Pfizer

Vaccination occurred on 1/12 at 13:00. A few hours after the vaccination, I experienced muscle pain in the vaccinated arm. 1/13: I had trouble sleeping; left arm was in immense pain. 07:00: experiencing arm soreness, muscle pain, nausea, hot flashes; temperature = 99.5 08:20: experiencing arm soreness, muscle pain, hot flashes, chills, sensitivity to light; temperature = 100.6. Took 650mg acetaminophen. 09:00: experiencing arm soreness, muscle pain, sensitivity to light; temperature = 100.8 10:30: experiencing arm soreness, muscle pain; temperature = 99.2 11:15: experiencing arm soreness, muscle pain; temperature = 99.0 12:20: experiencing arm soreness, muscle pain; temperature = 98.0 Extremely fatigued; took nap (13:00-17:00) 17:00: experiencing arm soreness, muscle pain, headache; temperature = 99.3 18:00: experiencing arm soreness, muscle pain, headache; temperature = 99.2. Took 650mg acetaminophen. 19:00: experiencing arm soreness, muscle pain, headache; temperature = 100.8 20:00: experiencing arm soreness, muscle pain; temperature = 98.3 21:00: experiencing arm soreness, muscle pain; temperature = 100.6 21:30: experiencing arm soreness, muscle pain; temperature = 99.2 22:20: experiencing arm soreness, muscle pain; temperature = 100.1. Took 400mg Ibuprofen. 1/14: 07:00: woke up experiencing pain at the injection site, neck pain, headache. These events continued throughout the day. No temperature over 99.5. 18:30: Took 650mg acetaminophen for headache.

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

05:02PM MOM STATES PT 'FEELS NAUSEA AND HEADACHE'. (PT HAS DIFFICULTY DESCRIBING HOW HE FEELS). PT ALERT, PINK,W/D, RESP REG WITH EASE. 05:06PM COOL CLOTH PLACED ON BACK OF NECK, TUMS GIVEN PO, LIQUID BENADRYL 25MG GIVEN PO. 05:20PM 'FEELS A LITTLE BETTER, LESS NAUSEA.' NOW HAS RT CLAVICLE PAIN. ALERT, PINK, W/D, RESP WITH EASE. 05:30PM STILL C/O HEADACHE, NAUSEA AND RT CLAVICLE PAIN. 05:55PM TO EXIT PER W/C TO BE DRIVEN HOME PER MOM. NO ACUTE DISTRESS NOTED. ALERT, PINK, W/D, RESP WITH EASE. 2-25-21 10AM TC- MOM STATES SHE GAVE PT LIQUID TYLENOL LAST NIGHT FOR DISCOMFORT. STATES HE DOES FEEL BETTER TODAY BUT STILL HAS HEADACHE AND RT CLAVICLE PAIN- NO NAUSEA. SHE STATES SHE DID KEEP HIM HOME FROM SCHOOL TODAY. HE HAS HIS REG APPT WITH HIS PCP ON 3-1-21 AND WILL ASK ABOUT HIM GETTING DOSE #2.

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

0930 red, puffy, tingling hands 0945 cough 0948 benadryl 50 mg administered by medic. pt hx of anaphylaxic reactions to nuts. mom stated she did not have pt's epi pen with her. pt stated these same symptoms happen with anaphylaxis prior. mom/pt wanted transport via ambulance vs POV for peace of mind in case any symptoms worsened. to ED.

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

seizure like symptoms; Dizziness; lethargy; fatigue; This is a spontaneous report from a contactable pharmacist. A 16-year-old male patient received first dose of intramuscular BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 02Mar2021 at 12:00 at single dose in left arm for COVID-19 immunisation at the age of 16-year-old. Lot number was EN6205. Medical history and concomitant medications were unknown. On 02Mar2021 at 12:00, the patient experienced Dizziness, seizure like symptoms, lethargy, fatigue. It was unknown if the patient was treated due to the events. The patient recovered from the events in Mar2021. It was unknown if the patient had COVID prior vaccination; it was unknown if the patient was tested for COVID post vaccination.; Sender's Comments: Based on the current available information and the plausible drug-event temporal association, a possible contributory role of the suspect product BNT162B2 to the development of event Seizure cannot be excluded. The case will be reassessed if additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

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

pt. experiencing a "scratchy" throat. pt. denies any difficulty swallowing and/or any others s/p. pt. able to take small sips of water. medic present. pt. monitored & symptoms resolved prior to leaving. 13:44/- 139/70; 69/ 96%/ 16

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

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

Since 11 PM the day I recieved the shot, I have experienced extreme thirst and dryness of the throat. I believe this is a side effect from the vaccine since my diabetes is controlled and is in normal range. I also have experienced hot flashes followed by extreme chills

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

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

Nausea within 4-5 hours, vomiting within 10 hours and continues now after about 22 hours. High fever (102-103)

Woke in the night (@ 1:30 am) with stomach pain, dehydration and blurred vision. Vomited several times through the night. Also had severe diarrhea.

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

About 10 minutes after receiving vaccine patient got hot/sweaty and vomitted. Drank sips of water and sat for another half hour and was fine

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

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

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Medium, Additional Details: Patient was felling hot and had anxiety before getting the shot. He said he had breakfast at 7am and recieved the shot around 11:30 am.

Nausea, dizziness, change level of consciousness, diaphoretic. Patient transferred to floor, feet elevated, patient alert and oriented x 4. No shortness of breath or throat swelling. Pulse lowered from 57 to high 40's briefly. Patient transferred to doctor's office. Vital signs stabilized and symptoms resolved. Patient was then discharged home with his mother.

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

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

was in school on 4/15 and he said that his hands and fingers got "tingley" and then he woke up on the floor.

Vomiting, Dizziness, Sweating (possible anxiety sweating per mom), BP 91/64, HR 53 RR 16, 99% RA (1425) -- > BP 110/76, HR 72, RR 16, 99% RA (1429)

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

Since the vaccination, has the patient been tested for COVID-19?:Yes; Since the vaccination, has the patient been tested for COVID-19?:Yes; Fever 101-104 ongoing 8 days after vaccine; rigors; fatigue; This is a spontaneous report received from a contactable consumer (patient, self-reported). A 16-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: ER8730 and expiry dates were not reported), via unspecified route of administration in left arm on 25Mar2021 at 02:30 PM, as single dose for COVID-19 immunization. The patient's medical history includes occasional migraine and remote pneumonia. The concomitant medication included Multivitamin and Vitamin D. It reported that, on 26Mar2021 the patient experienced Fever 101-104 ongoing 8 days after vaccine, rigors and fatigue. The patient underwent lab test 24 hours post vaccine that was COVID test negative, also negative COVID Ab, increased inflammatory markers CRP, ESR, Ddimer, abnormal CBC and large platelets, mild hemolyzed blood in urine with otherwise negative UA, blood cultures x 2 negative. Vaccination facility: Pharmacy or Drug Store. 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 (Nasal Swab) and after the vaccination the patient been tested for COVID-19. The patient received ongoing tx with antipyretics, monitoring ongoing as corrective treatment for the adverse event. The outcome of the patient's event drug ineffective and COVID-19 was unknown and other events (fever, rigors, and fatigue) were not recovered. Follow-up (02Apr2021): This is a follow-up spontaneous report received from a contactable physician. This physician reported for her son (Patient). The non-significant information updated. Additional information has been requested.; Sender's Comments: Based on available information, a possible contributory role of the subject product, BNT162B2 vaccine, cannot be excluded for the reported events of COVID-19 and suspected LOE. There is limited information provided in this report. This case will be reassessed once additional information is available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

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

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

Fever, chills, headache and swallen axillary lymphnodes. Pain and redness in left axillary area limited left arm and shoulder range of motion. Tylenol and warm compress was used to provide comfort. Today a call is going out to the Dr. to provide any further instruction as today is day 3 and there is still quite a bit of axillary discomfort.

Flushing, sweating, dizziness. BPs 104/55 (pulse 68), 102/60 (pulse 64), O2 sat 100%. Water, juice, and crackers given.

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

Within 2 minutes of receiving the vaccine, he started sweating, he then vomited, lost vision and hearing. Had trouble breathing. Ambulance called

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

first a luttle fever, then rash in the body on Saturday with itch. On Sunday, the rash was there but mild Ob Monday, around 12:00 start to itch again and the rash was medium. Need to provide a Benadryl to calm the itch.

Day 1 (4/16/21): non-emergency allergic reaction = itching all over Day 2 (4/17/21): still itching all over, scratchy throat, hurt to swallow, (normal side effects = elevated temp 100.3, steady headache, dizziness, slight achiness) Day 3 (4/18/21): itching all over, small number of hives on right arm, scratchy throat, inside ears itchy; (normal side effects = nauseous - worse after eating, dizzy, headache, elevated temp 99.6 Day 4: itchy all over, hives now up & down both arms, scratchy painful throat (normal side effects: above but less. Day 5: all improving

8:00pm 4/19: - Body Aches (back, neck) - Headache 10:00pm 4/19: - Body Aches - Headache - Chills - Unable to sleep due to pain 5:00am 4/20: - Body Aches - Headache - Fever (101.9 degrees F) - Able to sleep after taking acetaminophen Fever subsided after ~4 hours Body aches continued throughout day, all symptoms gone next day

About 5 minutes after the vaccination by our pharmacy student, the patient reported that he wasn't feeling well. He said he was hot and dizzy. His hands were clammy. He said he felt like his body was numb. We had him remove his mask and got him some water. He never actually lost consciousness. Eventually we had him lay down and put his feet up. His father was contacted and came to pick him up. We spoke to his mom later and she said he was feeling much better.

Patient has had a temperature consistently since getting vaccine. On Friday it was 102.6. Today it is. 100.4

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

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

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

Mother called Rn to the car. Pt is feeling shivery and shaky. BP 109/61 HR 90 RR 18 sats 99% Temp 98.1. Denies pain. Emt to carside to evaluate. Patient evaluated. Parent refused for pt to be transported to hospital.

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

Symptoms started on Saturday night after receiving vaccine Thursday afternoon (60 hours after vaccine?). Symptoms included loss of taste and smell, nausea, sore throat, chest congestion, coughing, chills/sweating, pain in limbs. Chest congestion, sore throat, chills were all helped with Dayquil and Tylenol. Chest congestion and cough improved by Monday morning, still slight on Tuesday morning. Taste and smell were recovered on Monday evening (5pm, dinner) after approximately 36 hours At time of submitting this report (Tuesday morning), still experiencing chills, limb pain, very slight cough and very slight nausea (weak and dehydrated). Consultation with nurse practitioner at primary care suggested filing this report.

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

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

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

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

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

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

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

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

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

About an hour later he was disoriented; headache; seizure; fever was over 103/temperature spiked so quickly; This is a spontaneous report from a contactable consumer. A 16-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration, administered in right arm on 16Apr2021 13:00 (Batch/Lot number was not reported) (at the age of 16-years-old) as a single dose for COVID-19 immunisation. Medical history included mental illness and autism from unspecified dates and unknown if ongoing. There were no concomitant medications. Patient previously took the first dose of BNT162B2, administered in right arm on Mar2021 (Lot number was unknown), at the age of 16 years old, for COVID-19 immunisation. There were no other vaccines in four weeks. Several hours after receiving the second dose of Pfizer Covid vaccine on 16Apr2021 20:00, the individual developed a headache and took ibuprofen (ADVIL) and water. About an hour later, he was disoriented and the parent (who was a nurse practitioner) asked him questions and he was having a hard time answering. Patient's fever was over 103 in the ambulance. He was tested for everything at the hospital and all was negative. It was determined to be an adverse reaction to the vaccine and what likely happened is his temperature spiked so quickly that he had a seizure. The events resulted in emergency room/department or urgent care. Treatment for other adverse events was unknown. There was no COVID prior vaccination and patient was not COVID tested post vaccination. The outcome of the events was recovering. Information about lot/batch has been requested.

Difficulty awakening; tingling to hands; difficulty standing up; difficulty with mobility; unable to answer questions; hyperglycemic; incoherent; vomiting; weakness; dizziness; increased white blood cells; increased lactate value; Concomitant medication included an unspecified vaccine given on 08Apr2021; Concomitant medication included an unspecified vaccine given on 08Apr2021; This is a spontaneous report from a contactable consumer (patient). A 16-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date unknown), via an unspecified route of administration, on 08Apr2021 13:45, as single dose, for COVID-19 immunization, at a hospital. Medical history included asplenic, diabetes, Ehlers-Danlos syndrome (EDS), and autism. The patient did not have COVID-19 prior to vaccination. The patient previously took gabapentin and lactose and experienced allergies. Concomitant medications included an unspecified vaccine (reported as "other vaccine") given on 08Jan2021; and other unspecified medications. On 08Apr2021 at 22:00, the patient experienced difficulty awakening, tingling to hands, difficulty standing up, difficulty with mobility, unable to answer questions, hyperglycemic, incoherent, vomiting, weakness, dizziness, increased white blood cells, and increased lactate value. These events resulted to physician's office and emergency room visits; and hospitalization for one day (unspecified date). Treatment for the events included IV fluid and IV antibiotics. The patient had COVID nasal swab on 09Apr2021 and tested negative. The patient recovered from the events on an unspecified date. Information on batch/lot number was requested.

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

Patient felt weak and got really sweaty (cold sweat) , then he vomited for a few minutes and felt better. The sick feeling came on within 2 minutes of the administration and he felt better after vomiting

Pt in for covid vaccine. Immediately after pts dose pt stated he began to feel like his arm was on fire. Pt stated his ears were ringing and he became diaphoretic. Pt aslo states he feels like he loss vision for about 30 seconds. Pt had small amount of emesis as well. Vitals 110/67 hr 70 rr 20 temp 97.8 oxygen 98%. After about 5 minutes pt stated he felt so much better. Pt monitored for 30 minutes by nurse vitals q5 min. Last vitals 120/72 hr 72 respiratory rate 18 oxygen 98% t 97.8. Pt left facility accompanied by family. Educated to follow up with PCP.

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

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

Our son vomited for 6 hours and ran a moderate fever after 2nd dose. He also was lethargic, weak, and had bad body aches and chills.

My son since started with pains at the vaccination site, headache, chills, muscle pain, fatigue, little of nausea, thirst, body temperature of 99.1 degrees Fahrenheit at 10:00 pm. Tomorrow medications acetaminophen

Felt hot, really tired, and headache the morning after the vaccine. Symptoms began when he woke up- he woke up about 30 minutes earlier than normal saying he did not feel well. Stayed home from school to rest. Felt better a few hours later, but did take Tylenol to help (only needed one dose). He felt better by evening and eturned to school the next day.

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

Approx 1.5 days after vaccine: Headache followed by pronounced brain fog, inability to focus, spaced out feeling. Empty head feeling. Lasted about 10 days before starting to improve. Resolved after 12/13 days.

Patient complained of feeling dizzy. He appeared diaphoretic and vomited. Stated he had no ate anything for breakfast besides milk this morning. Vitals: BP 110/70, HR 60s, 98% O2 stats. Glucose 96 BP 120/80 Patient laid down, ate a snack and drink water/soda. Symptoms improved. Discharged after 30 mins of observation.

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

Numbness and tingling in right arm and right leg with mild tingle in right cheek. Headache responding to Tylenol, mild soreness at injection site. No weakness or gait changes. Symptoms almost completely resolved at 20 hours.

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

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

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

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

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

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

Vomiting multiple times - over 20 mins Alternating Chills/sweats, started about 14 hrs after vaccine administration

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

Fever of 104; Sore throat; Chills; Symptoms like alergies; Cold like symptoms; This is a spontaneous report from a contactable consumer via Pfizer Sponsored Program. A 16-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection), via an unspecified route of administration on 15Apr2021 as a single dose for COVID-19 immunization. The patient's medical history and concomitant medication were not reported. The patient was fine until Sunday (Apr2021) then the patient had a fever of 104, sore throat, chills, and symptoms like allergies. The patient was treated with Tylenol and the fever broke but still having cold like symptoms. The reporter wants to know what should do now. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Systemic: Chills-Mild, Additional Details: Approximately less than 5 minutes pt repoerted not able to see anything. Patient sad comfortable with his mom and was breahing fine and 911 was dialed and EMS came out and all vitals were good. Patient was able to see before EMS came and after being check by Ems he left with his mom and was okay.

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

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

Patient was given first dose and was in waiting area for observation. About ten minutes after his shot our vaccine coordinator alerted me that he was having a reaction. When I went out to the patient his eyes were open but he was staring blankly. His father was shaking him and waving his hand in front of his face and asking him if he was okay and the patient was not responding. I also tried to get the patient to respond and he did not. Since the patient was not responsive to any questions we called 911. While waiting on the paramedics to arrive the patient came around and started to answer some simple questions. He was clammy and sweating and he threw up one time. When the paramedics arrived they took over. They checked all the patients vital signs and were with him for about 15 or 20 minutes assessing him. The patient walked out of the store on his own and was not taken by ambulance. I called the patient around 3:10pm to check on him and I spoke with him and he said he was doing fine.

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

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

Pt. felt dizzy immediately after vaccine. Sweating profusely and was not able to speak. Vitals: HR 78, BP/105, O2 98 and EKG heart seemed to have prolonged QT but EMT used pump to stimulate heart. Pt. transferred to hospital.

Extreme fatigue/tiredness Fever Upset stomach Headache Couldn?t concentrate Weak Chills Was extremely tired with the first dose also, for three days

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

Started with sore arm and headache, progressed to high fever (101). Next day had sores on mouth, which spread all over lips and started sore throat. Fever did not go away without medication. Medication would alleviate it but it continued for 6 days, reaching 102.4. Pediatrician tested for strep and for COVID, both were negative. Sore throat persisted after fevers subsided. Had to finally be prescribed magic mouthwash. Doctor said sores on lips were herpes so prescribed viral medications. My son never has a sore throat and has never had a herpes sore until after the shot.

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

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

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

This is a spontaneous report from a contactable reporter reporting for her son, via Pfizer sponsored program. A 16-year-old male patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 24Apr2021 (Batch/Lot number was not reported) as single dose at the age of 16-year-old for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. After 24 hours from vaccination, on 25Apr2021, he felt pain on the injection site. For that, the mother gave her son Tylenol to treat the symptoms. Then after 24 hours, on 26Apr2021 he felt fine. However, 2 days after, on 28Apr2021, he felt pain underneath the left side of his armpit, had a fever with a temperature of 102.8 F, and the right side of his neck was swollen. In addition to this, he was experiencing a lot of body aches, headache, and pain on his neck. They already contacted their HCP and prescribed him with antibiotics in Apr2021. He was tired and almost lethargic in Apr2021. Reporter wanted to know if her son should still receive the 2nd dose. The reporter was invited to consult her HCP. The outcome of pain on the injection site was recovering, of all other events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.; Sender's Comments: Based on the current available information and the plausible drug-event temporal association, a possible contributory role of the suspect product BNT162B2 to the development of serious events Neck swelling, Armpit pain, and Fever cannot be excluded. The case will be reassessed if additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

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

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

patient developed dizziness about 5 hours after vaccine and began sweating profusely. initial blood pressure was quite low in the 77/46 however subsequent reading was 108/76 and patient exhibited no other signs of anaphylaxis. paramedics were called in case reaction became more severe but patient recovered and was back to baseline within 15 minutes or so. no intervention given.

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

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

Eight straight days of 100-100.5 degree fever. It will yo-yo from normal to 100-100.5 several times a day. Headache, fatigue.

Patient notes that he about 3d PTA he had his 2nd Pfizer Covid vaccine (received on 5/12/21) after which he had about 24 hrs of myalgias, low-grade fever, headache that all resolved. Patient was admitted to the hospital on 5/15/21 with likely post-viral myocarditis.

Systemic: Allergic: Rash Generalized-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild

Around 1:30 am my son complained of his eye feeling swollen and tight. his right eye was completely swollen and closed. I gave him Benadryl and ibuprofen and water and he went back to bed. Woke up 12 hrs later with a less swollen but still swelled eye and blurred vision. Complained the left side of his face felt numb. Was extremely groggy and tired.

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

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

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

Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Headache-Medium, Additional Details: Pt is a 16 yo male who came in for second dose pfizer vaccine on 05/18/21. His mother reported that the pt experienced redness and swelling of the left eye at 2am on 05/19/21. At 3am, the patient mother gave her son benadryl and ibuprofen. I called the patient at 11am on 05/19/21 to check up and he is currently sleeping with some swelling and redness present. He has made a doctor appointment later today.

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

upset stomach, chills, tingles, vomiting, unable to even drink water bc i puke it up, light head, 100.4 fever

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

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

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

pt began to have headache, chills, light headedness, and sweating approx 12 minutes after administration of vaccine. complained of throat feeling slightly constricted with feeling of gag reflex approximately 20 minutes after administration of vaccine. pt did not show signs or feel like lips or tongue were swelling but 50 mg liquid benedryl was given orally as a precaution. pt remained stable in described condition until was taken home by parent 50 minutes after initial vaccination time. pt contacted 2 hours later and reported no change in condition (neither better or worse)

The patient presented with fever 38.4 since may 20 2021 in the morning. the patient is taking for the fever motrin 200 every 6 hrs for the fever.

10 minutes after vaccined. pt felt dizziness, feeling lightheaded, cold skin and sweating. mom had pt lied on floor and elevate the legs. after symptoms subsided and was checked by paramedic. pt left without any help.

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

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

One week after 2nd dose, developed extreme fatigue, numbness and weakness in both legs, aching/pain in legs, loss of feeling in feet and occasional pins and needles feeling in feet. Some numbness/tingling in hands as well. Difficulty walking, just needs to sit. Difficulty raising arms. Complaints of legs and arms feeling very heavy. Shortness of breath.

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

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

Within 30 minutes sharp pains in stomach. By evening fever of over 101degree. The sharp pains in stomach, loss of appetite, dizziness, vertigo, on and off fever, sweats persisted for almost a week. Sought medical attention with primary care physician.

WIthin 30 minutes, same symptoms as 1st dose. Severe stomach pain, fever, dizziness, vertigo, lethargy. These symptoms lasted almost 1 week and he is still not right.

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

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

Headache 36 hours Fever 36 hours Brain fog continuing Lethargy ongoing Ibuprofen was given for symptoms

Acute somnolence; Flaccid Areflexia in legs; Suspected Guillain-Barre Syndrome; Possible linkage to simultaneous campylobacter infection; This is a spontaneous report from a contactable consumer (patent). A 16-years-old male patient received bnt162b2 (FIZER-BIONTECH COVID-19 MRNA VACCINE), dose 1 via an unspecified route of administration, in Arm Left (at the age of 16 years old) on 01May2021 at 10:00 (Batch/Lot Number: ER8736) as 1ST DOSE, SINGLE for covid-19 immunization. Medical history included campylobacter infection from an unknown date and unknown if ongoing. The patient had no known allergies. Concomitant medication included lisdexamfetamine mesilate (VYVANSE) taken for an unspecified indication, start and stop date were not reported. The facility in which the most recent COVID-19 vaccine was administered was a Public Health Clinic/Administration facility. No other vaccines were given within 4 weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient experienced Acute somnolence, Flaccid areflexia in legs, Suspected Guillain-Barre Syndrome, Possible linkage to simultaneous campylobacter infection on 03May2021 at 0000. The events required an emergency room visit. The patient was hospitalized for acute somnolence, flaccid areflexia in legs, suspected guillain-barre syndrome, possible linkage to simultaneous campylobacter infection from 2021 to an unknown date for 5 days. The patient underwent lab tests and procedures which included polymerase chain reaction (post vaccination) results: negative on 09May2021 (Nasal Swab). Therapeutic measures were taken as a result of acute somnolence, flaccid areflexia in legs, suspected guillain-barre syndrome, possible linkage to simultaneous campylobacter infection. Treatment included IV immunoglobulin. The clinical outcome of the events was not recovered. Additional information was requested.

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

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

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

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

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

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

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

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

extreme fatigue; postural orthostatic tachycardia syndrome (POTS)/ heart rate increased dramatically upon standing; This is a spontaneous report from a contactable physician (parent). A 16-year-old male patient (son) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 intramuscular, administered in Left arm on 06May2021 13:00 (Lot Number: EW0163) as 2nd dose, single for covid-19 immunisation. The patient medical history was none. no known allergies. concomitant medication was none. the patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. the patient did not receive other medications within 2 weeks of vaccination. Patient previously received first dose of BNT162B2 (brand: Pfizer, lot number: EW0161) on 15Apr2021 01:00 PM (at age of 16 years old) via Intramuscular into Left arm for Covid-19 immunization in Hospital. Patient is an extremely fit competitive tennis player, developed extreme fatigue 2 days after the second dose (08May2021 17:00), which has now lasted for more than 2 weeks. After getting an smart watch they noted that his heart rate increased dramatically upon standing, and after excluding other possibilities, believe this to be postural orthostatic tachycardia syndrome (POTS) on 08May2021 17:00. event resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Disability or permanent damage. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient underwent covid tested post vaccination which included Nasal Swab: negative on 14May2021. Treatment received for the events included so far compression socks, rest and diet changes. Outcome of the events was not recovered. Follow up needed, further information has been requested.; Sender's Comments: A causal association between BNT162B2 and the reported events cannot be excluded based on a compatible temporal relation. 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.

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

Patient became lightheaded, with a head ache and patient stated he was about to faint. Patient received fluids. Patient states that symptoms no longer present.

Prodrome of headache and gastric upset over 2 days following second dose. Then felt fine. Found the following day dead in bed. Autopsy pending

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

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

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

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

since date of vaccination 5/29/2021, he started sneezing constantly, along with congestion and runny nose, tiredness, OTC allergy and cold meds tried and failed. Progressively got worse, ended up with sinus infection, one sinus swollen shut, rx'd Prednisone and abx yesterday (6/10/2021). I don't know if its related but, he's never gotten sick like this or had a sinue infection before. He is home for school (online) and only goes to soccer training in the evening. No other reported illness on team at this time.

