNT162B2 vaccine; This is a spontaneous report from a contactable consumer (patients Father). A 14-years-old male patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration on 07Jun2021 (Batch/Lot number was not reported) as 2ND DOSE, SINGLE DOSE for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient previously received first dose of bnt162b2 (BNT162B2) on an unspecified date (3 weeks prior on Monday) for covid-19 immunisation. It was reported that his son who was 14 years old got the 2nd dose (Covid vaccine) of Pfizer yesterday around noon. So that was around something 17 hours ago, the reporter don't receive any information on how to handle any side effect. He apparently has headache and he has fever for 101.5 right now and he has stomach pain. But you said they were not open right now well that this was not very helpful at this point because its 5 eastern time right now. So where could get information on how to handle or what we should do with him to help him. If the reporter could go someplace for reference and couldnot contact at this point in time. Does not seem appropriate and especially giving that you know, you could do on a certain time. So pretty upset with that the reporter known it was recorded one. So, reporter hope someone on side does something about that because it was not very good practice he would try to find answers elsewhere. The outcome of the events were unknown. Follow-up attempts are needed; information abut lot/batch number has been requested

Patient developed a fever, chills, headache. Fever and chills lasted for 1.5 days, headache persisted for 3 days. He has never had adverse reactions to any childhood vaccines prior to this.

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

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

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

he had fever and headache; he had fever and headache; This is a spontaneous report from a contactable consumer (patient's mother). A 14-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: unknown), dose 2 via an unspecified route of administration, administered in left arm on 07Jun2021 at 11:00 (at the age of 14-years-old) as single dose for COVID-19 immunization. Patient's medical and concomitant medication history were not reported. The patient previously received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number unknown) administered in left arm on 17May2021 at 11:00 as single dose for COVID-19 immunization and did not had reaction to it. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine and did not administer additional vaccines on the same date of the Pfizer suspect. On 08Jun2021, the patient experienced fever (at 14:00) and headache. The fever was resolved shortly thereafter and was not much of a concern. It has been 4 days and the headache still persists. The consumer described that the headache happened when he moved his head. When he sat down or laid down, it didn't hurt. The consumer gave him Tylenol. No other treatment given. The pain would go away then it and came back. She was very worried. She wanted to know if that was normal and what she should do about it. She did not know the patient's weight but reported that he was skinny. The patient did not have a doctor (primary healthcare provider). The adverse event did not require a visit to emergency room or physician office. There was no family medical history relevant to adverse event. The patient did not undergo relevant tests. The outcome of the event pyrexia was resolved and headache was not resolved. Information on the lot/batch number has been requested.

My son experienced hallucinations several hours after 2nd dose. He also experienced really bad headaches that required more than one dosage of Tylenol. Slept for 10hrs after last dose.

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

Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Medium, Systemic: Chills-Severe, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Weakness-Severe

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

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

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

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

Patient arrived to observation room and shortly after called observation RN over to him and reported that throat "feels funny, sore and tight, but not having difficulty breathing." RN administered 25 mg benadryl to patient and gave him water to make sure he could swallow. Patient had no difficulty swallowing benadryl. At 1240, patient reported no changes. At 1250, patient reported that he was "feeling better." At 1303, patient left with mom and reported feeling much better- no residual issues.

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

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

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

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

14yo M initially presented to the ED with headache, fever, myalgia, abdominal pain, NBNB emesis, unsteady gait and soft/garbled speech, 6 days after returning from a recent trip to Mexico and 4 days after receiving 2nd dose of Covid-19 vaccine. In the ED patient had multiple tonic clonic seizures, total episode lasting about 5 minutes requiring ativan and keppra. Pt was admitted to PICU for management, found to have continued seizures on EEG resolved with fosphenytoin

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

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

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

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

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

patient experienced a migraine, legs became so painful he could not get out of bed. He had a fever, congestion, runny nose. He went to the hospital and was diagnosed initially with an upper respiratory virus. Another physician attributed his symptoms to the Pfizer covid vaccine.

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

He had vomiting, headache on 6/26/2021 and became comatose that night and got better after steroids. He is still weak in the right arm.

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

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

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

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

Patient received vaccine together with his family (he was 3rd out of 4). He said the shot hurt. After all were vaccinated, he said he felt weird. I had him sit for monitoring with his family. His parent told me he still felt weird, and that they walked around the store, but now he has a bad headache and feels a little winded. I had him sit in the immunization room with mask off for further monitoring. After a few more minutes, he said it felt like he was suffocating. I administered 1 Epi-Pen at 10:08PM in his left thigh and called an ambulance. Soon after, he was shaking/shivering, but said it was getting easier to breathe. EMT arrived shortly after, noted the hives on his back, and took him to the hospital.

Golf ball sized lump in left armpit for 6 days. Also on day 2 post vaccine a horrible cold with cough & fever of 101.5 lasted for 2 days. Has had a cough & cold for over 8 days now.

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

Ten minutes after patient received vaccine, patient parents informed the pharmacy that he was not feeling well. Patient was visibly sweating, holding his stomach and then started vomiting. Father then informed the pharmacy that the patient had experienced vomiting after a previous vaccine but had cleared it with pediatrician to get the COVID vaccine. After several minutes patient stated he was feeling better and left accompanied by parents.

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

Intense nausea and vomiting starting at 5 AM, intense achiness and headache. Vomiting intermittent throughout the day, with 20-30 occurrences between 5 AM and 10PM. Ondansetron 4mg RX administered at approx 9 AM and 8 PM. No improvement after morning dose, contents promptly thrown back up. Brief period of improvement late afternoon until early evening on 06/29/2021. Water and crackers and toast administered during improvement. Child was vomiting bile by 10PM. As of this report, not yet resolved.

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

Severe chills, headache, nausea, vomiting for approximately 1-1/2 hours; severe chills, headache, nausea, vomiting for approximately 1-1/2 hours; severe chills, headache, nausea, vomiting for approximately 1-1/2 hours; severe chills, headache, nausea, vomiting for approximately 1-1/2 hours; This is a spontaneous report from a contactable consumer (patient). A 14-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 03Jun2021 16:30 (Lot Number: ew0186) at 14 years old as single dose for covid-19 immunisation. Medical history was none. No Known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19. There were no concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received first dose of bnt162b2 on 13May2021 16:30 (lot number: ew0186) at 14 years old in left arm for covid-19 immunisation. The patient experienced severe chills, headache, nausea, vomiting for approximately 1-1/2 hours on 09Jun2021 23:00. Treatment received for the adverse event was aleve pm. Since the vaccination, the patient has not been tested for COVID-19. The outcome was recovered. This case was reported as not serious. No follow-up attempts are possible. No further information is expected.

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

Parotid Salivary Gland Infection (left side) - swollen left side of mouth with fever up to 101 deg C. Patient developed fever around 3 pm on 06/24 and woke up 06/25 with significant swelling of left side of the mouth Took patient to doctor office on 06/25/21 morning to see the Dr who was on call. Dr put him on antibiotic amoxicillin

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: initial bp: 99/60 hr 65 and 10 minutes later 112/73 and hr70

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

PATIENT EXPERIENCED NAUSEA APX 5 MINUTES AFTER HIS VACCINATOIN. HE VOMITED. HE COMPLAINED OF COLD CHILLS AND A TINGLING IN HIS ARM. WE OBSERVED HIM FOR APX 30 MINUTES AND HE WENT HOME WITHOUT MEDICAL INTERVENTION.

Received COVID #2 on 6/12 and developed cold symptoms with ear pain and loss of taste. On 6/22/2021, developed right facial droop and was seen in the ER - diag with Bell's palsy and placed on Abx, Prednisone, and acyclovir. Lyme came back negative. Was seen in f/u 6/25 in clinic with improved but still apparent right facial droop. Abx discontinued at that point. He is doing much better now (7/6) with some residual facial droop.

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

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

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

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

Pfizer vaccine was administered on 6/30/21. On 7/1/21 mother reported that the patient was feeling fine, just a sore arm. On 7/9/21 mother reported that the patient is experiencing malaise and a sore arm.

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

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

~10 mins post vaccine became diaphoretic, described a buzzing in his ears, and was not aware of where he was, talking throughout, no LOC, BP stable 100's/60's, sats 98-99%, no respiratory distress, vomited a moderate amount and immediately felt better. Seen by PCP on site immediately following episode.

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

After about 15 hours, my son was experiencing injection site pain, was feeling tired, had a mild headache, muscle pain (mostly in his legs), some mild chills, some joint pain, arm pain, feeling "unwell", and was running a fever of approximately 100 degrees. After 24 hours of rest, drinking water and Gatorade, and three doses of over the counter Acetaminophen (one full adult dose followed by two half-doses) he awoke the next morning feeling much better. He continues to do well as I am writing this, which is now 50 hours since the injection.

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

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

woken up with swollen his left side of his face and his cheek near his jaw whole side was significantly swollen; Fever; Diagnosed him with salivary gland infection; This is a spontaneous report from a contactable consumer. This consumer (father) reported that a 14-year-old male patient received bnt162b2 (BNT162B2, Formulation: Solution for injection), via an unspecified route of administration, administered in Arm Right on 23Jun2021 16:00 (Batch/Lot Number: EN1699) as dose number unknown, single (at the age of 14-year-old) for covid-19 immunisation. Medical history included autism spectrum disorder from an unknown date and unknown if ongoing Verbatim: Autism spectrum. Concomitant medications included risperidone, guanfacine. Reporter was calling on behalf of son he was 14-years-old and so he was autism spectrum was non verbal. The patient received the vaccine at 4pm on 23Jun, the next day which in 24th in afternoon 3 pm he developed a fever which was around closed to 100 degrees Fahrenheit and then we gave him Tylenol (Further clarification was unknown) reporter thought because of the vaccine shot. On next day morning he had woken up with swollen his left side of his face and his cheek near his jaw whole side was significantly swollen. So, we immediately took him to the urgent care. Reporter stated, no laboratory test done, doctor basically put him on antibiotic Amoxicillin (Treatment) for the salivary gland infection diagnosed him with salivary gland infection they put him on Amoxicillin and swelling subsided in 3 days and fever went in 2 days and there was no further analysis needed. Therapeutic measures were taken as a result of diagnosed him with salivary gland infection, fever, woken up with swollen his left side of his face and his cheek near his jaw whole side was significantly swollen. The outcome of the event woken up with swollen his left side of his face and his cheek near his jaw whole side was significantly swollen was recovered on 28Jun2021, event fever was recovered on 26Jun2021 and diagnosed him with salivary gland infection recovered in Jun2021. No follow-up attempts are possible. No further information is expected.

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

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

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

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

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

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

First dosage: sore arm Second dosage: Headaches, chills, body aches, nauseated, sore arm, and dizziness,

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

Shingles outbreak on right side of head above right eye with pain; pain; Headache; Fever; This is a spontaneous report from a contactable consumer or other non-health care professional, the patient himself. A 14-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot number: EW0182) via an unspecified route of administration on 27May2021 (age at vaccination: 14-years-old) as dose 1, single for covid-19 immunization, at Pharmacy or Drug Store. Medical history included asthma from an unknown date and unknown if ongoing. No known allergies were reported. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included as the patient received medications within 2 weeks of vaccination reported as none. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 28May2021, patient experienced shingles outbreak on right side of head above right eye with pain, headache and fever. The events were reported as non-serious. The adverse event resulted in Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. Since the vaccination, the patient had been tested for COVID-19. The patient received treatment for the adverse events which included Valacyclovir, Prednisone, Ibuprofen and Tylenol. Patient underwent lab tests with nasal swab for Sars-Cov2 results negative on 02Jun2021. The outcome of the events was not recovered at the time of report. Follow-up attempts are completed. No further information is expected.

24 hours after the shot he had nausea, stomach pain, headache and a sore left arm. He felt completely fine by the next day, about 48 hours after the shot.

Cold; Sore throat; Fever; storage time in freezer exceeded; storage time in freezer exceeded; This is a spontaneous report from a Pfizer sponsored program from a contactable consumer or other non-healthcare professional reported for a 14-year-old male patient (reporter's son). A 14-years-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for Injection), via an unspecified route of administration on 24Jun2021 (Batch/Lot number and Expiry date was not reported) as single dose for COVID-19 immunisation. The patient's medical history included celiac disease. The patient's concomitant medications were not reported. On an unspecified date, the patient experienced cold, sore throat and fever. It was reported that about 12-13 days later, the patient experienced a cold, sore throat and fever. Reporter asked if these symptoms have been reported. As per the reporter they have been notified that the Pfizer COVID-19 Vaccine that her 14-year-old son received was invalid due to storage time in freezer exceeded and a pharmacy staff member suggested that her son retake the vaccine. The reporter asked would storage over the recommended time decrease the efficacy of the Pfizer Covid 19 Vaccine. The outcome of the events was reported as unknown. Information on Lot/Batch number has been requested.

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

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

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

Patient had completed 15 minute post vaccine wait time, felt light headed, unable to stand, patient laid on floor, BP checked and elevated, patient became very drowsy and lethargic, difficulty staying awake, HCP had to sternal rub patient to arouse, EMS called

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

No adverse reaction to dose 2. Nurse administering contacted Dr. prior to administering the vaccine due to vaccine is not authorized for 15 year olds. Nurse found dose 1 was administered in error on 3/20/2021 lot EN6205. Mom reported that "someone approved it the first time." Doctor approved dose 2 after confirming dose 1 was recorded as given in the immunization registry. Doctor told nurse to give the vaccine and report a VAERS due to child is only 15. Mom reports child had a slight headache after dose 1 and a metallic taste in his mouth. She reported on 4-13 that following dose 2 he had a sore arm and so far no other symptoms.

low grade temp 4/28, tylenol x 2 doses, shingles rash on rt forehead, onset 4/30/2021 seen by me 5/3/2021, rx valtrex

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

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

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

pt became cool, clammy and in and out but alert and orientated to person, place and time. Pt started getting sweaty, pt paramedic arrived almost immediately after blood pressure and temp checked

Pt had just received vaccine and stated he "wasnt feeling well", and laid down on the floor. Pt assisted from floor to wheel chair and vitals obtained : BP 150/80, HR 118, RR 20, SpO2 97% RA. PT complained of headache, nausea, and not being able to walk. Pt father advised EMS that pt "often get's emotional and works himself up like this" and did not show concern to Pt state. Pt stated he wanted to go to the hospital, Pt father insisted that he take Pt to hospital via POV. Pt father signed refusal of TP form, and PT care TF to Pt father.

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

Client received the 1st COVID vaccine of Pfizer (Lot#EW0185 expiration 05/22/21) At 4:28PM client reported dizziness, lightheaded, headache, no blurred vision, no chest pain, no shortness of breath. Client has been waiting for 20 minutes in the observation area. at 4:33PM RN responded to event. Vital signs are blood pressure 100/62, hear rate 73, oxygen saturation 99%. Client reports slight headache towards the frontal lobe. Per client and client's father, there is a history of asthma and no known allergies. At 4:38PM EMT obtain vital signs that are blood pressure 110/60, heart rate 74, oxygen saturation 99%. Client reported feeling weak, no dizziness, and no lightheaded. Provided supplemental nutrition and fluids to client. Client accepted. RN educated client and father about ED precautions and common adverse effects of COVID vaccine. At 4:47PM vital signs are blood pressure 100/60, heart rate 82, oxygen saturation 99%. Client reports not feeling symptoms. All symptoms had resolved. Client has steady gate and is waiting for other siblings to complete observation time.

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

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

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

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

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

Sunday afternoon(5/16) got Pzifer COVID vaccine Dad says on Monday am early they woke him for school and he was asking where was he and why they were waking him up- kinda like in a dream like state and confused looking; they told him to just get up- he was able to get out of bed but seemed out of it -this lasted a few hours- he went back to sleep and when he woke back up he was not confused anymore but very tired; he also had some nausea and vomited; No fever; no cough; no body aches; L arm is a little sore- not as much today; each day a little better has had a little headache- but not much of one; Last night had better appetite so ate a lot of food then vomited again; has not really have an appetite before last night ; this am able to eat and kept food down today; Sleeping more but was restless sleep until last night as well Back in school for the past month; No school work this week- tried some math this am but trouble focusing so just stopped doing work

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

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

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

pt c/o itchy throat and pain at injection site(left arm) PS 4/10 with throbbing pain noted. Advised pt. to keep moving arm. 5:32 pt. given benadryl 25mg 1 tab for itchy throat and sips of water given v/s monitored 5:20pm vitals 134/70 bp 18 RR P-70 99% o2 SAT pt. verbalized feeling anxious.Advised to do breathing relaxation. 5:35pm vitals 126/70 P-68 RR-18 o2 99%RA pt reported with no relief from symptoms still noted with itchy throat , no SOB pt alert and verbally responsive. patient was advised to go to urgetnt care/hospital for further eval. 6:10pm pt guardian mother will accompany the patient to hospital /urgent care

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

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

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

2 minutes after administration, the patient was speaking to his father, dozed off to one side and had tremors. Patient immediately was able to open eyes and was shaking. Pharmacist advised patient to take deep breaths and relax until paramedics arrived. Patient had a few sips of water while waiting. Patient was fine after 15 minutes.

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

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

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

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

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

At approximately 6 PM on 05/23/2021, family was sitting down for dinner when all of a sudden she noticed that he was turning his head to the left and appeared to be falling out of his chair. Mom states that eyes were darting back and forth at this time. He was not responding to her shouting his name and his left arm was curled in towards his body with the rest of his body remaining stiff. This lasted approximately 1 minute, followed by a time of confusion and drowsiness. Approximately 1 minute later mom states that patient's eyes rolled back to his head and he had full body movement consistent with tonic-clonic seizures. Family were able to lay him onto the ground during this time. Mom denies any color change, apnea, or loss of bowel or bladder. States he did have one episode of emesis following the event, and 2 episodes of emesis in the ambulance on the way to ED. Patient has no previous history of seizures or seizure-like activity. No new ingestions. Has not been sick recently and denies any new sick contacts. There has been no head trauma. Per Mom, patient's dad has a history of "partial seizures" but never required any medication for them. At arrival to the ED he continued to be drowsy and not at his normal baseline. Continue to hold his left wrist up toward his body in a contracted manner and tended to have repetitive speech. Briefly, ER course significant for a CT head and evaluation by pediatric neurology. CT head was unremarkable for acute intracranial process. A CBC, CMP, and coags were also obtained due to patient's continued contracture positioning and the possibility of a stroke. CMP was unremarkable with a sodium of 139, potassium of 3.7, chloride of 107, bicarb 25, BUN of 12 and creatinine of 0.64. CBC was also unremarkable with WBC of 10.72, hemoglobin of 14.8, hematocrit of 44.4 and platelets of 370. There was 81.77% neutrophils after evaluation by neurology it was felt that the patient remained postictal and recommended that he be admitted on continuous EEG and possible MRI in the a.m.

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

Patient started with chills, fevers to 100.5 , sore throat, oral mucosal aphthous ulcers within 24 hrs of receiving vaccine. Patient continues with these symptoms

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

dizzy, headache, blurred vision, vomited after vaccination. (at 03:52 pm) outcome: recovered after drinking water and eating crackers and discharged to home.

After 15 minute observation period patient experienced weakness in arms and legs, sweating, loss of vision, and pupil dilation. Patient was brought back to the pharmacy around 6:15pm, after a few minutes of sitting the patients pupils returned to normal and the patient regained vision. After 15 minutes the patient was able to stand without issue. An ambulance was called, paramedics monitored the patient and took the patient to a near by hospital.

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

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

PATIENT EXPERIENCED BLURRY VISION, SWEATING, NAUSEA, AND HEADACHE. PATIENT WAS GIVEN WATER AND GUM. PATIENT WAS REQUESTED TO STAY FOR LONGER MONITORING. WAS DISMISSED ONCE THE BLURRY VISION, SWEATING, AND NAUSEA SUBSIDED.

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

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

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

Weak and tired. He felt like he was numb. Like he couldn't really move. He slept - didn't have any fever. Was really hot though. He had a really bad headache and his dad gave him Tylenol. He felt still tired the next day but felt better. The headache was gone. Doctor exam - physical and labs

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

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

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

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

DOSES GIVEN TOO EARLY TOGETHER PER RECOMMENDATION DATES 1ST DOSE MAY 18,2021 2ND DOSE MAY29,2021 SON MESSENGER ME MOTHER THIS MORNING MAY30,2021 WHILE BIO AT CHURCH SYMPTOMS :'I'M SICK ,RLLY SICK, BARELY SLEPT LAST NIGHT BECAUSE WHOLE BODY HURT. " "DIZZINESS WEAKNESS CAN'T STAND STRAIGHT LACK OF PERCEPTION ACHES AND SORENESS HEADACHE" PER MESSENGER FACEBOOK TO ME MOM 30,2021 9;48 AM CONVERSATION REQUESTED MEDICAL CARE AMBULANCE FOR HIM TO CALL HE SAYS JUST RESTING BIO AT CHURCH 'PLEASE GET TO DR CAN THEY TAKE YOU" mom me "they are at church"

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

He started off with a sore throat and it progressed into really bad congestion; headache; earache and fatigue. No fever. Ibuprofen was given for headache and throat lozenges for his throat. He drank a lot of water. It lasted four days. He started to feel better. The congestion hung around about a full week before he had no more congestion. He got sick first and then his little brother followed and then I got sick - we were all sick about the same amount of time - 5- 7 days. His Dad got his second shot at the same time as patient got his first shot. I had been fully vaccinated by that time.

101.3 highest fever started the next day, and lasted for 3 days. Tiredness lasted for 3 -4 days after vaccine. Sneezing, runny nose, productive cough lasted for about 10 days. All cold related symptoms started the day after the first shot. He did not lose smell or taste.

Three days after receiving the firts dose, my 15 years old soon started to felling bad, with fever (between 99 to 102 f grades, muscle pain, headache, general discomfort and not energy at all. Syntomps lats for almost 3 days, My main concern is why the symphtoms showed up three days after the vaccination day, and not before.

1022am- Observed patient abruptly stand up and fall to floor, landing face down. Turned patient over on back with neck support. Patients legs elevated. Patient was unresponsive to voice, performed mild sternal rub and became responsive immediately after stimulation. Pulse strong and regular, respirations WNL - VS BP 126/82, Sp02 99% RA, P122, Temp 98.2 Infrared, AAO to person, place and time. Observed ~1" laceration above right eye, treated with bandage and bleeding controlled. EMS and parent called to scene. EMS arrival at 1033, I gave patient report and they assumed care and assessed patient. VS @1038- BP 120/68, SpO2 99% RA, P101, R17 AAOx4, Patient c/o headache. EMS sat patient up on floor, then to chair. EMS had discussion with parent and it was agreed that parent would take patient to Urgent Care for treatment and parent signed off for no EMS transport. Patient walked out with parent and EMS on own power to vehicle and left approximately 11:00 AM.

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

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

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

Within 30 seconds of administration, patient felt dizzy and lightheaded. He never lost consciousness, but he did stumble and almost faint. Mother caught him - she says he has a history of dizziness after vaccines and is nervous about needles. He was very hot and sweaty, and he did vomit once. He was given water and an ice pack. Epinephrine was on-hand, but not needed. After resting for 15-20 minutes, he felt better and mother took him home.

patient has stuffy nose; scratchy throat; not able to go to school; runny nose; This is a spontaneous report from a contactable consumer. A 15-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration, administered in Arm Left on 21May2021 15:00 (Batch/Lot Number: EW0191) as 1st dose, single dose for covid-19 immunisation. Patient's relevant medical history included none. The patient's concomitant medications were not reported. The patient experienced stuffy nose, scratchy throat, not able to go to school and runny nose on 24May2021 06:00. Patient was asking she was expecting that Pfizer can give recommendations if her son needs to have COVID testing due to his symptoms after receiving the vaccine. The Caller was calling about the Pfizer Covid-19 Vaccine. Her son got his vaccine on Friday, he was 15 and the next day he experienced nothing. He did not feel anything but he was having a stuffy nose and then he had some scratchy throat. Caller wants to know if a stuffy nose and scratchy throat are a side effect or if she should get her son checked for Covid. Caller adds that really all side effects will happen in 24 hours, but this is more than 24 hours, it is like, 48 or 50 hours later. Caller wants to know if the stuffy nose and scratchy throat are side effects. The caller clarifies that she means will he test positive for Covid -19 after getting the vaccine. The caller states she did not want to provide name or date of birth information and Pfizer can call her instead if they want. Stuffy maybe a little bit runny nose, scratchy throat, both of these occurred today morning around 6 o'clock. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. No treatment was received. The outcome for the event not able to go to school was unknown while rest of all was not recovered. Follow-up attempts are needed; Additional information has been requested.

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

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

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

Fever, chills, sore throat. Started around 1 am according to son. Parent notified at 0730 and Tylenol given and throat spray used

Severe headache 10 out of 10 started the following day with vertigo. During this time he developed an episode of sudden onset double vision and vomiting which resolved after approximately 10 minutes. The headache and the vertigo lasted for several days.

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

Systemic: Flushed / Sweating-Mild, Additional Details: EMT came to assess and escorted patient out of the pharmacy. Patient was standing up and said he was feeling fine by the time EMT came.

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

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

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

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

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

Likely myocarditis s/p 2nd dose of Pfizer COVID vaccine. From hospital note: Pt was in his usual state of health when he received the second dose of Pfizer mRNA Covid vaccine on 6/3. On 6/6, he developed substernal nonradiating chest pain, as well as low-grade temperature to 99.6. Pain persisted, so he presented to the emergency department on 6/6. He did not have respiratory symptoms, nausea, vomiting, diarrhea, conjunctival injection, new rashes. In the emergency department he was afebrile with normal vital signs. Laboratory evaluation in the ED demonstrated WBC 7.45 (N 64, L 19), Hb 14.5, PLT 191, ESR 10, CRP 0.69, AST 46, ALT 14. BNP 23. He was noted to have a troponin leak (troponin T 0.55). Covid PCR and antibody testing were negative. An EKG demonstrated early repolarization but was otherwise normal. An echo demonstrated mildly dilated LV with good systolic function. Pt was admitted to the cardiology service for further evaluation and management of myocarditis. Following admission he remained afebrile with stable vital signs, but continued to have troponin leak. He was initiated on methylprednisolone 30 mg IV every 12 hours, and IVIG 2g/kg x1. Pt is a 15 year old with what appears to be myocarditis after the SARS_CoV2, with significant troponin elevation, coming down, chest pain, improved with IVIG and steroids, and ibuprofen prn. Plan for cMRI to look for late gadolinium enhancement to guide course of therapy.

started to wheeze, congested , tired, cough, ended up with croup after wards. was fine before the shot.

Pt was given his 2nd dose of Pfizer vaccine at pharmacy on 6/3/21 at 1:20pm. Minutes after the vaccine pt developed headache, stiffness of neck, dizziness, fatigue and SOB. Epipen was brought out but never administered, pt was there for about 45 min. Was sent home and took Advil 400mg. Was playing badminton with lots of running 30-45 min prior to vaccine. No other vaccines given in the past year. Since the vaccine, pt has had fever up to 102. Continued headache, neck stiffness. 1st night 6/3/21- bad headache, throbbing headache all around head but worse back right side and then "spikes" on left side (like someone was hitting him with an axe) and fell asleep d/t sever pain, trouble breathing in the next few days 2nd night 6/4/21- neck pain and stiffness was really bad, he looked pale and almost disoriented. Had fever. Slow to respond. Would get rush of bad headache if he moved his neck too fast. Afraid he would fall down if he moved too fast. 3rd night 6/5/21 - (called 911) chest pain, difficulty breathing, vomited stomach acid, pain radiated down chest to the left, pain only when breathing in and went away the next AM 6/7/21 Chest still feels sore on Left side. Biggest issue right now is headache.

My 15-year-old son received dose #2 of Pfizer?s Covid-19 vaccine at 10:30am on 6/6/21. At 1:00am on 6/8/21 he was struggling to breathe due to pain in the center of his chest upon inhalation. Nothing like this has ever happened to him before. His chest pain was worse lying down and he could not lie down or sleep and wanted to stay standing on his feet. He felt pain in both forearms too. He was crying from the pain and the difficulty of breathing, and was very tired but unable to recline in order to sleep. I called the advice nurse, who checked with the doctor on call at his pediatrician?s office, and she told us to go to the ER due to concern it may be myocarditis or pericarditis.

myocarditis based on chest pain and elevated troponin. also with chills, frontal headache, nausea and vomiting

Chills and Fever of 100.4 F started on 6/6/21. Took Ibuprofen 200 mg 2 Tablets every 4 hours until 6/7/21 and help reduce the fever. On 6/8/21 Patient recovered.

6/6-fever (102 temporal) and headache, these resolved, followed later by chest pain, went to medical center and evaluated, negative troponins. 6/7-chest pain began again, returned to medical center, found to have elevated troponin of 3.19. 6/8 at 1am-Transferred to another medical center PICU where he had sensation of numbness in left arm, a squeezing sensation of left arm, and severe chest pain. EKG showing ST elevation and troponin of 3.75. Given dose of 30mg Toradol and pain resolved. Started on Motrin q6h, trending troponins. In the morning pain much improved, but still with pain on deep inspiration relieved with leaning forward. Repeat EKG shows diffuse ST elevation, consistent with presumptive diagnosis of myopericarditis. Repeat troponin at 9am of 9.3, BNP of 197. Echo done wnl. Scheduled for cardiac MRI with contrast per cardiology recommendation to r/o myocardial edema. Viral panel sent to r/o viral etiology despite no prior symptoms.

Chest Pain, Troponin Elevation, Myocarditis Also developed fever, muscle aches, joint pain, generalized fatigue Hospitalized, Treated with NSAIDS and supportive care, Telemetry, Troponin monitored q12 Echo with normal systolic function Cardiology and ID consultation Cardiac MRI pending at time of submission (6/9/2021). He is hospitalized at time of report, recommended complete activity restriction upon discharge, he will continue to follow with pediatric cardiology.

Patient reports feeling light headed with headache. denied shortness of breath, dyspnea, hives or itchiness. Patient educated to lay flat with feet up. Also encouraged to drink water to stay hydrated. after few minutes symptoms subsided.

Client received the 2nd dose of the COVID vaccine (PFIZER Lot # ER8736 expiration date 07/01/2021) at 1812. At 1819, client raised his hand as EMT was walking by and said, ?I?m feeling dizzy.? PHN overheard and proceeded to assess the client. Client stated that he also had a ?headache.? EMT and PHN transferred the client into the zero gravity chair at 1820. Client?s skin was pale. Client was alert and oriented times four. PHN offered the client a juice which he accepted and drank. After drinking the juice client stated, ?the dizziness has gone down.? Vital signs were taken at 1822 (Blood pressure 102/70, Oxygen 97%, Heartrate 62, Respirations 18). Color returned to client?s face at 1822 and client stated, ?I?m feeling better, I don?t feel dizzy any more and the headache is gone.? Client stated that he ate a small meal at 1400 and had not eaten since. PHN gave client a snack and a water to consume, which he accepted and consumed. Vital signs were taken at 1830 (blood pressure 110/74, oxygen 99%, heart rate 78, respirations 20). Client?s mother stated that the client had a cold last week. Vital signs taken at 1840 (Blood pressure 112/72, oxygen 98%, heartrate 76, respirations 20). Vital signs taken at 1849 (blood pressure 110/68, heartrate 76, oxygen 99%). Client stated that he ?did not have any reactions after his first dose of the vaccine.? Client also does not have any medical history, or allergies, and is not taking any medications. PHN advised client and his mother to follow up with his primary care provider and when to seek emergency care services. At 1849 client stated, ?I am feeling fine,? and left the facility unassisted with a steady gait.