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

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

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

Uvula Swelling Extreme throat pain Infection Difficulty talking, swallowing, eating Treated with Antibiotics and Steroids for 10 days.

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

Pt got pfizer on 9 JUN @1100. c/o headache, bodyache and fever at this visit. Highest temp was checked at home around 38.3C-38.5C per pt. Last dosage of tylenol 500mg was 1100 today. c/o fronta/temporal headache. Denies blurry vision or vision change.

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

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

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

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

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

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

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

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

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

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

also been experiencing a migraine which doesn't seem to be going away/ Intractable migraine, pain in his head; pain in his head and neck; Fever; chills; This is a spontaneous report from a contactable consumer (patient's mother). A 16-years-old male patient received second dose of bt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0181), via an unspecified route of administration, administered in deltoid left on 04Jun2021 at 10:25 (at the age of 16-years-old) as single dose for COVID-19 immunization. The patient did not had ant medical history. The patient's concomitant medications were not reported. The patient previously received the first dose of bt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EW0182), administered in left deltoid muscle on 14May2021 as single dose for COVID-19 immunization. The patient did not receive any other vaccine within four weeks prior to the first administration date of the suspect vaccine. The patient did not administer any additional vaccines on same date of the Pfizer suspect. On 04Jun2021 at 18:25 (within 8 hours of being administered the second dose of Pfizer Covid-19 Vaccine), the patient experienced fever and chills. On 05Jun2021 at 20:00, the patient been experiencing a migraine which doesn't seem to be going away/ intractable migraine, pain in his head, and pain in his neck. The patient received treatment for the fever and chills which included Tylenol. The patient was also treated for the migraine and pain in his head and neck. Duration of the fever and chills was about 36 hours, after which patient recovered completely. The consumer explained that the fever and chills were the normal, expected side effect. The intractable migraine, pain in head and neck was persistent. The patient did not require a visit to emergency room or physician office but they were waiting to hear back from his doctor. The patient was not hospitalized and did not underwent relevant tests. The consumer wanted to know if that was normal and how long she should expect the headache to last. The outcome of the events fever and chills was resolved on 06Jun2021, and migraine and pain in his head and neck was not resolved.

He kind of got sick; He felt lethargic; He felt feverish, he had a fever; He felt feverish, he had a fever; He felt clammy; He felt nauseated; This is a spontaneous report from a Pfizer sponsored program reported by consumer (patient mother). A 16-year-old male patient (reporter son) received bnt162b2(BNT162B2 PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot number: EW0182), via an unspecified route of administration on 02Jun2021 (at the age of 16-years-old) at 1ST DOSE SINGLE DOSE as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The reporter reported that the patient experienced he kind of got sick, he felt lethargic, for he felt feverish, he had a fever, for he felt clammy and for he felt nauseated on an unspecified date in Jun2021. The reporter stated that it took him 3 days to get better and she is not sure what to do and she does not if she, if her son should get the second dose even after experiencing these symptoms. The outcome of all the events was reported as resolving. Information on lot/batch number was available. Additional information has been requested.

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

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

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

Mild headache, started 10 min. after vaccination. Has not eaten or drank anything today. Given water-Seen by Medics. No further interventions. Left in stable condition at 10:34 a.m. Recorded by RN. Medic

still feeling sick; This is a spontaneous report from a contactable consumer or other non hcp. A 16-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, Lot number and Expiration Date was not reported), via an unspecified route of administration on an unspecified date for COVID-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. Previously patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) via an unspecified route of administration on an unspecified date as single dose for COVID-19 immunization. Reporter stated he received his second dose of Pfizer COVID vaccine 2 weeks ago and still feeling sick from it. He did not know if it was supposed to be like that and wanted to know if that was normal. The outcome of event was unknown. No follow-up attempts are needed. No further information is expected.

Abdominal pain, fever, diarrhea, malaise starting on 6/12 => diagnosed with complex appendicitis on 6/18 with intra-abdominal abscess

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

6/18 chills, headache, nausea 6/19 chills, fatigue, nausea, headache, brain fog 6/20 fatigue, brain fog 6/21 fatigue, brain fog

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

After the vaccine couple hours exp headache and was very tired couldn't get out of bed. I contacted chiropractic that day was seen that evening. He was placed on a treatment plan for sciatic nerve.

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

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

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

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

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

Fever of 100 + within 24hrs, treated with Tylenol; fever lowered to 99 but has increased again on 2nd day post -vaccine.

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

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

When asked, patient states he did not eat or drink anything today. He noticed a tiny spot of blood at injection site, while his band-aid was being applied, he asked "Is this bad?". Shortly after after her complained of not feeling well. He complained of having blurry vision and the chills while his skin was warm and moist. Patient was laid down on the chaise lounge, and instructed to do isometrics with legs. Ice bags applied to back of neck and forehead. Vitals at 1152 were B/P - 108/58, SPO2: 99%, pulse: 66 bpm. Vitals at 1157 were B/P - 102/60, SPO2: 98%, pulse: 82 bpm. Patient was given water to drink and encouraged to drink lots of fluids today. Color was pink, skin was warm and dry when stood up to leave with mom and brother. Encouraged to eat and drink before second vaccination three weeks from now.

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

After the patient got the first dose of covid shot, patient started to feel light headed and sweating. Patient also stated that he started can't see thing or heard thing. But after he drink some water and sitting down waiting for ambulant he was feeling ok. EMT came and checked him out and he was ok

Congestion; Coughing, described as initially so bad he was collapsing, now a hacking and rattling cough; Fever; Body aches; Diarrhea; stomach pain/Diarrhea, with stomach cramping; Nausea; lack of appetite; Fatigue; Fatigue, kept falling asleep; This is a spontaneous report from a contactable consumer (Patient's mother). A 16-years-old male patient received first dose BNT162B2 (BNT162B2, solution for injection, Batch/Lot Number: EW0171), via an unspecified route of administration, administered in Arm Right on 29Apr2021 09:30 (at the age of 16-year-old) as dose 1, single for covid-19 immunisation. Medical history included migraine from Jul2018 and ongoing, irritable bowel syndrome from Jul2018 and ongoing. Irritable bowel syndrome is constipation, not diarrhea. Concomitant medications included rizatriptan taken for migraine from Jul2018 and ongoing. Patient did not took any other vaccines within 4 weeks, prior covid-19 immunisation. No adverse events following prior vaccinations. On 29Apr2021, the patient experienced congestion, coughing, described as initially so bad he was collapsing, now a hacking and rattling cough, fever, body aches, stomach pain, diarrhea, with stomach cramping, nausea, lack of appetite, fatigue, kept falling asleep. It was reported that caller states he may have inherited this from her. Caller states that (patient) her son had a bad 2018, as they were trying to figure out what was going on with him, medically. Patient had a colonoscopy and endoscopy and Patient was diagnosed with migraines and irritable bowel syndrome at that time. Caller states his issue with irritable bowel syndrome is constipation, not diarrhea. Caller states that she and her son had the Pfizer Covid shot. Caller states that she and her son, had the vaccine, last Thursday, recaptured later in report as 29Apr2021.Caller states her symptoms were not that bad, and reports she still has diarrhea. Caller states that her son, 3 hours after the vaccine, had, reclarified, congestion, cough, fever, body aches, stomach pain, nausea, diarrhea, and fatigue, where he kept falling asleep. Caller reports that her son is 16 years old. Caller states that some of the effects have gone down, but the stomach pain and diarrhea have remained. caller states that because of her son's symptoms, he was tested for the Covid virus, specifically because his cough got so bad, that he was almost collapsing. Caller states he was tested for Covid on Monday, and his test was negative. The main reason she is calling is to get an answer about his symptoms. Caller states that she really can't get an answer from his doctor, as he instructed the Caller if her son's symptoms got bad, to take him to the emergency room. Now mostly his stomach pain and diarrhea remain. Caller states she started giving her son Imodium. Reclarified, Caller asks are there any suggestions for treatment of his diarrhea and stomach pain. Caller asks, how long will they last as it has been over 7 days. Caller states she has been on the internet researching this question. Caller states the doctor recommended giving her son the medication, Imodium, and if in 10 days, it is not resolved, then the doctor will recommend another treatment or further testing for her son. Caller states it is hard to find information online. Caller states her son's Paediatrician is at a loss. Caller agrees to continue a safety report for her son. Cough outcome caller answers as improved, but adds he was coughing so bad that he was collapsing. Caller states the cough is now just a hacking, rattling cough. Time around 11am, fever at noon caller states, Body aches ends caller states roughly on Saturday 01May2021 around noon, stomach pain around noon caller answers as kind of persisting, reclarified as he has spikes of the pain being worse, then it settles down like in the beginning, with moderate pain. Nausea caller states around 11 am, and the nausea came before the stomach pain. caller adds that because of the nausea, her son complains of a lack of appetite, and it came on because of the nausea, and that lack of appetite is still present. Diarrhea caller states at noon, and the diarrhea happened when his stomach started cramping. Caller clarifies that her son started taking the Imodium yesterday, and initially had no results yesterday. Caller reports that today his diarrhea is not as bad, as it was yesterday and Fatigue, kept falling asleep Caller states her son is still sleeping a lot and tired. caller reports probably around noon, and for the first 3 days after the vaccine, he slept, Caller reports he is improved, but still tired, not falling down tired. Investigation included Caller states that he was showing signs of Covid after the first vaccine and she wanted to make sure he did not have the Covid virus. No History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available). Patient did not visited emergency room and physician room, Caller reports that she has called her son's doctor, but did not actually see him in person. Caller states that there have been 3 or 4 calls back and forth, between herself and the doctor. Caller notified that Medical Information and/or Pfizer is unable to provide medical advice but may have resources to help answer some questions. Caller verbalized understanding. Second call notification was given as Caller was on speakerphone getting information from her Son, for his report. The patient underwent lab tests and procedures which included sars-cov-1 test: negative on 03May2021, endoscopy, colonoscopy. Therapeutic measures were taken as a result of diarrhea included imodium. The outcome of the events congestion, coughing, described as initially so bad he was collapsing, now a hacking and rattling cough, fatigue, kept falling asleep were recovering, nausea, lack of appetite were recovered with sequel on 01May2021, fever was recovered on 03May2021, body aches was recovered on an unknown date in 2021, diarrhea with stomach cramping was not recovered, and the outcome of the event stomach pain was unknown. No follow-up attempts are needed. No further information is expected.

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

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

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

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

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

Patient received 1st dose of pfizer COVID vaccine 06/29/21. After administration, the patient and his family (brother and father) were instructed to wait the required 15 mins after receiving the vaccine. The patients brother and father stepped away to go to the bathroom while the patient stayed in the waiting area. The patient received the vaccine at 7:15p and the incident occurred at ~7:25p. The patient said they felt unwell to one of the techs in the pharmacy and they proceeded to get the pharmacist's attention. The pharmacist approached the patient and proceeded asking questions regarding the patient's symptoms. They patient stated they felt unwell and possibly needed to vomit. The pharmacist grabbed a trash can to give the patient and paged the father back to the pharmacy. The pharmacist stayed by the patient's side until the father returned and she informed him of what was going on. The patient stated this had happened previously when they received a vaccine ~1 year ago so it wasn't a first time occurrence. The pharmacist provided the patient with cold water and ensured they were okay to leave before letting them go after waiting the required 15 minutes. Patient is due back for the second dose on 7/20/21. Special precautions will be taken to ensure the patient is okay before leaving, including waiting 30 minutes due to a previous adverse reaction to the vaccine.

Systemic: Vomiting-Mild, Additional Details: He vomited on the floor for about 5 minutes after receiving the vaccination, but stopped vomiting after 2 or 3 times. He had no fever but a little bit of sweating. He said it felt like food was stuck in his throat and refused to drink water and call the ambulance. He trowed up chicken chunks. He waited in the post vaccination care area for another 20 minutes and felt better so he left.

I got the Flu A with throbbing head pain almost constantly in the right side of my head and neck. No stuffy nose or anything like that. Just general pain and feeling terrible. I was bed ridden from Friday 25th June to Wednesday 30th June. My fever was up to 102 and was generally high throughout that time as well. I took ibuprofen and ate healthily, when I could eat though I had no appetite. I went to the DR and got a flu test on the 29th or 30th of June.

Patient received vaccine on July 5 and had just a sore arm for 30 hours then began having headache on evening of July 6. July 7 headache worse and nausea. July 8 headache so severe could not walk without pain shooting down back and pain with neck motion. Vomited 4 times and had to wear sun glasses even inside due to eye sensitivity. Patient had no fever no sore throat or cough. When he presented to the ED his neurological exam was normal but had mild nuchal rigidity/photophobia/and moderate severe headache. As we worked him up the consideration was vaccine reaction versus viral meningitis. We gave him Toradol and Compazine as we awaited his test results and he felt significantly better. I was going to do a lumbar puncture if he was not improved. He ate and drank gatorade with no nausea and was discharged with orders to return if symptoms worsened. He was instructed to see his doctor if not well in 3-4 days.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Medium, Additional Details: Patients BP was 120/87 after the 15 minute period. Symptoms resolved after giving the patient water.

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

started with chills, slight fever, went away after about 3 days, and then a hoarse cough like he needs to clear his throat, currently been 7 days and teen continues to cough about 15 times per day. Is this normal? doesnt seem to bother him much? Is this something to worry about?

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

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

Patient experience light headedness and drowsiness. Had patient sit on floor against wall, gave patient ice pack to apply to back of neck. Symptoms resolved approximately 10 minutes after onset.

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

Start Date/Time: [Pfizer] 02May2021 01:00 PM/ Start Date/Time: [Pfizer] 18Apr2021 01:45 PM; Fever; Vomiting; Mild confusion; Extreme exhaustion; Body aches; Second dose brought back all concussion symptoms; Migraine; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 16-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via intramuscular, administered in right arm on 02May2021 13:00 (Age at Time of Vaccination: 16 years) (Batch/Lot number was not reported) as dose 2, single, the patient previously took first dose of bnt162b2 via intramuscular, administered in right arm on 11Apr2021 01:00 pm for covid-19 immunization. The patient medical history included attention deficit hyperactivity disorder (ADHD) and hypersensitivity. The patient concomitant medications included methylphenidate taken for attention deficit hyperactivity disorder, cetirizine hydrochloride (ZYRTEC) taken for hypersensitivity from Jan2021 and ongoing. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not test COVID-19 positive prior to vaccination. The patient had not been tested for COVID-19 since the vaccination. The patient received first dose on 18apr2021 and second dose on 02may2021 which led to (inappropriate schedule of product administration). The patient said Second dose brought back all concussion symptoms. Migraine, mild confusion, extreme exhaustion on 02May2021, 8:30 PM, vomiting at 9:30 PM. Body aches and fever on 03May2021, 8:00 PM and lasted for 7 days. The event migraine was reported as serious (disability). The patient received treatment for fever with Motrin. The outcome of the event inappropriate schedule of product administration was unknown and other events were resolved on an unspecified date on 2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

slight fever; This is a spontaneous report from a contactable nurse. A 16-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: Unknown) via an unspecified route of administration on an unknown date( at the age of 16-years-old), as a single dose for COVID-19 immunisation. Medical history and concomitant medication were 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. On unspecified date in Mar2021, the patient experienced slight fever. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The patient did not receive treatment for the reported events. The clinical outcome of slight fever was recovered on unspecified date in Mar2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

had a fever of 103.4F; Still ill; This is a spontaneous report from a contactable consumer (patient's mother). A 16-year-old male patient (reporter's son) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) dose 2 via an unspecified route of administration administered in arm left on 24Jun2021 13:45 (Lot Number: EW0217) as dose 2, single (at age of 16-year-old) for covid-19 immunisation. Medical history included Celiac disease. The patient's concomitant medications were not reported. Historical Vaccine included the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot: EW0197) administered in the Left Arm on 03Jun2021 for Covid-19 immunization. The patient experienced fever started around 23:00 on 24Jun2021. The patient had a fever of 103.4F and he was still ill after the second vaccine on 24Jun2021. The reporter asked when she can expect he will feel better and when she should take him to the doctor. The reporter was told by nurse that his temperature was normal. The patient had been treated his fever with medication, otherwise it went back, the reporter had to even give him a tepid bath. When medication wear off, the fever came back. Outcome of the events was not recovered.

Swelling in his tonsils; feels a little hot; last night he felt weird and then used the bathroom and felt better; sleeping now and that is a warning flag for him sleeping a lot/he came home tired and fell asleep; he came home tired and fell asleep.; numbness in his arm; This is a spontaneous report from a contactable consumer (nurse, a CNA). A 16-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EW0196), via an unspecified route of administration on Left Arm(shoulder) on 14Jun2021 16:00 (age at vaccination: 16 years) as DOSE 1, SINGLE for just to get it to make sure he is fully protected. Vaccination Facility Type was reported as Pharmacy/Drug Store. The patient medical history included he had SVT and artery flutter that was diagnosed late in his 14 turning to 15. States they are fully resolved. Relays that he had 3 heart surgeries, each one you have to wait 6 months to get done. States the 1st one they couldn't find anything, the 2nd one they cauterized nerve endings, and the 3rd one they found another heart condition and did the same thing, they cauterized the nerve endings inside his heart. Additional Vaccines Administered on Same Date of the Pfizer Suspect was reported as none. Prior Vaccinations (within 4 weeks)or any other vaccinations within four weeks prior to the first administration date of the suspect vaccine was reported as none. Adverse events following prior vaccinations was reported as none. The patient Concomitant medications included ibuprofen(IBUPROFEN ABECE)taken for numbness from Jun2021. On 01Jul2021, the patient experienced Swollen tonsils at his appointment about 1:30pm, feels a little hot, last night he felt weird and then used the bathroom and felt better. On an unspecified date in Jul2021, the patient experienced sleeping now and that is a warning flag for him sleeping a lot, told to hold off and wait on getting the 2nd dose, he wants to have him evaluated 1st to see if it is an infection or an allergic reaction and he came home tired and fell asleep. On 15Jun2021, the patient experienced numbness in his arm. The other symptoms (except swollen tonsils) started around 8 PM-9 PM after their walk 1Jul2021.It was reported that he had heart complications(heart issues) 2 years ago which are resolved now. He received the first dose of the Pfizer-BioNtech Covid-19 vaccine on 14Jun2021 and he's scheduled for his second dose on 05Jul2021. Yesterday he went to his orthodontist and was diagnosed with swelling in his tonsils (first she said one of them and his tongue, then she explained that the swelling was in his tonsils). She would like to know if there are reports of any swollen glands and if she should be concerned about it. The reporter(who is patient's mom) stated that she just talked to the patients pediatrician and was told to hold off and wait on getting the 2nd dose, he wants to have him evaluated 1st to see if it is an infection or an allergic reaction. She states the lymph nodes are tonsils and they need to make sure it is not an allergic reaction and also not his heart and was told if it gets worse to take him to the Emergency Room and it's kind of off, like she saw them and they are really huge and it's just weird. She states he weighs about 205-210 pounds and is maybe 5 foot 7 inches tall. He just saw the orthodontist and received a letter to see his doctor and something clicked in her head that they are glands and basically anything like that vaccine have that type of reaction and he feels a little hot that started 01Jul2021 and last night he felt weird and then used the bathroom and felt better. Caller relays that he is sleeping now and that is a warning flag for him sleeping a lot. States that started recently and she tried to take him for exercising yesterday on nature walk and he came home tired and fell asleep. States he stayed up 1-2 hours and fell asleep. Caller states another orthodontist and pediatrician never have said anything about his tonsils before. Caller states she has to watch him, he will say he doesn't feel anything but that was the heart condition and he would go into shock and fall on the floor and she has to monitor him and he didn't know he was having episodes and they would reset his heart with paddles. Caller states she will probably take him to the ER and have tests run. The Relevant Tests was reported as None. Therapeutic measures were taken as a result of Swelling in his tonsils, numbness in his arm. The outcome of the event numbness in his arm, feels a little hot in his arm was unknown. The event "last night he felt weird and then used the bathroom and felt better" was recovered on Jul2021, while other events was not recovered. Relevant Med History (heart surgeries) notes: each one you have to wait 6 months to get done.1st one they couldn't find anything, the 2nd one they cauterized nerve endings, and the 3rd one they found another heart condition

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

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

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

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

(mother positive first), Sx onset 7/18/21 cough, runny nose, chills, headache, muscle aches, loss of smell & loss of taste.

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

Systemic: Chills-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Medium

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

developed nasal congestion and headaches that persisted over 1 month, initially treated as sinusitis but eventually diagnosed with granulomatosis with polyangitis

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

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

Patient described rapid onset sweating and flushing. Said he felt light headed as well. Gave Benadryl 25 mg with continued observation for 30 minutes and he said he felt mostly better, but still tired and weak. Followed up next day and his mother said he was doing better.

fever; headache; This is a spontaneous report from a non-contactable consumer (patient). A 17-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EL3248), via an unspecified route of administration on 24Jan2021 09:15 at a single dose for COVID-19 immunization. The patient's medical history included asthma, peanut allergy, and latex allergy. The patient was not diagnosed with COVID-19 prior to vaccination and had not been tested for COVID-19 since the vaccination. Concomitant medications were not reported. The patient experienced fever and headache on 25Jan2021. No treatment was received for the adverse events. Outcome of the events was not recovered. The events were considered non-serious. No follow-up attempts are possible. No further information is expected.

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

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

Doni had a Headache and Stomach Ache the following day after the Shot. He felt Sick all day, stayed in Bed all day. Gave him Tylenol at 8:00 am and again at 2:00 pm. He felt better the later that night.

20 min after the injection, patient started to develop itchness on his arms and back. for the next 48 hours the itchness came and went. small rash (raised red pimps) around the injection spot. I have treated the itch with allergy meds and the rash with hydrocodone cream 4 days later, he still complains of sore arm, periodic metalic taste when he eats, sore joints and arm muscles. Saturday evening he had brief chills, and sunday reported sore throat.

1st Dose: only mild pain and swelling at injection site for a few days. 2nd night had heat flash and chills temporarily with constant brain fog for a week coming and going. 2nd Dose: after 4 hours, extreme fatigue throughout body, brain fog, confusion, and lethargic. Extreme brain fog 11 hours after vaccination. The next day strong fever and stronger symptoms from the day before. The 3rd day felt back to normal. 4th day had a mild brain fog moment.

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

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

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

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

At 9:15 am on 3/31/21, patient experienced a seizure characterized by unconsciousness and full-body rigidity. He had never previously experienced a seizure. The episode lasted for approximately 5-8 minutes; the patient gradually regained consciousness, but was confused and complained of a headache, eye pain, and nausea for some time afterward. He does not remember the event or what preceded it. He visited the ER that morning. He received an injection of lorazepam and ondansetron. He was held for observation for about 4 hours. He was prescribed a 3 day supply of lorazepam 0.5 mg (taken every 12 hours) upon discharge.

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

April 2- woke up with extreme fatigue, achy, headache, had trouble sleeping. In afternoon had 100 fever. April 3 - woke up with migraine type headache; fatigue; lack of energy; had trouble sleeping; had weird dreams. April 4 - work up with same headache; had trouble sleeping; had a neck ache and sore throat. Overnight, 230 am April 5, had severe stomach pain, breathlessness, pain in left elbow. Had headache after waking up, missed school, still feeling drained.

Pfizer-BioNTech COVID-19 Vaccine EUA Second dose of Pfizer vaccine received Friday afternoon (4/2/2021). Went to bed Friday evening with "normal" side effects of mild fever and sore arm at injection site. Woke up Saturday morning with no sense of smell or taste. Called primary care provider who conducted a video visit and expressed concern that he may have had an asymptomatic case of COVID-19 prior to injection (no symptoms displayed at all in weeks prior). Order a COVID test for Sunday morning. Woke up Sunday morning with sense of taste and smell back. Proceeded with PCR test, which came back as "negative" on Sunday evening. No other symptoms observed, and other side effects noted above (sore arm, fever) resolved by Sunday morning as well. Seems to suggest loss of sense of taste and smell likely due to vaccine since there was a clear temporal relationship which resolved in approximately 24 hours.

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

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

Fatigue set in about 6 hours after vaccine administration, followed by nausea, headache and fever about 9 hours after. Vomiting, chills, headache continued all through night. Fever never reached higher than 100.3 degrees F. Headache continued all the next day, as well as loss of appetite. Used Advil to treat headache. 48 hours later, a swollen lymph gland above left collarbone was discovered. Doctor suggested a warm compress.

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

The patient started to feel nauseated and warm after his vaccination. His mother also reported that he looked sweaty. They report that he has had the same reaction in the past with any sort of needle sticks (typically with blood draws). His symptoms resolved over a period of 5 minutes. He had some water and sat down and started to feel better.

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

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

15 MINUTES AFTER VACCINATION PNT FELT CLAMY/SWEATY AND NAUSEOUS. PNT FELT LIKE HE WAS GOING TO FAINT TO HE LAID DOWN ON FLOOR. PATIENT DID NOT FAINT . BLOOD PRESSURE WAS MONITORED AND RANGED FROM 80/60 TO 90/60. 911 WAS CALLED TO CONTINUE MONITORING HIM

Hives(gone later that day), Throat Swelling, Pain, Itching Nose Blockage, Itching(better than before as of 4/12/21)

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

Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Flushed / Sweating-Mild, Additional Details: epipen was not given by pharmacy, but given by paramedics after getting to the pharmacy

Severe, debilitating fatigue to the point of not being able to stay awake for more than a couple of hours a day. This continues, although minimally improved, 1 month out from 2nd vaccine Migraine-type headache- daily, continues 1 month out Dizziness Thrombophlebitis Initial low-grade fever and arm soreness resolved within 2 days

On 4/9 had sore left arm and fatigue, side effects lasted throughout the day and resolved. 4/13 woke up with bad nausea and headache (6/10 pain) stayed in bed and did not go to school, woke up 11 am and headache/nausea started to resolve throughout the day.

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

Throat had sensation of closing up and sore arm yesterday evening. Took Benadryl. Today muscle and body aches, low grade 99.9 fever, dizziness.