he has developed myocarditis; Chest was hurting; Chest pain; Tachycardia; Hypertension; his temperature was 99.7; Tight chest; shortness of breath; This is a spontaneous report from a contactable consumer (patient's mother). A 15-years-old male patient received bnt162b2, dose 1 via an unspecified route of administration, administered in Arm Left on 13May2021 16:00 (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunisation at the age of 15 years old. Medical history included Autism and ADHD. Concomitant medication(s) included guanfacine. The patient experienced he has developed myocarditis, inflammation of the muscle in his heart that was caused by covid vaccine, chest was hurting; chest pain, tachycardia, hypertension on an unknown date, shortness of breath, tight chest on 15May2021. Clinical course details was reported as: She thinks he has developed myocarditis. Experienced shortness of breath, went to the Emergency Department. She wishes for him to receive second dose. "They did a bunch of tests". Saturday he had to rush in to the hospital because his chest was hurting, he has chest pain on Saturday that's why he went to the emergency room. The doctor said, he had inflammation of the muscle in his heart that was caused by COVID vaccine, she wants to submit that to Pfizer." Reporter stated, "No, not exactly, he got the COVID vaccine on May 13th. He started developing shortness of breath and tight chest on Saturday night which is May 15th, I woke him up because all night long he was complaining, I take him to the emergency room at the morning like 4:30 am, 4:30 in the morning of May 16th. The doctor told me that, he said that he didn't believe that it was a side effect of a vaccine because it was not, it didn't developed like within 1 or 4 hours to the vaccine like now when I've seen on the news that the inflammation that is happening to some kind on the heart, he matches all the symptoms of that. So I need to know what do I need to make and what do we do for the second dose?" Lab test: They did when he was in the hospital, When he was in the hospital 2 days after they did a bunch of lab test." Treatment: They did give him some medication in the hospital. The notes from the hospital they gave, they says he has tachycardia, hypertension, shortness of breath, chest pain. They gave him Ativan. Caller states she is calling about the Pfizer COVID19 vaccine and states she is thinking her son had the side effect that is being reported of myocarditis and took the 1st dose of the vaccine on 13May2021 and on 15May2021, at night he complained of shortness of breath, and a very heavy chest and moaned all night long; states at 4:00am she and her husband got up and took the patient's blood pressure and oxygen level and pulse and his blood pressure was elevated at 151/108, oxygen levels were ok at 96-97 and his pulse was 128, and his temperature was 99.7 she thinks. States they took him to the emergency room at that time because they did not know if something was going on with his blood pressure elevated. Caller states she has not reported this information to the patient's HCP and is calling to ask if she should wait or have to wait on the patient's 2nd dose of the Pfizer COVID19 vaccine. Caller states she did previously file this report but was not given a report reference number and had to call back to ask for her questions. States the patient's 2nd dose of the Pfizer COVID19 vaccine is scheduled for 04Jun2021. States given that they did not expect the patient to have any side effects and they do not want to be in this situation and are planning on traveling the day the patient is scheduled for his 2nd dose of the Pfizer COVID19 vaccine would they have to wait for his 2nd dose; states she wants to do things the proper way. States given that they did not expect the patient to have any side effects and they do not want to be in this situation and are planning on traveling the day the patient is scheduled for his 2nd dose of the Pfizer COVID19 vaccine would they have to wait for his 2nd dose; states she wants to do things the proper way. Pfizer is aware of the observations of myocarditis that occurred predominantly in a population of young men who received the Pfizer-BioNTech COVID-19 vaccine. Adverse events are regularly and thoroughly reviewed and we have not observed a higher rate of myocarditis than what would be expected in the general population. A causal link to the vaccine has not been established. There is no evidence at this time to conclude that myocarditis is a risk associated with the use of Pfizer/BioNTech COVID-19 vaccine. More than 260 million doses of the Pfizer-BioNTech COVID-19 vaccine have been administered globally. Serious adverse events unrelated to, but close in timing to vaccination, are expected to occur at a similar rate in vaccinated individuals as they would in the overall population. [for non-HCPs]: we refer you to your healthcare provider to discuss this topic. Your healthcare provider knows your medical history, can discuss the risks and benefits of the vaccine, and can provide vaccination recommendations to you. Pfizer is aware of the reports of myocarditis in recipients of the Pfizer-BioNTech COVID-19 vaccine. More than 260 million people globally have now been vaccinated with the Pfizer/BioNTech COVID-19 vaccine and we have not observed a higher rate of myocarditis than what would be expected in the general population. A causal link to the vaccine has not been established. Serious adverse events unrelated to but close in timing to vaccination will likely occur at a similar rate in vaccinated individuals as they would in the overall population. With a vast number of people vaccinated to date, the benefit risk profile of our vaccine remains positive. If asked on the specific casesMore specific information on the specific cases or demographics are not currently available to Pfizer Medical Information. The outcome of the events was unknown. No follow attempts are needed; information about lot/batch number cannot be obtained.

Previously healthy male presented with chest pain 4 days after his second COVID vaccination. He had left chest pain for a few hours yesterday which resolved, then recurred today. Pain was constant and radiated to armpit, worse with deep breaths. CRP mildly up at 8.5. Troponin elevated at 465, CK up at 520, and AST mildly up at 62. Repeat troponin 1.5 hours later was 511. Patient did have fever for one day after his second COVID vaccine, and has otherwise been afebrile.

15 yo M with chest pain, fever found to have likely myocarditis secondary to likely COVID vaccine (Pfizer) with elevated troponin at OSH of 660 ng/L. Repeat here noted to be 58,513 mg/L but patient otherwise stable, not complaining of chest pain after Toradol and eating more currently.

Patient is a 15 year old male, with athletic build, hx of occasional orthostatic hypotension, no LOC who developed fatigue, palpitations, persistent L sided chest pain, and worsening dizziness on day 2 after Pfizer COVID 19 vaccine #1(given 5/22/21). He was seen at an outside ER care on Day 3 post vaccine due to worsening symptoms, as per mom he had tachycardia in the ER visit, was given tylenol, no ECG or labs at that time. Given tylenol that day and told to take PRN. Symptoms resolved rapidly after that. No hx of heart disease, no fam hx of heart disease No fam hx of sudden death less than 30

On June 10, 2021 around 1:20am, child woke me up and stated that he has a headache. After feeling his head, he felt very warm with a temperature of 102.3 using both a digital and under the tongue thermometers. I had child to take a Tylenol pill with something to drink. At approximately 4:45am took the child's temperature again and it was 99.6 degrees and I had the child to take another Tylenol pill at that time, so that the temperature wouldn't spike up. Around 9:30am, after allowing him to sleep, he woke up and stated that he felt better. Then, I was able to go to work.

Pt is a 15-year-old man with history of obesity, insulin resistance, mixed dyslipidemia, vitamin D deficiency, elevated hemoglobin A1c, anxiety disorder, and ADHD. He presented today to the ER with history of chest pain in the past 3 days. This chest pain is intermittent, sharp in nature, mainly in the retrosternal area, precipitated by deep breath, partially relieved by Tylenol, ibuprofen, or laying down. He denied any history of trauma, or recent viral illnesses. The severity of this chest pain ranging between 4?5/10 with no radiation. He had temperature of 38 °C on Saturday after the second dose of SARS-CoV-2 vaccine (on Thursday, 6/3/2021). He said that he had a loose bowel movement, intermittent cough, and headache. He denied any nausea, vomiting, nasal congestion, skin rashes, change in urine, muscle pain, or joint pain. At the ER, he was in stable condition, afebrile, with stable vital signs. He received 1 dose of Motrin 600 mg for the chest pain. ER dr. was consulted and he recommended admission to the CICU for further investigation and management. 6/9/21 - Troponin levels downtrending (last 1.30). ID consulted and recommended obtaining adenovirus PCR, enterovirus PCR, GI panel, Mycoplasma IgM, COVID IgG, COVID NP, and COVID spike protein. Will follow as an outpatient. CXR normal. EKG with sinus bradycardia, while calm. Echocardiogram results normal. RPP and COVID negative. Behavioral medicine followed. Discharged on 6/9/21. Hospital course CV Troponin level on admission was 2.7 and have been closely monitored. Last level obtained on 06/08 was 1.3. ECG 06/08 - sinus bradycardia. Echocardiogram 06/08 - essentially normal with trivial to mild tricuspid regurgitation and mitral regurgitation and trivial aortic regurgitation. Chest pain has now resolved and patient has good hemodynamics with good pulses, good blood pressures, and cap refill less than 2 secs. He will follow with Dr. in 1 week. No rigorous exercise for one week.

Around 4 pm the day after receiving a COVID vaccine patient started getting tired, fatigue, headache, and feeling hot. At 7:00 pm on Sunday with bottom lip swelling. Monday eyelid swelling. No itching. Benadryl 25 mg given in office.

Adolescent son (recently turned 15 years old): 6/7 - casually mentioned that it was a little difficult to breathe before going to bed about 10:00 pm 6/8 - still experiencing some breathing difficulty and mild headache during the morning/afternoon but by evening complaining of severe headache, chest pain and shortness of breath; began an Acetaminophen + Ibuprofen regimen starting about 10:00 pm in the evening 6/9 - woke up with mild chest pain, but no headache, which subsided by early afternoon; seemed to be ok by late afternoon/early evening; last dose of Ibruprofen was about 6:00 am that morning

This description was reported to this writer. A few minutes after receiving the vaccine and sitting in the observation area, the patient's father told the nurse that his son was feeling lightheaded, was sweating and appeared pale. EMTs were notified and approached the patient. The patient was laid onto the ground and his legs were elevated. EMTs did an assessment and vital signs. Reported that the patient was hypotensive. Dad stated that his son had not eaten anything yet today. He was then given juice and a small candy bar which he ate. Patient was soon transferred to a wheelchair and taken to a nearby cot to lay down again. Dad stated this son does not have any allergies. Dad remained at son's side until released to go home by EMS. Patient ambulated unassisted toward the car.

Patient had headache, body aches, left arm pain, chills, fever (101 degrees) and fatigue for 2 days. Onset of symptoms were about 8 hours after the dose. He took Tylenol and symptoms improved.

He had the 2nd Pfizer covid vaccine on Thursday late afternoon. By Friday evening, he was complaining of chest pain and shortness of breath. He was also running a fever. Called the advice line for his dr and were told to monitor him. Saturday early morning, took him to urgent care due to no improvement. They did an x-ray and other tests to rule out myocarditis. His symptoms eventually resolved on Monday.

The patient received both Pneumovax-23 and COVID-19 vaccines on 6/4/21. The patient developed a fever of 103.7 on 6/5. The patient was given Tylenol and Motrin and was afebrile on 6/8/21.

Constant cough; This is a spontaneous report from a contactable consumer. This contactable 15-years-old male consumer (patient) reported himself that he received unknown dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: unknown) via an unspecified route of administration on an unknown date as single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. It was mentioned that the patient was not diagnosed with covid-19 prior to vaccination and did not get tested for covid-19 since vaccination. The device date was 05Jun2021. On an unknown date patient reported that he had constant cough. The outcome of event was unknown. Information about lot number/batch number could be requested.

On the day after, I had chills, migraine, and other aches and pains the entire day. Next day I felt largely better. Today is a week after my shot and my headaches are getting worse progressively, It is a distinct type of headache I've never felt before getting the vaccine.

Head was hurting; Temperature was 101.4; This is a spontaneous report from a contactable consumer. A 15-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot number: EW0185) via an unspecified route of administration, administered in right arm on 04Jun2021 (age at vaccination: 15 years) as 1ST DOSE, SINGLE DOSE for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient did not have any prior vaccinations. On 05Jun2021, the patient experienced head was hurting, and temperature was 101.4. The patient was given paracetamol (TYLENOL) 500mg (1 pill) for headache. Reporter stated just gave him the pill a minute ago before calling, so it was not going to work that fast. It was reported that, the patient was scheduled in 26th for the second shot. Therapeutic measures were taken as a result of adverse events. The outcome of the events was not recovered. Follow-up attempts are needed. Further information is expected.

Dizziness, diaphoresis, bradycardia (47), momentary loss of consciousness, fell forward to floor, hit head. - woke quickly to verbal commands. Close monitoring, vital signs checked. EMS were called and transported Attendee to local hospital.

RECEIVED THE 2ND DOSE OF COVID VACCINE ON 06/09/2021, AND BY 06/10/2021 MY SON HAD DEVELOPED A SWOLLEN LYMPHNODE IN HIS ARMPIT THE SIZE OF A GOLF BALL IN AN OVAL SHAPE. FEVER CHILLS SWEATING

15 y/o male without history of systemic illness, who received first dose of COVID19 vaccine on 5/14/21, who by 5/29/21 presented nasal congestion, sore throat, cough. On 6/2/21 was seen by MD and was prescribed Giltuss 1 tab po bid (took 2 doses) and Claritin 10 mg po daily for about 7 days. Respiratory symptoms resolved by 6/4/21. On 6/10/21, a CBC was done as recommended by pediatrician and showed low platelets (63,000). On 10/10/21 without knowing CBC results, received his second dose of COVID vaccine. When mother was called from lab, went to his pediatrician and was referred to our ER last night. Platelet count was 75,000 last night and patient had no evidence of any bleeding and was asymptomatic. I was contacted last night and agreed with discharged from hospital, and came to my office today for evaluation. He complained of headache 10:15 am today (3/15 in intensity) and resolved without treatment. A follow up CBC today showed 60,000 plts.

mild pain in tongue and throat/severe sore throat; mild pain in tongue and throat; Felt pain when swallowing; He could not talk normally cannot move tongue very much; He could not talk normally cannot move tongue very much; This is a spontaneous report received from Medical Information Team. A contactable physician (parent) reported that a 15-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in left arm on 22May2021 15:00 (Lot Number: EW0178, at the age of 15-year-old) as single dose for covid-19 immunisation. Medical history included seasonal allergies. Concomitant medications included loratadine (CLARITIN) taken for seasonal allergies; fluticasone propionate (FLONASE) taken for seasonal allergies. A pediatric gastroenterologist reported for his son. His son had the first dose of the Pfizer COVID-19 vaccine on 22May2021. On the next day on 23May2021, he experienced mild pain in the tongue and throat. He had no fever. The pain in the throat and tongue started on Sunday (23May2021), but it was mild and he was not concerned. His son had it on Monday (24May2021) and when he came home from school around 15:00 or 15:30, he was complaining of severe sore throat. His throat was hurting more. Severe from that time. He stayed home from school. Treated with Tylenol and Motrin. Didn't really work/helping. Pushing fluids. Felt pain when swallowing. He was not eating due to severity of the pain. Had severe pain when he tried to speak. He could not open his mouth well. Tried to keep his mouth closed. He could not talk normally cannot move tongue very much. They went to urgent care and had a strep test which came out negative on 25May2021. Reporter seriousness for pain in throat and tongue was disabling. The gastroenterologist wanted to know if his son's adverse reaction was an allergic reaction and if he should get the second dose of the vaccine. There was no prior vaccinations within 4 weeks. The outcome of the events was not recovered.

PT had his first dose of Pfizer vaccine at 5pm on 21st. He looked low energy at night. We felt his forehead and he was warmer than usual. However, thermometer did not show he had a fever. He looked much better in the morning on 22nd. We thought that was it. Only after a week did PT tell us he had more reaction. However, because he was well then, we did not pay too much attention. When we learned of the link between Covid 19 vaccine and Myocarditis, we asked him in detail again. Here are his responses. He started feeling his throat hurt when he had dinner that around 7pm. It lasted only that night. He started feeling chest pain around dinner time too. It only hurt when he moved. That chest pain lasted longer and disappeared on the 23rd. He started feeling there were air bubbles under his skin on the flat part of his left shoulder (above the injection site and below his neck) on the 22nd. He did not see them. He just felt them. When he pressed them with fingers, he felt them popping. This feeling lasted for a total of three days. He could feel the amount of air bubbles become less over the three days. We have not seen any side effect in the news like his. We are not sure that he should get his second dose. Please someone could advise us, please send us an email. Much appreciated.

Next day (6/9) developed fever with max temperature 101.5F. At 6PM on 6/9, patient developed chest pain, worst with laying flat, better sitting up. Chest pain also associated with sweating.

Pt had 101 fever Sunday evening. We gave him 400mg of IBU at 6pm and 500mg of Tylenol at 10pm. His fever was gone in the morning. Monday morning, lymph nodes under his arm were swollen to the size of quarters. Pt upper arm was swollen and red around the injection site the size of a softball. The redness and swelling of the lymph nodes have been slowly diminishing.

Woke up with chest pain; He said his upper back was aching; temperature of 100 degree; Sinus pain; Sinus pain and Congestion; This is a spontaneous report from a contactable consumer. A 15-year-old male patient received second dose of BNT162B2 (Pfizer Covid-19 vaccine; Solution for injection; Batch/Lot Number: EW0185) intramuscular, administered in Arm Right on 04Jun2021 as 2ND DOSE, SINGLE DOSE for covid-19 immunisation. The medical history and concomitant medications were not reported. The patient previously took first dose of BNT162B2 (Batch/Lot Number: EW0182) on right upper arm on 14May2021 for covid-19 immunisation. The patient reported, had his 2nd vaccine on Friday 2 days ago yesterday he just had congestion, today on 06Jun2021, he woke up with chest pain and he said his upper back was aching and he has chest pain. He is also having temperature of 100 degree, so Tylenol was given. Sinus congestion and pain was yesterday on 05Jun2021. He does not have congestion today. Yesterday for sinus pain and congestion, the patient was given Sudafed 1 tablet. It is an over-the-counter medicine, 30 milligrams 1 tablet. A history of sinus was reported for about everybody in his family got sinus one time in life. The outcome for the events sinus congestion and pain was recovered on 06Jun2021. Outcome for the events chest pain, upper back was aching and having temperature of 100 degree was unknown.