Starting around noon of the fourteenth, had flu like symptoms including headaches and sore muscles. Woke up the fifteenth feeling better but not 100 percent.

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

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

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

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

Woke up next day (3/19/21)after vaccination with a sore throat. Around noon that day, fever of 100.3 Called pediatrician to let them know what was going on. Had a Telehealth visit that afternoon. Doctor scheduled a Covid test and a Strep test for next day,(3/20/21) Saturday AM. On Saturday, fever continued, it would go down to 99.3 and no higher than 101.0 . Sore throat lessened but then severe cold and congestion symptoms started. Rapid Covid was negative but PCR and Strep sent out. Sunday, (3/21/21)Congestion and runny nose and low grade fever continued all day. Monday 3/22/21 no fever just congestion. PCR test for Covid came back negative and Strep came back negative. Tuesday 3/23/21 very minor congestion. All symptoms gone by Wednesday 3/24/21. During the time of symptoms my son took zyrtec daily, saline nasal spray as needed, tylenol as needed, nasacort nasal spray, dimetapp cold and allergy 20ml twice a day on 3/ 20 and 3/21.

After giving patient the 2nd COVID injections, he stated that his head hurt as soon as the shot was given. I had the patient stay an extra 15 min with his father, at the end the of the 15 min the patient and his father felt like the headache was better and they could leave.

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

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Mild, Additional Details: place in supine position on the floor with feet elevated. VS- @ 1839; BP 130/70, HR 40, RR 18, SPO2 95% RA; reassessment- VS- BP 122/78, HR 42, RR 18, SPO2 92% RA. Never loss consciousness but became very groogy. orange juice given, returned to baseline in < 15 minutes, sent home with mom as driver.

Body aches, chills, sweating within 12 hours of shot, lasting for about 36 hours. 72 hours post injection a full body rash appeared, with hands especially affected (red & itchy), and swollen sore lymph nodes in armpits

Flushing/sweating, dizziness, nausea, vision problems. BPs 122/64 (pulse 61), 88/47 (pulse 65), 106/62. O2 sat 100%.

The next morning, he had a severe sore throat that felt like strep throat, severe tiredness and then turned into a massive runny nose and then a cough. He was Lethargic for several days. He hasn't been to school, so we don't know how he could have gotten massive cold like symptoms. Its been several days and no one else has gotten sick who has been around him, so we don't think it was a cold but must have come from the shot.

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

As soon as the injection was complete the patient started acting like he didn't feel well and that he might vomit. Then he started to seem like he might pass out. Then he was shaking for a few moments and his body straightened out on the chair and he seemed like he might be having a seizure. I had someone call 9-1-1. I stayed with him until the paramedics arrived. He kept seeming like he was nodding off, but when I spoke to him he was responsive. By the time the paramedics arrived he said he was feeling better, but they checked him out, BP and HR and blood O2 were normal. The paramedics offered transport to hospital but patient and his adult family member declined, and patient went home with his family member.

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

Severe headaches due to ventricular bleed, following bleed from arteriovenous malformation (AVM). Headaches persisted starting March 12 and continued for following 11 days. A visit to the Emergency Department led to an MRI, which revealed the AVM. Craniotomy removed the AVM, followed by 12 days in intensive care. Post-surgical complication of intracranial hemorrhage. Patient is currently in rehabilitation.

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

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

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

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

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild

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

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

Severe vomiting 12 hours post 2nd vaccine. Chills, high fever (102.1) for 26 hours. Diarrhea on day 2-4. Stomach ache , loss of appetite for 4 days. Lost 8 lbs. Doctor prescribed zofran.

c/o of blurry vision and light headache which was resolved before medical responders arrived. pt. skipped breakfast this morning. pt. was given bottle of water which he drank with no issues. Denies SOB, itchy with no swelling noted. V/S were stable. BP f130/54, R 17, O2 Sat 98%, HR 71. advised mom to have pt. f/u with PCP if symptoms reoccurred. pt. taken home by mom

SEVERE FLU LIKE BODY PAIN IN ALL PARTS, SEVERE HEADACHE, SEVERE NECK PAIN, SEVERE CHILLS, FEVER, SENSITIVITY TO LIGHT/ SOUNDS/ SMELLS/ twitching/ shakey, extreme fatigue

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

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

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

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

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

History of Present Illness: This is a 17-year-old male with history of asthma brought in by his mother who presents to the ED after an allergic reaction. The patient was receiving his first dose of the Pfizer vaccine at the vaccine clinic here approximately at 1:15 PM. He then started to develop left-sided neck tightness, throat pain, and tongue swelling 30 minutes afterwards and brought here. Currently, the patient's symptoms are constant, moderate in severity, and has no alleviating or aggravating factors. The patient has significant allergies to cats, grass, and dust but no known drug allergies. The patient also received a meningitis vaccine 1 month ago. The patient's parents are both fully vaccinated.

This patient was given the 2nd dose 6 days early. The 1st dose was given on 04/14/2021. The symptoms reported by this patient's mom today were tiredness and soreness in his arm or the injection site but no fever noted. I gave a courtesy call today just to check to see how patient is doing. No serious side effects reported.

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

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

Immediately after receiving the vaccine patient felt faint, light headed, dizzy, and exhausted. We laid him on the floor with his feet up on a chair. He felt better after a few minutes so he sat up, then stood, then walked to the waiting area. He again felt the same symptoms and was placed back on the floor. After about 20 minutes he slowly was able to get back up and felt fine to go home.

Hypersensitivity to sounds, movement. ?I feel really weird. Everything around me feels overwhelming. I hear a bird?s wings flapping the same as people talking next to me, and notice any movement around me ? Started about 4 hours post vaccination and lasted at least 6 hours. Headache later developed.

Client presented with Diaphoresis, light-headend feeling. Administered one, 4 oz. orange juice and 4 oz. h2o over fifteen minutes. Client reported feeling recovered after fifteen minutes rest. Client left ambulating under his own control with his mother and father.

broken blood vessel in right eye; flu like symptoms; dull headache/ sharp pain on right side of head; slight fever; exhaustion; upset stomach; This is a spontaneous report from a contactable consumer (patient). A 17-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date not provided) via an unspecified route of administration on 07Apr2021 11:00 as a single dose for COVID-19 immunisation. The patient has no medical history and there were no concomitant medications. The patient has no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 08Apr2021, a day after the vaccine, the patient began experiencing flu like symptoms with dull headache, slight fever, exhaustion and upset stomach. 10 days later, on 17Apr2021, he developed sharp pain on right side of head, and broken blood vessel in right eye. The events resulted in Doctor or other healthcare professional office/clinic visit. No treatment was given in response to the events. The patient underwent COVID test post vaccination via Nasal swab on 17Apr2021 and was negative. The outcome of the events was not recovered. Information about lot/batch number has been requested.

Within days of 2nd vaccine: Pain at the site, fever, chills, soreness, exhaustion, mental fatigue, swollen lymph nodes. Within weeks of vaccination: depressive symptoms including lack of motivation .

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

A headache that gradually increased in intensity until it was very intense, during this time some nausea started. I barely had any appetite at dinner time, and after esting a few bites vomited repeatedly, until after my stomach was empty and there was no more to throw up.

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

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

FEVER, CHILLS, FATIGUE, HEADACHE, ARM PAIN, CONGESTION, SWOLLEN & PAINFUL LYMPH NODE UNDER RIGHT ARM. THESE SYMPTOMS LASTED FOR SEVERAL DAYS AND WHILE NO LONGER SEVERE, CONTINUES TO BE FATIGUE AND HAVE PAIN WITH SWOLLEN LYMPH NODE.

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

Received vaccine. Five minutes later he stated he had a severe headache and was dizzy. He sat down and an ambulance was called. He was transported. Spoke with mother. Hospital advised her that he had more of a reaction from the act of receiving the vaccine then to the vaccine itself.

Pt c/o car sickness PTA, per his report. Pt reports he only drank gatorade and had one slice of bread PTA. Reports dizziness, blurred vision, diaphoresis prior to arrival to med obs #1. Denies LOC. Provided juice and saltine crackers. Mother and brother brought to bedside. Pt improves improvement of symptoms after eating/drinking. No s/s of distress noted. VSS. VS are as follows: 1137: BP 87/55, recheck 109/89, HR 77, RR 17, O2 sat 97% on RA 1142: BP 115/77, HR 66, RR 16, O2 sat 98% on RA

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

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

increased seizure activity/mini seizures; increased seizure activity/mini seizures; confusion and memory issues; confusion and memory issues; fatigue/tired; This is a spontaneous report from a contactable consumer. A 17-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 17Apr2021 09:00 (Lot Number: EW1064) as SINGLE DOSE (at age of 17 years old) for covid-19 immunisation. Medical history included epilepsy (interactable epilepsy) from an unknown date and unknown if ongoing. There were no concomitant medications. Historical vaccine information included BNT162B2 dose 1 on 25Mar2021 09:00, lot number as ER8733, in the left arm for COVID-19 immunisation(at age of 17 years old). On 17Apr2021, the patient experienced increased seizure activity, fatigue/tired, confusion and memory issues. After the 2nd shot, about 4-5 hours, he experienced increased seizure activity and it has progressed to today, today he is a little bit better but it has progressed to point he is having a lot of confusion and memory issues. He has several different types of seizures but he has what are called mini seizures, the blank stare, the confusion. Nothing has stopped completely, he isn't back to his baseline as far as his seizures. He always has seizures, daily so she is calling about the increased activity and when she says his baseline she means he has not returned back to his baseline activity, but he is doing better than yesterday. Saturday, Sunday, and Monday were horrible. Today he started to get back to his normal self. The events did not require a visit to the Emergency Room or Physician Office. Outcome of the increased seizure activity/mini seizures, confusion and memory issues were recovering. Outcome of fatigue/tired were not recovered.

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

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

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

patient stated that his throat was itchy and that he was having some issues swallowing. BP 159/78 Epi Pen 0.3mg administered at 2:36 p.m. Ambulance called and transported patient to ER @ 2:45

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

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

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

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

Patient is having fever, chills, nausea, and feeling of coldness now 5 days after receiving the second dose of Pfizer vaccine. He has been unable to eat much food and unable to sleep much due to feeling cold and having a fever.

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

Patient feeling lightheaded, sweat and blurred vision. He also reported numbness, tingling bilateral hands. dizziness and blurred vision subsided within 5 minute. Patient was encouraged to hydrate and wait full 15 minutes prior to leaving. Patient was feeling well enough to leave and mother was able to drive him home

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

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

Complained of nausea, next day, vomited. C/o burning and throbbing in opposite of vaccine injection site. 4pm low grade fever. C/o he can't breathe. C/o burning of chest. States better on Sunday after taking benadryl and nyquil mom stated. Administered by a nurse per record. Mom instructed to take to dr for evaluation but he is asymptomatic as of 4 pm 5/10/21/

The patient had posterior headache that improved when standing up. Patient drank water and ate crackers. Patient observed and felt better

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

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

The day after the vaccination started hives. But it was slow so thought could be food allergic reaction. Over a period of 2 weeks it developed never went off. Noticing the hives getting worse and the epsode starting day after vaccination suspected it the cause and so went to primary care physician. She diagnosed the hives related to medical side effects and only medical related item he had within the last 1 year was this vaccine. She put him on Methylprednisolone for 6 days along with Cetirizine HCL 10mg. The hives appeared to be suppressed for the first 3 days where the dose was higher, however, when the dosage was getting lower after day 3 it came back with high intensity. Lips, fingers, tongue...swollen and with fever running at upto 101.6. Again went to the doctor, she put him on Prednisone with 40 mg for 3 days, 20 mg for 3 days, 10mg for 3 days and 10mg alternate days. It literally took more than 1 and half month still not recovered. Hives are still on and also severe cold with mucus and cough started since (05/09/21). Fever show up on and off even now. We're referred to allergy specialists. She asked to not take 2nd dose. Increased dosage of Antihistamines, asked to continue Prednisone 10mg for 6 more day daily 10mg and if cold and cough does go in the next 2 days may put on antibiotics.

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

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

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

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

He has developed constant, chronic fatigue, upset and painful stomach lasting for about a month. This started 2 weeks after his second dose. We aren?t sure if it?s related, but just in case we want to report it. The cause of his symptoms is still unknown at this time.

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

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

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

At 1249, 17-year old male client was administered Pfizer COVID-19 vaccine 2nd dose (Lot # EW0182, expiring 08/2021) in the right arm by registered nurse (RN) vaccinator. Client accompanied by mother. RN vaccinator requested emergency medical technician (EMT) assistance due to client report of feeling sweaty, tingling in both hands, and client nearly falling forward. EMT responded and brought gravity chair to vaccinator table and assisted client into gravity chair. Vital signs at 1257: blood pressure 95/60, heart rate 50, oxygen saturation 97%. RN lead assessed client. Client reported feeling tired and tingling in both hands. Client reported not eating breakfast. Client?s Mother reported that client closed eyes and put his head down immediately after vaccine administration, then opened his eyes after 3 seconds. Client?s mother reported client does not have allergies or chronic conditions and had sore arm after 1st dose of Pfizer. Client denied any other side-effects to first dose. Client?s mother reported client has aversion to needles. Client and client?s mother were provided vaccine education, were encouraged to follow-up with client?s primary care provider, and encouraged to report side-effects on website. Client was advised that he will be observed for at least 30 minutes. At 1300, client stood up from chair unassisted, walked to observation area unassisted with steady gait, and sat down in gravity chair. Client was provided one bottled water and two granola bar snacks. Vital signs at 1307: blood pressure 125/63, heart rate 62, oxygen saturation 96%. Client reported tingling was resolving. Vital signs at 1317: blood pressure 125/72, heart rate 57, oxygen saturation 97%. Client reported side-effects resolved and feeling better. Client reported driving to vaccine site and felt safe to drive. At 1325, client stood up from gravity chair unassisted and walked out of vaccine site unassisted with steady gait accompanied by mother.

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

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Pt was repositioned in a charm with arms and head down. pt offered and consumed juice; symptoms resolved in 3 minutes

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

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

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

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

Pt was seen at ED on5/8 for L sided weakness in the setting of a headache. Pt?s mother reports that these symptoms began 2 days after receiving second dose of Pfizer COVID-19 vaccination in R deltoid. She says that on 5/6, pt complained of L arm weakness during cooking class at school, which was followed by a mild L sided headache later in the day. Symptoms resolved without intervention but recurred on 5/8 with associated L sided facial droop, slurred speech, L arm spasms, and L foot drag. Pt was seen at ED for this and had a HA (5/10 in severity) at that time -- workup was unremarkable with a normal head CT, laboratory workup, and resolution of symptoms. Pediatric Neurology evaluated the pt, deemed no further workup necessary, and advised outpatient follow up. Pt presented again to the ED on 5/10 with concern for full tonic/clonic seizure, witnessed by pt?s mother. Mother reports that she heard pt fall and went upstairs to find pt seizing on his bed -- says that pt had shaking of bilateral upper extremities (in flexed position close to chest) and symmetric lower extremity shaking; eyes were closed without clear focality or eye deviation. Also some drooling, though no incontinence or tongue biting. Episode lasted for approximately 2 minutes; pt was confused and did not recall what happened immediately afterwards but improved within the next 8 minutes. He was taken to the ED by EMS. By the time he arrived in the ED, he had left sided weakness again. He was given Keppra 1g, placed on EEG, and was admitted. EEG overnight was read "normal" and additional workup was unremarkable. Pt had MRI brain completed showing cortical abnormalities in the R parietal lobe, suspected to be related to recent seizure. MRA showed patent intracranial cerebral vasculature. MRV showed no evidence of dural venous sinus thrombosis. Weakness resolved by the morning and pt was back to baseline on morning of 5/11/21. However, around 9 AM, L sided weakness (face, arm>leg) with associated headache recurred. Mom says that this event was captured on EEG. He was then transferred to our facility. He was placed on pEEG and had repeat labs, imaging completed. Pt did have L sided facial droop, L arm weakness, and slurred speech on arrival, but this resolved within 24 hours. Pt had one additional episode of "wave" of L sided weakness including L sided facial droop and slurred speech at one other time during the hospitalization, but no additional seizure like activity. He was discharged on 5/14 with a normal neuro exam-- some labs (including labs of Rheum and Id workup were pending at time of discharge.) Primary and consulting teams elected to forgo steroids but reconsider should symptoms worsen or return. Pt was readmitted on 5/16-- had an episode of expressive aphasia + headache while at a social gathering; states that he became overwhelmed by the noise. No additional seizure like activity.

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

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

Painful mouth sores erupted on back of throat 2 days after vaccine. Extreme sore throat. Sores and fatigue lasted for 10 days after shot.

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

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

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

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

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

Pfizer-BioNtech Covid-19 Vaccine. Patient reported dizziness, headache, and lightheadedness right after receiving the vaccine. He had to lie down for 20 minutes to recover from this symptom.

within first few moments after injection- arm/hand numbness . the following day- lightheadedness and severe headache

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

First 48 hours was fever, chills, headache and fatigue, what we expected. Then the symptoms continued off and on for the next 3 weeks. Headache everyday, fever up and down between 99.3 to 100.7 and chills randomly with fatigue constantly for the next 3 weeks. He is in week 4 and the symptoms are starting to diminish. No more headaches, some fatigue and some chills randomly.

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

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

Chills, Muscle Soreness, fever and Severe Headache from about 5:30 p.m. 05-19-2021 - 1:30 p.m. 05-20-2021. Less severe chills, fever, and severe headache from 1:30 p.m. 05-20-2021 - 6:30 a.m. 05-21-2021. Less severe headache continues after shower finished 6:30 a.m. 05-21-2021 until present 05-21-2021.

Shortly after receiving vaccination patient experienced blurred vision, lightheaded ness, loss of balance, headache and tiredness, profusely sweating Called 911, provided water and a safe sitting position

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

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

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

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

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

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

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

Patient was fine until sometime in the morning hours, approx. 12 hours after receiving vaccine. Began with a fever of 100.7, nausea, leg pain/joint pain. Patient took Motrin but fever rose to 102.5, continued with nausea, and leg pain. This lasted two full days.

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

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

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

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

Pfizer-BioNTech COVID-19 vaccine - Immediately after receiving his second dose of the Pfizer covid-19 vaccine, pt expressed dizziness and lightheadedness. Prior to receiving his second dose, he informed the pharmacist administering the vaccine to fainting after receiving his first dose. The pharmacist was prepared and when the pt expressed dizziness after second dose pt was able to lay down on the ground with feet up prior to becoming light headed. Pt also experience sweating and was given an ice pack. He remained on the ground for approximately 10 min until lightheadedness subsided and was then brought to the observation area where he was observed for an additional 20 minutes without incident.

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

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

Arm pain, runny nose, fever, muscle aches, headache. Second dose symptoms were less severe than first dose. He had a severe headache after the second dose but not the first. All symptoms resolved within 24 hours, however first dose symptoms lasted longer than the first dose. He had a more severe reaction and longer duration to the first dose than he did the second dose.

Patient was seen on 5/19/21 complaining of numbness and tingling in both of his hands, face, and mouth, and stated that it started three days prior. He was not having any fevers and there was no known injuries. Dr. ordered a CBC w/ diff, CMP, ferritin, Hemoglobin A1C, iron and TIBC, and TSH, all of which came back normal. Patients' mom called hospital on 5/22/21 stating that he had an incident during a game on 5/21/21 where he became disoriented and felt like he became less alert. He went to the Emergency Department on 5/23/21 with numbness and tingling that was present for one week and a headache for one day. After evaluation it was decided that neurology would see him outpatient. Neurology saw him on 5/25/21 and he said he has had difficulty concentrating and maintaining attention. He has also had memory issues. They ordered an MRI and EEG which have not occurred yet.

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

Transaminitis; AST 392; ALT 81 IU/l; Fevers; Nausea; Vomiting; abdominal pain; dose 2 on 05May2021 and first dose on 24Apr2021; dose 2 on 05May2021 and first dose on 24Apr2021; This is a spontaneous report from a contactable physician. A 17-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) dose 2 intramuscular, administered in arm right on 05May2021 16:00 (Batch/Lot number was not reported) as 2nd dose, single for covid-19 immunisation. Medical history included bilateral cystic kidney disease, hypertension, allergies to amoxicillin, cephalexin, ceftriaxone. Concomitant medication received within 2 weeks of vaccination included propranolol 30 mg, 3x/day. The patient previously received first dose of BNT162B2 intramuscular in right arm on 24Apr2021 04:00 PM for COVID-19 immunisation. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient experienced transaminitis, AST 392 IU/l, ALT 81 IU/l; normal bilirubin 0.6 on 06May2021. Fevers starting on 06May2021 to 10May2021 and continued (current at time of reporting) with nausea, vomiting, abdominal pain. These events resulted in Emergency room/department or urgent care. Treatment received for the adverse events included ondansetron; IV bolus. The outcome of events transaminitis, AST 392 IU/l, ALT 81 IU/l, Fevers and abdominal pain was recovering and other events was unknown. Events were reported as non-serious and did not resulted in death, life threatening, caused/prolonged hospitalization, disabling/incapacitating or congenital anomaly/birth defect. Information on the batch/lot number has been requested.; Sender's Comments: Based on temporal association, a contributory role of BNT162B2 to the reported events cannot be totally excluded. Case will be reassessed if additional information is received. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Headache, stuffy nose, body aches , swollen glands under his throat, pain when swallowing, hard to swallow. No difficulty breathing, no wheezing, no cough, no rashes. Mother gave Benadryl. Mother reports symptoms started the day the vaccine was given. Resolved within 3 days.

Approximately 15 mins after vaccination, patient had complaints of feeling lightheaded, nauseated, with diaphoresis. RN arrival at car noted skin of patient cool and clammy. Patient reported minimal dietary intake. Patient given OJ and gummies. VITALS: T 97.8, HR 72 , BP 122/82, O2 97% RA, RR 20. Lungs CTAB. No pruritis or SOB. 12:59 PM--patient reporting that symptoms resolved, patient had companion in car and did not drive home and left site in NAD.

Patient complained of diaphoresis and dizziness. At 1803, BP 111/71, HR 60, R 14, O2 sat 97%, T 98.0. Patient was taken to another room to lay down on a stretcher. Patient was given water. BP 116/74, HR 59, R 16, O2 sat 99%, T 97.5. After, patient stated he was feeling fine and was able to stand for 2 minutes without dizziness. Patient was discharged to father.

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

Patient experienced fatigue, malaise and rash within 24 hours of second COVID vaccine. Then reported feeling short of breath with exertion while at wrestling practice on 5th day following COVID vaccine.

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

Developed fevers to 102 F two days after vaccination, fever has lasted 6 days so far. Lab work shows elevated transaminases. AST is 103 and ALT is 103.

PT mother states her son received the second dose Pfizer vaccine on 05-01-2021. She states that her son is autistic and that within fours hours of receiving the vaccine, he developed a fever of 100F then 101F, which he had for two days. His mother states she took him to the doctor where three EKG?s were performed and his results were abnormal for all three EKG?s. His doctor told the mother to take him to the ER. At the ER an EKG was taken as well as an x-ray of the chest. The ER doctor came back and told the mother that her son needed to be seen by a cardiologist. At this time PT mother is awaiting for a cardiology appointment. PT mother does not have lot # to provide at this time.

7 days after receiving second dose, patient developed diffuse headache, which then settled in occipital region. He had 3 episodes , the last of which was still present the day after it developed. Headache more noticeable with physical activity, and usually began after he finished lifting weights.

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

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

Systemic: Dizziness / Lightheadness-Mild, Systemic: Shakiness-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild, Additional Details: pt became lethargic , dizzy and visual disturbance. called ems laid pt on the ground and monitored vitals ok gave water and snack pt stayed extra and was ok with parent when left called later pt doing well and resting

Thursday started with sore throat, fever, chills, stuffy nose and headache. We gave him Acetaminophen. Fever continued into Friday with the same symptoms. Hives began Saturday morning and gradually got worse. We gave him Benadryl at that time and the fever went up to 102.5 F. Wheezing in his chest began. Sunday morning the hives were worse and we decided to go to the doctor. We went to a walk in clinic who after an EKG wanted us to go to the Emergency room due to a "blip" and a concern for myocarditis. At the ER they administered Prednisone and more Benadryl through an IV. They decided to do a CT Scan to look for blood clots. (the ER doctor mentioned he was glad that we brought him into the ER...) No blood clots were found thankfully and they eventually released him, with a prescription for 4 days for Prednisone, more Benadryl and Pepcid. The hives continue today, the day after, and are barely under control by the Benadryl.

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

Insomnia for about 36 hours; fever (101.5 @ highest); body aches; headache; This is a spontaneous report from a contactable consumer (patient). A 17-years-old male patient received second dose of bnt162b2 (PFIZER- BIONTECH COVID- 19 VACCINE, Solution for injection), dose 2 via an unspecified route of administration, administered in arm left on 19May2021 at 13:30 at the age of 17 years (Batch/Lot Number: EW0173) as 2nd dose, single dose for covid-19 immunisation. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No other medications received by the patient within 2 weeks of vaccination. The patient did not diagnose with COVID-19, prior to vaccination. Medical history included allergies bee Stings. The patient's concomitant medications were not reported. The patient received bnt162b2 (PFIZER- BIONTECH COVID- 19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration, administered in right arm on 28Apr2021 at 12:30 PM at the age of 17 years (Batch/Lot Number: ER8736) for covid-19 immunisation. On 19May2021 at 11:00 PM, the patient experienced insomnia for about 36 hours, fever (101.5 at highest), body aches and headache. The patient has not been tested for COVID-19 since the vaccination. No treatment was given for the events. The outcome of the events was reported as recovered on an unspecified date.

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

He had normal - tired, kind of sicky feeling when he woke up on Thursday. At 07:00pm, he had pain behind his right knee. I told him to drink more water and I gave him some Tylenol. I told him to keep me posted as to how he felt. The next morning, he said he hadn't slept all night - he had a dull pain that didn't go away when he moved. It traveled up his upper leg and up to his right hip. Moving and stretching didn't make it go away. Constant dull pain. I took him to ER. It took 36 -48 hours before it faded. He didn't wake up with it on Saturday.

High fever - I gave him Tylenol. For two days, and the second day I gave him Advil. He was very tired. I let him sleep. I gave him a lot of water. Urgent Care - For the shot broke his skin and caused him an infection, he had Prescription punicic acid ointment - 2% . The ointment worked to help the infection.

Pt with headache frontal swelling on the face, chills, next day after receiving the vaccine pt seen at ER, received IV fluid and tylenol, Toradol, Decadron and sent home in Motrin. Pt still has headaches and frontal swelling.

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

Extreme fatigue and body aches began about 6 hours after the injection. About 24 hours after injection, he had low grade fever (100.3), severe fatigue, body aches, sore throat, and nausea. These symptoms lasted until about 36 hours after injection. Called physician and was instructed to continue with giving Advil and Tylenol on a rotating basis and have him rest and hydrate. I am a registered nurse and was comfortable caring for him at home with this guidance.

`5 minutes after injection, pt c/o throat "strangeness". No itching, rash, hives, chest sx. No clear GI sx. OP clear Lungs clear Skin clear Pt improving. DCed home with instructions to call PCP soon and especially before next injection

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

pt complained of feeling hot, sweaty and lightheaded approximately 10 minutes after vaccine administration. pt was moved to a cool area and given the opportunity to lie down after drinking a few sips of water. pt very quickly calmed down and stated that he was feeling better, though he was kept for a 30 minute observation. at the end of the period, he was reassessed and found to be ok. pt was released to the care of his mother.

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

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

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

lymphadenopathy under the arm of the vaccine (left) and to the right of the sternum. chills for 7 days. Fatigue for 7 days

feeling exhausted/fatigue/he felt tired; not feeling well/feels crummy; body aches; fever/temperature was 99.1; running nose; stuffy head; a little weak; barely could get out of bed; sore throat; This is a spontaneous report from a contactable consumer (parent) via medical information team reported for a 17-year-old male patient (son). A 17-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection) via an unspecified route of administration on 29May2021 11:00 as single dose for COVID-19 immunisation. Medical history and Concomitant medications were not reported. Patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) for COVID-19 immunisation. It was reported that caller was calling about his son who recently had his second covid vaccine. He had the first one, no issues and the second shot on Saturday at 11 am. Patient was feeling exhausted/fatigue/he felt tired on 30May2021, not feeling well, body aches, fever all in 2021, took Advil for it and felt normal. still has running nose, stuffy head, sore throat all in 2021. Since then he has felt worse. Each day, he has symptoms. He was feeling a little weak, body aches and temperature was 99.1 and he feels crummy all in 2021. He doesn't know what it seems like, we all had the vaccine. We had Moderna was it normal to have these symptoms. It didn't onset for a couple days later and now its Wednesday he received it on Saturday. He felt a little crummy then on Sunday worse. He wants to know if that's normal or if it continues for another day take him to the doctor. What should he be doing or looking for and today he barely could get out of bed in 2021. The outcome of event malaise was not recovered, for fatigue, general body pain, fever was recovering, for remaining events was unknown. Follow-up attempts not completed; information about lot/batch number cannot be obtained. No further information expected.

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

Chills; Diarrheas; Vomiting; Fever; Headache; Sore throat; Cough; gets really tired easy; Short of breath; vomited again yesterday, comes back for a couple of days every week (diarrhea); This is a spontaneous report from a Pfizer-sponsored program. This is a spontaneous report from a contactable consumer (mother) or other non hcp. A 17-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: ER8736 and expiry date: unknown), dose 2 via intramuscular, administered in Arm Right on 23Apr2021 as 2nd dose, single dose for covid-19 immunisation. The patient previously took the dose 1 of the vaccine on 02Apr2021 (Lot Number / Expiry Date: ER8734, No expiry date, Route, Anatomical Location: Left arm) for covid-19 immunisation. He had no issues after the first dose of the vaccine. The patient medical history and concomitant medications were not reported. The patient's family history was none (Diabetes, thyroid issues, and anemia were in distant relatives, but not in immediate family). No vaccinations were given within four weeks prior to first administration of the vaccine. Adverse events following prior vaccinations were none. Additional vaccines administered on the same date were none. The patient experienced chills, fever, headache, diarrheas, vomiting on 24Apr2021, sore throat on Apr2021, cough, tired, short of breath and vomited again yesterday, comes back for a couple of days every week on 2021. After receiving the vaccine, the patient got sick; had chills, diarrheas, with vomiting twice. Did have a sore throat for a little but that has gone away. They had seen their HCP and have had Blood, urine, thyroid testing done and all came back negative; they took a stool sample also. They were being referred to the hospital and was waiting to hear back from the infectious disease doctor. His blood pressure was normal and had not gotten better since he had gotten the second vaccine. Arms don't hurt. The patient was not lethargic but he did feel himself, he got short of breath when he tried skate boarding and he got really tired easily. His diarrhea started initially 24Apr2021 through 27Apr2021 then went away for a couple of weeks, but came back for a couple of day every week. He had it then for 5 days in a row that time. It was usually 2-3 days before. The patient underwent lab tests and procedures which included blood pressure measurement: normal, blood test: normal on 20May2021 came back negative, pyrexia: 102.7, pyrexia: 99.3 to 102, pyrexia: 99.7 on 04Jun2021, stool analysis: unknown on 04Jun2021, thyroid function test: normal on 29May2021 came back negative, urine analysis: normal on 20May2021 came back negative. Outcome of the events Chills, Diarrheas, Fever and Headache was not recovered, Vomiting, Cough, Tired, Short of breath and vomited again yesterday, comes back for a couple of days every week (diarrhea) was unknown, Sore throat was recovered in Apr2021.

Swollen Glands/Swollen lymph nodes in groin; Throat pain; Dehydration; Oral lesions; Oral ulcers; Fissured lips; Lethargy; Body aches; This is a spontaneous report received from a contactable physician. A 17-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, #lot: EN6200) via intramuscular route of administration on 19Feb2021 (at the age of 17-years-old) as single dose for covid-19 immunisation. The patient's medical history included type 1 diabetes mellitus, ADHD, known allergies: cats and horses, acne and depression. The patient underwent lab tests and procedures which included blood immunoglobulin g: negative, blood immunoglobulin m: negative, herpes simplex test: negative. Acyclovir (stopped when HSV 1 and 2 IgG and IgM were neg), sars-cov-2 test: negative on 24Feb2021. The patient's concomitant medications included insulin lispro (HUMALOG) and isotretinoin (ACCUTANE). On 22Feb2021, the patient developed severe swollen glands in his submand region, throat pain, swollen lymph nodes in groin, dehydration, oral lesions, oral ulcers and severely fissured lips, lethargy and body aches. The adverse events resulted in doctor or other healthcare professional office/clinic visit. Treatment was received for all the events. Hydration, discontinued Accutane, gave Acyclovir (stopped when HSV 1 and 2 IgG and IgM were neg). The outcome of the events was recovered on an unknown date in 2021. No follow-up attempts are possible. No further information is expected.

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

Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: LOSS OF VISION SHORT TERM-Mild, Systemic: Flushed / Sweating-Mild

notified that there was an error in administration of vaccine and my child received 4x the recommended dosage symptoms include fever, chills, soreness at injection site, body aches

Sore throat, decreasing intake, signs of dehydration, persistent fever, symptoms not improving over next 3-4 days.

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

Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: pt reported sweating, gave him tylenol, and a glass of water

Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: LOSS OF VISION SHORT TERM-Mild, Systemic: Flushed / Sweating-Mild

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

Headache, body numbness ,muscle cramp,tingling all over the body, extreme pain, not able to walk As of today, june 12 2021, he still in pediatrics department, since June 7 2021.

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

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

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

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

Pt. was dosed at 12:10 and at 12:30 c/o scratchy throat and lip tingling. He was given 25 mg Benadryl PO and continued to be monitored. At 1:00 no further c/o scratchy throat or lip tingling, pt verbalized emergency management instructions and was dismissed.

Fever, stomachache, nausea, shivering, and diarrhea. I felt these symptoms 5 days after my vaccination.

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

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

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

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

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

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

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

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

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

Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Medium

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

Patient received dose 1 of the Pfizer COVID vaccine (lot ER8735, exp 7/2021) at 1015. At 1020, patient reported to LVN that he felt nauseous and dizzy. Patient was given emesis bag. Patient's sister reported patient had not eaten since the night before. Vital signs: blood pressure 110/60, pulse 90, respirations 16. PHN approached the patient, noting diaphoretic skin. Patient was placed supine in zero-gravity chair and given juice and granola bar. Patient denied allergies, medical conditions, and medications. At 1025, vital signs: blood pressure 112/60, pulse 80, respirations 16. Patient reported symptoms improving, PHN noted patient's skin was no longer diaphoretic. At 1030, vital signs: blood pressure 110/60, pulse 77, respirations 16. Patient finished snack and juice, reported feeling better. Patient reported similar reaction when having blood drawn previously. At 1035, vital signs: blood pressure 114/62, pulse 72, respirations 16. PHN encouraged patient to stay for monitoring for 30min. PHN educated patient about following up with medical provider and when to call 911. At 1040, patient sat up. Vital signs: blood pressure 110/64, pulse 70, respirations 16. At 1045, patient stood up closely monitored by PHN and EMT, reported symptoms had resolved. Vital signs: blood pressure 110/62, pulse 77, respirations 16. Patient drank water. At 1050, vital signs: 112/60, pulse 74, respirations 16. Patient left walking with steady gait at 1052 accompanied by sister to drive him home.

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

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

Woke up in the middle of the night with a fever around 101 Fahrenheit. Also had chills, severe headache, lack of energy, and no appetite. Condition significantly improved over the next 24 hours without seeing a doctor or taking any medication.

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

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

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

patient has headache for 24 hours after the vaccine, patient took Tylenol and Excedrin but did not work and he took tramadol after 24 hours then worked but still comes and goes.

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

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

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

Fever; chills; body aches; This is a spontaneous report from a contactable consumer, the patient. A 17-year-old male patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: ER2613), via an unspecified route of administration in the right arm on 21Mar2021 at 15:00 (at the age of 17-year-old), as a single dose for COVID-19 immunisation. Medical history was not reported. Concomitant medications were not reported. The patient had a history of lactose intolerance. The patient previously received his first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number: EW6203), via an unspecified route of administration in the right arm on 28Feb2021 at 14:00 (at the age of 17-years-old), as a first single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 22Mar2021 at 14:30, the patient had experienced fever, chills and body aches. The patient did not receive any treatment for the adverse events. The adverse event did not result in a visit to the doctors or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of the events fever, chills and body aches were not resolved at the time of this report. No follow-up attempts are needed. No further information is expected.

Constant headaches mainly frontal headache that is sharp and horizontal between the ears at times; Muscle aches; Tail bone pain; Back pain; Significant fatigue; lymphadenopathy in neck; This is a spontaneous report from a contactable other health care professional. A 17-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: Unknown), intramuscularly in the right arm on 11Mar2021 at 20:00 (at the age of 17-years-old) as a single dose for COVID-19 immunisation. Medical history was reported as none. Concomitant medications were not reported. Prior to vaccination, the patient had not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccination. On 13Mar2021 at 15:00, the patient experienced constant headaches for the last 11 days. Mainly frontal headache that was sharp and horizontal between the ears at the time. The patient experienced muscle aches, tail bone pain, back pain, lymphadenopathy in neck and significant fatigue on 13Mar2021 at 15:00. Therapeutic measures were taken as a result of events constant headache, muscle ache, tail bone pain, back pain and lymphadenopathy in neck and included treatment with TYLENOL and ibuprofen. The adverse events resulted in doctor or other healthcare professional office or clinic visit and emergency room or department or urgent care. The clinical outcome of the events headaches, muscle aches, tail bone pain, back pain, lymphadenopathy in neck and significant fatigue was not recovered at the time of reporting. Information about lot/batch number cannot be obtained. No further information is expected.

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

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

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

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

17 yo male with rash beginning approximately 24 hours ago on elbows, rapidly spreading to remainder of body, worse over the last 2 hours, pruritic. Had second Pfizer Covid vaccine 3 days ago ~12 hrs after which had fever to 102, headache, dizziness which all resolved after ~ 24 hours. Took Benadryl this morning ?25 mg, which decreased pruritus. No facial or intraoral swelling, no dysphagia, no wheeze, no shortness of breath, no nausea or vomiting. No known other potential precipitants i.e. no new foods, soaps, lotions, pets, plants, medications. PMH: Neg Allergies: None known Meds: vitamins Immunizations: UTD Surg: Undescended testicle repair Social History: Lives with family. Family History: No conditions relevant to this visit Final Diagnosis 1. Rash R21 2. Allergic reaction T78.40XA Assessment/Plan Rash likely allergic reaction, plan to treat with Benadryl. D/c, instructions given and explained with indications for immediate return to ED.

Woke up with cold sweats on 6/22/2021. By late morning spiked a fever (100.4) and was very tired. Switched between cold chills and hot flashes. Sent home from work and slept for about 3 hours in mid afternoon. Once awake, felt much better. Symptoms gone by dinner time. Took Ibuprofin.

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

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

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

Patient visited primary doctor two weeks after receiving vaccine complaining of flu like symptoms, was diagnosed with viral infection, a week or so later he had trouble closing his eyelid, he went to urgent care where they diagnosed him with Bell's palsy.

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

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

Patient presented with altered mental status, hemiplegia, headache and vomiting. Initially concerning for viral meningitis. Symptoms improved and then recurred 2 more times prompting further evaluation. Symptoms consistent with atypical hemiplegic migraine or atypical migraine. EEG with hemispheric slowing.

A few hours after the vaccine he got chills and muscle aches. This continued into the next day and he got a bad headache and couldn't go to school. Went to school Wednesday and came home with a migraine. He had migraines, congestion and extreme fatigue for next ten days. He was diagnosed with a sinus infections but could not break migraines so ended up in the ER and had an adverse reaction to Compazene. His heart rate dropped to below 42 beats per minute and his blood pressure was all over the place. He was basically sick for 6 weeks after getting the vaccine.

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

Patient is currently admitted to the ICU since 7/10/21 with potential post-vaccination myocarditis with associated troponin elevation and EKG changes. Initial symptoms included chest pain (pressure type), shortness of breath, vomiting, and generally not feeling well. Rash was noted by mom on his abdomen that became full body hives and welts (this has now improved). Cardiology is consulted in addition to primary intensivist team. He has been improving from a clinical stability standpoint, is hemodynamically stable now, but is still currently admitted and being monitored.

13:25 Patient received vaccination. 13:38 Observation staff noted patient looked fatigue and requested clinician to examine patient. 13:40 Clinician inquires about s/sx. Patient appeared not in distress. Speech cohesive and comprehensive. Patient noted body weakness 5 minutes post-vaccination. 13:42 Clinician asked scriber to obtain water for patient and RN to continue observing while clinician obtains sphygmomanometer and stethoscope. 13:43 Clinician obtained vital signs manually. BP: 132/84 P: 74 RRR. No adventitious sounds. Clinician continued to monitor for additional 15 minutes. 13:58 Patient informed clinician he feels better. Clinician observed patient completed one 8 fl oz water bottle. Clinician informed patient to rest and push fluids for rest of day however patient needs to return to work. So informed him to perform light duties if he needs to return to work. Clinician provided precaution to seek medical attention if patient develops difficulty breathing or chest pain/discomfort. Patient verbalizes understanding.

FIRST COVID VACCINE WAS SUCCESSFULLY ADMINISTERED & WHILE PATIENT STILL SEATED IN CHAIR, BEGAN TO FALL TO ONE SIDE. THE IMMUNIZER GRABBED HIS ARM SO THAT HE WOULDN'T FALL OVER AND NOTICED HE WAS SHAKING. HE QUICKLY GAINED CONCIOUSNESS AND WAS BREATHING NORMALLY AND AWARE. HE WAS VERY PALE AND SWEATING & WHEN WE CHECKED HIS BP IT WAS LOW. WE ALSO APPLIED ICE PACK TO HIS FOREHEAD, BACK OF NECK AND WRISTS & CALLED EMS. THEY ARRIVED AND CHECKED PATIENT AND EVERYTHING WAS NORMAL.

PATIENT STATES HE WAS PLAYING VIDEO GAMES WITH HIS FRIENDS YESTERDAY WHEN HIS NOSE STARTED TO BLEED. HIS GRANDMOTHER TRIED MULTIPLE METHODS TO STOP THE BLEEDING. PATIENT'S NOSE CONTINUED TO BLEED FOR 2 HOURS WHEN HIS GRANDMOTHER CALLED EMS. PATIENT WAS TAKEN TO SCH ER WHERE A BALLOON WAS PLACED. 7/15/2021 THEY REPORT THEY WERE TOLD THE BALLOON WAS TO REMAIN IN PLACE UNTIL FRIDAY. PATIENT STATES HE HAS HAD PREVIOUS EPISODES OF EPISTAXIS, BUT NOTHING TO THIS DEGREE. PATIENT REPORTS INTENSE PAIN IN HIS NOSE, FACE AND PALATE. HE HAS HAD CLEAR NASAL DISCHARGE FROM AROUND THE BALLOON, BUT NO ACTIVE BLEEDING. PATIENT WAS PRESCRIBED ANTIBIOTIC, BUT HAS NOT FILLED THAT PRESCRIPTION YET. HE IS ASKING FOR THE BALLOON TO BE REMOVED DUE TO THE PAIN.

Symptoms began morning after shot. Sore arm (left), headache, high fever, facial swelling, left axillary lymph node inflammation, general discomfort and pain. Lasted approximately 2-3 days.

The client alerted that he developed sharp pressure in his chest while running the day after he received his 1st COVID vaccine Pfizer. The client said he attempted to finish his run with the pain, but had to intermittently walk. The client stated the chest pressure resolved once he started running. The client also reported feeling drowsy to his mother when he returned home from his run. No medications were administered for the initial chest pressure. The client did not follow up with a primary care doctor regarding the initial chest pressure. The client denies any chronic conditions. The client's mother stated he currently takes vitamins and minerals on a regular basis, but denied any chronic medications. The client has a history of anaphylaxis to shellfish.

A bad headache; This is a spontaneous report from a non-contactable consumer, the patient. A 17-year-old male patient received unknown dose BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8733) via an unspecified route of administration in the left arm on 1Apr2021 at 08:45 (at the age of 17-years-old) as a single dose for COVID-19 immunisation. Medical history included COVID-19. Concomitant medications included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) , fexofenadine hydrochloride (ALLEGRA) ,H2-Blockers (MANUFACTURER UNKNOWN) all from unknown date for unknown indication. Prior to the vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 01Apr2021 at 12:00 the patient experienced a bad headache. The event did not result in doctors or other healthcare professional office/clinic visit, and emergency room/department or urgent care. No therapeutic measures were taken as a result of the event. The clinical outcome of the event a bad headache was recovering at the time of this report. No follow-up attempts are needed. No further information is expected.

Horrible arm pain ( On a scale of 1-10it was an 11); Redness at injection site; Low grade fever; This is a spontaneous report from a contactable consumer, the patient. A 17-year-old male patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8733) via an unspecified route of administration in the left arm on 31Mar2021 at 08:15 (at the age of 17-years-old) as a single dose for COVID-19 immunisation. Medical history was reported as none. The patient had no allergies to medications, food, or other products. Concomitant medications were 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 receive any other vaccines within four weeks prior to the vaccination. On 31Mar2021 at 22:45, the patient experienced horrible arm pain (On a scale of 1-10, it was an 11), redness at injection site and low grade fever (all these reaction had started after 14 hours of injection). The adverse event did not result in a visit to the doctors or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of the event painful arm, injection site redness and low grade fever was resolving at the time of this report. No follow-up attempts are needed. No further information is expected.

Ongoing dizziness, fog brain, weakness, fatigue, poor appetite, loss 7 pounds, heartburn, increase of anxiety, no motivation to do the things he once enjoyed

**Please note - we do not have access to the immunization registry and cannot provide lot numbers or exact dates** Admission Date/Time: 07/18/2021 18:23:00 Discharge Date/Time: 07/21/2021 12:53:15 Chief Complaint COVID vaccine myocarditis Patient Narrative ILLNESS SEVERITY: The patient is returning to baseline, requires assessment. PATIENT SUMMARY: Reason for Hospitalization: Chest pain Admission HPI: a 17 year old young man with a remote history of asthma (last used inhaler 5-6 years ago) who is presenting with 1 day chest pain in the setting of recent Pfizer Covid vaccination. He received his second Pfizer vaccine dose 3 days ago. The following day, he experienced low grade fever to 100.4 and mild headache. He felt fine yesterday, but this morning he woke up with dyspnea and feeling like he "couldn't get air in all the way". He denied feeling chest pressure but endorsed mid sternal chest pain without radiation. The pain was not exacerbated by exercise and was not positional. He presented to an urgent care facility this morning, where they did an EKG that showed ST segment elevations diffusely. He was then transferred to Hospital. he was overall well appearing with slight tachypnea but otherwise normal vital signs. He initially was not endorsing chest pain. They drew a troponin that was elevated to 1515 ng/L with an upper limit of normal 54 (likely 1.5 on our scale). BNP, electrolytes, CBC were all within normal limits. Initial EKG did not have any ST segment elevation. They did a chest XR which did not show any signs of pulmonary edema or cardiomegaly. He later developed chest pain so an EKG was repeated which showed recurrence of the ST elevations diffusely; most prominently in V1-2. Repeat troponin was 2000. He was given a single dose of aspirin 81mg and transferred for further care. In the ED, he was well appearing and no longer endorsing chest pain. He was monitored on continuous telemetry with no abnormalities. His troponin here was 0.27 ng/mL, CRP was elevated to 2.6, he had a mild transaminitis of 41/37 and mildly elevated LDH to 236. Covid antibodies were positive. CBC, ferritin, d-dimer, ESR were all within normal limits, rapid Covid/flu/RSV negative. Repeat EKG was similar to the second EKG with very minimal ST-segment elevations. He denies any URI symptoms, rashes, N/V/D, and joint pain. He's had good PO intake until today. He is an athlete (currently playing baseball) and has never experienced chest pain with exercise. Surgical hx: T&A Family history: Negative for any cardiac pathology or autoimmune disease Allergies: rash with penicillin Social: here with grandma who is legal guardian Hospital Course: admitted to the cardiology floor for continued monitoring of his troponin levels and EKG. The morning after his admission, his troponin was uptrending slightly to 0.37 and echocardiogram showed mildly depressed systolic function and longitudinal strain, so the decision was made to treat. Cardiac MRI performed prior to treatment showed good systolic function but mild LV late gadolinium enhancement and corresponding hypokinesis. He received one time IVIG 2g/kg and IV methylprednisolone 30mg BID for 2 doses. His chest pain came and went throughout his admission and was treated with ibuprofen and Tylenol as needed. He was transitioned over to PO steroids on 7/20 which he tolerated well. On day of discharge, his troponin levels were trending down. Pt was scheduled for outpatient follow up including ECHO at that time. By time of discharge, patient was well-appearing, vitals stable, demonstrating good PO intake. Chest pain was fully resolved. 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. Reasons for new, changed, and discontinued medications: Prednisone for myocarditis to complete 5 day steroid course (last dose morning of 7/24) Famotidine (GI protection while taking prednisone) Reasons for new, changed, and discontinued equipment: NA Relevant Diagnostic Images/Studies: Echocardiogram 7/19: ? Technically difficult examination due to suboptimal echocardiographic windows. Unable to evaluate the atrial septum, systemic and pulmonary veins, pulmonary arteries, and aortic arch. Coronary artery dilation is not excluded. ? Normal valvular function. ? Normal left ventricular size and low-normal systolic function. Reduced longitudinal strain. ? Qualitatively normal right ventricular systolic function. ? No pericardial effusion. Cardiac MRI 7/19: ? Normal left ventricular size and global systolic function. ? Basal inferoseptal, inferior, and inferolateral left ventricular late gadolinium enhancement with corresponding mild hypokinesis. ? Normal right ventricular size and global systolic function. No right ventricular late gadolinium enhancement or regional wall motion abnormalities. ? No significant valvular dysfunction. ? No coronary artery aneurysms. ? No pericardial effusion. Admission EKG 7/18: ST segment changes, non-specific. Discharge EKG: minimal ST segment changes, improved from admission. Tests Pending Adenovirus PCR QuaNT, Stool Adenovirus PCR QuaNT, Urine CMV Antibody IgG CMV Antibody IgM EBV Antibody IgG EBV Antibody IgM EBV Antibody to EA-D, IgG EBV Antibody to NA, IgG Enterovirus PCR QuaL, Stool HSV I/II Combined Antibody IgG Lyme Antibody, Total Mayo Misc Test Miscellaneous Lab Test Miscellaneous Test Arup Miscellaneous Test Arup Miscellaneous Test Arup Parvovirus B-19 IgG Parvovirus B-19 IgM Parvovirus DNA PCR QuaNT, Blood Respiratory Virus PCR Panel - sendout Viral Culture, Non Respiratory These tests will be followed by the Primary Service at Discharge after Discharge Vitals and Discharge Physical T: 37.1 °C HR: 64 (Monitored) RR: 20 BP: 120/58 SpO2: 96% HT: 167 cm WT: 94.9 kg BMI: 34 Discharge Physical Exam Gen: Well-appearing, well-developed teenager sitting up in bed. Appropriately interactive./ HEENT: Normocephalic, atraumatic. Moist mucous membranes. EOMI, no conjunctivitis. Resp: Clear to auscultation bilaterally, no increased work of breathing. No wheezes CV: Normal rate, RR with no murmurs, rubs, or gallops. Capillary refill <2 sec. Distal pulses 2+. Abd: Soft, non-distended, non-tender. Normal bowel sounds Ext: Normal range of motion of all extremities, no peripheral edema Skin: Pink, warm, no bruising Neuro: Alert, responsive, developmentally appropriate, normal tone Diagnosis List 1. Chest pain, 07/18/2021 2. Shortness of breath, 07/18/2021 3. Myocarditis, 07/18/2021 Procedure History No Procedure History Social History Smoking Status No Smoking Status Documented Allergies penicillin Laboratory Results Returned 48 Hours Prior to Discharge Labs Last 48 Hours Event Name Event Result Date/Time WBC 7.88 K cells/uL 07/20/21 Hemoglobin 12.6 g/dL 07/20/21 Hematocrit 36.6 % Low 07/20/21 Platelet 298 K cells/uL 07/20/21 MPV 9.1 fL Low 07/20/21 RBC 4.17 M cells/uL Low 07/20/21 MCV 87.8 fL 07/20/21 MCH 30.2 pg 07/20/21 MCHC 34.4 g/dL 07/20/21 Red Cell Distribution Width CV 11.9 % 07/20/21 Nucleated Red Blood Cell % 0 /100 WBC 07/20/21 Nucleated Red Blood Cell Count 0 K cells/uL 07/20/21 Absolute Neutrophil Count 6.38 K cells/uL High 07/20/21 Absolute Lymphocyte Count 0.97 K cells/uL Low 07/20/21 Absolute Eosinophil Count 0.02 K cells/uL Low 07/20/21 Absolute Basophil Count 0.01 K cells/uL Low 07/20/21 Absolute Monocyte Count 0.45 K cells/uL 07/20/21 Absolute Immature Granulocyte Count 0.05 K cells/uL High 07/20/21 Neutrophil/Band 81 % High 07/20/21 Immature Granulocytes 0.6 % High 07/20/21 Lymphocyte 12.3 % Low 07/20/21 Monocyte 5.7 % Low 07/20/21 Eosinophil 0.3 % Low 07/20/21 Basophil 0.1 % Low 07/20/21 Sodium 137 mmol/L 07/19/21 Potassium 5.14 mmol/L High 07/19/21 Chloride 102 mmol/L 07/19/21 CO2 21 mmol/L Low 07/19/21 Anion Gap 14 mmol/L 07/19/21 Glucose Level 133 mg/dL 07/19/21 BUN 11 mg/dL 07/19/21 Creatinine 0.61 mg/dL 07/19/21 Calcium 9.3 mg/dL 07/19/21 Phosphorus 4.5 mg/dL 07/19/21 Magnesium 1.9 mg/dL 07/19/21 Troponin T 0.21 ng/mL Critical 07/21/21 Troponin T 0.22 ng/mL Critical 07/20/21 Troponin T 0.22 ng/mL Critical 07/20/21 C-Reactive Protein 0.77 mg/dL High 07/20/21 Mycoplasma pneumoniae, IgG 1.87 High 07/19/21 Mycoplasma pneumoniae, IgM 0.47 07/19/21 Microbiology Results (Last 30 Days) Micro Results: Updates since 06/21/2021 00:00. Collection date displayed. Cytomegalovirus PCR, blood, QuaNT: (Blood) 07/19/2021. Final Report: No CMV detected by PCR. This test does not detect latent CMV infections. A reference range for this test has not been established. Results should be interpreted in the context of other clinical and laboratory information. This test should not be used to diagnose latent or previous CMV infection. People with latent or previous CMV may not have detectable CMV DNA by this test. The variability of this test should be considered when interpreting results. Changes of approximately three fold in the quantity of CMV DNA detected may be due to variation in the test rather than actual changes in the level of CMV DNA in the sample. Note: This test was developed and its performance characteristics determined by the Hospital. It has not been cleared or approved by the Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Epstein-Barr Virus PCR, QuaNT: (Blood) 07/19/2021. Final Report: No EBV detected by PCR. This test does not detect latent EBV infections. A reference range for this test has not been established. Results should be interpreted in the context of other clinical and laboratory information. This test should not be used to diagnose latent or previous EBV infection. People with latent or previous EBV infection may not have detectable EBV DNA by this test. The variability of this test should be considered when interpreting results. Changes of approximately three fold in the quantity of EBV DNA detected may be due to variation in the test rather than actual changes in the level of EBV DNA in the sample. Note: This test was developed and its performance characteristics determined by the Hospital. It has not been cleared or approved by the Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Health Care Proxy: Under 18 years old MOLST: Under 18 years old Follow-Up and Patient Instructions Patient Instructions He was admitted for management of myocarditis thought to be due to his SARS-CoV2 vaccination. Myocarditis is inflammation of the heart muscle that can happen with many different types of infections and virusesHe received IVIG and steroids. He had multiple EKGs, echocardiograms, and a cardiac MRI which showed mild changes but overall good heart function. His chest pain and heart studies improved throughout his stay and he was safe for discharge home. He should refrain from strenuous exercise for the next couple of months and you should discuss when it is safe to return to exercise with your outpatient cardiologist. Medications: --- Prednisone 30mg twice per day for _ days (last day _) --- Famotidine 20mg twice per day for _ days (last day _) It is important to minimize activity that raises his heart rate for the next 3 months. This will be discussed in more detail at cardiology appointment. Until then, no strenuous exercise. Attending Attestation CARDIOLOGY INPATIENT ATTENDING DISCHARGE NOTE: I reviewed the history and hospital course, examined the patient on rounds, reviewed the testing, discussed the findings with the Cardiology Team, and participated directly in formulation of the assessment and plan for discharge. I have reviewed and agree with the documentation above with the following additions/revisions:17yo admitted with COVID vaccine associated myocarditis, with repolarization abnormalities on ECG, elevated troponin, and chest pain within days after receiving his 2nd dose. He remained hemodynamically stable with preserved ventricular systolic function. Echo did show abnormal strain, and MRI showed LGE with focal hypokinesis. Due to increasing troponin level, he was treated with IVIG and steroids with improvement in troponins. No significant arrhythmia. Plan for follow-up next week with MISC/vaccine myocarditis group, and to complete a 5-day course of steroids. Restricted from sports and intense activity for likely at least 3 months.