Client received the COVID vaccine (Pfizer dose 1, lot # ER8736, expiration date 7/5/2021) at 1725 from RN. RN escorted the client to a chair in observation area at 1730. Per RN, the client's gait became unsteady as he ambulated and the client became unresponsive as he sat in his chair. The client was observed to slump forward, and he was caught by RN and his mother. EMT and RN responded at that time. The client remained unresponsive for approximately 90 seconds. While he was unresponsive, the client's breathing was rapid and shallow, and his pulse was thready. At 1732, the client became responsive and was drowsy but oriented x4. The client was transferred to the zero gravity chair at this time by RN and RPh. The client's vital signs at that time were: blood pressure 76/40, heart rate 64, respiratory rate 24, and O2 91%. The client appeared pale and diaphoretic. The client reported dizziness and blurry vision which had both progressed to "blacked out vision" before he went unresponsive. The client reported still feeling dizzy and having blurry vision. The client denied shortness of breath, chest pain, or headache. At 1737, the client's vital signs were as follows: blood pressure 102/52, heart rate 61, O2 98%. The client's pupils were equal and reactive to light. At 1738, the client was offered water, juice, and a snack, which he started to eat and drink. Per the client's mother, the client hadn't eaten prior to his appointment but was given water and a snack while in line for his vaccine. The client's mother stated that the client has no medical conditions or allergies and that he takes no medications. The client's mother stated he does not have a history of syncope. At 1740, the client's vital signs were as follows: blood pressure 96/48, heart rate 82. The client complained of feeling hot and he was provided with a cool pack. The client's color had returned to normal at this time and his pulse was normal as well. At 1745, the client's vital signs were as follows: blood pressure 96/48, O2 99%, heart rate 65. At 1750, the client stated that his dizziness and blurry vision had resolved. He was no longer diaphoretic. At 1755, the client's pulse was 74, his blood pressure was 102/52, and his O2 was 99%. Education was provided to the client and his mother by RN regarding primary care follow up and EMS activation. At 1800, the client's vital signs were as follows: heart rate 68, O2 98%, and blood pressure 106/58. The client was able to stand up without dizziness and ambulated out to the car escorted by his mother and EMT, ambulating with a steady gait.

Developed fever, chills, nausea by about 9pm that night (6/12/21). Administered alternating tylenol/advil. Symptoms lasted approx 36 hours. Too weak and fevered to attend school the day following 2nd vax (6/13/21). Still fevered on the morning of the 14th, but given last dose of Tylenol and was then fine for school.

headache and fatigue day after vaccine, then 2nd day had episode of orthostatic syncope, now appears to be fully recovered but continues to have orthostatic tachycardia

Patient received his 2nd Pfizer COVID vaccine at 1650 on 6/10/21. Just over 24 hours later he developed fatigue and fever to 102.1. Mom gave him ibuprofen around 1830 on 6/11/21. His temperature was <100 within 45 minutes of the ibuprofen. He slept the remainder of the night, but was diaphoretic most of the night. Approximately 0915 on 6/12/21 Patient developed a severe pain in his mid-back. Due to his known risk of aortic dissection the family took him immediately to the ED. A CTA was rapidly obtained. He was noted to have a proximal abdominal aortic aneurysm and dissection and was transferred to Hospital y air. Upon review of the images with the surgical team he was then transferred to Hospital and Clinic for surgery, which was performed at 0730 on 6/13/21. At the time of this reporting he is presently in the operating room, so the outcome of surgery is yet unknown.

This is a 15 year old male without PMHx who presents with chest pain for one day after having Pfizer COVID vaccine 2-3 days prior. As per father patient had first dose without any sx except mild soreness on the site of injection. On 6/9/21 he received the second shot of Pfizer vaccine. That day he only fell mild pain on site of infection only. Next day he suffered from chills, HA, and fever. He took Tylenol for it. The day prior admission he had a mild headache and pain on the middle of the chest, dull, not radiating, and on/off. There was one episode of emesis after dinner and after taking TUMS he went to sleep. The parents check on him through the night and upon waking up he complaint still with chest pain, now increased and radiating to left side of the chest. The parents decided to bring him to ED for evaluation where he was found to have elevated troponins and he was admitted for myocarditis likely secondary to the Pfizer vaccine. His troponins were monitored q8hrs and he was started on Toradol q6hrs. See EKG and Echo results below. Due to increasing troponins 6/13, he was given IVIG with resulting improvement. At this time, we are still monitoring his troponin inpatient with plan for potential cardiac MRI. He will be discharged home on Ibuprofen 600mg TID and follow up with cardiology with exercise restriction likely for a few months, tbd by outpatient cardiology follow up.

Fever, nausea for 36-48 hrs in length. Cleared. 48 hrs later no fever but severe nausea, vomiting, and diarrhea for 36 hrs appxly. Has seemingly cleared currently for past 12 hours.

Fifteen hours after the vaccine my son woke up and his respiratory rate was high. It was over 140. I woke him up and he had chills and diarrhea. Because of his Cortisol Deficiency I called his doctor. I was advised to give him 30mg Hydrocortisone and lots of water. His Respiratory and heart rate were high. He was feeling a little short of breath and he had heart palpitations. We went to the ER and they did lots of testing. He had a fever and Sepsis testing. All results were normal and they gave him a Liter of fluids. He was discharged after two hours and his pulse was still high at 105-110. We monitored him and his heart rate was slowing and he started to feel better. His Endocrinologist had him take a double dose of Hydrocortisone the next day. His improvement progressed and by the fourth day the symptoms were gone. He was able to do his normal activities but tired and worn out from the ordeal. One week later he had a slightly elevated heart rate but it resolved quickly. He had had a local reaction in his arm with swelling and a rash after the first vaccine.

Got second dose of vaccine 6/2. Same day had chills, myalgia, fatigue and soreness at injection site. 6/3 developed substernal chest pain and dyspnea. Admitted to hospital for suspected myocarditis given elevated troponin and mildly elevated inflammatory markers 6/4. No treatments given. Symptoms resolved and troponins improved prior to discharge 6/8. He remains well today 6/14.

We sat at the Care facility for approximately 10-15 min. We left facility and my son was saying in the car that he felt very tired and wanted to go home and go to bed. As soon as we got home, he was walking toward his bedroom and he say "whoa" and then fell to his knees as I caught him and fainted. He was passed out for a few seconds. I called 911 immediately and then he came to and said "what happened". Fire Dept. took blood pressure, which was 152/74 and heart rate at 136. They said his heart rate was fast. I drove him to ER at and he had a very fast heart rate, around 150 -170. He was able to go home around 10pm after the negative tests and heart rate coming down to 80-90s for a short time, but still would get high. My son kept saying he felt fine even after passing out and at the ER. He did not feel like he had a fast heart rate. ER recommended purchase a pulse oxi meter to test heart rate at home, which I purchased the next day and he's been in the normal range. He is scheduled to take the 2nd dose June 18th, but I will not let him get it since he had a severe reaction to the 1st dose.

Patient woke up dizzy in the middle of the night. He has never been dizzy before. He said his head hurt and asked for a tylenol. He took one and walked back to his room. Before he made it to his room, he blacked out and fell to the ground. Thankfully he did not hit his head. He fell on carpet but we did not know he passed out. He was out for about 1 1/2 hours before he woke up, found himself on the floor, and came back to the room to let us know.

Mom reports that nurse/vaccine administrator injected son/patient at a higher than usual site on the shoulder and the needle did not go in all the way, in fact of the needle was outside his skin. The skin around the needle puncture "bubbled" up and it caused him pain (more than the 1st dose when he received it). No leakage of vaccine fluid was observed. He had some soreness in the arm. The next day he did develop some nausea, body aches, and slight fever. He is feeling a bit better today (6/14) and only has some nausea remaining. Mom will take him to PCP to evaluate his Left shoulder since it is still achy.

The patient is a 15-year-old male with no past medical history who was in his normal state of health when he received a dose to the Pfizer COVID-19 vaccine on June 10th 2021. The day following vaccine he developed fevers and chills which she treated with Tylenol. On the morning of June 12 he developed chest pain and nausea which progressively worsened throughout the day. That day he presented to an outside hospital emergency department where he was found to have elevated troponin and EKG with ST segment elevation. He was then transferred to the hospital pediatric ICU for further care. On admission to the PICU treatment was started with IV Toradol. Echocardiogram was performed and revealed mildly decreased left ventricular systolic function. His peak troponin level was 27.43. He remains hemodynamically stable and was transferred to the pediatric floor. By 6/14/2021 his chest pain had resolved and he continued to improve with NSAID therapy alone. His troponin down trended to 2.62 on day of discharge. Repeat echo on day of discharge showed improving but still mildly diminished systolic function. Repeat ECG at discharge showed persistent ST elevation. He was discharged with a prescription to continue ibuprofen 600 mg 3 times daily and follow-up with pediatric cardiology in 1 to 2 weeks.

Pt was feeling tired, sweating, and was pale after 15 minutes post vaccination. EpiPen was not used but an ambulance was called. While waiting he was given Gatorade and an ice pack. He laid on the ground and sat back up. Ambulance took his vitals and stated everything was normal. They concluded that he might have been nervous for the vaccine and recommended to follow up with his PCP.

Patient was administered 2nd dose of Pfizer Vaccine at 3:30 PM. At exactly 3:37 PM, patient was seated in waiting area and was exhibiting symptoms, specifically circumoralcyanosis, turning blue around the mouth. Patient was also perspiring all over the body, (arms, face, etc) Patient was also warm and clammy. Patient was disoriented and unable to respond typically. 911 was called. Patient was given a sprite and could not hold the sprite independently. Directly after, blood pressure Pulse and oxygen levels were checked and were below normal. (Blood pressure - 54/47) (Pulse - 87 BPM). Patient then became more responsive and was able to say name and specified location upon asking. Within 5 minutes of 911 call, ambulance arrived and emergency response took over care. Patient was then transported to local hospital.

16 yo male with h/o CML in remission without known cardiac dysfunction (no history of cardiotoxic chemotherapy) who had his second Pfizer COVID vaccine on 6/12 afternoon and then presented to the ER with fever, headache, and hypotension requiring multiple fluid boluses and admission. No complaint of chest pain on admission, but does complain of 6/10 chest pressure in the left chest 6/14, leaning forward, with mild difficulty breathing. No palpitations, skipped beats, racing beats, dizziness or syncope. Troponin was checked 6/14 at 1020 which was elevated to 0.35. Repeat one at 1600 peaked at 1.35. Then 6/15 at 0350 it came down to 0.5. Antibiotics stopped after one dose 6/13, he received acetaminophen and ibuprofen for symptomatic management.

Patient is a healthy 15 year old male presenting with chest pain in the setting of recent SARS-CoV2 vaccination. He was in his usual state of health until he received the second dose of the Pfizer/BNT SARS-CoV2 vaccination on Thursday 6/10. Shortly after and into the following day, he developed fatigue, chills, and a headache, which resolved within 24 hours. However, early this morning at around 2am, he awoke with sharp central chest pain associated with some shortness of breath, radiating to his left, prompting him to present to the ED. Initially presented to Hospital ED. Vitals stable. Labs notable for troponin 0.07 and d-dimer 1.48. EKG with sinus rhythm, ST elevation in inferior leads. Given ibuprofen 600mg and contacted Cardiology, who recommended transfer to another ED for echocardiogram and further evaluation. Here in the ED, vital stable, exam non-focal. Labs notable for troponin 0.13 and CRP 3.0; CBC, chem 10, LFTs, BNP, all within normal limits. CXR normal. Echo done which showed normal function (prelim read). Seen by ID who recommended standard workup for vaccine-induced myocarditis. He was admitted to the floor in stable condition. Hospital Course: Due to rising troponin during hospital day 1 (peak 0.23), patient was treated with IVIG 2 g/kg (6/14) and methylprednisone 30 mg BID (6/14 - 6/15). On 6/15 a cardiac MRI was obtained that showed a small area of late gadolinium enhancement of the LV with normal function. Troponin was trended every 12 hours and had decreased to 0.11 on 6/15 AM. He was transitioned to oral prednisone 30 mg BID to complete a total steroid course of 5 days (6/14 - 6/18). During admission he was found to be EBV PCR positive with all other viral testing including EBV serologies pending. It is still thought this is likely due to post-vaccine inflammation and not viral myocarditis but serologies should be followed up as outpatient. By time of discharge, patient was well-appearing, vitals stable, demonstrating good PO intake. Prescriptions sent to preferred pharmacy. Follow up with cardiology. Discharge instructions and return precautions reviewed with patient and parent, who expressed good understanding and agreement with plan. Reasons for new, changed, and discontinued medications: Prednisone for myocarditis Famotidine for stomach protection while on prednisone Discharged home with follow up tests scheduled for 6/17/21.

On 6/8, he developed fever and chills. On 6/9, he developed shortness of breath, dizziness, increased HR while playing golf. Rested and symptoms improved. Resting HR at the time of my call with him was in the 80s, but he reported low 100s when he was playing golf. Symptoms resolved with rest and hydration only. He did not need to go to the ER or be hospitalized.

Patient is a 15 y.o. male who presents with fever, cough, and chest pain. He was in his normal state of good health until Saturday (6/12) when he received his second Pfizer COVID-19 vaccine around 4pm. Later that night he developed fever which lasted until Monday morning. He also developed a cough that has gradually improved. No runny nose, sore throat, myalgias, chills, vomiting or diarrhea in past 2 weeks. Yesterday around noon he started to develop chest pain. The pain would come and go, lasting seconds to a minute occurring every few minutes. It is described as a pressure in the center of his chest under his sternum. No palpitations, light headedness, no radiation of pain. This pain lasted until he was given ibuprofen in the ED and it has not returned

Received 2nd dose of Pfizer vaccine on 6/12/21. Intermittent headaches since that time. On morning of 6/14/21 developed chest pain (described as achy and in the center of the chest). Denies shortness of breath, radiation of pain, or fevers. 6/15/21-seen at Urgent Care , EKG completed and patient transferred to another hospital. From there he was transferred to one more hospital, given concern for myocarditis. Remains hospitalized as of 6/16/21

My son developed neck soreness and and an enlarged lymph node that weekend. On Monday following the vaccination a severe headache started which lasted 4 days, even with tylenol and ibuprofen. On Tuesday, he started complaining about not remembering what he did the day before when he woke up in the morning..memory started coming back around noon. The memory issues lasted one week and began to dissipate thankfully. After a few weeks got a call to schedule his second shot. Called the pediatrician and the pediatrician told us not to administer the second vaccine due to adverse reaction to the first. We are monitoring his memory issues..he is almost a straight A student in school last year and on an Advanced Learning Plan in high school due to high IQ. We will know if this is long lasting after attending school and monitoring his grades and headaches in the fall.

24 hours after vaccine developed malaise, fatigue, flu-like symptoms including fever to 101.5F. Rash on lower extremities - serpiginous and lacey most consistent with serum sickness like reaction. Rash very classic for this, but unclear if flu-like symptoms and fever were typical immunogenic effects of vaccine vs SSLR. Rash was not itchy and improved overnight prior to clinic presentation on 6/16 (vaccine on 6/14). Took benadryl x 2. Patient well in clinic with no residual fever and improved overall. No treatment given in clinic and no medicine prescribed for home.

Per incident report: Pt stated not feeling well and Dad asked for water. At 5:41pm pt began to seize in chair, 2 staff members assisted pt to ground. Seizure lasted approximately 1 minute, pt was oriented x3 after seizure. EMS was called, transported to hospital for evaluation. Staff member called next day to check on pt, pt's mom stated he saw physician and was doing well.

15 yo old boy c/o difficultly sore throat approximately twenty minutes after receiving the second dose of the Pfizer vaccine. He appears well and has a normal voice. Auscultation of his larynx did not reveal stridor. No rash, wheezing, or other associated signs or symptoms. He was treated with 25 mg of oral diphenhydramine with a resolution of symptoms after an extended monitoring period. Per MD Clinical Lead

6/7 - patient received 2nd dose of Pfizer vaccine. 6/8 - patient developed tactile fevers (for 2-3 days), diarrhea (4-5 days of non-bloody diarrhea) 6/9 - developed chest pain and tightness and mild cough 6/12 - few episodes of NBNB emesis, cough with blood tinged sputum 6/13 - presented to urgent care, referred to hospital and admitted to floor. Patient found to have tachycardia and hypertension. CXR with pleural effusion, renal US with medical renal disease. Worsening renal function and concern for hyper coagulable state with worsening D-Dimer and possible pulmonary embolus but unable to obtain contrast images due to renal failure. 6/15 - transferred to ICU for heparin drip for worsening D-dimer. Nephrology, rheumatology and infectious disease consulted. Continued chest pain, cough with hemoptysis. Remains afebrile and otherwise hemodynamically stable. Started on ceftriaxone empirically. Concern for MIS-C, vaccine related adverse event vs autoimmune vasculitis.

Two minutes following vaccination, patient reports feeling light headed. Eyes began to roll back in head and arms became rigid and moved in a twisting motion. Patient non-verbal and slight coughing X4. Patient lowered to the supine position while supporting his head Pt had his eyes closed. Color became pale. This occurred for approximately 1 minute. Following this episode , patient opens eyes and begins to talk normally. Alert and oriented. Patient reports feeling very cold and begins to shiver. Nurse provides blankets to comfort. Nurse keeps client in observation for 30 minutes following this syncopal episode. Client drinks two small glasses of water. Denies being nauseous or hungry. Reports has not eaten today, but declines food. Patient has father and siblings with him to drive and care for him. Upon departure, patient reports feeling back to normal. Patient and family instructed to seek medical care if there are any changes.

The night of vaccine, started to have nausea, lightheadedness, muscle aches. Progressed to neck pain and headache, and later to shortness of breath , chest tightness, and diaphoresis.