Within minutes of shot, my son had a seizure. He complained of tingling in left arm, then he couldn?t hear anything and had blurred vision, and said he had an extreme headache. Within moments he began convulsions that became stronger and his whole body was shaking. This lasted for about 45 seconds. He stopped shaking and began to wake up. He was groggy and confused and said he didn?t remember anything, but the pain in his head subsided. 911 was called and they took him to the hospital to check his vitals. They could not be sure what brought on Seizure. Suggested Vagol Response. We went home. That evening he felt tingles and needles in body, we thought side affect of vaccine. Today, he was in extreme pain from pins and needles sensations throughout his body.

Mother positive, Sx onset 7/14/21 cough, sore throat, muscle aches, headache, fatigue, loss of smell & loss of taste.

About five minutes after injection, patient began to lose consciousness. Blood pressure dropped and patient sweated profusely. Pulse was also very low. Patient was difficult to rouse for several minutes. Mother is a medical professional and she was monitoring patient. EMS was called and patient evaluated about 10 minutes after injection. At that time patient was coming around but still very pale with low blood pressure.

Patient passed out in the chair within seconds of receiving the first dose of the Pfizer covid vaccine. I steadied him in the chair until he came back to, approx 20-30 seconds. When he awoke he said he felt nauseous, hot and sweaty. I provided him with a water and had him stay seated until he felt he could stand up, approx 10 minutes. He then left with his father, who was with him the entire time.

fever of 101.6 degrees; nausea; vomiting; This is a spontaneous report from a contactable consumer (patient's mother). A 17-year-old male patient (reporter's son) received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number, expiration date and NDC number of Pfizer COVID vaccine: Not Provided), dose 1 via an unspecified route of administration on 20May2021 (age at vaccination: 17-years-old) dose 1, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. It was reported that caller was the mother of a teenager who received the first dose of the Pfizer covid vaccine on 20May2021. The patient now experiencing a fever of 101.6 degrees, nausea, and vomiting on an unknown date in May2021. She would like to know if she should worry or was this normal. It was confirmed that the side effects that have been reported with the Pfizer-BioNTech COVID-19 Vaccine. The outcome of the events was unknown. Follow up attempts are needed. Further information has been requested.

Trouble at work and thought he was high on drugs; Began acting strange/acting goofy; acting like he was drunk; Glazed over and falling asleep randomly/friday night falling asleep in the car; Lethargy; This is a spontaneous report from a contactable consumer (patient mother). A 17-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection), dose 2 intramuscular, administered in Arm Left on 14May2021 13:55 (Batch/Lot number was not reported) as DOSE 2, SINGLE for covid-19 immunisation. Medical history included attention deficit hyperactivity disorder from 2010 and ongoing Her son would have behavioral ticks associated with his ADHD. The patient's concomitant medications were not reported. Historical Vaccine includes BNT162B2 1st dose at right arm for COVID-19 immunisation. On 14May2021 the patient States her son received the second dose, and afterwards had lethargy as everyone else seemed to have after their second dose, on15May2021 but he began acting strange acting goofy, acting like drunk. States it took a while for her to put two and two together. He has ADHD and his demeanor for 24-36 hours was very goofy and he was acting like he was drunk. On 14may2021 States he was giggling a lot and glazed over and falling asleep randomly. On 16may2021 States he was then having trouble at work and they thought he may have been high on drugs and they ended up questioning him. States after it subsided after a couple days, they thought it had to do with his second dose. States with his ADHD he has less ability to control his emotion when he is in stressful situations or over tired. Added this was much more pronounced. Outcome of the events lethargy abnormal behaviour was recovering, somnolence, acting like drunk was recovered on 16May2021, loss of personal independence in daily activities was recovered on 17May2021. Information on lot/batch number has been requested.

Low grade fever (100.0F); stuffy nose; tiredness; This is a spontaneous report from a contactable consumer, the patient. A 17-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8733) via an unspecified route of administration in the right arm on 30Apr2021 at 15:30 (at the age of 17-years-old), as a single dose for COVID-19 immunisation. Medical history was not reported. Concomitant medications included tretinoin (MANUFACTURER UNKNOWN) and fluticasone propionate (MANUFACTURER UNKNOWN); both for unknown indications from unknown dates. The patient past drug therapy included azithromycin (MANUFACTURER UNKNOWN) taken for unknown indication on unknown date. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0161) via an unspecified route of administration in the right arm on 09Apr2021 at 15:30 (at the age of 17-years-old), as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. On 30Apr2021 at 21:00, the patient experienced Low grade fever (100.0F), stuffy nose and tiredness. The patient underwent lab tests and procedures that included body temperature on 30Apr2021 at 21:00, and the result was 100.0 degree Fahrenheit. The clinical outcome of the events low grade fever (100.0F), stuffy nose and tiredness was recovered on an unknown date in 2021. No follow-up attempts are needed. No further information is expected.

Sx. Started with extreme fatigue. At around 16:00. Near 18:00 I had developed a fever, concurrent with aches and chills. Near 22:00 I had developed a headache, one of a dull nature, with Sharp throbs. Between 22:00 and 00:00 01/11/:12 I had developed tinnitus. Near 01:00 01/12/2021 I had developed swelling of the injection sight with contralateral numbness on the left arm and leg. Near 02:00 01/12I had loss sensation In my left arm and developed numbness in the face. From 20:00 01/11 to 22:00 01/12 I had developed episodes of tachycardia with a peak resting heart rate of 143bpm measured via Watch. Between 15:00 01/12 and 22:00 01/12 I had experienced terrible non radiating angina proximal to the sternum. I had developed pain while urinating at around 21:00 01/11 my last urination was at 23:00 01/12, I did not go again until 16:00 01/13. I had experienced lower back concurrent with that. From 22:00 01/11 to 23:00 01/12 I had terrible SOB, and chest pain upon exhalation. Fever and body aches did not subside until through the night of 01/12:13. I had not experienced any symptoms as the night of 01/12. I had developed a rash across my chest near 18:00 01/11 though it has subsided it is still present.

18 y/o M with hx of anaphalaxysis with green peas and white beans noted throat scratchiness with no signs of wheezing, sob, syncope, near syncope, n/v, or angio edema. Patient alert and oriented, vital signs stable: HR 90, RR 16, BP 110/84, 99% O2 on Room air, airway patent, no rash visible. 25mg benedryl by mouth given. Symptoms resolved. Patient monitored 30 minutes in observation. Pt discharged in stable condition.

Pt woke up 2 days later with excruciating pain in the knee throughout the day that has been semi relieved by ibuprofen 600mg TID. His knee buckled twice while walking. 1st time the knee collapse and he fell backwards. The 2nd time his knee froze with excruciating pain and had to fall over because it locked. Tonight, he is resting with his knee elevated and will schedule an appointment with his primary for further evaluation. (Only on the right knee.) (Today is day 2 of the symptoms of the knee buckling and pain. Day 1 was the arm pain, slight headache, weakness.)

Systemic: Chills-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Severe, Systemic: Vomiting-Mild, Systemic: Weakness-Medium

This is a 18 y.o. male who is generally healthy. He received a second dose of the SARS2-COV vaccine on 3/4. The following morning he felt feverish and achy with malaise. He stayed home, drank fluids and rested and felt well enough to come up to ski this weekend. During skiing he had some anterior chest pain, it resolved and he went about his day. Tonight at 2245 the pain became sharp and awakened him from sleep. He felt nauseated and clammy as well. Father brought him to the ER for evaluation. His emergency department evaluation showed ST elevations most notably in the inferior and lateral leads as well as in the lateral precordium.

Left observation area post-vaccination and returned to the clinic area approx. 20 min after injection. Felt hot, had headache, and was shaky. VS WNL, administered IM Benadryl 25 mg and kept in observation for approx. 45 min.

The adverse event started with discomfort in the arm, body aches, then progressed to headaches, more severe body aches, and chills. Later in the day of 3/12/21, Patient began to spike a fever which eventually went to 102. He continually suffered from headaches, fatigue, body aches, and chills. We attempted to control the symptoms with Tylenol. All symptoms continued on Saturday. There was some minor control with Tylenol. At approximately 9:30 am patient had discomfort in his left underarm, when he lifted his arm, he became aware of a tennis ball size lump under his arm. Patient was suffering from severe lymphadenopathy in his left underarm and down the left side of his neck, with less severe but significant lymphadenopathy in the right underarm and down the right side of his neck. Patient's fever continued to hover around 101 to 102 Saturday and Sunday. There were times, within an hour of taking Tylenol that it might drop to 99, but would go right back up. He continued to experience fatigue, chills, etc... His fever finally broke on Monday morning and he is still experiencing some lymphadenopathy, but the lymph nodes are starting to reduce s of 3/17/21.

After 2nd dose high fever of 105. Had to immerse in cool bath to bring down to 102. Fever for over 12 hours

onset Nausea and vomiting at 3 am the following morning of vaccine. Had about 5 hours of this then fevers, body aches and fatigue. Noted the following day this his eyes looked yellow, more that usual, and came to the clinic on 3/1/21 for evaluation. was feeling better but due to acute jaundice had blood work that indicated markedly elevated bilirubin and low platelets. Further testing for hepatitis was negative. Was sent to the ER the following day as we were unable to get blood drawn and GI consult was desired. There he had a normal abdominal US and bilirubin had dropped and he has since been followed by GI and is currently being evaluated by Hematology for any underlying conditions that may be contributing.

Patient was nervous about getting vaccine. Discussed safety profile of vaccine and that many people are tolerating very well. Patient seemed much better after discussion and was ready to get vaccine. Gave injection and he was doing fine and went to sit down for 30 minutes as recommended. After giving next vaccine about 15 minutes later patient apparently tried to come across waiting room to speak to me and started to fall. Next patient was leaving room and caught patient, preventing injury and called for help. Multiple staff responded. Patient reported dizziness and seeing colors. Was breathing fast but not having any swelling or trouble breathing. Was able to stand after a minute and was taken to clinic that is right next to pharmacy for evaluation. Patient was evaluated and left within the next hour doing well. Spoke to patient in the afternoon and reports recovering well, has a headache that he thinks is stress related. Counseled to continue to monitor and seek medical attention if any worsening of symptoms.

after injection given pt became pale heart rate increased flushed nausea and sweats repotes this happens when blood is drawn onsite als notified and transfered care pt states i feel much better color came back family at side

after getting vaccine, pt bacame diaphoretic with bp 79/47, no loc. pt brought to stretcher via wheelchair. water given and bp increased to 109/72 lying, 120/76 sitting and 119/76 stading. pt left with mother and sister

Patient reported dizziness, lightheadedness, had progressive symptoms of diffuse flushing of the skin, fatigue. He was given 25 mg of Benadryl and placed on a caught to rest for about 30 minutes. After the dose of Benadryl and with time, his symptoms progressively improved. No itching of the throat, skin, no SOB or CP.

pt. c/o light headache immediate after the vaccine. Warmness of his face; dry mouth; symptoms resolved & patient went home.

Pfizer & Biotech vaccine was administered to the patient and after the vaccine we asked them to have a sit for 15 minutes. During that time, patient experienced headache and nausea. Patient did mention that he usually eats right after waking up but on 3/31/21 he didnt eat anything in the morning. His parents gave him water and he felt a lot better. Pharmacist called 911 because we thought that his throat was closing up but it was just nausea and his spit was coming up. After the 911 came they checked him out and he was doing okay and felt much better and did not had to go to emergency room. He was okay and then left after 30 minutes of observance. I also called the patient at around 4 pm to make sure he was okay and patient said he was fine and was felling normal like before.

Mild soreness when using shoulder on vaccine arm (left) at 7:58am Sudden headache, at 9:45pm Arm soreness increases substantially (cannot comfortably raise whatsoever) 9:45pm Chills at 9:50pm Fever 100 degrees F at 10:30pm Fever broke and chills stopped at around 3:00 am on 3/31 (the next day) Headache where it hurts to look to the side persists until 4/2 after which it gradually goes away becoming negligible by 4/4

Tightness in chest Feeling of knot/lump in chest and throat Fever 100.3 F Rapid Pulse 110 Low Blood Pressure 80/70

My healthy 18-year old son had his first dose of Pfizer, and within a few minutes he felt dizzy. His heart rate was also rapid. He didn't think much of it, but the dizziness persisted and so they had him lay down with feet up. After about 20 minutes, he began to vigorously shake (rigors I believe is what it is called.) He felt numb in both arms and also his tongue and mouth. We had 3 nurses attending to him, and after about 30 minutes they decided to send him to the ER for evaluation since the very strong shaking and other symptoms were worsening. The shaking, dizziness, numbness all subsided after about an hour. He was given a Zyrtec upon first symptoms about 15 minutes after dose. The ER doc doesn't believe it was an allergic reaction but potentially a strong vasovagal response and immune response. He felt tired after but was completely fine 2 hours later. We were discharged from the ER a few hours later after evaluation. Vitals were in normal range including blood sugar, blood pressure and oxygen. He was fully hydrated prior and had a turkey sandwich and orange prior to coming so was not low on food either. The shaking was very extreme and concerning. It has been almost 24 hours and he is feeling fine other than a sore arm.

Pt. C/O feeling dizzy and nauseated. Had an episode of seizure that lasted for 5 sec, vomited small undigested food particles and became diaphoretic afterwards. A pkt of 125 mls of apple juice and water offered. (11 call made. Pt. finished the apple juice but had few sips of water. Pt reported having had similar episodes whenever he got blood draws and confirmed the reaction was related to sensitivity to needles ( vaccination needle) than the vaccine. Paramedic team arrived at 3:25 p m. Pt. and mom refused the Ambulance services to the ER, but agreed to remain in the observation room for further observation.at about 4:05 p m. Pt and mom left the recovery hall .

Have become extremely sick and nauseous and weak, exactly 1 week following vaccination. Constantly throwing up for almost 12 hours as well as being unable to walk or sit up without almost passing out. Stuck in bed for almost 3 days.

Patient received the COVID-19 vaccine (first dose Pfizer). He reported no previous adverse reactions to vaccines. During the 15 minute monitoring period, the patient fainted. He appeared pale and sweaty, and he reported dizziness, lightheadness, and blacking out. He laid down for several minutes and sat up in the chair with assistance when he was no longer lightheaded. His blood pressure was 108/71 with heart rate 76. EMS checked the patient and cleared him approximately 20-25 minutes after receiving the vaccine.

Woke up at 1:00 in the morning violently shivering with cold chills, headache, nausea, and extreme body ache. These symptoms lasted until the next morning, 4/10.

feeling unwell; sick to stomach; vomiting; chest pains; hard to breath; chills/freezing; weak; 104 fever; sore arm; sore muscles; This is a spontaneous report received from a contactable consumer (patient's mother). A 18-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration, administered in Arm Right on 22Mar2021 14:00 (02:00 PM) (Lot Number: EP6955) at the age of 18 years old as single dose for covid-19 immunisation. Medical history included Known allergies Morphine and sulfa antibiotics; Marphans syndrome, autistic, severe scoliosis & kyphosis. The patient's concomitant medications received within 2 weeks of vaccination included too many to put down here not enuf room. Facility where the most recent COVID-19 vaccine was administered at Hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The mother took care of the patient due to his sever disability iam filling this out for his as he was unable so he received shot (pending clarification), registered with v-safe, 22Mar2021 2pm. Fine, health check next 23Mar2021 day sore arm, kinda sore muscles, 24Mar2021, sore arm still sore muscles, 25Mar2021 13:00 (1pm), feeling unwell, sick to stomach started vomiting, chest pains, hard to breath, called 911 EMS advised him to stay home after vitals ok due to not wanting to expose the patient to actual Covid virus. At the time no fever 30 min after EMS left 104 fever sever chills, freezing coming in waves so weak. He can't get up to go to the bathroom. The reporter was worried and closely monitoring him. Treatment was received for the adverse event included Medication for vomiting, doctor apt in morning. The events were non-serious per the reporter. The patient underwent lab tests and procedures which included body temperature: no fever 25Mar2021, 104 30 min after EMS left on 25Mar2021. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The outcome of the events was not recovered.

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

Patient received covid vaccine, on the way to observation, turned and fell. Placed in a chair, automatic cuff unable to read bp, hr 40s, sats 94%, pale, diaphoretic, slow verbal responses. Observed patient, another nurse gave candy, applied ice to back of neck. Patient had another brief syncopal episode with quick recovery while seated. Code Medic called. Placed on sim lab stretcher after awake and feeling better while waiting for code team. Abrasion noted to just under chin. Bp improved to 115/74 with HR 67, spo2 100%. Code team arrived and assessed patient. Patient condition improved, attempted standing with observation by code team. Assisted to observation room. Given sprite and more snacks. Mom and patient state both are feeling better.

Hot, vision decreases Vital Signs: BP 108/58 HR 68 Resp 18 O2Sat 98 Skin Signs: Diaphoretic Circulation: Cap refill <2sec Initial Treatment: Supportive and observation 1:02 PM Vital Signs: BP 128/68 HR 70 Resp 16 O2Sat 99 Skin Signs: Warm and dry Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally 1:17 PM Vital Signs: BP 132/72 HR 74 Resp 16 O2Sat 99 Follow up Treatment: Hydration and supportive Notes: Complete recovery reported by patient. Discharged to self. Continued to inform medical personal of this episode.

Throat hurt, felt dizzy, heart rate 110, bp normal, clammy; occurred about 20 minutes after administration and was ok 40 minutes after administration

Patient started complaining of headache and chest pain soon after vaccination. Since then he has been to the Emergency Room 6-7 times for chest pain - workup is consistently negative He has seen two Cardiologists, a Neurologist and has had further workup. It should be said that I feel it is probably not vaccine related and is likely anxiety related - however patient insists that it is related to the vaccine - he has never felt like this before.

After administration of the COVID-19 1st dose, patient fainted and was caught by his father. Patient then sat on a chair while pharmacy staff monitored patient. Approximately 5 minutes after the incident, patient continue to experience sweating and weakness.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: 18 yo male fell out of chair and hit the left side of his head, ~5 min after receiving vaccine. The patient reported that he remembers becoming dizzy prior to falling out of chair. A nurse and pharmacist immediately placed him onto a sheet and elevated his feet. He was diaphoretic, warm to touch and awake. His initial blood pressure was 89/58. 2nd-4th readings were WNL. He was given water, an icepack for neck and abrasions on his face were treated. He reported that he was feeling much better.

Patient received the Pfizer COVID vaccine (Lot EW0150, exp 7/2021) dose 1 at 1400. At 1405, EMT approached patient who appeared pale and diaphoretic with his eyes closed. PHN approached to assess, patient had slow speech and pulse felt thready. Vital signs: O2 99%, pulse 56, respirations 24. Patient had thick sweatshirt on EMT had difficulty obtaining blood pressure. Paramedic approached to assist. At 1410, PHN, EMT, and paramedic transfered patient to zero gravity chair and placed in reclining position. Patient was offered water and he verbalized feeling better. Patient denied allergies, medical conditions, or medications. PHN assisted patient in removing sweatshirt partially to obtain blood pressure. Vital signs: O2 99%, pulse 51, blood pressure 92/60, respirations 24. PHN offered Benadryl but patient declined. PHN advised on when to call 911. At 1422, patient reported light sensitivity and blurry vision. At 1425, vital signs: pulse 52, respirations 18, O2 99%, blood pressure 118/84. At 1535, vital signs: O2 99%, pulse 58, respirations 18, blood pressure 110/66. Patient reported continued improvement in symptoms, only feeling tired. Patient reported working out, only sleeping 2 hours that night, and not eating before coming in. PHN called family member at patient's request to drive patient home. At 1439, patient assisted to seated position in zero-gravity chair by PHN and EMT. Patient reported symptoms had resolved and he felt back to baseline. At 1445, patient stood up, monitored closely by PHN and EMT. At 1449, patient left walking with steady gait to parking lot where family member was waiting to drive patient home.

Patient recieved vaccine without any issues on 4/16/21. Patient walked to waiting area with pharmacist, was not having any issues or concerns, and was observed for several minutes by the RPH. Approximately 5 minutes after receiving the COVID-19 shot, the patient passed out, fell out of his chair, and hit his head. The patient immediately regained concousness and sat back in his chair. The RPH immediately had a pharmacy associate call 911 and observed the patient. Patient stated he felt a liquid tingle go down his arm from where he received his vaccine then passed out. Patient stated he had a headache and appeared clammy. RPH provided an instant ice pack and observed patient until EMS arrived. EMS provided care to patient and determined he did not need to go to the hospital. Patient was advised to go to hospital if he becomes nauseus. Patient claimed he was okay and just has a headache. Patient's mother took him home.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium

Day 1 Wed a.m. vaccination Day2 Thurs - nausea/dry heaves briefly in morning around 10am Day 3 Fri - actual vomiting around 11am; son said feeling nauseated all morning up to that point Day 4 Sat - woke up with a stiff neck (back of neck) and low grade fever and chills with intermittent nausea - came and went similar to when had COVID last November but not as bad as the real thing but similar pattern Day 5 Sun - same as Saturday but sore neck went away Day 6 Mon - same up until around mid day; later that day had a headache -took Advil and cleared Day 7 Tues - woke up with a headache; took Advil and cleared Day 8 Wed - threw up again in the morning but thought that might not be related to COVID vaccine; in his mind, his symptoms related to the vaccine ended Monday early afternoon so 6 days including the day of the vaccine (no side effects on vaccine day - Wednesday), but really can't tell for sure one way or the other whether connected. Question is whether he should get the second shot or not. Is 6 to potentially 8 days of side effects a concern? Also, parent has been curious as to whether son was a long hauler from covid for brain fog but son thinks it could be burnout from school. Strange that had such a long lasting reaction compared to to others his gneral age, including those who had covid after he had it so longer ago.

0.3ML COVID-19 VACCINE administered IM left deltoid AT 11:50AM today 4/20/2021 at 11:55 AM patient complained of Dizziness, patient was visibly Flushed, Pale looking; Sweating profusely, Water 4oz given to him. AT 12:04, he complained of DIFFICULTY BREATHING, 12:05 EPIPEN 0.3mg one dose administered (left thigh); 911 ACTIVATED; PARAMEDICS ARRIVED AT 1211pm BP 87/55 at 11:55am; 87/57 at 12:00pm; Epi-pen 0.3mg at 12:05pm; 12:10pm BP: 114/75 Pulse 51; 12:55pm 90/58; one bottle of Pediatric Electrolyte plain 32oz given, patient declined EMS pick up. 1:00PM bp 100/63; Pulse: 51. O2 sat at 99 the whole time period . Patient went home with mom.

Pt stated they felt lightheaded and sweaty when injected. Pt stated they ate a rice cake at around 11:30 am. Pt was brought to Med. Obs. 1 and placed into t-berg position and given crackers and water. Pt began to feel better (slightly) in t-berg position within a few minutes. Vital signs as follows: Laying Down- 1:11 pm: BP-157/85, HR- 85, SPO2-100% 1:16 pm: BP-148/82, HR-85, SPO2-100% 1:22 pm: BP-132/87, HR-85, SPO2-100% Sitting Up- 1:27 pm: BP-155/95, HR-93, SPO2- 100% 1:58 pm: BP-162/111, HR-83, SPO2- 100% 2:06 pm: BP-106/79, HR- 85, SPO2-100% Standing Up- 2:11 pm: 157/100, HR- 85, SPO2- 100%

Pt was nervous before getting shot. After receiving shot he was in a monitor area. He raised hand and stated he felt weak. He was pale and diaphoretic. Helped him to ground and allowed to rest. Felt better. Pt evaluated by paramedics. VS @ 1107 HR 68, OxSat 99%, BP 96/47. @1115 Sit in chair. BP 104/56, HR 70, OxSat 100%. @ 11:45 Pt ambulated w/o difficulty. Taking bus home. Told to call nurse when he arrives home.

Received Pfizer dose 1, pts father requested help, the son almost passed out. Upon assessment pt very lethargic, and pale. Father stated that his son passes easily. Pt was alert and oriented x4. Nuero checks WNL, VS WNL ( 106/68, 98% SPO2 and 60HR. EMT notified and onsite. Within 10 minutes pt was alert and oriented x4 and refused need to go to ER.

10 Minutes after injection, passed out Headache for 2 days Fatigue for 2 days Vomiting for 1 day Hearing loss left ear currently Loss of appetite currently shortness of breath currently

Overnight, my (almost 19) son did not wake me, but reported to me in the morning that he had headaches, chills, numbness, thirst, and hallucinations. He was aware that they were not real during and after he had them, but it was a nonetheless disturbing experience. He described to me having the need to hydrate all night and he drank a lot of water. This morning he was still having a headache and numbness as well as overall malaise, but has taken advil and eaten a light breakfast. He is dressed and up and around and seems to be improving. Should the symptoms return or worsen, we plan to take him for medical care.

Patient experienced general malaise for a day then threw up several times the night after. No fever or chills.

Patient states Saturday 4/17/21 he noticed "normal Pfizer symptoms" of fever, chills, "shakes," muscle pains, especially in joints including shoulder and back, they got better after several hours, except that about midnight Saturday he still had the back pain, in the upper back, noticed severe chest pain in front and back, it hurt "with every heart beat," "like a heart attack," sometimes would have "attacks," sometimes better, sometimes worse, and it hurt in chest to breath, took Nyquil about 3am, was able to go to sleep, Sunday-Monday it was "pretty bad," but came in "attacks," sometimes it felt worse than others. Monday chest still hurt, went to urgent care, had EKG and scan, went home and did some school, that evening chest pain was severe "I froze," went to ER, was diagnosed with pericarditis. given an IV and Toradol. Was discharged home from ER with OTC Ibuprofen 200mg, to take 8 times a day. Patient states it is getting better, still continues to have some pain, taking ibuprofen daily at this point.

Patient complained of nausea and vomiting, headache, cold sweat but said he felt hot. Improved in 20 minutes. 2 hours afterwards he said he felt normal.

Patient received his first dose of Pfizer vaccine and waited 15 minutes in the observation area. Upon rising from chair, patient reported feeling dizzy and faint. Patient called for assistance. Patient reported feeling hot and sweaty and being unable to hear and see correctly. Pulse and SpO2 were taken, Pulse was initially 54 bpm and rose to 68 bpm after drinking water. SpO2 was 94-95% RA. Patient refused EMS. Patient reported feeling better after about 20 minutes. Hearing and vision improved. Patient remained in observation area for another 20 minutes before leaving in stable condition.

Client received vaccine and became pale, diaphoretic and lightheaded. Fire Rescue at scene to evaluate client Client's vitals wnl at the time of assessment. Client's color came back, sweating subsided and he stated he felt much better. Per Fire Rescue no further evaluation needed. Client released at 2:47pm.

Recipient received dose #2 vaccine today, and almost immediately had response with witnessed seizure-like activity, with posturing, tonic-clonic movement of his upper extremities, and eye movement with lateral nystagmus. Loss of consciousness was noted. Symptoms lasted approximately 15-30 seconds, and patient was placed in a reclined position. He regained consciousness quickly and became pale and diaphoretic. He was normally responsive and answered questions appropriately. Initial BP 74/32, HR 38, SpO2 98%. He drank some Gatorade and had improvement of symptoms gradually over 15-20 minutes. Repeat BP 100/58, HR 78. No past history of seizures. One prior syncopal event after pain response with sports injury. No prior difficulty with dose #1. After recovery, patient reported immediate pain with vaccine administration, then vision went blurry and he lost consciousness. Mother was driving the vehicle, and she witness symptoms as well as nursing staff in the vaccine pod. After recovery, options for further medical evaluation were discussed given complicated vasovagal response with seizure-like activity, mother called pediatrician to see if he could be seen, they recommended ER. Mother chose to drive by personal vehicle, rather than EMS transport. Symptoms were fully resolved and patient was transported to ER for further evaluation by personal vehicle.

completed Pfizer COVID vaccine 4/09/21, developed arm soreness 4/23/21 which resolved with Motrin, developed fatigue, ?fever and migraine headache on 4/24/21; temp 100.4 on 4-25-21; on 4/27/21 feels ok, little tired; no uri sx's, no known contacts w/COVID, No rashes, vomiting, diarrhea, loss of taste, travel

Client reports that a few hours after vaccination he started experiencing heavy nose bleeds. Epistaxis will stop for a few hours and then start again. Epistaxis has been occurring regularly since 4/27 and is still occurring 4/30. Client's mother called pediatrician's office on 4/29, spoke to NP she advised bleeding may be from weather change and advised saline rinses. Client reports no history of epistaxis, reports headache, denies all other sx including rash, bruising and hematuria. Client has appointment at clinic at 3:30pm on 4/30/21.

Around 10:30 I began to feel tired and a little sick. I went to sleep and at around 2 or 3 am I woke up freezing cold and sweating, with my left arm (arm I got the shot in) hurting a ton. I didn?t fall asleep for a few hours and couldn?t get out of bed due to coldness, lethargy, and muscle soreness. Next day had a moderate headache throughout the day that Ibuprofen didn?t help with. By 10 pm Friday all symptoms other than arm soreness had disappeared.

5 day after the vaccine I woke up in the middle of the night with a headache, and vomited. The next morning I had a headache and sore throat.

Loss of consciousness; Seizure; Drowsiness, couldn't stay awake; Vomiting; This is a spontaneous report from a contactable consumer (patient). An 18-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number and expiration date were not reported) on the left arm on 12Apr2021 (11:30) as a single dose, with route of administration unspecified, for COVID-19 immunization at the pharmacy/drug store. Medical history included peanut and penicillin allergy. The patient's concomitant medications were not reported. On12Apr2021 (11:45), the patient had loss of consciousness; seizure; drowsiness/could not stay awake; and vomiting. The events had resulted in an emergency room/department for urgent care, and were assessed as serious (medically significant). The patient was hospitalized in Apr2021 due to loss of consciousness. The patient had received epinephrine (EPIPEN) as treatment for the reported events. The outcome of the events was recovered in Apr2021. The patient did no have COVID-19 prior to the vaccination, and had not been tested post-vaccination. Information on the lot/batch number has been requested.

1st day was just a sore arm. Then on day 2, Fever and chills for 2 days, very tired. Then a dry cough and nasal congestion began on days 4-8, including being very tired. This was shot 1.

After being vaccinated felt headache, dizzy and nauseous. Notified medical observation staff after his initial 15 minute observation period was over. Vitals obtained, patient assessment performed, give water and observed for an additional 15 minutes. Released after this additional time period.

Mid-grade fever for 18 hours, 2x325 mg acetaminophen about every 4 hours. Fever did not reduce after 4th dosage at 4pm 05/01/2021. General weakness, chills.

He woke up the day after his vaccine with neurological symptoms such as severe depression and agitation. He then started to have a fever that went from 100 - 103 that lasted a few hours, averaging 101. He was unable to to eat, having some nausea. He also started to have severe bloating in his stomach which started 24 hours after the shot, and would burp incessantly for over 48 hours after the shot.

I had a 102°F fever from 9am to around 6pm (9 hours). Along with that the normal headache and muscle pain. After 6pm, everything went back to normal and I?ve felt fine

Within 5-10 minutes of vaccination, the patient became diaphoretic, nauseous, and had a syncopal episode that lasted approximately 5 seconds. EMS evaluated the patient on-site. The patient was hypotensive (64/43) with a FSBG of 108mg/dL. EtCO2 and EKG were normal. EMS administered 1L normal saline and transported the patient to Hospital Emergency Department. In the ED, the patient reported being "anxious for days" about getting the vaccine and remembers hyperventilating prior to syncopizing. Upon assessment, the patient was normotensive (126/79) following fluid therapy. The patient reported improvement in the ED. The physician discharged the patient with diagnose of vasovagal syncopal episode secondary to an anxiety inducing event.

About 5 minutes later after administration, pt complained dizzy/sweating. Pt 's face turned pale and shows syncope symptom. Pt was still alert but he looks like almost fainting. Mom requested 911 and pt was transferred to hospital with paramedic. we provided Pfizer Lot number to mom and advise to contact us if she need any other information from us.

caller received second pfizer vaccine yesterday. today has headache, tired, low grade fever, chest pain above nipple on one side. has not received medical attention for chest pain.

I slept with Hugh fevers throughout the night. I woke up multiple times because my skin was just so hot it was uncomfortable to sleep. I also am experiencing pounding headaches ranging from a solid 3-5. My whole entire body feels sore, especially my left arm. I took a Tylenol this morning and am waiting to see if the symptoms go away.

unable to hear anything; Feeling funny; pale; diaphoretic; This is a spontaneous report from a contactable healthcare professional. An 18-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Left on 15Apr2021 (Lot Number: EW0164) as single dose for covid-19 immunisation, administered at the hospital. The patient's medical history and concomitant medications were not reported. On 15Apr2021, the patient started "feeling funny", "was unable to hear anything", opened his eyes with a bunch of people standing in front of him; pale, diaphoretic, brought to the emergency department for evaluation. The patient did not receive treatment for the events. Outcome of the events was recovered in Apr2021.; Sender's Comments: Based on the limited information provided and plausible temporal association, the Company (Pfizer) cannot exclude that the suspect medication may have contributed to the reported serious event in this patient. Additional information regarding relevant medical history, underlying conditions and concomitant medications will aid in the comprehensive assessment of the case. The impact of this report on the benefit-risk profile of the Pfizer product and on the conduct of the study is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, ethics committees. and investigators, as appropriate.

Patient received 1st dose of COVID-19 vaccination and immediately after became pale with upward eye deviation and loss of consciousness for approximately 10 seconds. Patient aroused and was noted by nurse to be nauseous, confused, sweating, and shivering. Patient's vitals were obtained and patient was given Gatorade and a snack. Patient was monitored for an additional 30 minutes and repeat vitals obtained. Patient was discharged in stable condition to mother.

Myocarditis; Troponins greater than 11,000; Mild Fever; Chills; Malaise; Chest pain; Body Aches; Cough; Headache; Nausea; This is a spontaneous report from a contactable nurse. This nurse reported for a 18-year-old male patient that: This is a spontaneous report from a contactable other hcp. A 18-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 2 via an unspecified route of administration on 30Mar2021 (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunisation . Medical history included ongoing attention deficit hyperactivity disorder (ADD) , ongoing autism. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose1 received on 10Mar2021, LOT: Unknown for COVID-19 Immunization. Concomitant medication(s) included risperidone (RISPERDAL) taken for attention deficit hyperactivity disorder from an unspecified start date and ongoing; methylphenidate (METHYLPHENIDATE) taken for attention deficit hyperactivity disorder from an unspecified start date and ongoing; cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) taken for an unspecified indication from an unspecified start date and ongoing. The patient presented to the ER two days after receiving his second dose of the vaccine. The patient experienced myocarditis (hospitalization 01Apr2021 to 03Apr2021, medically significant) on 01Apr2021 with outcome of unknown, patient was post ICU admission, chest pain (hospitalization 01Apr2021 to 03Apr2021) on 30Mar2021 with outcome of unknown , body aches (hospitalization) on 30Mar2021 with outcome of unknown , cough (hospitalization 01Apr2021 to 03Apr2021) on 30Mar2021 with outcome of unknown , headache (hospitalization 01Apr2021 to 03Apr2021) on 30Mar2021 with outcome of unknown , nausea (hospitalization 01Apr2021 to 03Apr2021) on 30Mar2021 with outcome of unknown , troponins greater than 11,000 (hospitalization 01Apr2021 to 03Apr2021) on 01Apr2021 with outcome of unknown , mild fever (hospitalization 01Apr2021 to 03Apr2021) on 01Apr2021 with outcome of unknown , chills (hospitalization 01Apr2021 to 03Apr2021) on 01Apr2021 with outcome of unknown , malaise (hospitalization 01Apr2021 to 03Apr2021) on 01Apr2021 with outcome of unknown. The patient underwent lab tests and procedures which included echocardiogram: unknown result on unknown date, electrocardiogram: no acute changes on 01Apr2021, electrocardiogram: abnormal with ST elevation on 19Apr2021 and patient needed to consult with Cardiology, COVID-19 antigen test: negative on unknown date. The patient was treated in the ICU, exact treatment unknown at this time. Information about Lot/batch number is requested.; Sender's Comments: The contributory role of the suspect BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 2 via an unspecified route of administration on 30Mar2021 (Batch/Lot number was not reported) to reported events is probable.

After receiving Pfizer dose 2 pt. reported hives 12 minutes after injection. Pt reports mild throat itchiness. Negative for orthostasis discharged after completed evaluation, released into care of mother. DC V/S T:1316, HR: 82, R:18, BP: 122/78, Spo2: 100%.

extreme hallucinations; not feeling well; chills; aches and pains; headaches; slight numbness in his extremities; difficulty walking; he did not get much sleep; fever; This is a spontaneous report from contactable consumer (parent). An 18-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 2 via an unspecified route of administration, administered in left arm on 23Apr2021 at 12:45 (Lot Number: Ew0153) at the age of 18 years, as a single dose for COVID-19 immunization. Medical history included autism spectrum disorder, ADHD (Attention deficit hyperactivity disorder) combined, learning disabilities. The patient had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medication taken within two weeks of vaccination included alfetamine aspartate/alfetamine sulfate/dexamphetamine saccharate/dexamphetamine sulfate (ADDERALL) taken for an unspecified indication. Historical vaccine included BNT162B2, dose 1 in left arm, on 02Apr2021, lot # EK5730. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 23Apr2021 at 21:00 the patient experienced extreme hallucinations, not feeling well, chills, aches and pains, headaches, slight numbness in his extremities, difficulty walking, he did not get much sleep, fever. The clinical course of events was reported as follows: My son reported to me at bedtime last night, the night of his second Pfizer vaccine dose, that he was not feeling well. I told him to take some Advil and go to bed. He had a very bad night with chills and aches and pains but most distressing was his description of having had extreme hallucinations. He said that he was aware they were hallucinations and not real during and after the experience, but it was nonetheless concerning. It is also concerning that he didn't wake me for help. At any rate, he did not get much sleep and I have to assume his fever went pretty high before morning. He described to me the need to hydrate during the night. He also relayed to me this morning an experience of headaches and slight numbness in his extremities, difficulty walking, but he is now feeling much better. He is dressed, has eaten, and is playing games on the computer. I am keeping a close eye on him today and should we return to that level of concern, we will take him to urgent care. The clinical outcome of the events was recovering. It was also reported that since the vaccination, the patient had not been tested for COVID-19.

"Not feeling well" prior to administration. BP: 122/28 (unsure of accuracy in reporting diastolic value), Pulse:90, Resp:16, O2: 98%, Temp: OK. Patient was given Tylenol and went home from work (explains possible inaccurate recording of BP). No other issues noted.

Fever and nausea beginning in the evening after administration, improved, then onset 2 days after administration of chest pain. Presented to emergency room and subsequently admitted with diagnosis of pericarditis. Symptoms resolved within a few hours of treatment with Colchicine

strep throat; fever; This is a spontaneous report from a contactable consumer (Father). An 18-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number was not reported), via an unspecified route of administration on 24Mar2021 (at the age of 18-years) as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date the patient experienced strep throat, fever. As a result of events, patient missed the second dose. Reporter would like to know if there was any negative effect, since patient missed the second dose. The outcome of event was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

pt experienced fuzzy feeling on their tongue, felt hyperaware of their surroundings, and very hungry at first. later pt reported amnesia from the time they purchased their lunch (about 5pm) until they were getting up off the floor (about 20 minutes later) after they laid themself gently on the floor at the recommendation of the RPh after reporting they were not feeling well after the vaccination.

Patient received his second dose of Pfizer Covid 19 vaccine around 5:50 pm and about few minutes later his mom notified us that he is about to pass out, I rush there and with mom help , we payed him on the floor, at his point he looked pale and was dehydrated, He sat down with our help after a minute or two and drank about 20 oz of cold water, by the time EMS team arrived and he was talking and sat back on the chair and walked out on his under supervision of EMS personnel. A follow up call was made today with his mother and he ate last night after getting home and went to bed and today went to school .

5/7 PM: c/o sore throat 5/8: starting having tactile fever, chest pain, sweats, nausea 5/9: continued with above plus vomited once, dizzy, shaky, neck and back pain 5/10 and 5/11: same 5/12: fever to 103, went to the PMD and referred to the ER.

Lack of energy- Attempted to sleep off with limited success Major pain in joints- Took Ibuprofen, mostly ?treated? Still need to take it, or pain returns Stiffness- No actions can be taken to alleviate that I am aware of. Still present, but improved from yesterday and the night before Headaches- Took Ibuprofen, surprisingly ineffective . Relatively new symptom, just started today. Coughing- Did not treat, mostly disappeared by the next day. Only a very minor and sporadic cough still remains. Minor feeling of congestion- Did not treat, not serious enough to warrant action. Still present today.

3:45pm pt received pfizer covid-19 vaccine in L deltoid. denies any allergies other than penicillin. 4pm c/o slight pressure in throat, chills, oriented x3, sitting in chair 4:05 diphenhydramine 50mg/ml administered to pt @ 1ml IM in right deltoid HR 70 R 18 non-labored, non audible, no wheezing, BP 114/78 4:15 HR 70, R 18 non-labored/non audible/ says pressure om throat is gone, still feels a little cold, HR 105/74 4:30 feels abou the same, resp not labored, sitting in chair relaxed, HR 68 BP 117/78 (last ate at 1:30 pm) 4:35 feels tired, relaxed, sitting calmly in chair, no new sx BP 106/73 4:40 relaxed and tired. taken home by father via car. HR 68 non-labored breathing. no new sx

After the vaccine patient complained about change in vision not able to see things, sweating ,dizzy. As per patient request called 911.By the time ambulance came patient felt better and did not want to go to hospital . As per patient he felt okay after 20 minutes or so..

body aches; Fatigue; laying around; vaccine expired two hours before he got it; This is a spontaneous report from a contactable physician. A 18-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: unknown), via an unspecified route of administration, administered in arm on 01May2021 (at the age of 18 years) as 2nd dose, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: unknown), via an unspecified route of administration on an unspecified date as 1st dose, single for COVID-19 immunization and meningococcal vaccine b (MENB) taken on Feb2021. The patient had no other vaccinations the dates he got his Pfizer COVID-19 vaccine or in the four weeks prior. On 01May2021, saturday patient received second dose of vaccine which was expired two hours before he got, which the patient should not had got and was called back in. On 02May2021 patient experienced side effects such as body aches, laying around, and fatigue. The reporter informed about seriousness that she felt it is significant, in that there was already hesitancy, so for them to mess up on this is significant. The outcome of event was unknown. Information on the lot/batch number has been requested.; Sender's Comments: Based on known drug safety profile, there is reasonable possibility of causal association between the event Expired vaccine used, fatigue and the suspect drug BNT162B2. Also, there is limited information in the case provided, the causal association between the event pain, bedridden and the suspect drug BNT162B2 cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

Patient (DOB 05-01-2003) received his 1st COVID vaccine (Pfizer, lot # EW0182 use by 5/15/21 at 0855) at 1539. The patient became pale approximately 30 seconds following the administration of the vaccine, EMT assisted the patient to the chair as he was standing up when he became pale, the patient loss consciousness for approximately 2 seconds. RN arrived at the station and assisted the patient to the ground, where he was placed in a supine position with his lower extremities elevated. The patients face mask was removed, he was alert and oriented to person, place, time, and situation. The patients color slowly returned to his face. Vitals were taken at 1540: BP: 155/70 (R arm, supine position), HR 70, RR 16, oxygen saturation at 97%, and pupils were equal. The patient had a history of fainting x 1 and his last meal was at 0800 and he stated, " I didn't drink that much today." Denied any chronic medical conditions, was not currently taking any medications, and denied any drug allergies. The patient was moved to the anti-gravity chair and he was given pringles and Gatorade. Vitals were retaken at 1545: BP 162/80 (R arm, sitting upright), HR 50, RR 16, oxygen saturation at 97%. Denied any dizziness, headache, chest pain, or vision changes. Vitals were retaken at 1553: BP 158/72 (R arm, sitting upright), HR 52, RR 16, Oxygen saturation at 97%. The patient was advised to eat a full meal prior to receiving his second COVID vaccine dose and to receive his 2nd dose in the anti-gravity chair. Vitals were retaken at 1558, BP 152/78 (R arm, sitting upright), HR 57, RR 16, and oxygen saturation at 98%. The patient was also given a bottle of water, as he did not consume many liquids during the day. The patient's color fully returned to his face and he denied any shortness of breath, dizziness, changes in vision, or difficulty swallowing. Vitals retaken at 1603, BP 150/75 ( R arm, sitting upright), HR 60, RR 16, and oxygen saturation at 96%. The patient called his mother to pick him up, as we strongly advised him to not operate machinery/ a vehicle after fainting. The patient's vital signs were taken at 1608, BP 140/75, HR 60, RR 16, and oxygen saturation at 100%. The patient was advised to drink the entire bottle of water, as his blood pressure was slightly elevated and it was most likely due to being dehydrated, as he did not consume any fluid since 0800 earlier that day. The patient drank a bottle of water and his vital signs were retaken at 1614, BP 122/68 (R arm, sitting upright) and a respiratory rate of 15 breaths per minute. The patient's mother arrived on site around 1630 and spoke with RN and both EMT. RN instructed the patient about emergency precautions and to follow up with his primary care provider. RN also educated the patient about the importance of informing the healthcare provider about his history of fainting with the first vaccine, when receiving the second COVID Pfizer vaccine. Gave the patient V-safe information and reported the occurrence in VAERS. The patient had a steady and even gait when leaving the site with his mother at 1632.

received the second dose of COVID vaccine Pfizer lot # ER2613(expiration date 7/30/2021) at 1306. Client reported to EMT table that he felt "cold and lightheaded". EMT and RN responded to client. @1313 Patient reported feeling cold and light headed after his first dose. Patient was sat in a zero gravity chair where an EMT applied ice packs to the posterior neck and left side. This was done after patient reported ice packs being helpful the "last time he experienced the same feelings". The last time the client experienced similar symptoms was "over two months ago" while his blood was being drawn. At this time the patient's vitals were BP: 154/100 P: 113 RR: 22. At 1321 Client reported feeling okay and vitals were BP: 144/94, P:99, RR:20. @1326 Vitals BP: 130/80, P: 94, RR: 16. Another set of vials were taken at 1331 Vitals BP: 130/90 P: 102 RR: 8 Patient was still in gravity chair and taking long and deep breaths. @1338 Vitals BP: 124/90 P: 115 RR: 10. Patient reported symptoms have resolved and is ready to leave. Pt was educated to observe for signs of allergic reactions and informed to call emergency medical services, as well as following up with his healthcare provider. No s/sx of allergic reactions were observed and patient denied EMS. Patient left site at 1341 with an observed steady gait and drove himself home.