Fever of 102°F; This is a spontaneous report from a contactable consumer (parent). A 15-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration on 05Jun2021 as single dose for COVID-19 immunization. The patient medical history and concomitant medication was not reported. The patient previously took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) for COVID-19 immunization. After taking 2nd dose of vaccine, the patient experienced fever of 102°F in 2021. The patient underwent lab tests included body temperature: 102°F in 2021. The outcome of event was unknown. Information on the lot/ batch number has been requested.

COVID Vaccine #1 event, patient arrived to receive first dose of Pfizer vaccine. The patient has no allergies or medical history. Vaccine was administered at 1353. Patient was discharged at 1409 without any adverse events. Patient ambulated with mom to exit from the event. At 1515, I was informed the someone was having shortness of breath and chest pain. When I arrived with the vital machine the patient was sitting in a chair, skin color was normal but he had facial diaphoresis. Patients mom had brought patient back to mobile event. BP 146/90 HR101 RR 20 Oxygen saturation 98% on roomair. Patient complains of shortness of breath and constant chest pressure. Patient hair removed from face, ice pack applied to neck, patient mask removed so air intake was not restricted patients feet elevated on a chair. NP present assessing patient with MA interpreting in Spanish. NP verbalized to continue monitoring vitals every 15 minutes. At 1530, vitals BP 145/91 HR96 RR18 O2 Sat 96%RA. There were no changes in the patients complaints. NP reassesses patient recommends patient may need further evaluation. At 1543, vital remained stable BP 131/79 HR 103 RR18 O2 sat 96%RA. At 1547, EMT arrived. Patient ambulated to gurney and was transported to Hospital per patient mom request.

COVID-19 Signs and Symptoms cough same; fever same (100-101); shortness of breath same (at night); headache same; sore throat same Contacts and Exposure No known exposure. Pt received 2nd COVID vaccine on Friday 6/11/21 Quality: dry cough Severity: moderate Duration: symptoms lasting 4 days Onset/Timing: date of symptoms onset: (Sunday 6/13/2021) Context: No history of asthma or pneumonia Associated Symptoms: no wheezing; no vomiting; no diarrhea; fatigue; runny nose ROS Patient reports loss of appetite, fever (101 here today), and diminished activity. He reports congestion and sore throat but reports no ear pain. He reports cough and difficulty breathing but reports no wheezing. He reports headache but reports no dizziness. He reports no nausea, no vomiting, and no diarrhea. He reports no sneezing and no runny nose. Fever with cough, mild SOB, fatigue and pharyngitis, likely viral illness. Ibuprofen 400 mg given here now. Negative COVID test here today, will send for chest x-ray, lab work CBC (H/H, RBC, indices, WBC, plt) C-reactive protein comprehensive metabolic panel lyme disease Ab w/refl to blot (IgG, IgM), troponin I, sed rate by modified westergren. EKG done, Continue to monitor for increased WOB or any worsening of symptoms. Consult with Cardiology, Echo recommended and pt. scheduled for one.

6/12/2021: Nausea, slight fever, dizziness, black outs, fatigue, muscle aches By night time, rashes started appearing all over his body including arms and legs and all over his face. The rashes looks like big blotches/ map looking red marks all over his whole body. His face was all covered with the blotches of rashes including his scalp. He had no fever though. He was breathing normally but the rashes were very itchy. gave him double dose of Benadryl. Then switched to adult Benadryl but still taking double the dose. This went on for 2 days and no sign of improvement despite taking Benadryl every 6 hours. Patient was sleeping most of the days due to the medication. 6/15/2021: reached to Family doctor and explained the situation. doctor recommended to go to ER after seeing pictures of the rashes. Patient adamantly refuses to go. Doctor suggested take Allegra on top of Benadryl. Patient took Allegra 24D. Patient mostly sleeping. 6/16/2021: saw some slight improvements. Back and chest cleared of the rashes but still heavy on the arms, most especially the thigh area and legs. still taking Benadryl but only the normal dosage. 6/17/2021: All rashes are gone and cleared/

vomited like 30 times; super fatigue; pale; achy; shaky; fever of 101 °F; This is a spontaneous report from a contactable consumer (patient mother) reported for her son. A 15-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot/Batch number: unspecified, Pfizer NTEC), via an unspecified route of administration on an unspecified date as 2nd dose, single dose for covid-19 immunization (at the age of 15-years-old). Medical history included peanut allergy (he has a peanut allergy). The patient's concomitant medications were not reported. The patient historical vaccine included first dose of BNT162B2 for COVID-19 immunization. On an unspecified date in 2021, the patient received the second dose and at 5 o clock the next morning he vomited like 30 times, had a super fatigue, pale, achy, shaky fever of 101 degree Fahrenheit. He slept but was still feeling feverish. The clinical outcome for the events was unknown. Information on Lot/Batch number has been requested.

Diagnosis: Acute myopericarditis. Presentation: Pt had typical post-vaccine side effects on 6/7/21 including fever and malaise. Also had intermittent mild substernal chest pain starting 6/7/21. Malaise and fever resolved by 6/8/21 but intermittent chest pain continued to occur. Vomited x1 on 6/9/21 in early morning hours, which was followed by severe constant substernal chest pain, pain worse when lying down. Presented to medical care on 6/9/21, seen first via phone visit, then pediatric office visit, then sent to ED and admitted to hospital. Treatment: Naproxen 250 mg PO BID starting on 6/9/21, continues on this treatment as of 6/17/21. Outcome: Symptoms resolved on 6/9/21 after naproxen started, discharged home on 6/10/21. Doing well in outpatient without any complications.

Redness and swelling of arm; Redness and swelling of arm; Headache; Chills; This is a spontaneous report from a contactable nurse (patient's mother) reported for son. A 15-year-old male patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in left upper arm on 13May2021 07:20 (Batch/Lot Number: EW0167) as 1ST DOSE, SINGLE DOSE for covid-19 immunisation. Patient received dose 2 via an unspecified route of administration, administered in right arm on 03Jun2021 07:20 (Batch/Lot Number: ER8736) as 2nd dose, single. Medical history included patient is immunocompromised and oral steroid dependent due to asthma and adrenal insufficiency, ongoing Hypothyroidism Diagnosed about 10 years ago, ongoing Acid reflux Diagnosed since birth, ongoing Adrenal insufficiency Diagnosed about 2 years ago, Asthma Diagnosed since birth, ongoing allergies Diagnosed since birth/infancy, ongoing Pseudotumor cerebri since 2015. Concomitant medications include acetazolamide sodium (DIAMOX) taken for Pseudotumor cerebri from 2015 and ongoing, fluticasone propionate, salmeterol xinafoate (ADVAIR) taken for asthma about 8 years and ondoing, Fluticasone taken for asthma about 4 years and ongoing, Budesonide for Sinus rinse from sinus surgery care about eight years and ondoing, Hydrocortisone for adrenal insufficiency since 16May2021 and ongoing, lansoprazole (PREVACID) taken for acid reflux since 2006 and ongoing, levothyroxine sodium (SYNTHROID) taken for Autoimmune hypothyroidism hashimotos and ongoing. Patient experienced pretty big redness and swelling of arm on 14May2021, and got worse about 2 weeks later, which was odd, like a delayed response. Had headache on 13May2021 around 14:00, lunch and took two regular strength Tylenol and drank water. Classifies as medically significant since patient had to miss two days of school. Other symptoms went away after 24 hours like the chills and normal vaccine symptoms, headache. His blood pressure and all vitals were all normal. The outcome of redness and swelling of arm was recovering but still has faint bruising color, other events outcome was recovered on 14May2021. Information on the lot/batch number has been requested. Follow-up (03Jun2021): New information reported from a contactable nurse (mother) includes: removed event "15 years old patient received t vaccine", add events "headache", "chill", "redness and swelling of arm". Case upgrade to serious.

Body aches, fever, headache and fatigue throughout the day on May 16. Fever at 103 degrees at 4pm Intense chest pain and shortness of breath 10:00pm May 16-2:30am May 17 - administered 500 mg Tylenol at 7pm and 1am Visited pediatrician on May 17. Vitals normal other than a fever. Intense chest pain 8:00pm-10:00pm May 17. Fever at 101.5 - administered 500 mg Tylenol at 8:45pm Work up morning of May 18 at 5:30am with intense chest pain - administered 500mg Tylenol at 6:10am

Her 15 year old son experienced a really bad headache and soreness in his arm; Her 15 year old son experienced a really bad headache and soreness in his arm; This is a spontaneous report from a contactable consumer (patient mother). A 15-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: ENO179, Expiration Date: Unknown), via an unspecified route of administration, administered in Arm Left on 07Jun2021 (Monday) (at the age of 15-year-old) as a single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On 08Jun2021 (on Tuesday), patient experianced a really bad headache and soreness in his left arm and that lasted a short period. Reporter stated her son didn't really have a problem and fine already. Patient received Advil on 08Jun2021 for arm was sore. Reporter inquired the chances of the same side effects with the second Pfizer Covid 19 Vaccine. The outcome of events was recovered on Jun2021. Additional information has been requested.

Patient had a near syncopal event approximately 5 minutes after getting the vaccine. He became shaky, weak, diaphoretic and felt like passing out. He was placed on the exam table and approximately 5 minutes later, he was feeling much better and was able to walk out of the clinic feeling like normal.

Starting from the night of the second day (i.e., June 10th), the patient feels chest pain. The pain also extends to neck and left shoulder. Deep breath aggravates the pain. The patient could not fall asleep. He had a light fever at the night of vaccination day but the fever was gone before the chest pain. Single lead ECG with Watch has been measured and sent to a friend of the parents' who is a physian, and no abnormal sign was shown from ECG. 400 mg Advil (ibuprofen) was given in the coming morning around 7 AM and the patient was able to fall asleep and symptons were gradually relieved. Another two doses of 200 mg Advil were given with six hours apart on the same day. The pain was gone by the following morning (i.e., June 11th) and no ibuprofen has been given afterwards. We suspect that this is related to myocarditis or pericarditis. This was the second dose of Pfizer COVID-19 vaccine. There was no symptons for adverse effect after the first dose.

Sore arm day of, continuing into day two. Woke at 9am day 2 feeling very achy and tired but with an upset stomach and shortly after vomited. He has a fever of around 101 and still has all other symptoms but stomach ache & nausea has subsided.

15 yo male with myocarditis following 2nd dose of pfizer COVID-19 vaccine. He reports that he received the Pfizer COVID-19 vaccine on 6/16/21. In the 1-2 days following the vaccine he experienced fatigue, body aches, and fever to Tmax 101F. Family treated this with anti-pyretics. On 6/18 he started having a pain in his left chest. He was again febrile at that time. On the day of admission his chest pain was worse and he was experiencing pain all over his body. He was noted to be tachycardic in the ED. His initial labs showed a modestly elevated BNP to 593 with a markedly elevated troponin to 1233. CRP was mildly elevated at 3.8. Electrolytes were unremarkable as were LFTs. CBC w/ diff showed an absolute lymphopenia with ALC of 1000 but was otherwise unremarkable. D-Dimer was normal. He was admitted initially to hospital medicine and then was transferred to the ICU due to concern for risk of developing a cardiac arrhythmia. An echocardiogram done showed trace mitral regurgitation but was otherwise normal with normal LV function. CXR was fairly unremarkable. Coags are normal. Repeat electrolytes showed a slight bump in his creatinine. LFTs largely unchaged and procalcitonin of 0.16. He does have a past medical history of PCR proven COVID-19 disease in December 2020.

Patient reported having periodic chest pain after receiving the vaccine. His father took him to the pediatrician and he is being treated for bronchitis

The next day after the injection, my son woke up he had blurry vision in his left eye along with the usual sore arm and tiredness. It went away after five days.

Approximately 11 minutes post COVID19 injection, client experienced syncopal episode per family member. Patient conscious and A+O x 4 at time of nurse response, client was noted to be pale and diaphoretic with c/o nausea, vital signs stable, lungs clear to auscultation bilaterally, no visible or verbal complaint of shortness of breath, edema to face/mouth, hoarseness/throat tightness, vital signs remained stable: 1351-HR 89, BP-92/64, SpO2-99%, R-18, 1353-HR 79, BP-102/74, SpO2-99%, R-18, 1400-HR 79, BP-108/78, SpO2-100%, R-18. Client waited an additional 15 minutes in clinic for observations, at time of discharge patient reported resolved nausea, skin color within normal limits for race, no visible or verbalized distress from patient.

Vaccine triggered increased migraines. In addition to vomiting, diarrhea, nausea, headaches, fatigue. Migraines have not improved much. Migraines before covid shot were 1-2 events per month. After covid they were daily for the first three weeks after first covid dose. Now they are 3-5 times per week! Had to put patient back on a daily migraine medication.

Mom says he had developed a grape-sized lump on the gums near his molars that was affecting his ability top chew, but the next day that went away and since then he has just been feeling very tired and fatigued.

Patient is a 15 y.o. male presenting for 5 days of symptoms following his second dose of Pfizer SARS CoV 2 vaccine culminating in an urticarial rash which prompted him to present to emergency department. Patient received the second dose of the Pfizer vaccine on June 8 (first dose was administered on may 17 without symptoms). The next day (June 9) he complained of nausea and subjective fever. On June 10 he complained of chest "weakness" and shortness of breath intermittently. He had also mild light headedness but no syncope or palpitations. All those symptoms resolved by June 11. However, he had a diffuse rash on extremities, pruritic, and non-exudative.

Initial symptoms on the first day were normal - fatigue, elevated temperature, by the end of the first pain started to describe slight chest pain. Chest pain increased on day 2, by evening it would impact him every time he went up a flight of stairs. He reported pain at 6 on a 10 point scale. Did a virtual visit with doctor. Told to monitor and bring to ER if persists/worsens or is with a fever. Father took him to our medical doctor the morning of the third day.

2.5 weeks after second dose. Hives all over body. High tropinin T High sensitivity test. Confusion, dizziness, lightheaded, chills, hot flashes.

days of left arm and 1 day of acute left side chest pain following 2nd administration of COVID-19 vaccine. Patient reports that 3 days ago, he received the 2nd COVID-19 vaccination (Pfizer ) in his left anterior deltoid area. Following this he developed diffuse body aches and headaches. On day prior to admission, patient developed fever at home with T-max 101.8° F. after going to sleep, he was awoken with nausea. Patient experienced episodes of vomiting, which he reported mostly consist of water, and also reported left arm and left chest pain at this time. He reports the pain felt like pressure and was a severity of 9/10. Patient also experienced numbness and tingling in his left hand. He attempted to take Tums and Motrin at home with mild relief of symptoms. Mother then brought patient in to Emergency Room. Patient denies syncope, no palpitations, pain does not worsen with deep breathing, pain unchanged by position.. emergency department course: Presented with temperature 99.7° F, heart rate 92, blood pressure 138/90, saturating 98% on room air. Laboratory work revealed elevated troponin, elevated CK-MB, and elevated creatine kinase. Chest x-ray was performed which was normal. EKG revealed normal sinus rhythm. Patient was transferred to our emergency room and subsequently admitted to the floor. Hospital Course: He was evaluated in Hospital Emergency Room and admitted to the floor for more close monitoring. His repeat labs showed elevated troponin and an echocardiogram was unremarkable. In view of the elevated troponin was case was discussed with the cardiologist who recommended a cardiac MRI which was performed which did reveal myocarditis, pericarditis. In view of this ICU service is consulted for admission closer monitoring further evaluation management.

Seconds after receiving the second dose of the Pfizer vaccine, patient complained of headache and stomachache and lightheadedness. Patient's eyes rolled and he became limp. Patient's mother and the pharmacist helped him to the floor, and he regained consciousness seconds later. He was given water and a granola bar and said he felt better after a few minutes. This adverse effect did not occur with the first dose.

Admitted on 6/18 with fever, pain at injection site and chest pain. Evaluated at local ED, found to have an elevated troponin to 12 and ST elevation in anterolat leads by report on EKG. An ECHO was obtained and revealed decreased EF to 47% and he was transferred to our hospital, initially monitored with telemetry, troponin levels every 6 hours and started on scheduled ibuprofen. Troponin peaked at 22.82 first hospital night on 6/18, then down-trending. Telemetry was without any ectopy. Symptoms improved and hemodynamically stable throughout his PICU course. Transferred to the pediatric floor on 6/19, continued to do well. Discharged on 6/20 with troponin of 5.92 ng/mL and EF of 55-60% on ECHO.

Initially, myalgias and fatigue. This was soon followed by acute chest pain. The symptoms all completely resolved by 6/24/21.