Pt reported dizziness/lightheadedness, was pale & sweating. Began to shake as he was moved from wheelchair to bed. Last meal was several hours prior (BP 93/48; HR 65). Similar sx w/previous vaccines, afraid of needles. Pt transferred to gurney, legs elevated. Ate crackers & juice. Able to walk w/out difficulty & waited for father to pick him up. Released in stable condition (BP 120/54; HR 87)

A day after receiving the vaccine (on May 15, 2021) patient complaints of not feeling well and he took 1 tablet of Zyrtec 10mg to treat his allergy symptoms. On May 16, he developed chest pain and went to the Emergency Department at the hospital. Patient presented high levels of troponins and was admitted to the Intensive Care Unit (ICU). An EKG and Echocardiogram were performed and patient was diagnosed with Myocarditis. Patient continues to be hospitalized in the unit and he is receiving Lovenox 70mg Q12hrs, Ibuprofen 600mg, Aspirin 81mg daily, Colcrys 0.6mg daily. Chest pain has been resolved and his troponins levels are decreasing.

pericarditis; headache; fever; having trouble breathing; chest pain; tingling down his arms; This is a spontaneous report from a contactable consumer. An 18-year-old male patient received second dose of BNT162B2 (BNT162B2), via an unspecified route of administration, administered in Arm Left on 04May2021 at 16:00 (Batch/Lot Number: ER8736) as 2ND DOSE, SINGLE for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient had no Covid prior to vaccination and was not tested post vaccination. The patient experienced Pericarditis, headache, fever, having trouble breathing, chest pain and tingling down his arms all on 06May2021. It was reported that the patient had all the normal reactions to a significant extent, the headache, the fever, etc. But two nights after the vaccination he was having trouble breathing, he had chest pain, and tingling down his arms. The next day, patient was taken to urgent care and was diagnosed with pericarditis. The patient underwent lab tests and procedures which included EKG (electrocardiogram): pericarditis on 06May2021 (EKG showing Pericarditis and 10 days of medication). Therapeutic measures were taken as a result of all the events. The outcome of all the events was unknown.

GAVE AN 18 YEAR OLD MALE HIS 1ST PFIZER COVID-19 VACCINE AND HAD HIM SIT DOWN FOR 15 MINUTES. ALMOST 5 MINUTES AFTER THE VACCINATION, THE PATIENT WAS SLOUCHED IN HIS CHAIR, SWEATING, LOOKING PALE, AND COMPLAINING THAT HIS BODY WAS HURTING ALL OVER. I RAN OVER TO THE PATIENT AND ASKED IF HE WAS HAVING TROUBLE BREATHING, TO WHICH HE DENIED. I BEGAN TO ASK HIM WHERE EXACTLY DOES IT HURT TO WHICH HE MENTIONED HIS LEGS AND BODY. SINCE HIS BREATHING WAS FINE, I SUSPECTED IT WAS JUST A PANIC ATTACK BUT NONETHELESS I PROVIDED HIM AN ICE PACK AND WATER. WE ALSO MOVED HIM TO A MORE PRIVATE AREA TO ELEVATE HIS LEGS. I OFFERED TO CALL 911, BUT HE DENIED. WE KEPT HIM FOR 30 MORE MINUTES WATCHING OVER HIM TO SEE HOW HE PROGRESSED. HE FELT MUCH BETTER TOWARDS THE END. THE PATIENT ADMITTED HE WAS HAVING A PANIC ATTACK. MY TECHNICIAN OFFERED TO CALL A FAMILY MEMBER TO COME GET HIM, BUT HE DENIED AND SAID HE WAS OKAY TO DRIVE HIMSELF HOME.

18 year old male, is presenting with RECURRENT , NON-EXERTIONAL CHEST DISCOMFORT. PATIENT RECEIVED 2ND PFIZER VACCINE 5/17/21, ON 5/18/21 HE DEVELOPED FEVER, ON 5/20/21 HE DEVELOPED NON EXERTIONAL, RECURRENT CHEST DISCOMFORT. UP TO 7/10 IN SEVERITY AND LASTING A FEW HOURS AT A TIME AND THEN RESOLVING. Discharged home on 5/23/21 with Indomethacin 25 mg Cap Commonly known as: INDOCIN Take 1 capsule by mouth 2 times a day

Patient had the second Pfizer vaccine on Monday 5/17/2021 at 3:30PM. He was fine until Tuesday 5/18 around 3:00PM. He started feeling tired and had a fever. We gave him Tylenol and he was OK that night. On Wednesday 5/19, he had fever again. He took Tylenol again and was fine until the next day. On Thurday 5/20, he started feeling itchy on his legs. He claimed that he had some mosquito bites. On Friday night 5/21, He felt itchy all over his body, except his face. Now the red spots are bigger. Like mosquito bites but bigger. We gave him Benadryl and Cortizone. It helped. On Sartuday 5/22, he had rashes again, we gave him Benadryl and Cortizone twice. It helped. On Sunday 5/23, it completely cleared.

PATIENT FELT DIZZY AND FLUSHED WHICH PROCEEDED TO VOMITTING, DIFFICULTY BREATHING AND CHILLS AND SHAKING THE PATIENT WAS MONITORED WHILE PARAMEDICS ARRIVED. PATIENT VITALS WERE NORMAL AND PATIENT WAS MONITORED BY PARAMEDICS AND PHARMACY STAFF FOR ABOUT HALF AN HOUR. PATIENT REFUSED FURTHER TREATMENT AND WENT HOME ON THEIR OWN AND WAS INSTRUCTED TO FOLLOW UP WITH THEIR DOCTOR, AN URGENT CARE CENTER OR CALL PARAMEDICS IF FURTHER CARE IS NEEDED OR THEIR STATUS CHANGES.

Patient received vaccine around 5 pm. For the first two minutes after vaccination the patient seemed to be fine. Starting around that 3rd minute the patient got very dizzy and nauseous. He was then seated to prevent further NV. I asked the patient if they were breathing ok and the patient stated his breathing was fine. After about another minute the patient's eyes got glossy and the patient seemed to be out of it. I asked multiple orienting questions such as his name, where he was, and what day of the week it is. He was only able to answer the day of the week and his head was bobbing. I then called 911 as the patient became very pale and started to profusely sweat. While on the phone with the 911 operator, the patient went completely unconscious and lost control of motor functions. I was able to confirm the patient was still breathing and still had a heart rate (although rapid) and thus compressions were not given. The EMT arrived quickly to the scene and took over care of the patient. After about 20 minutes of checking vital signs, the EMT gave the patient and his family the option on whether they want to go to the hospital or not for further examination. The family decided they wanted to take the ambulance to the hospital.

18-year-old healthy man received his second Pfizer COVID-19 vaccine on Sunday, may 16th. He had generalized muscle aches and mild flu-like symptoms which were not unexpected on Monday the 17th. On the 18th, he reported dyspnea on exertion, some chest tightness, and his throat felt like it was "closing". He also had tender anterior cervical lymph nodes and a fever to 100.8 °F. He came into the ER for further evaluation. After evaluated by cardiology, given his stability, felt appropriate for discharge with immediate outpatient follow-up.

18 year old otherwise healthy male, with mild asthma, and history of vasovagal syncope with prior vaccinations, IV's and any type of injection on multiple occasions. He has no history of prior seizures or seizure disorder. He received his vaccine at about 9 AM and walked to our 15 minute observation area. Within 5 minutes of sitting down, he stated he was not feeling well, became unresponsive, and had a series of 3 very brief, witnessed tonic clonic seizure activity, each lasting 5 seconds or less, with only a few seconds between. Following this he was minimally responsive, still sitting up, eyes opened, and only mumbled in response to questions. He was pale, confused, mildly diaphorectic, BP was 119/99 pule was 61, O2 sat was 96% and resp rate was approximately 20. He was NOT incontinent of stool or urine. He was fully conscious and oriented to person place time and situation within 5 minutes. He soon regained his color and vitals continued to be stable. He does have a history of "low blood pressure" per his report. He was feeling well, but because of the history witnessed seizure activity the decision was made to transport to hospital. He was transported by Ambulance Service to Hospital. Prior to vaccination today was feeling well. He was accompanied by his girlfriend. Diagnosis per supervising MD, was Post vaso-vagal syncope seizure activity. Or seizure activity related to vaso-vagal syncope.

Bad cold; This is a spontaneous report from a contactable consumer (patient's mother) via a Pfizer sponsored program. An 18-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: FN6201, expiration date: 30Jun2021), intramuscularly in left arm on 20Apr2021, (at the age of 18-years-old), 1st dose, 0.3 mL single, for COVID-19 immunization. The patient had no medical history and there were no concomitant medications. On 11May2021, the patient developed a bad cold with stuffy nose and cough. As per the reporter, it had gone through the stages as; on 11May2021, the patient had a sore throat, then on 12May2021, it was progressed to stuffy nose and on 13May2021, the patient was congested and had a cough a little bit. The patient had no fever. As of this report, the bad cold and its symptoms were ongoing. The second dose was scheduled for 13May2021. The reporter was calling to see if the patient could take the second dose on the reporting day or if they need to reschedule it. The patient did not undergo any lab tests and procedures. The outcome of the event was not recovered. No follow-up attempts are possible. No further information is expected.

Sickle cell disease patient with a history of Covid infection in Dec 2020, received first dose of Pfizer vaccine in April 2021 followed by second dose on May 7th2021. He was admitted to the hospital on May 11th 2021 for a vaso-occlusive pain crisis. He then developed fevers, increased inflammatory markers, coagulopathy and significant tachycardia- echocardiogram, was done which showed coronary artery aneurysms raising concern for Mis-C. Retrospectively, his previous echocardiogram few years ago also showed coronary dilation although now it was slightly worse. patient was given IVIG and steroids as treatment for Mis-C following which fevers resolved and his inflammatory markers improved. He is being followed with serial echocardiograms which shows stable echo findings. He remains in the hospital still for treatment of his pain crisis.

01: 47 PM Pfizer Covid-19 Vaccine administered in left deltoid- mother and sister also in room. Patient left room ambulatory without any issues or distress to go sit in waiting room. 01: 52 PM Sister stated patient didnt feel well and alerted PCT . Mother present and witnessed patient have syncopal episode. He was lowered to floor but was arousable after 10-15 seconds. Patient sat upright and drank few sips of water. Patient was noted to be pale and sweating. He reports he has had similar episodes when receiving flu vaccine in the past. Mother and PCT remained with patient in lobby. 2:00 PM Patient did vomit x 1 in trash can and reports he is feeling some better 2:20 PM Patient remained in lobby with mother until feeling much better. He left ambulatory in no apparent distress.

Patient reported feeling dizzy shortly after receiving his vaccination. Tech notified pharmacist and remained with patient. Pharmacist grabbed water and a wet towel to put on patient's neck. Patient's mom got some gatorade for the patient. Patient said his vision was "going". Got patient seated on floor and put the cool towel on his neck and told him to take some deep breaths. He started to feel better within a minute or so and had some gatorade. His color returned and was little sweaty, but reported feeling better. He remained under observation with his mom for another 30 minutes before leaving without issue. Mom stated he has felt dizzy in past, but wasn't noted on VAR.

Severe fatigue; Right hand started twitching uncontrollably; Had pain but it did not go across chest like after first dose vaccine; Had numbness down arms and legs; Had vertigo really bad; Was very hot, no fever, but radiating heat; Muscle pain; Mind numbing migraine pain in the caller's son's head; Body was hot allover, and his skin turned red; had periodic pins and needles with the numbness; Dizziness; Difficulty sleeping; Chest tightness periodically, but not consistently; Chest pain; Ear ringing; General malaise; Can't walk to the end of the block without coming back in pain; Found it hard to concentrate; Cloudy head; This is a spontaneous report from a contactable consumer (patient's mother). An 18-years-old male patient received of bnt162b2 (BNT162B2, Formulation: Solution for injection) via an unspecified route of administration in left arm on 07May2021 12:10 (Lot Number: EW0183; Expiration Date: 31Aug2021) as 2nd dose, single dose for COVID-19 immunisation. Medical history included lyme disease ongoing from 2013 and it was reported that her son had no tick bite & was diagnosed through a blood test. Her son had fatigue, migraines, lethargy & the doxycycline made him sick as a dog. A chiropractor had success using various tinctures & after 1 to 1-1/2 years, her son went into remission. Her son has a low degree of pain & soreness & has learned to deal with the pain. When his immune system is triggered, his Lyme disease comes back & he takes tinctures for a week or 2 & his symptoms goes away. No further details provided. The patient's concomitant medications were not reported. The patient previously received first dose of BNT162B2 (Lot number: EW0164 and Expiry date: 31Aug2021) administered in left arm for COVID-19 immunisation and experienced chest pain, headaches and light-headed. Patient also had his first HPV Vaccine, laid out flat for a week and had no problems with the meningitis. On 07May2021, after second dose of vaccine administration, the patient had pain but it did not go across chest like after first dose vaccine, numbness down arms and legs, really bad vertigo, was very hot, no fever, but radiating heat, muscle pain, dizziness, mind numbing migraine pain in head, body was hot allover, skin turned red and right hand started twitching uncontrollably. On an unspecified date in May2021, the patient had periodic pins and needles with the numbness, difficulty sleeping, chest tightness periodically, but not consistently, chest pain, severe fatigue, ear ringing, general malaise, can't walk to the end of the block without coming back in pain, found it hard to concentrate and cloudy head. It was reported that the caller's son had the pain but it did not go across his chest like after the first dose Pfizer Covid 19 vaccination. The caller's son had numbness down his arms and legs and her son's legs were real heavy. The caller's son had to help life his legs to get his legs to move. The caller's son had vertigo really bad. The vertigo was so bad the caller's son had to lay down on the stretcher as the vaccination site. Even sitting up, the caller's son's world was spinning. The caller's son had to lay down. It was very hot, no fever, but radiating heat: The caller's son was very hot, no fever, but radiating heat. Part of that was the vaccination centre was not air conditioned and the caller's son was already a little uncomfortably warm when he went in. Dry ice packs were placed on the caller's son's head, went through three dry ice packs melting on the caller's son. The dry ice packs were on the caller's son's forehead and back of his neck and the injection site. The caller was trying to give her son coolness the best she could. He stayed about 30 minutes at the vaccination site and nothing improved or got worse. He was still very heavily dizzy or whatever and got in the wheelchair and got home. The caller's son did nothing for the rest of the day or weekend. The caller's son was just in so much pain and so much dizziness, it was just too much to do anything. The caller's son's symptoms gradually improved but very minute. The amount of dizziness the caller's son had was a little less so he could sit up at the computer, but even that the caller's son had to take breaks and couldn't do it for more than 30 minutes before laying back down. Had pain but it did not go across chest like after first dose vaccine: The caller's son's pain was a little less intense. The caller's son's numbness by Monday, 10May2021, had subsided for the most part. The caller's son is still having numbness down his arm, the opposite arm the caller's son received the second dose Pfizer COVID-19 Vaccine. The caller's son is also having numbness in his thighs sometimes, but not constantly. Clarifies the thighs or upper legs. The caller took her son to a Chiropractor and the Chiropractor gave her son a couple supplements to detoxify. That seemed to actually make things worse. The caller also took her son to the doctor's office. The caller took her son to a Chiropractor and the Chiropractor gave her son a couple supplements to detoxify: The caller states these were Charcoal and Magnesium combination and Turmeric root extract. Reporter made her son hydrate and use the generic Acetaminophen 500mg Caplets, along with a pain tea. The pain tea was loose herbs of valerian root, peppermint, and skull cap and pain tea seemed to help her son more for his pain, and mask some of the general malaise, and allowed her son to study for his AP Calculus exam. Patient's pain went from an 11-12 and was now at a 6 or 7. patient had a high tolerance for pain, and could cope with the pain, but the pain made it difficult for him to concentrate. Patient's migraine pain was unbearable at times and made it difficult for him. The generic Acetaminophen 500mg caplet with the pain tea helped to manage so his migraine pain was not so extreme. Therapeutic measures included Liposomal Resveratrol 38mg Curcumin from turmeric root extract 100mg, dietary supplement (Lot: 00728B or 007288). She has reported that she had been giving her tylenol for muscular pain and migraine. Other treatment included: alternating between Advil (Liqui-Gels) and Tylenol (generic acetaminophen 500mg caplets), Advil Liqui-Gels 200mg Ibuprofen (UPC Number: 0573176914, Lot Number: R77157, Expiration Date: Mar2022), Generic Acetaminophen 500mg Caplets, NDC Number: 21130-111-90, Lot Number: 1AV1505 and Expiration Date: Nov2022). Reported in the evenings her son would take Advil PM (200mg Ibuprofen with Diphenhydramine Citrate 38mg), NDC/UPC Number: Unknown, Lot Number: EG1024 and Expiration Date: Jun2023. Reporter said that Advil didn't seem to work on her son's migraine headache like the Advil usually does. Outcome of the events pain but it did not go across chest like after first dose vaccine, numbness down arms and legs and vertigo really bad, muscle pain, mind numbing migraine pain in the caller's son's head, periodic pins and needles with the numbness, right hand started twitching uncontrollably, chest tightness periodically, but not consistently, chest pain and ear ringing as recovering, outcome of the event body was hot all over, and his skin turned red was recovered, outcome of the event difficulty sleeping as not recovered and outcome of the events dizziness, severe fatigue, general malaise, can't walk to the end of the block without coming back in pain, found it hard to concentrate and cloudy head as unknown. Information on Lot/Batch number was available. Additional information has been requested.

The morning after my shot maybe 12 hours later I woke up with a 104.5° fever and my right armpit was the size of a tennis ball and hurt a lot. I was extremely tired I could not go to work. I did not eat all day but I did take a lukewarm shower and some Tylenol.. About 5 PM my fever broke and it still took another 24 hours for me to feel myself again. It has been five weeks and I still have a golf ball sized lump in my right armpit even after massaging it and exercising and sweating every day.

18 yo male with no significant PMH presented to the hospital on 6/2/2021 with c/o chest pain and SOB. Per patient and his mother at bedside, he received the second dose of Pfizer vaccine on Sunday. Day after had mild headache, aches, arm pain and abdominal pain. Last night woke up with chest pain and SOB. They called his pediatrician who recommended they come to the ER for evaluation. In ED was found to have elevated troponin and EKG changes. CTA negative for PE. EKG showed ST elevations/ PR depressions inferior/ lateral leads concerning for pericarditis. Patient was seen by cardiology and diagnosis of myo/pericarditis was made. Patient was prescribed Aspirin 325 mg TID and Protonix 40 mg QD for GI prophylaxis. Patient will follow up with the cardiologist 1 week after discharge for further management and medication adjustments.

Approximately 5 minutes after receiving the vaccine, the patient passed out and his eyes rolled back (possible seizure activity). This activity lasted for approximately 1 minute. Patient also felt dizzy, sweaty, nauseous, and became pale. Patient was given a cold ice pack to lower his body temperature. Patient was also given crackers for nausea, and a bag just incase he had to vomit. Patient's mother was also here to tend to the patient. The mother also gave him clear fluids (sprite) to help with the nausea. After approximately 10 minutes, the patient was able to stand without feeling dizzy. He left the store with his mother to be watched closely (His mother is a nurse.) They also refused emergency medical services.

Fevers; Headaches; Chest pressure; Rash on palms and soles; Myopericarditis; Possible atypical Kawasaki disease; Sore throat; This is a spontaneous report from a contactable physician. An 18-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number was not reported), via an unspecified route of administration, on 07May2021 (at the age of 18 years), as first dose, single dose, for COVID-19 immunization. The patient had no medical history. The patient's concomitant medications were not reported. The patient had no known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19. On the day of the first dose of vaccine (07May2021), the patient developed sore throat. The next day (08May2021), the patient had fevers and sore throat, developed headaches and chest pressure. Fevers persisted for 5 days so presented to emergency department with rash on palms and soles, diagnosed with myopericarditis, possible atypical Kawasaki disease; all started on 08May2021. The events were considered serious per hospitalization in May2021 for 8 days. Treatment received for the adverse events included vancomycin, ceftriaxone, intravenous immunoglobulins (IVIG), ibuprofen, aspirin, and dobutamine. Since the vaccination, the patient has been tested for COVID-19 (nasal swab) that was negative on 12May2021. The patient was recovering from the events. Information about lot or batch number cannot be obtained. No further information expected.; Sender's Comments: Based on current information available, the event myopericarditis, Kawasaki disease, sore throat, pyrexia, headache, chest pressure and rash mostly represented intercurrent condition in this patient, unrelated to Bnt162b2. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Committees and Investigators, as appropriate

His arm was only sore the same day he received the second dose of the covid vaccine, and the next morning; He slept a lot that night; This is a spontaneous report from a contactable consumer (patient) from a Pfizer Sponsored Program COVAX US Support. A 18-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCIN, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 11May2021 (at the age of 18-years-old) as a single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCIN, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 22Apr2021 as single dose for covid-19 immunisation and had arm was sore and weak for 2 or 3 days. On 11May2021, on the same day of second dose of vaccine, patient arm was sore of the first day and the next morning, then it was fine. He slept a lot that night. He did not have nearly as much symptoms as most people say. He did not have many side effects. Outcome of the event pain in arm was recovered on 12May2021 and for other event was unknown. Information about lot/batch number has been requested.

Symptoms started out with rigors and a fever. This progressed to a diffuse maculopapular rash that resolved within 24 hours. Following day, he was tachycardic and tachypneic when he presented to the emergency department. Ultimately he was found to be in septic shock with myopericarditis. He required pressors. He is currently still in the hospital

14:08 While washing hands I heard commotion in the other section of the observation area. Noticed pt. on the floor, next to his chair. He was having "shaky" movements, unresponsive, diaphoretic and very pale. Also noticed he was hitting head twice on wall. After protecting his head, he regained consciousness in approx. 15 sec. Staff had been called and 911 was activated. My oximeter read pulse of 40 to 45 and saturation between 96 to 98%. Pt. claimed it wasn't his first time after "needles" passing out. Said he had a good breakfast and lunch. He declined having his parents called.

Pt was in usual state of health until 6/2/21 and experienced fevers, chills, sore throat, shortness of breath, chest pain, erythematous rash on trunk and limbs, arthralgia inthe ankle. Presented to ED on 6/4-febrile, tachycardic and mildly tachypneic. Pt is still currently admitted in Unit. left axillary adenopathy

Few hours after vaccine developed fevers for 2 days which resolved. Then 6/2/21 developed fevers, rash, chest pain, admitted to hospital 6/4/21 with fevers, rash, pancytopenia, pericarditis, myocarditis

blackout; Shallow breathing; rapid heart rate; difficulty breathing or talking; dizziness; weakness; feeling unwell; nausea; numb arm; heat flash; chills; This is a spontaneous report from a contactable consumer. An 18-years-old male patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in left arm on 30Apr2021 at 14:30 (Batch/Lot number was not reported) (at the age of 18 years-old) as a single dose, for COVID-19 immunisation. There was no medical history. Concomitant medication included ibuprofen (IBUPROFEN) taken for an unspecified indication, start and stop date were not reported. No other vaccinations given within last 4 weeks. On 30Apr2021 at 1445, the patient experienced Shallow breathing, rapid heart rate, difficulty breathing or talking, dizziness and blackout, weakness, feeling unwell, nausea, numb arm, heat flash and chills. The outcome of the events was recovering. The patient did not have COVID prior to vaccination and was not tested post vaccination.

Patient became dizzy and heart began racing a few minutes after immunization. Increased dizziness and then patient began having rigors that continued for 1 hour and 20 minutes post vaccination. He also experienced numbness in his body as well as warmth in his stomach and extremities. He was given Benadryl soon after vaccination. He was sent to the ER of to be monitored. Vitals and labs were deemed to be OK. Rigors ceased 20 minutes after arriving at the ER. He was monitored for a couple of hours and subsequently discharged. He has had severe fatigue. The day following immunization, he had another episode of rigors and numbness. Paramedics were called and evaluated patient at home. Patient then began having panic attacks and losing vision, brain fog, dizziness, and body numbness that have continued since that time. He has also had recurrent episodes of paranoia that started 3-4 days post vaccination and continue today. Patient has seen immunologist and is seeing psychologist weekly for counseling and EDMR. He has seen ophthalmologist as well as his primary care physician.

Patient reported developing intermittent but persistent substernal chest pain/discomfort following his second dose of Pfizer vaccine on 4/30/2021. Pain was aggravated by leaning forward, deep inspiration, sitting up from supine position, coughing/sneezing and had not been improving following onset. No dyspnea on exertion or other systemic symptoms. Denied any other inciting factors prior to onset including injuries or change in his physical activity. EKG in office appeared consistent with pericarditis. He was advised to present to hospital to confirm diagnosis and initiate treatment if confirmed.

Possible reaction patient had an itchy had itchy throat that went away after drinking some water patient was initially in a 15 min watch but was kept for an additional 15 min for a total of thirty minutes

Within 1-2 days of first vaccine, patient developed COVID-like symptoms including, cough, sore throat, dyspnea, intermittent chest pain. No fever. He states symptoms worsened after the second injection on May 25th. Had a couple episodes of post tussive emesis. With symptoms going on for over a month, he presents to the ER for evaluation

When he got up to use restroom his symptoms were very mild, though when he woke up the symptoms persisted for ~ 1 week. Does not recall any illnesses, but mother felt that patient seemed a little more fatigued ~ 1 week prior. Went to ER 6/4/21 with tightness in his chest worse with deep breathing, cough, laughing, worse laying down and better sitting upright. Got Pfizer COVID19 vaccine 4/10/21, which is ~ 8 weeks prior to symptoms starting. ECG showing diffuse ST elevation concerning for pericarditis. Troponin was negative, chest x-ray was negative. He was given the instructions to take ibuprofen for 1-2 weeks and just stopped the ibuprofen yesterday. His symptoms resolved after 4 days of using ibuprofen.