Immediately following the vaccination, the patient told his father he felt dizzy, so he was directed to a chair. He told his father he could not see anything and was experiencing vertigo. His father then said his eyes and lips on the left side of his face seemed to be shaking as if he was having a seizure and he lost consciousness for a brief moment. When he opened his eyes, he told his father he was dizzy and his head hurt, but he could see again. I brought the patient some water to drink and took his first blood pressure reading at 10:42 am, which read 67/31, pulse 43. The patient mentioned that he hadn't eaten anything that day and that he was extremely nervous about getting the vaccination. His father got some orange juice and started to give him sips of it and he remained seated. The next blood pressure reading at 10:54 am was 115/59, pulse 76. The patient said that he was feeling nauseous, but less dizzy. I gave him two cookies to eat and took his blood pressure again at 11:01 am and it read 117/73, pulse 88. At this point, the patient said he was feeling much better and the cookies even made the nausea go away. The final blood pressure reading was at 11:13 am: 122/63, pulse 76. At this point, the said he felt completely better and father was confident in taking him home, so they left. I followed up with the father two days later on 6/25/21 and he said that he didn?t have any more problems after they left the store. That evening, patient's temperature went up to 99 and his head hurt with movement, but otherwise, he was fine and did not have any more symptoms after that.

Approximately at 10:36 a.m., pt reported light-headedness after COVID-19 vaccine. Pt was sitting in observation area accompanied by mother. Pt slumped off chair, mother caught pt and laid him on floor. Pt quickly recovered and was A&O x 4. Pt did not hit head, though he reported a slight headache that resolved before he left premises at 11:05 a.m. Pt left walking with normal gait. Per mother, pt has history with prior vaccines & pt did not eat or drink prior to vaccinations that morning. Mother was advised to call MD provider with any further concerns.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Pale, bradycardic, slow to respond. 911 was called and responded. Patient walked out on his own and left with family

And is experiencing a fever of 102.5/temp is 102; Doesn't feel good; This is a spontaneous report from a contactable consumer (Caregiver). A 15-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Batch/Lot Number: EW0178), dose 2 via an unspecified route of administration, administered in right arm on 17Jun2021 as 2nd dose, single (at the age of 15-years-old); and previously received BNT162B2 (Lot/batch number: ER8733), dose 1 via an unspecified route of administration in right arm on 27May2021(at the age of 15-years-old) for COVID-19 immunization. The patient medical history was not reported. Concomitant medication included MELATONIN 10 mg, gummy, one at night. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient had no family medical history relevant to adverse event (AE). On 18Jun2021 12:00 (Today, around noon), patient doesn't feel good and experienced fever of 102/102.5. It was reported patient received Tylenol last about 15 minutes after temperature measurement. Patient had laboratory test included Vitamin D and some kind of hormone: Vitamin D is within normal limit on unknown date; and body temperature on 18Jun2021: 102/102.5. Therapeutic measures were taken as a result of events with Tylenol. The outcome of events was recovered on an unspecified date in Jun2021. Information on the lot/batch was available, Additional information has been requested.

He received his 2nd dose of COVID vaccine (Pfizer) on 6/19. He developed a fever on 6/20 which lasted for a day. He then felt better on 6/21. Then, on 6/22 at 1am, he woke from sleep due to chest pain. It was sharp and did not radiate anywhere, and not reproducible. He took 400 mg ibuprofen which improved his pain somewhat. Denies any other fever, rhinorrhea, cough, SOB, difficulty breathing, n/v/d, dysuria or difficulty with urination. Admitted 6/22 due to elevated troponin and abnormal EKG. Troponin leak and MRI with findings consistent with myocarditis. Had NSVT x 4 beats on 6/22. He was treated with 5 days of Motrin 600 mg ATC.

Bloody noses/ Nose bleeds; Runny nose; headache; Little bit of Asthma; Her grandson is nervous about this; Pretty upset; This is a spontaneous report from a contactable consumer or other non hcp (the patient's grandmother). A 15-year-old male patient received BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Batch/Lot Number unspecified, expiration date unspecified), via an unspecified route of administration on 13Jun2021 as single dose for covid-19 immunization. The patient previously received BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Batch/Lot Number unspecified, expiration date unspecified), via an unspecified route of administration on an unknown date in May2021 as single dose for covid-19 immunization. The patient medical history was not reported. There were no concomitant medications. On 14Jun202, the patient had a headache and a runny nose and then the following day the patient had 4 bloody noses during the day and one at night. The patient is continuing to have bloody noses. On an unknown date in Jun2021, the reporter also stated that the patient might have a little bit of asthma. The reporter mentioned that the patient was pretty upset, nervous and he had the nose bleeds they are a lot, not just a little drip. The patient was treated with Advil for headache. The outcome of the events nose bleeds was reported as not recovered; runny nose was reported as recovering while other events were reported as unknown at the time of report. Information on the lot/batch number has been requested.

Developed chills, nausea, headache, vomiting on 6/24/21-6/25/21, then developed palpitations 6/26/21 prompting evaluation in emergency department and hospitalization for myocarditis

episode of near syncope and diaphoresis, drop in BP followed by chest and neck pain lasting about 1 hour

6/24/2021 developed tactile fever, substernal chest pain, and shortness of breath 6/25/2021 increased shortness of breath, chest pain

At 1 am, my son presented with headache, dizziness, lightheadedness, shaking, ringing in ears, shortness of breath, and pallor. Vasovagal symptoms and near syncopal episode. Was able to get him to the floor to avoid a fall. Vomited several times. Severe vasovagal symptoms began to resolve within one hour. Didn?t check heart rate during initial near syncopal episode but was tachycardic after initial stabilization. Headache and fatigue persisted and is still lingering today.

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

15 year old male here with grandmother due to concerns regarding chest pain and shortness of breath. Received the 2nd dose of Pfizer vaccine 4 days ago. That evening had body aches, chills, fever and shortness of breath. The other symptoms resolved the next day, but continues with shortness of breath, worsening over time. This morning, associated with some mid sternal chest pain. Was able to rake grass outside yesterday, but reports made SOB worse. History of asthma, reports symptoms not typical of usual exacerbation, has trialed Albuterol without relief. Denies dizziness, palpitations. 15 year old male with post vaccine associated myocarditis. Troponin I 0.426 ng/mL (<0.300) H* 06/28/2021 01:24

1435, pt received 1st dose of covid vaccine (Pfizer) while sitting in a chair in covid vaccine clinic. NKDA. No known history of seizure per pt's mother. Mother with pt, stated pt started feeling unwell, pale, then losing consciousness. Patient's mother stating patient's eyes started to roll back. 1436, pt had seizure activity, staff lowered pt on the floor, laying on side, no n/v noted, lasted for 25 seconds. VS taken, Oxygen applied. Initial BP 77/26, 100% with 2 L NC oxygen. BP improved to 139/81, HR 74, 100% 2 L NC oxygen after sitting. Pt regained his consciousness, aao x4. 1445, 911 placed. BP 127/64, HR 66, 100% with 2 L NC Oxygen 1500, EMT arrived and transported pt to ER, accompanied by pt's mother

Systemic: Fainting / Unresponsive-Medium, Additional Details: patient fainted 4 minutes after receiving vaccine. Patient said he did not eat or drink before getting vaccine. blood pressure 105/90. he recuperate quickly but mother wanted us to call 911 to check him. He was responsive and moving. episode only last 3 minutes. i gave him a bottle of water and he felt fine but tired.

Sweating, headache, nausea, light headedness, blacked out, dizzy, body aches - after second dose. Tried Ibuprofen so far. Waiting to see if there is relief. Can barely stand on his own.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: Patient fainted after first dose of Pfizer. Called ambulance and they came to check him out. His blood pressure was very low do they took him to the ER.

Had vaccine at 4 pm on 6/23/21 1 am woke to racing heart and palpitation lasted two hours and resolved 6 am woke fever chills and achey 10 am racing heart, palpitations then resolved 1pm severe chest pain, severe tachycardia and low BP Went to ER continued to be tachycardic and low BP, chest pain less, had episode of HR shooting up to 180 and then violently throwing up cardiac labs and EKG were normal left with tachycardia on standing and suggested we follow up with cardiologist asap- appt is 7/6/21 received one bag of IV fluids fever, erratic heart rate and lethargy resolved on 6/27/21

My son experienced chest pain and was very tired - Sat 6/19 - I thought normal Sunday 6/20 - seemed normal Monday 6/21 at 11 am severe chest pain. Taken to hospital - was hospitalized with heart inflammation and very high troponin numbers until Thursday 6/24 - numbers were still elevated but he was allowed to go home since the numbers where on the downward trajectory Has a follow up apt 7/2 @ 3 pm.

Headache; This is a Spontaneous report from a contactable Consumer. This consumer reported for 15-year-old male patient (reporter's son). A 15-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, Batch/Lot Number: EW0178), dose 2 via an unspecified route of administration, administered in arm left on 12Jun2021 as dose 2, single for COVID-19 immunization, (age at the time of vaccination was 15-year-old). The patient medical history and concomitant medications was not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, Batch/Lot Number: Unknown), dose 1 via an unspecified route of administration, administered on 22May2021 as dose 1, single for COVID-19 immunization, (age at the time of vaccination was 15-year-old). On an unspecified date the reporter stated, I have the question, my son (consumer) had his second (Pfizer) vaccine (unspecified vaccine) yesterday (12 Jun 2021) and he has headache (overnight). I just wanted to know whether I could give him something worth medicine (treatment) for the headache." The patient did not receive any treatment for the above event. Outcome of the event was reported as unknown. Information on Lot/Batch number was available. Additional information has been requested.

Had a random cold, low grade fever , body aches, clogged/runny nose started 10 days after and lasted 4 days no treatment helped but Tylenol reduced fever

Severe chest pain; fever; This is a spontaneous report from a contactable consumer (patient). A 15-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EW0179), via an unspecified route of administration in the right arm on 03Jun2021 at 10:00 (at the age of 15-year-old) as single dose for COVID-19 immunisation in public health clinic. Medical history included Tourette's syndrome from an unknown date and unknown if ongoing. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medications included pimozide taken for an unspecified indication, start and stop date were not reported. The patient previously received first dose of bnt162b2 (Lot number: EW0179), via an unspecified route of administration in the right arm on 13May2021 at 12:15 (at the age of 15-year-old) as single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 03Jun2021 at 22:00, the patient experienced severe chest pain and two days of fever up to 39.8 degree Celsius. The events were reported as non-serious. The patient did not receive any treatment for the events. The patient underwent lab tests and procedures which included fever: 39.8 centigrade on 03Jun2021. Since the vaccination, the patient had not been tested for COVID-19. The outcome of severe chest pain was resolved on an unknown date in Jun2021, and fever was resolved on 05Jun2021.

Approximately 10 min after receiving vaccine, pt experienced vasovagal episode. Became faint, lightheaded, and complained of headache.

Headaches; This is a spontaneous report from a contactable consumer (patient). A 15-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 19Jun2021 13:00 (Lot number and expiration date was not reported) as dose number unknown, single for COVID-19 immunization at the age of 15-year-old. The patient medical history was not reported. The patient did not receive any concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not have COVID prior vaccination. The patient was not tested for COVID post vaccination. The patient experienced headaches on 21Jun2021. The outcome of the event was not recovered. The patient did not receive treatment for the event. The event was reported as non-serious. Information on lot/batch number has been requested.

After receiving the vaccine , patient went in and out of unconsciousness for about 2 to 3 minutes. (like dozing on and off). He was also sweating as well. Emergency number was called and the emergency team of 2 came into the store to attend to him by which time he had regained consciousness and drank some bottled water provided by his father. The emergency team took him away on a stretcher (he walked by himself to lie down on it).

6 days after the vaccine, patient reported feeling problematic nasal congestion. We gave him a cetirizine and started him on Flonase. The next day, he reported ongoing symptoms, so he repeated the actions from the day prior. By mid day, he was still feeling puny, so we took him to an urgent care for evaluation. I asked for a PCR COVID nasal swab (which they performed by swabbing both nostrils), and they diagnosed him with a viral illness as he was afebrile. I gave him some Flu and Cold med (acetaminophen, dextromethorphan and phenlyephrine) and checked his temp, which was 100.4F. I left the house for the afternoon and returned hours later. He was laying on the couch, still looking pretty sick. I rechecked his temp and it was 102.3F. He was easily arousable and took fluids, and reported eating a bowl of noodles and drinking a protein shake earlier, so I let him sleep some more. As of writing this form, he has a temp of 103F, still taking fluids easily, intermittently coughing , denies sinus pressure/pain. I'm still thinking it's a viral illness, but since he had COVID shot in the past 7 days I thought I'd report this reaction.

7/4/2021: 15 year old male with autism and ADHD that presents to PICU from another hospital status post cardiac arrest times two. Mom states that patient has been having coughing for the past 2 weeks. Went to PMD on 6/25 who noticed wheezing on his exam. Ordered a CXR for 6/29. The next day, told mother of the results which showed pneumonia, "fluid in lungs." Started on albuterol q4, cefdinir, and OTC cough medicine with no improvement of symptoms. Began having decreased appetite, urine output. Had a couple episodes of post tussive emesis with blood tinged secretions. Abdominal pain started the day before admission. Patient continued having increased coughing and shortness of breath. On day of admission, patient was walking up the stairs to take a shower. He then fell and hit his head on the wall. Denies LOC at that time. Stated that he could not breath. Patient brought to ER. Patient went into cardiac arrest at 1840 until 1910. CPR was done, given epinephrine, and intubated. Then went into cardiac rest again. Placed on Vent, TV 450, PEEP 6, Rate 15, Peak pressure high 30s. Given ceftriaxone, vancomycin, toradol, 40mg lasix, 4mg zofran and 2L NS bolus. CBC, CMP, blood gas, troponin, pro BNP, RVP/COVID ordered. Started on versed (6.5), epinephrine (20) and norepinephrine (10) drips. Was then flown by helicopter to our PICU. Of note, patient had second dose of Pfizer vaccine on 6/19. Mom believes symptoms started just before his vaccine dose.

Patient received the Covid-19 vaccine and within 1 minute started to slump over with weakness and immobility. He had dizziness and was lightheaded. He complained of blurred vision. His mother was by his side. Pharmacist called 911 and paramedics arrived in about 5 minutes. Patient started feeling better but was pale and his vision was bad. Mom said he was dehydrated and at the lake all weekend. Paramedics took him out on stretcher to emergency room.

15-year-old male previously healthy who presented to the ED on 6/23/2021 after he presented with chest pain starting the night of 6/22/2021. He received his second dose of Pfizer Covid vaccine on 6/19/2021 (1st one was 5/29/21, at pharmacy). Same day he received the vaccine he started w fever as high as 39.5, headache and myalgias for which mom gave him iburpofen. Symptoms improved after 2 days but he continued with headaches and the night of 6/22/21 he woke up with chest pain. Did not take anything for the pain and he woke up the next day with persistent pain (midretrosternal) so mom took him to ED but it was recommended he be evaluated here. In the ER he reported 4 out of 10 chest pain and mild right temporal pain. No nausea, no abdominal pain. No shortness of breath. . In the ED vital signs were normal with a heart rate of 61 and normal blood pressure. O2 sat was 98% in room air. A troponin was done that was elevated at 1.96. Chest x-ray was normal. EKG showed sinus bradycardia otherwise normal EKG. he was given 600 mg of ibuprofen in the ED and he was evaluated by cardiology and since his symptoms were stable and patient was well-appearing and improved he was sent home on ibuprofen as needed. Mom reports that by the next day he was back to normal and has not complained of pain, palpitations or shortness of breath or any other symptoms since then. Denies feeling tired. He has not allow him to have any sort of activity. He was seen by cardiology yesterday and a EKG and echo were done that were unremarkable and he was placed on a continuous monitor for arrhythmias the next month.

Nausea, stomach cramping and vomiting and dry heaving for several hours. Fatigue, body aches, fever of 100.7. Tylenol and ibuprofen given every 4-6 hours. 30 hours or so of feeling unwell.

15 yo M with no PMH p/w 1 day of chest pain and elevated troponin and lateral ST segment elevations. On Wednesday 6/30 he had his second dose of Pfizer COVID vaccine. There after he had headache, tactile fever, fatigue and myalgias which resolved by Friday 7/2. On Friday at midnight, he awoke with 7/10 sharp substernal chest pain, non radiating. No recent trauma to the chest. He took Tylenol at home which did not relieve the pain. No recent URI sx over the last month. The last time he remembers having URI sx was 1.5 years ago. He does endorse "one or two sneezes" over the past month, which he attributes to allergies. Today 7/3, he presented to urgent care center where he got an EKG, which was concerning for ST elevations. He was given ASA which did not relieve the pain. He was sent to hospital for further work up where he had a Troponin to 1.59, CRP to 36, AST to 79, ALT to 64, Alkphos to 74, BNP to 119, ESR to 10, and WBC to 13.4. EKG showed ST elevation in I, II, precordial leads V4 V5 V6. CXR wnl. He was given IV toradol at hospital, which alleviated his CP. He was transferred to ED for further evaluation. On arrival to the ED on 7/3, he was HDS afebrile, with BP 111/69, HR of 80, and satting 100% on RA. His CP had resolved to a level of 0/10. Additional labs were obtained including repeat CBC (with WBC 10K, Hgb of 14), normal ESR of 20, normal D-dimer of less than 0.27, BMP wnl, elevated LFTs with AST 103, ALT of 61, elevated LDH to 293, normal GGT and alk phos, normal BNP to 28, elevated CRP to 3, and an extremely elevated troponin of 3.15. NP swab for COID, Influenza A/B, and RSV were negative. CXR wnl but did note findings consistent with degenerative disc disease at one level in the mid-distal thoracic spine. Hospital Course: Patient was admitted to the cardiology floor for continued monitoring of his troponin levels and EKG. He was then treated with IVIG 2g/kg and started on methylprednisolone IV x 8 doses. His chest discomfort improved by day 2 of admission. An echocardiogram was performed which did not show any cardiac dysfunction. His troponin downtrended while on IV steroids, therefore he was transitioned over to PO steroids which he tolerated well. On day of discharge, his troponin levels were continuing to trend down, and EKG was WNL. Cardiac MRI was performed and showed late gadolinium enhancement in the left ventricle. He had occasional NSVTs/PVCs; he was started on Bisoprolol 2.5mg daily to prevent arrhythmias after discharge. He was discharged home with a Holter monitor to be worn for 4 days. Viral myocarditis studies were sent and all negative. By time of discharge, patient was well-appearing, vitals stable, demonstrating good PO intake. Prescriptions sent to preferred pharmacy. Follow up with cardiology in place. Discharge instructions and return precautions reviewed with patient and parent, who expressed good understanding and agreement with plan. Patient will follow up in cardiology clinic next week with a repeat MRI 3-6 months. Of note, CXR from 7/3 with incidental findings suspicious for degenerative disc disease at one level in the mid-distal thoracic spine. This should be followed by his primary care physician as an out patient. Reasons for new, changed, and discontinued medications: - Bisoprolol 2.5mg daily (for prevention of NSVT) - Prednisone 30mg BID (myocarditis) - Famotidine 20mg daily (while on steroids) Reasons for new, changed, and discontinued equipment: NA Relevant Diagnostic Images/Studies: Cardiac MRI (7/7): ? Normal biventricular size and systolic function. ? No regional wall motion abnormalities. ? Suggestion of increased T2 signal intensity/edema. ? Positive myocardial late gadolinium enhancement without functional correlate. ? No significant valvular dysfunction. ? No coronary artery aneurysms. ? Small pericardial effusion. Echocardiogram (7/3): ? Normal valvular function. ? Normal left ventricular size and systolic function. ? Normal diastolic function indices. ? Reduced longitudinal strain with normal circumferential strain. ? Normal appearing proximal coronary arteries. ? Qualitatively normal right ventricular systolic function. ? No pericardial effusion present. ? A comprehensive anatomic survey was not performed at this time. Tests Pending Enterovirus PCR QuaL, Stool Miscellaneous Test Arup These tests will be followed after Discharge Vitals and Discharge Physical T: 36.5 °C HR: 64 (Monitored) RR: 20 BP: 131/59 SpO2: 98% HT: 168 cm WT: 76.4 kg BMI: 27.1 Discharge Physical Exam General: NAD, lying in bed, sleepy, but conversational HEENT: atraumatic, normocephalic, no icterus, no conjunctivitis; extraocular muscles intact; moist mucous membranes CV: RRR, S1/S2, no murmurs, gallops or rubs noted; dp pulses 2+; capillary refill <2 seconds. Resp: unlabored respirations; symmetric chest expansion; clear breath sounds bilaterally Abd: soft, nontender, nondistended; bowel sounds normal Ext: no clubbing, cyanosis, or edema; normal upper and lower extremities Neuro: no atrophy, normal tone; moves all extremities equally; no focal deficits Skin: no rash or erythema Diagnosis List 1. Myocarditis, 07/04/2021 2. COVID-19 mRNA vaccine adverse reaction, 07/04/2021

Pt had general malaise and headache that same afternoon. The next day his symptoms progressed to dull, burning chest pain that radiated to the throat and ears along with numbness and tingling of the distal arms and hands. The chest pain was relieved by leaning forward. This continued off and on for two to three days while being monitored in the hospital. The diagnosis was myocarditis due to the vaccination.

Fever, 101°F Fatigue, mild Body aches Shivering Headache, moderate Treatment: fluids, rest, Tylenol & ibuprofen, prn Lasted about 24 hours

7/7-7-8 high fever, 7/8 midnight woke sweating couldn't sleep stated felt like someone was shaking his head so hard that his brain was bouncing in his skull. Following day 7/9 , brain shaking incidents occurred off and on all day for a minute or so in duration, 7/10 had 3 incidents less duration less severe, 7/11, 1 incident less severe than previous day. Extremely fatigued as well. Seeing pedetrcian 7/12.

. Patient developed fever, malaise and loss of appetite. Within a couple of hours of receiving his second dose. On 07/11/2021 patient woke with severe chest pain and shortness of breath. Presented to the emergency room. Found to have sinus tachycardia with nonspecific ST and T-wave changes on EKG, normal troponin, but elevated d-dimer and CRP. CBC within expected limits. Chemistries basically normal. CT scan of the chest with PE study negative for PE

Patient admitted fur to chest pain and dyspnea and found to have myopericarditis after 2nd dose of COVID-19 Pzifer vaccine. Vaccine was administered at pharmacy. First dose received on 5/15/2021, second dose on 6/5/2021. Fatigue and chills started a few hours after second dose and then developed shortness of breath, nausea, emesis and 8/10 midsternal chest pain. Presented to an urgent care facility where CXR and EKG were obtained. EKG showed early repolarizations. Labs were obtained at a local ED and showed elevated troponins, initially 11k and then to 20k and peaked there. BNP was within normal limits. Subsequent EKG showed diffuse ST-segment elevations concerning for acute pericarditis. No prior infections or symptoms like this previously. He was given colchicine at outside facility prior to transfer. At hospital he was continued on ibuprofen and monitored with telemetry and had ECHO and cardiac MRI. Latter was consistent with myopericarditis. ECHO showed normal function. He received PPI while on NSAIDs. His symptoms resolved and he was discharged to home on 6/10/2021 with activity restrictions and plan to follow-up with peds cardiology. Of note, there was an error submitting the initial VAERS report for this patient during the admission, therefore, this delayed report is being submitted.

patient received the vaccine. patient was just fine for like 10-15 mins or so. When it was about time for them to leave, he stood up and thats when his mother called for help that he wasnt feeling well. he laid down on the floor for a little bit but then sat back up and sat back on the chair and said he was feeling better. i asked if they wanted us to call 911 and the mom said no. then, the patient said he had to vomit so we asked where he would like to vomit the bathroom is right next to him. patient chose to walk to bathroom and threw up a couple times. patient felt more dizzy/faint in the bathroom so the mother said please call 911 so we did. we sat with patient sitting on a chair for a couple mins and offered little cup of water. tried to talk to the patient and see if he was conscious. patient was responding to questions mom asked in another language. then, the paramedics arrived and put patient on a stretcher and said he seemed ok but was going to take him to hospital just in case. patient was breathing fine and not shaking.

I was pretty nauseous; pretty bad headache, I would say migraine level; pretty bad headache, I would say migraine level; This is a spontaneous report from a contactable consumer reporting on himself. A 15-years-old male patient received second dose of bnt162b2 (Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection) via an unspecified route of administration, administered in Arm Left on 19Jun2021 10:00 (Batch/Lot Number: EW0217; Expiration Date: 30Sep2021) as single dose (at age of 15-years old) for covid-19 immunization. Medical history included Allergy to penicillin (10 years ago). The patient previously received first dose of bnt162b2, solution for injection administered on 29May2021 sometime around the morning in left arm (Lot Number: EW0180 and Expiration Date: 31Aug2021) for COVID-19 immunization. There were no concomitant medications. No additional vaccines administered on same date of the Pfizer Suspect. No relevant tests done. No prior vaccinations (within 4 weeks). It was reported that, on 19Jun2021 around 06:00, migraine which began at first on the day he received the second dose of the covid vaccine, an hour or so later. Then it came back again today. Until about 10:00 it was the same, then it got better and on the same day the patient experienced pretty bad headache. On 22Jun2021 06:45, about 45 minutes afterwards he was pretty nauseous, it got a little bit worse between 8:00 and 10:00, but currently he was better. Caller's mother was also on the line. She asked, what stage should we got the doctor and wanted to know how long the side effects might last and when they should be concerned. The patient did not visit to emergency room or physician office due to adverse events. The outcome for event headache was not recovered, for nausea and migraine it was recovering. No PQC was involved. Information on the lot/batch was available, Additional information has been requested.

Site: Swelling at Injection Site-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadedness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Medium, Systemic: Weakness-Medium

On June 2, 2021, he awoke and complained of feeling hot, tired, and not hungry. His mother had been sick with acute gastroenteritis symptoms 2 days earlier. Over the course of the day, he had a fever to 101.6 F, and began to have loose stools (twice). He received Ibuprofen 400 mg by mouth every 6 hours for the fever, and drank plenty of fluids. On June 3, 2021, he continued to have fevers to 101.5 F, loose stools (twice again), and poor oral intake of food. I canceled his scheduled 2nd Pfizer-BioNTech vaccine, and got him a NP swab test for SARS-CoV-2 through the health department. On June 4, 2021, he had no fever but now complained of a rubbing left parasternal chest pain. On physical examination, his BP was elevated (130s/90s), he had a slight tachycardia (90s), and was afebrile. On auscultation, I heard a S4 gallop and took him immediately to the local ER.

15 y/o M with hx of autism presents to the ED with chest pain. Pt received 2nd dose of COVID vaccine on Monday. Pt had body aches onset Monday and L sided chest pain onset last night. Per mom, swelling on L side of chest. Pt given Tylenol. Pt denies SOB, cough, diarrhea, emesis. Pt has 38.2C fever onset this morning. No PMH. No sick contacts. NKA. Vaccines UTD. No medications taken on a daily basis. EKG Findings Time 07/14/21 08:36:00, Rate 101, Normal sinus rhythm, T wave inversion in Inferior leads. Case d/w cardiology. Normal troponin level. Unlikely myocarditis induced by COVID vaccine. Recommends mom to follow up with Pediatrician. If pain persists next week can follow up with Cardiology or have Pediatrician do 2nd troponin test done outpatient.

Swollen lip and rash around mouth that developed on the evening that 2nd dose of Covid vaccine was given (i.e on evening of 07/01/2021). Rash and swelling of lips and mouth initially seemed to improve, then worsened again by 07/06/21, at which time medical provider (this writer) was contacted. Rash was itchy. Other symptoms included chills, body ache, headache, and soreness at the injection site. Treated with oral Cetirizine with full resolution of symptoms. These symptoms were reported by parent via online messaging system to patient's pediatrician (this writer).

Patient passed out around 5 minutes past dose. He did not have a complete loss of consciousness. Lowered him to floor, elevated legs, and slowly lowered head to ground. complained of being cold, had shivers, and complained of ringing in the ears and nausea. once resolved, sat him up and observed again. around 30 minutes past vaccine had a second fainting spell, to which called 911 for observation. Patient completely resolved and left with mom and EMS walked him to her car.

Systemic: Fainting / Unresponsive-Medium, Systemic: FAINTING BUT ABLE TO HEAR & RESPONSE IN FAINT VOICE-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Visual Changes/Disturbances-Severe, Additional Details: AFTER ABOUT 5 MIN OF INJECTION, PT COMPLAINT THAT HE COULDN'T SEE ANYTHING. HE HAD MORE SWEATING & WEAK. MOM TRIED TO WAKE HIM. HE DID RESPONSE IN FAINT VOICE. I HAD THE TECH CALLED 911 & I GAVE EPINEPHRINE INJECTION. FEW MINUTES LATER, HE SAID THAT HE COULD SEE. THE RESCUE MEMBERS CAME & MEASURED BP & HR WHICH WAS NORMAL SO THEY DIDN'T TAKE HIM TO ER. I CALLED MOM LATER & SHE SAID HE GOT BACK TO NORMAL. I ALSO TRIED TO FOLLOW UP FEW TIMES ON FOLLOWING DAYS BUT NO ONE ANSWERED THE PHONE.

Seizure. I found my son on the sofa, twisting his body, pale, sweaty, weak, confused, and staring into space. I had to call 911.

Patient developed Kawasaki disease like symptoms with fever, rash and large coronary aneurysms. He received IVIG and infliximab treatment. Aneurysms remain large 2 weeks out from treatment.

2 weeks of abdominal pain & nausea, documented weight loss of 10lb, prolonged malaise limiting his scholastic learning, all associated with having the first covid-19 (pfizer) vaccine on 6/7/21 He had fever lasting several days that began within 2 days of vaccination (but that resolved within several day ). Labwork done at that time showed modest nonspecific elevations of inflammatory markers CRP of 42, (normal < 8), ESR 50, calprotectin 285 (120 limit). SARS covid-19 antibody semiquant to spike protein RBD was 64.4 U/mL (<0.8, Labcorp). Other tests did not identify another specific etiology, and an evaluation by another physician for myocarditis was reportedly normal. As of 7/17 he feels better with a resolution of all symptoms, labwork repeated this past week (7/15) showed a resolution of those same inflammatory markers to normal levels .

Client reported one hour after receiving first dose of COVID vaccine Pfizer he developed a headache and dizziness that lasted one hour. The client only ate breakfast the day he received the first dose COVID vaccine Pfizer. The client ate breakfast today. He was provided a snack of chips and started eating them. Vitals obtained on 07/14/21 were as follows: BP 118/80, HR 87, O2 98%. The client denied SOB after first COVID vaccine Pfizer. The client did not follow up with a primary care doctor or allergist. The client denies any chronic conditions or medications. No known allergies.

Temperature 104.0, headache, stomach ache, chills - 0400 Headache started earlier in the night approx 0200

Patient had flu like symptoms that developed the evening of vaccination including fever, headache, myalgias, nausea and vomiting. He had a syncopal episode on 7/18 (2 days after vaccination) and family found him on the ground. Following this episode he complained of substernal pleuritic chest pain. Initial EKG demonstrated diffuse ST changes. He became hypotensive and developed respiratory distress with evidence of pulmonary edema on CXR. He was admitted to the PICU on 35L HFNC and received an epinephrine drip for blood pressure control. Respiratory status improved.

My child was complaining of the chest pain two days after the first Pfizer vaccine. Had vomiting, diarrhea and slight fever one day after the vaccine. All symptoms resolved after three days.

Patient presented 3 weeks after the vaccine with worsening dyspnea on exertion, orthopnea, cough that began 2 days after vaccine administration. Two days prior to presentation to Harbor ER on 7/1/2021 he had nausea and vomiting with a fever 101F on day of presentation. He was found to be in congestive heart failure with severely diminished biventricular function. While inpatient he had worsening respiratory status requiring CPAP and O2 though he improved with initiation of diuresis. His inflammatory markers were not elevated and he had negative troponins. cMRI revealed an LVEF 13% with no signs of active myocarditis. Viral studies were negative and there was no evidence of bacterial infection. Prior to this, he was in his USOH with no limitations. He was seen in cardiology clinic 5/2021 and was stable at that time. He required initiation of diuretics and oral heart failure management and was discharged with close follow-up.

7/9/21 developed moderately severe throbbing headache localized to his forehead with moderately sever painful "tight" sensation in the muscles of the back of his neck and lower back. Pain persisted for ~ 3 hours ; Temp 101 Tylenol l taken but fever and pain returned after 3-4 hours. 7/10 awakened with nausea, dizzy/lightheaded , headache, vomiting. symptoms continued until 7/12/21. Viral infection suspected but nonetheless prescribed cephalexin "in case". Fever and headache continued with once daily eesis so came to ED for evaluation 7/14/21

covid_test_name_post_vaccination=PCR covid_test_result=Positive; Condition worsen; pericardial effusion; develop GI; Heavier Insomia; dierrea; vomiting; fever; Headache; Hypotensive; Dehydrated; Developed into MISC; Patient said he had 4 vaccines; PCR resulted as positive on 17Jun2021 Nasal Swab; This is a spontaneous report received from a contactable other-HCP (father) reported for old son (patient). A 15-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EW0173 F) via an unspecified route of administration in left arm on 07Jun2021 as dose 2, single for COVID-19 immunization. Medical history included ongoing known allergy in mosquito bite (sketter syndrome) an allergic reaction to mosquito bites, as his son has grown up it has become less and less relevant. Concomitant medications were not reported. Patient previously received first dose of bnt162b2 (Dose:01 Lot number: EW0171 Anatomical Location: Arm left) on 17May2021 for COVID-19 immunization. It was unknown if the patient received 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 been tested for COVID-19. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations dates of birth or immunizations are not available. It was reported that my son traveled on 16May2021. Covid test prior traveling negative. On Jun2021, 4 days after vaccination develop GI, heavier insomia, dierrea, vomiting, fever, hypotensive, dehydraeted. On 11Jun2021 experienced pericardial effusion. On an unknown date Jun2021, developed into MISC and was intubated. The patient was hospitalized from 14 Jun 2021 to 6 Jul 2021. Treatment was received. On 15Jun2021, admission at (withheld), (Hidratation IV and IVIGs). On 16Jun2021 condition worsen and Intubated in (withheld). On 17Jun2021, transfer to (withheld) (7 days at PICU, another 7 at pediatrics). On Jun2021, developed a strong insomnia and headache. Events resulted in emergency room/department or urgent care. Treatment received for the adverse event was MISC protocol IVIGsAnakinra, esteroids and others. On an unknown date, Patient said he had 4 vaccines. His son spent 7 days in the ICU and 7 days in the pediatric unit was discharged from the hospital yesterday. Reported that other researchers studying MIS-C in children have seen how the epithelium cells in the intestine become loose, then the protein goes through the blood stream and can start a cytokine storm and asked if we have studies regarding how much S protein is being produced by different age groups; can it be checked how much S protein is going into the bloodstream to see adverse effects of the vaccine and stated he needs more data to see if his son was possibly infected with Covid during his vaccination period or what he previously infected and absolutely asymptomatic. Most MIS-C occurs 4-6 weeks after having Covid. States that for his son to travel he had to have antigen testing, which was negative. His son did well until 3-4 days after the second shot. States at that time his son became ill with vomiting, diarrhea, headache, and insomnia. She took her son to the hospital and they found him to be hypotensive and dehydrated. They started intravenous fluids and their protocols; the hospital did not have all the required medications for their son and recommended he be transferred to (withheld) Hospital. He was very tired and they decided to put him on ventilation for the ambulance drive. States that when they arrived in (withheld), his son was placed in ICU where he was on the ventilator for 5 days, the recuperating for 2 more days. His son was then moved throughout the hospital system until his discharge yesterday. His son's insomnia may have started before he left for the (withheld). States that it was worsened after the vaccine, his son mentioned after his hospitalization that he was actually given 4 shots the day he got his vaccines, assumed it to be some kind of delirium from his son being in the ICU for so long, stated he told his son that was not possible that he got 4 vaccines at once because of the paperwork you have to fill out to get the vaccine, the lady at the vaccination site told him to sit down and then gave shothim four shots. The patient underwent lab tests and procedures which included IgG and IgM resulted as positive on 15Jun2021, PCR resulted as negative on 15Jun2021 Nasal Swab, PCR resulted as positive on 17Jun2021 Nasal Swab. The clinical outcome of the event developed MIS-C and was intubated, vomiting, dierrea, headache, insomnia, hypotensive, dehydrated on an unknown date 2021 was resolved and the event pericardial effusion, develop GI, fever was resolving, the event condition worsen, Vaccination failure, patient said he had 4 vaccines and PCR resulted as positive on 17Jun2021 Nasal Swab was unknown; Sender's Comments: Based on the limited information currently available, the causal association between the event Insomnia, Diarrhea, vomiting, fever, Drug ineffective, COVID-19, Headache, overdose and the suspect drug cannot be excluded. Also, there is limited information in the case provided, the causal association between the event Multisystem inflammatory syndrome in children, Pericardial effusion, Gastrointestinal inflammation, Condition worsened, Hypotensive, Dehydration and the suspect drug cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and investigators, as appropriate.

Chest pain and palpitations, fatigue immediately post vaccine and chest pain starting 43 hours later. Admitted at 48 hours with troponin 20,000 and decreased biventricular function on echo (RVEF 37%) consistent with myocarditis. Symptomatic improvement post IVIG treatment. Hospital stay 4 days without arrhythmia or other events. Treated with IVIG alone.

heaviness in chest, sweating, increased heart rate. Administered 2 doses of benadryl and called 911. EMTs monitored and took to ER for further evaluation

Patient experienced vasovagal symptoms, blacked out, excessive sweating, difficulty swallowing/drinking, difficulty keeping head up. Symptoms occurred within a few minutes of the vaccine injection. Patient stated similar symptoms when they drew blood previously. Patient started feeling better after a couple a minutes sitting down.

Patient had fever the day after the of receipt of the vaccine (on 7/18) but then on 7/20 started to complain of mid sternal chest pain which lasted that day. He was evaluated in the ER and based on labs and history, admitted for evaluation. His chest pain had resolved by the following day.

Received 1st dose of Pfizer Covid Vaccine and started becoming increasingly manic within about an hour. Complained of stomach discomfort. Became increasingly anxious and manic and was only able to sleep for two hours (received at 4pm, slept from 12am to 2am). Awake and manic the day following. Complained of stomach pain. Eating normally with no other symptoms. Started complaining of being cold and chills. Applied rotating heated blankets until he feel asleep about 10pm. Woke up at 2am. Manic and anxious. Stomach started swelling more and becoming rigid. Gave him Miralax. No change in swelling. Increased stomach pain. Gave him a suppository. Immediate small bowel movement. After two more hours and no change in swelling, gave a second suppository. Immediate small bowel movement. Stomach becoming distended and complaining of increased pain. Took him to the ER. Pain amplified on the way. Admitted to PICU after EKG in ER. Quickly declined and went into respiratory failure. Right lung had no air exchange and left lung collapsed. Myocarditis, pleural effusion, kidney damage and new onset Type I diabetes. Unexplained pneumonia. No growth from fluid in lung.

The patient had COVID-19 in July 2020. In August 2020, he developed a whole body pustular rash. He was then admitted for an "asthma exacerbation" and found to have hilar lymphadenopathy. He was treated with several courses of prednisone for his asthma during the next few months. Within few days of his first dose of the COVID19 vaccine he developed fever and severe exacerbation of his rash (which thought to be acne at that time) that resulted in hospitalization on 6/7/2021. Interestingly, he received his second dose of the meningococcal vaccine (MCV4P, Menactra, lot # U6877BA) on 6/7/2021. The patient has been treated with antimicrobials (both antibiotics and antivirals, completed course) and high-dose corticosteroids (both oral and IV) and is slowly improving. He has severe skin scarring.

Per MD Note: "Acute throat and upper chest pain this AM. At approximatley 0300, he woke up with severe 10/10 chest pain. The pain is sharp and he points to the midline between his collarbones. He went to an ED and received a GI cocktail and famotidine, which did not provide much benefit. He had an elevated troponin to 2.13, EKG without evidence of pericarditis. He was given 0.5 mg Ativan and 15 mg IV Toradol. Workup notable for CXR (wnl), EKG (wnl), CRP (2.2), ESR (29), proBNP (62 wnl). Lipase (wnl), Lithium 0.8 (0.6-1.2 mmol/L). CMP 142/3.9/106/27. BUN 12, Cr 0.75. Dexi 120. Upon arrival to our ED, he reports 1/10 chest pain. He denies any SOB, difficulty breathing, palpations, abdominal pain, nausea, vomiting, or diarrhea. He received his second Pfizer COVID-19 vaccination on 7/19 and has had low grade fever (Tmax 100.5F), myalgias, tiredness, and headache since then. He reports that his chest feels slightly tight, but denies any SOB. Assessment: Patient is a 15 y.o. male presenting with acute onset of chest pain and elevated troponin. Workup has been extensive and including BNP, repeat troponin, EKG, CXR, and echocardiogram. He does not show evidence of severe myocarditis or pericarditis. Assessment by cardiology suggested that mild myocarditdis in the setting of recent COVID-19 vaccination and acute heart strain/troponin leak in the setting of acute pain"

15 yo male presents with mother to receive 1st vaccination. After being observed for 15 minutes, the patient and his mother left to walk to the car. Upon walking to the car, patient vomited 3x and was escorted back inside by EMS. Patient stated he had a headache immediately following vaccine. Upon re-entry into the building, patient was given juice and water and started to feel better. Upon interviewing the mother, she stated the patient came from a 3 hour long football practice this AM and barely slept last night. Mother states she thinks the vomiting "was more from heat exhaustion" than the vaccine. Patient remained monitored by EMS until he felt better, patient left with mother after symptoms resolved.

Patient is a 15 year old M with hypofibrinogenemia, platelet aggregation disorder and history of COVID admitted to Inpatient Ward from 26 June - 01 July for work-up and management of new onset and severe headache, photophobia, and pain with extraocular movement. Extensive work-up complete but still unclear etiology, though near complete resolution of symptoms with IV steroids. Neuro: CSF positive for HHV-6, still unclear if this fully explains presentation. CT and brain MRI negative, though limited exam due to braces artifact. Headache complicated by clear post-LP postural headache, though this improved throughout hospitalization, with nausea moderately controlled on Benadryl. Neurology and Ophthalmology consulted, who both thought peri-neuritis was plausible, which is consistent given such rapid improvement with steroids. Pain moderately controlled with Tylenol. Oligoclonal bands and MBP CSF studies pending at time of discharge. Plan for 7-day steroid taper as an outpatient (outlined below in patient instructions), and Neurology follow-up in about 1 month. ID: Initially empirically covered with Ceftriaxone and Acyclovir, but once negative CSF, both were discontinued. He remained afebrile throughout remainder of hospitalization, so no further antibiotics started. Had remote history of immunodeficiency (confirmed here to be IgA deficiency), underwent more extensive immune work-up with lymphocyte subset 6 pending at time of discharge. Fen/GI: Nausea and poor PO intake secondary to headache and neurologic symptoms. Unremarkable KUB with no focal findings on exam. Tolerated good liquid PO intake prior to discharge, improving food intake with help of Benadryl and Reglan (Zofran did not help his nausea). Given risk of Reglan side effects, trial of Benadryl alone was given and relieved his nausea. Will discharge with Benadryl PRN for nausea, though expect this to improve. Heme: No blood transfusions required, no history of recent bleeding/trauma, no signs of active bleeding. Received TXA for three days following his LP performed on 6/28. Rheumatology: Patient has preexisting appointment with Rheumatology scheduled on 7/9 due to a history of intermittent joint pain/swelling with skin color changes since April 2020. Ordered requested Rheumatology labs by Doctor while patient is admitted. CRP and ESR resulted normal at 0.31 and 8 (respectively), C3 and C4 within normal limits, dsDNA and ANA negative. Repeat ESR on 6/30 also normal at 10. Pending labs include fecal procalcitonin. Follow up appointment with Rheumatology on 7/9. CV: Some concern for myocarditis at time of presentation given pleuritic chest pain, history of COVID-19 infection, and recent COVID-19 vaccination. EKG at that time revealed nonspecific T wave changes. However, troponin and BNP resulted negative and patient's chest pain has resolved at this time. Discussed with Cardiology who did not think further work-up was necessary. Chest pain completely resolved at time of discharge.

Experienced a vasovagal syndrome 5 minutes after COVID vaccine. c/o feeling dizzy, denied itching, shortness of breath, nausea or headache. On exam by Health Care Provider, vitals BP 90/60 rt arm, 106/62 left arm, pulse 59-71, resp rate 20, glucose 102, temp 97.3 with 98% pulse ox. PT transported by EMS to medical clinic for evaluation, In medical clinic, given Pediatlye, monitored and released after feeling better. COVID vacine given on Jul 12th. On Jul 15th, pt c/o flu like symptoms, rapid test neg-fluids given. On Jul 16th, pt temp was 102, HR 98, BP 114/52 and tested positive for COVI. Placed in isolation and will be released on jul 27th

I don't know if any of his adverse events are related I wanted the CDC to be aware. He started feeling uneasy, unwell, vomiting, itchy ears (both), upper chest pain, upper back pain and difficulty breathing. We went to the ER at 17:00 - 22:00 on 7/18 was discharged couldn't figure out what was happening was given medication for migraine, Benadryl, Loratadine.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: pt's dad noted he was well when recieving vaccine however when they were in line in the coffee shop area of the store pt leaned against dad with light headedness as if to faint. Store staff called 911 and I rushed over and took pts vitals which were normal with bp 115/72. Pt sipped some water and when I asked if he had eaten today he responded no (215 pm) his dad also reported he had just woken up and doesnt follow a sleep schedule. I was able to offer him some juice which improved his weakness

3 days of constipation, feverish, fluid in stomach, developed an abscess, healthcare professional decides to remove his appendix.

neither she nor her husband could wake up their son for school; Her son was not coherent this morning; This is a spontaneous report from a contactable consumer (parent) or other non hcp. A 15-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch Number/Lot Number: EW0171, Expiration date: unknown) via an unspecified route of administration, administered in Arm Left on 21May2021 16:00 (at the age of 15-Years-old) as dose 1 single for COVID-19 immunisation.The patient medical history and concomitant medications were not reported. There was no history of all previous immunization with the Pfizer vaccine considered as suspect and no additional Vaccines Administered on Same Date of the Pfizer Suspect. AE not resulted in visit to emergency room or physician office. No AE following prior vaccinations. No family history relevant to AE provided. The patient experienced neither she nor her husband could wake up their son for school and her son was not coherent this morning on 25May2021. Caller stated her 15-year-old son received the first dose of Pfizer's COVID vaccine on Friday, 21May2021 with no symptoms, fever, or discoloration. Caller stated, my son has been sleeping for the last 13 hours (he slept at midnight). This morning we could not wake him up for school for 3 hours. patient mother said her son had no symptoms after receiving his first COVID-19 Vaccine, but on 25May2021, neither she nor her husband could wake up their son for school. She said her son was just getting up now after 1:00PM. She said both she and her husband tried to wake their son up over a couple hours, and it was impossible to wake up their son. she wanted to know if what her son experienced was related to the COVID-19 Vaccine, and if there were any other symptoms she should watch for. she said she and her husband tried waking their son by taking down their son's blankets and shaking him. She said her son was not coherent this morning. She said neither she nor her husband were that concerned that their son was in danger because their son was breathing fine and had no fever. Caller was advised she would be transferred for further assistance. Reported her son had some diagnostic testing coming up on Thursday (27May2021) for ADHD, or anything else with that. she felt that her son's ADHD testing was more adolescent related. No further details provided. Reported her son woke up after 1:00PM and came out of his room to ask to use his phone, and then he went back into his room. No relevant tests were reported. The outcome of the reported events were recovered. Follow-up (26Jul2021) No follow-up attempts are possible. No further information is expected

Platelets are at 20 & normal is 150-400; Has mild asthma; CBC shows the following are slightly low: RBC, Hgb, & Hct; CBC shows the following are slightly low: RBC, Hgb, & Hct; CBC shows the following are slightly low: RBC, Hgb, & Hct; slightly elevated RDW SD; 16May2021 1:30am dyspnea - can't get satisfying deep breathe; bronchial inflammation on chest X-ray; Bloody nose 9:30am next day; This is a spontaneous report from a contactable consumer. This 15-year-old male consumer (patient) received bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, Solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left on 13May2021 16:15 (at the age of 15-years-old) (Batch/Lot Number: EW0175) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included Asthma, migraines, small right sinus, ear tube hole in left eardrum and allergic to Weed, cat, dust, tree nuts, (nasonex, nasacort, dimetapp, topamax, amitriptyline, cyproheptadine) drug allergy from an unknown date and unknown if ongoing. Concomitant medications included fexofenadine hydrochloride (ALLEGRA), ibuprofen (MOTRIN [IBUPROFEN]) 2x, sodium alginate (GAVISCON [ALGELDRATE;SODIUM ALGINATE]) 1x and flinstone gummy taken for an unspecified indication, start and stop date were not reported. The patient had mild asthma. 14May2021 Bloody nose 9:30am next day, 16May2021 1:30am dyspnea - can't get satisfying deep breathe, 16May2021 Urgent Care - bronchial inflammation on chest X-ray, 4 puffs Albuterol followed by Decadron 16mg, then 2 more Albuterol puffs. No improvement. CBC shows the following are slightly low: RBC, Hgb, & Hct. Following are slightly elevated RDW SD. Platelets are at 20 & normal is 150-400 (medically significant). Alert & stable but tires easily going up/downstairs. Dr visit scheduled to recheck platelets on 20May2021. Patient underwent lab test chest X-ray which showed bronchial inflammation on 16May2021. CBC showed slightly low: RBC, Hgb, & Hct, Platelets are at 20 & normal is 150-400 and slightly elevated RDW SD on unspecified date. The patient had not received any other vaccine in four weeks, the patient took no treatment for events except bronchial inflammation. The patient prior to this had not received any covid vaccine, patient had not done covid test post vaccination. Outcome of the events CBC shows the following are slightly low: RBC, Hgb, & Hct, slightly elevated RDW SD, and Platelets are at 20 & normal is 150-400 was unknown. The outcome of other events was not recovered.

pt had shot and went to sit for observation period. when period was almost over mom noticed pt looked asleep and just not right. she tried shaking him and he seemed groggy and unoriented. called for nurse and we checked him then took him to ER. symptoms seemed most consistent with vagal syncope so epinephrine was not administered.