Pt presented to clinic on 06/15/2021 c/o chest pain, Ha, sore throat starting two days after receiving second dose Pfizer COVID19 vaccine. Chest Xray normal. Labs: Sed Rate, Troponin, C-Ractive Protein, CBC, CMP. EKG, two leads with elevated T. Awaiting Troponin.

right hand swelled up around the size(twice the size of his normal hand would be); Scrotum was swollen; Bottom lips swelled; Normal flu like symptoms; He was sore; Didn't feel well; This is a spontaneous report from a contactable nurse (patient's mother). An 18-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), second dose intramuscularly, administered in left arm at the age of 18-year-old on 24May2021(around 1 PM) (Lot Number: ER8729) as single dose for covid-19 immunisation. Medical history was none. The patient's concomitant medications were not reported. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose intramuscularly, administered in left arm at the age of 18-year-old on 03May2021(around 1 PM) (Lot Number: ER8737) as single dose for covid-19 immunization. The patient hadn't taken any vaccine 4 weeks prior to the COVID 19 Vaccine. There was no family history relevant to the adverse event. Nurse stated her son had the normal flu like symptoms afterwards when he was sore and didn't feel well in May2021. A day later(in May2021) his bottom lips swelled just his bottom lips there was no oropharyngeal response on the side of the lips. He took Benadryl and about 8 to 12 hours later it went down. On Thursday(27May2021), his right hand swelled up around the size, she meant twice the size of his normal hand would be, that also lasted around 12 hours or so. Today(in May2021) he called her from work and his scrotum was swollen. And she was trying to find out if this was a normal, she was a nurse working in an emergency department and this was not a normal response in anyone else that she had heard of who had gotten the vaccine but she wanted to call to see if this was something maybe somebody else has experienced, or one of the doctor, one of the doctor that she work with prescribed a Medrol dose pack for him just in case. The outcome of the event 'bottom lips swelled was recovering, of the event right hand swelled up around the size(twice the size of his normal hand would be) was recovered in May2021, of the other events was unknown.

Patient experienced fatigue and muscle aches immediately following the vaccination. His symptoms became progressively worse as time passed and by the next day he was experiencing chills, fever, tachycardia, shortness of breath, and excruciating chest and upper back pain. He described the pain in his chest as "stabbing" and also had a small and painful protrusion from his chest wall that was determined to be a lymph node.

Myocarditis/Pericarditis. Prior to hospitalization for Myocarditis/Pericarditis the patient had severe headache, fever/chills, temperature ranging from 100.8 to 104 degrees, right side mid back pain, brief moments of random intense pain in other parts of the body, lack of appetite and excessive fatigue.

Shortly after this 2nd dose of vaccination, patient reported feeling light-headed. Gave patient water, which patient finished 1 bottle. As RPh was speaking to patient at the observation area, patient become profusely sweaty and eyes started fluttering. RPh removed patient's face mask and asked 911 to be called, RPh stayed with patient and held him securely while speaking to him stay awake. EMT arrive minutes later, and at that time patient was awake. EMT took patient's BP=117/73. Patient refused to go to ER.

Ran 103 to 104 fever; This is a spontaneous report from a contactable consumer (patient). An 18-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EW0171; Expiration date was not reported) on the right arm on 04Jun2021 (13:30) as a 2nd dose, single, with route of administration unspecified, for COVID-19 immunization at the public health clinic. Medical history included attention deficit hyperactivity disorder (ADHD) and asthma. Concomitant medication included lisdexamfetamine mesilate (VYVANSE). The patient had previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EW0171; Expiration date was not reported) on 14May2021 (13:30) (when the patient was 18 years old) for COVID-19 immunization. On 05Jun2021 (12:00 AM), the patient had run a 103 to 104 fever. The event had resulted into an emergency room/department or urgent care visit. High dose of Motrin and intravenous (IV) fluids were administered to the patient as treatment for the event. The outcome of the event was recovering. The patient was not diagnosed with COVID-19 prior to vaccination; and had been tested for COVID-19 since the vaccination. The patient had a negative COVID-19 nasal swab (post-vaccination) on 05Jun2021.

Approx 12 hours after second dose of Pfizer COVID vaccine, my son experienced severe chills (teeth chattering so bad he couldn?t talk) , heart palpitations, said his heart hurt so bad he was crying, rapid uncontrollable breathing, fever, headache (said his head felt like it was going to pop), aches and pains to the point he couldn?t walk.

After receiving vaccine patient stated they did not feel well (complained of nausea/light headedness), before I could ask if the patient was okay the patients entire body stiffened, his eyes got very big/wide, and they started to roll back. At that point I stayed with the patient and called for my pharmacist. The patient lost consciousness, and by the time my pharmacist got there he was stable and coherent. Once my pharmacist assessed the situation she had me call 911 for paramedics. We had him lay on the floor with a pillow under his head, feet elevated. We provided ice water, nuts as a snack, and I dabbed sweat from his forehead while holding an ice pack to his forehead. I stayed with the patient and patients girlfriend until paramedics arrived for transport.

Allergy to red meat became prevalent again. Since becoming allergic to red meat in the summer of 2020, I had gained a tolerance to red meat to the point where I could consume as much as I wanted. This lasted between August 2020 and the date listed in this report. On that date I consumed red meat and had an allergic reaction to it. The reaction was a swelling of the fingers, hives on the arms and knees and wrist. As I didn?t have any reactions to red meat in the previous 10 months I didn?t make the connection that I was allergic to red meat again. The following Monday I consumed more red meat. That night I was very drowsy and went to bed at 1900. At around 0100 Tuesday morning I woke up with a terrible stomach ache and could feel my hands itching. I tried to go back to sleep. At around 0430 I woke up again with completely swollen hands to the point where I couldn?t bend any joint in them, hives on my wrists, knees, elbows, neck, forehead, back, and back of thighs. I went to the hospital for a severe allergic reaction. This is the exact same allergic reaction that I would have when I consumed red meat in June 2020 at the height of my allergy, but I had never had a reaction like it since then. Now I am sensitive to red meat again and I can?t think of any reason except that I received the vaccine. I have not consumed red meat since.

Pfizer-BioNTech COVID-10 Vaccine EUA. Symptoms immediately started after vaccination. Patient reports having chills, tremors, diaphoresis, numbness to his hands/stomach, palpitations, and light headedness. Nurse from the vaccine clinic reports giving the patient cetirizine prior to transferring to ED. Continued having numbness to the hands and slight light headedness. No further intervention.

He is having an issue with the taste, when it comes to food; Weird headache; Body Aches; This is a spontaneous report from a non-contactable consumer or other non hcp. A 18-year-old male patient received his first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE,formulation: Solution for injection, Batch number/Lot Number: EWO150),via an unspecified route of administration ,administered in arm right on 05Apr2021 14:10 (at the age of 18-years-old) and a second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE,formulation: Solution for injection, Batch number/Lot Number: EW0169), via an unspecified route of administration,administered in arm right on 26Apr2021 14:05 ((at the age of 18-years-old) for covid-19 immunization .Medical history included allergy,attention deficit hyperactivity disorder from an unknown date and unknown if ongoing. Concomitant medications included methylphenidate taken for attention deficit hyperactivity disorder ,Once a day,start and stop date were not reported; Cetirizine taken for hypersensitivity Once a day ,10mg ,start and stop date were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 07Apr2021 the patient experienced he is having an issue with the taste, when it comes to food on, weird headache, body aches. The reporter did not even know, what even make him to eat. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Seizure-Medium, Additional Details: patient fainted and hit head on chair when falling from sitting in chair to floor. bystander said that patient's entire body was convulsing. pharmacist ran out to patient and by the time rph was by his side he was awake and coherent. EMT came and checked patient out, advised patient to go to hospital for monitoring but patient refused. patient's mother came and picked him up.

Pt developed lethargy 6 days post vaccination then went on to have fevers and +blood cultures of unknown source, thorough workup obtained without source for fevers.

Patient began to go pale and sweat about 3 minutes after receiving his first Pfizer shot. The patient then passed out and had some convulsions. This last for about 5 seconds and happened twice about 30 seconds to a minute apart. Afterwards the patient stated that his tongue felt "funny" and looked a little swollen. The patient was observed and 911 was called. He was evaluated by EMT staff and seemed to be back to normal about 30 minutes later.

The day of the second shot (07JUN2021@11AM), my son complained his arm was sore and was not feeling the best but was eating, drinking, and seemed fine. The next day (08JUN2021 @10AM) my son came down from his room to eat breakfast and still was not feeling the best but seemed fine after eating. Around 12PM my son came down the stairs to get some water in the kitchen and then shortly thereafter after passed out, fell against the wall and slid down to the floor. I was in the location and found him unresponsive, very cold, and eyes looking straight ahead -not moving. My older son and I then carried him to the couch where I laid him down and elevated his feet. He started coming around approx. two minutes later and broke out in a sweat but also had chills. At that point, I did not call an ambulance and started to hydrate. After an hour or so, he started feeling better and then ate some food but was weak most of day and rested. The next day he seemed fine.

Patient was extremely nervous and has always been nervous about needles. The parents let me know that he had passed out in the past from vaccinations. Patient received the vaccine fine and was sitting in our waiting area. I was standing in front of him when he suddenly felt sick and passed out. I used cold compresses and gave him a cold bottle of water when he was able to drink. My staff called 911 and they checked him out. He able to stand and walk out after about 15 minutes.

symptoms began as blurry vision, extreme light sensitivity (couldn't open eyes because of pain), and severe headache. He also had what looked like a red rash or blood bruise on both eyelids. The symptoms got increasingly worse and his vision became completely blurry and he was unable to focus his eyes and his photosensitivity so severe that he had to be in a dark room, even when his eyes were closed. His headache increased. We initially went to an urgent care clinic where they ran bloodwork, and then we were sent to an eye specialist for a thorough exam, which was excruciating for him to sit through on account of having to examine his eyes open and with light. After a few hours at the eye specialist we went home and he went to bed, unable to sleep because of his extreme headache. The symptoms lasted the following day, and the day after with loss of visual focus, extreme headache, and the rash on his eyelids appeared to had gotten a bit worse. I would say that Saturday evening his eyesight began getting gradually better (vaccine on Wednesday evening). His headache and aversion to sound continued. Over the next week his vision began gradually getting better, different eyes at different rates, as well as his headache. He still has the rash on his eyelids.

Fell over/fainted soon after 1st injection of Pfizer in lt arm from sitting in chair. Mother and nurse supported his fall. No injuries sustained. Reported of h/o syncope/fainting from all or after every medical related procedures. Vitals WNL. Sweaty and pale appearance. Colors returned after sips of gatorade.

Adverse event: acute myocarditis/pericarditis. 2 days after receiving Pfizer #2, dev substernal chest pain, largely positional with positional dry cough. Also had left arm numbness/paresthesia after second vaccine. Treatments: 1 dose enoxaparin, IVF, ondansetron x 1, then placed on/discharged from hospital on colchine Never had fever or tachycardia

Dizziness, profuse sweating, felt hot,shortness of breath, felt like passing out, vision disturbance (saw black spots) , weakness. This occurred immediately after shot was given. Medical personnel moved him to area to monitor his vitals, gave him ice packs, checked blood pressure, heart rate etc.

Pain around injection site; Severe fatigue; mild muscle/ joint pain; mild muscle/ joint pain; Mild nausea; This is a spontaneous report from a non-contactable consumer, the patient. An 18-year-old male patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EP6995), via an unspecified route of administration in the right arm on 25Mar2021 at 08:30 (at the age of 18-years-old) as a single dose for COVID-19 immunisation. Medical history was not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested positive for COVID-19. Concomitant medications received within two weeks of vaccination included methylphenidate hydrochloride (RITALIN), Sertraline hydrochloride (ZOLOFT) and testosterone (MANUFACTURER UNKNOWN) for unknown indications from unknown date. On 25Mar2021 at 12:00, the patient experienced pain around injection site, severe fatigue, mild muscle/ joint pain and mild nausea. The patient did not receive any treatment for the events. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of vaccination site pain, severe fatigue, muscle pain, joint pain and mild nausea was unknown. No follow-up attempts are possible. No further information is expected.

Sore at injection site; Fatigue; Flu like symptoms; Twitching in my left arm; This is a spontaneous report from a contactable consumer, the patient. A 18-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: Ep7534), via an unspecified route of administration in the left arm on 29Mar2021 at 12:00 (at the age of 18-years-old), as a single dose for COVID-19 immunisation. Medical history was not reported. The patient previously took erythromycin (MANUFACTURER UNKNOWN) and amoxicillin (MANUFACTURER UNKNOWN); experienced drug allergy. Prior to the vaccination, the patient was unknown if diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient did not receive any other medications within 2 weeks of vaccination. On 30Mar2021 the patient experienced sore at the injection sight and felt super fatigued with flu like symptoms and twitching in the left arm. The adverse event did not result in a visit to the doctors or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The patient did not receive any treatments for the events of vaccination site pain, fatigue, flu-like symptoms and twitching. The clinical outcomes of the events vaccination site pain, fatigue, flu-like symptoms and twitching were unknown at the time of the report. No follow-up attempts are needed. No further information is expected.

Tired; Myocarditis; Pericarditis; Chest pain; sickness; Fever; Throwing up; This is a spontaneous report from a contactable consumer (patient parent). A 18-year-old male patient received second dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number EW0185 and expiration date was not reported), via unspecified route on 12May2021, as dose 2 single dose for COVID-19 immunization. The patient medical history was not reported. The patient concomitant medications included Somatropin (NORDITROPIN) and Letrozole. The patient previously took first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, 14Apr2021 (Lot number EW0161 and expiration date was not reported), (age at vaccination 17-years-old), via unspecified route on as single dose for COVID-19 immunization.The patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. On an unspecified date 2021, patient experienced chest pain and he did not know that was a side effect with the myocarditis and pericarditis, also he had normal sickness that he had fever and throwing up and tired. When He had the first shot, was 17 and he was 18 when he had the second one. The patient took Ibuprofen, as treatment drug the next day after he had the shot. The outcome of all events were unknown Information on Lot/Batch number was available. Additional information has been requested.

Couldnt sleep; fluctuating body temperature.; This is a spontaneous report from a contactable consumer, the patient. A 18-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8732) via an unspecified route of administration in the arm left on 31Mar2021 at 10:30 (at the age of 18-year-old) as a single dose for COVID-19 immunisation. The patient did not have any relevant medical history. The patient did not take any concomitant medication. The patient did not have allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. Post vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 31Mar2021 at 12:00 the patient was not able to sleep and experienced fluctuating body temperature. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. The patient did not receive any treatment for the reported adverse events. The clinical outcome of the event difficulty sleeping and fluctuating body temperature was resolving at the time of this report. No follow-up attempts are needed. No further information is expected.

Rash near the site of the shot; Swollen neck; Swollen neck that led to pain when moving; Chills; Fever; This is a spontaneous report from a contactable consumer, the patient. A 18-year-old male patient received the first dose of BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Lot number: EN6204), via an unspecified route of administration in the right arm on 31Mar2021 at 13:30 (at the age of 18-years-old), as a single dose for COVID-19 immunisation. Medical history was not reported. The patient was allergic to amoxicillin. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. The patient did not receive other medications within two weeks of vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not tested for COVID-19. On 31Mar2021, the patient experienced rash near the site of the shot, swollen neck that led to pain when moving and swallowing, chills and fever for the first night. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measures were not taken as the result of rash, swollen neck, neck pain, chills and fever. The clinical outcome of the events rash near the site of the shot, swollen neck, neck pain, chills and fever were recovering at the time of this report. No follow-up attempts are needed. No further information is expected.

Patient received the Pfizer vaccination in his left deltoid. After approximately five minutes, while sitting in our chair in the waiting area, patient complained of dizziness. He kept closing his eyes saying he was dizzy and vision was blurring. He slumped over and passed out for approximately 3-5 seconds. He came back to a little, was diaphoretic and breathing shallowly. Mom was worried and we called the paramedics. Mother said he hadn't been out of the house in about 3 years and had anxiety about the shot. Paramedics asked if he wanted to go to the hospital with them and he refused. Mother informed us he doesn't have a PCP.

18 year old male started experiencing lightheadedness, muscle stiffness, sweating profusely within 10 minutes of his first dose of Pfizer vaccine. Patient was made to lie down on the ground with ice applied to back of neck and forehead. His blood pressure reading was 77/64. Patient was coming in and out of consciousness for about 60 seconds then became alert and regained full consciousness. He also appeared to be experiencing an episode of muscle tightness (possibly a seizure) for a few seconds while he was unconscious. His mother who states that she is a nurse, was present with him as he experienced unconsciousness and prevented him from falling to the ground. She states he does not have a history of seizures or other conditions and has never had a reaction after an immunization. Paramedics arrived within 15 minutes, EKG and BP, blood glucose appeared normal. Patient was alert and able to stand unsupported prior to being taken to the hospital.

Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Additional Details: pt was advised to wait 15 minutes after the vaccine but was in ahurry. He fainted in the front of the sore @115pm. vitals signs were taken and everything was okay. we also called 911 and he was transported to the hospital with mional injuries. Deviation of his nose and nose bleeding were the prmary effecs.

Tremendous headache; Injection site pain; This is a spontaneous report from a contactable consumer, the patient. A 18-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE: Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 01Apr2021 at 12:00 (at the age of 18-year-old) as a single dose for COVID-19 immunisation. Medical history was not reported. Patient had drug allergy to amoxicillin. Concomitant medications were reported as not available. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 03Apr2021 at 12:00, the patient experienced tremendous headache and injection site pain. The patient did not receive any treatment for the reported events. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of the events of headache and vaccination site pain was recovering at the time of this report. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Throat was closing; Tongue swelled up; Heavy sweating; Fogging brain; Feeling of passing out; Lips swelled up; Weak; This is a spontaneous report from a contactable consumer, the patient. An 18-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: er8733) via an unspecified route of administration in the left arm on 01Apr2021 at 13:45 (at the age of 18-years-old), as a single dose for COVID-19 immunisation. Medical history was not reported. The patient had no allergies to medications, food, or other products. The patient did not receive any concomitant medication within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 01Apr2021 at 19:30, the patient felt that the throat was closing, lips and tongue swelled up, heavy sweating, fogging brain, feeling of passing out and weak. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measure taken as a result of the events experienced included benadryl (MANUFACTURER UNKNOWN). The clinical outcome of the events throat was closing, lips and tongue swelled up, heavy sweating, fogging brain, feeling of passing out and weak were resolving at the time of this report. No follow-up attempts are needed. No further information is expected.

Patient presented to ED with fever, vomiting. Found to have elevated troponins with myocarditis. ECHO was normal, treated with indomethacin and colchicine and will follow up with Cardiology in a couple of weeks.

Spoke to patients mother on 07/26/2021. Patient had first dose of the Pfizer vaccine administered on 07/25/2021 at around 11:30am. At approximately 8 pm patient had swelling of the throat and felt pain upon inspiration. Patient had red skin colorization/rash on upper chest and neck. Ambulance was called and patient taken to the emergency department. Patient was administered oral Benadryl and epinephrine. Patient was discharged with paper prescriptions for a steroid dose pack and an Epipen. Mother said after an hour in the hospital (after administering Benadryl and epinephrine) patient felt well and had some lingering throat pain. Per mother, hospital was not sure if the reaction was due to the COVID-19 vaccine or to some other form of exposure.

Fever; Chills; Fatigue; Body aches; Nausea / Vomiting; Nausea / Vomiting; Head ache; This is a spontaneous report received from a contactable consumer (patient) via a regulatory authority. An 18-year-old male patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, lot Number: ER8733) via an unspecified route of administration in the right arm on 30Mar2021 at 12:00 (at the age of 18-year-old) as a single dose for COVID-19 immunisation. 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 medical history was not reported. There were no concomitant medications. The patient experienced head ache on 31Mar2021 with outcome of recovered in Apr2021. On 01Apr2021,at 23:00 the patient also experienced fever, chills, fatigue, body aches, nausea / vomiting. The patient underwent lab tests and procedures which included body temperature: from 101 to 102.3 on 01Apr2021. Details were as follows: On 31Mar2021, the patient experienced headache for 24 hours, On 01Apr2021 at 23:00, noted fever (ranging from 101 to highest 102.3), chills, fatigue, body aches and nausea/vomiting. The patient did not receive any treatment for the events. The events did not result in a visit to the doctors or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of headache was recovered on 01Apr2021 (for a duration of 24 hours), The clinical outcome of fever, chills, fatigue, body aches and nausea/vomiting was recovered in Apr2021. No follow-up attempts are needed. No further information is expected.

Patient came in for his first dose of the Pfizer Covid vaccine. He received his shot in his left arm (given @ 1:20pm on 07/29/2021). He went to our waiting area for his 15 minutes of observation. As soon as he sat down he start to have a reaction (1:22pm 07/29/2021). He became unconscious. His mother was with him and alerted the vaccinator (pharmacy technician) immediately. Technician alerted the pharmacist/pharmacy manager. Pharmacist ran out to check on patient. I yelled and shook the patient. He became alert. He was no longer unconscious at this point. He began sweating, his eyes kept closing. He complained of feeling nauseated and having a headache. Pharmacist immediately called 911. Paramedics arrived (@ 1:40pm). They check his vitals. BP was 80/59. Patient then alerted the paramedics that he had to use the restroom. He has been having diarrhea for at least the past 3 days. Paramedics took him to the restroom. He then was asked to have a seat outside of the restroom where his vitals were done again. They started an IV and ran an EKG (@ 1:55pm). Paramedics brought in stretcher and were taking him to the hospital for further observation (@2:10pm).

At time of vaccination ~5 minutes after the injection of the pfizer vaccine I developed a tightness in my throat, I was still waiting in line and I did not think much of it, therefore I did not alert the medical personnel about the reaction. Approximately @15mins after the injection I left the site and developed a sense of something wrong and did not feel "right", my chest became tight, hoarseness in my throat and speach, lightheaded, and I remember taking a sip of my coffee thinking it was more difficult to swallow than usual. May I note I was in the passenger seat and not driving the vehicle. I alerted my mother of the reaction, both sceptical because of my hx of no known allergies. We both figured as long as I can breath and I was still conscious, with no signs of cyanosis I would be fine. At around 10:45 I took my BP: which was 106/62 I typically run low. I then took two 25mg Benadryl capsules which did help the throat tightness to an extent, however the tightness in the chest, lightheaded and dizziness still persisted. I was aware of the potential for Bi-phasic anaphylaxis so we had an Epi-pen on stand by just in case. I was stable for the rest of the day. At approximately 10pm I did notice a small erythematous non-pruritic rash across my chest. The symptoms of the reaction did subside within 24hrs. I remained in stable condition and recovered with time.

I had pain at the injection site and headaches for three days then since then from the seventh I had had red dots appear around my neck and left shoulder

Headache began around 8:00 pm on the day of the vaccination with worsening arm pain. The next morning around 7:00 am I had a fever of ~102 F, worsening headache, and nausea.

Stuffy and Runny Nose; Stuffy and Runny Nose; Severe Tiredness; Sore Throat that comes and goes; mild head fogginess; This is a spontaneous report from a contactable Other HCP. A 19-year-old male patient received the first dose of BNT162B2 (lot number: EJ1686), via an unspecified route of administration on 10Jan2021 11:15 at single dose in the right arm for COVID-19 immunization. Medical history included hyperhidrosis and anxiety. Concomitant medication included clonidine, gabapentin, citalopram and lorazepam. The patient previously took sulfamethoxazole/trimethoprim (BACTRIM) and experienced allergies; and had influenza vaccine inact split 4v (AFLURIA QUAD) (Lot number: P100275860) on 24Dec2020 at single dose for immunization. On 11Jan2021 06:00, the patient experienced stuffy and runny nose, severe tiredness, sore throat that comes and goes and mild head fogginess. No treatment received for all the events. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19. The patient underwent lab tests and procedures which included rRT-PCR Deep Nasal Swab - Both Nostrils: pending results on 09Jan2021 and pending results on 11Jan2021. The outcome of the events was not recovered.

A little before bed I was feeling cold (I think it was a little after 10pm). I took a warm shower thinking the house was just cold, but when I went to bed after I started shaking with chills. I didn?t sleep well that night and during the day Thursday (01/21) I felt feverish and a throbbing headache. I tried sleeping throughout the day, still having the chills come and go. I took ibuprofen before heading the bed the next night and slept great other than feeling a little hot and sweaty. I showered the next morning and felt 100% again.

Pain in vaccine shot site; Headaches; This is a spontaneous report from a contactable consumer (patient). A 19-year-old male patient, who is 19-year-old at the time of vaccination, received first dose of bnt162b2 (BNT162B2), lot number: EL9261, via an unspecified route of administration at Left arm on 28Jan2021 13:30 as SINGLE DOSE for COVID-19 immunization. Medical history included Brain trauma injury. On 28Jan2021 16:00, the patient experienced Pain in vaccine shot site and headaches. The outcome of the events was recovered. Therapeutic measures were taken as a result of the events which includes Tylenol and Motrin. No follow-up attempts are possible. No further information is expected.

5 minutes after receiving the vaccine, patient stated he felt light headache, tired and might faint. Water and glucose tablets were provided to patient. He felt better after ingesting water and glucose. Patient added he did not have any food or beverages since morning. Paramedic examined patient. Patient felt fine after 15 minutes rested and decided to leave

Patient ambulated to general observation, sat in chair and suddenly fell straight back and slammed back of head on floor. Patient was unconscious, pale. Immediately turned onto left side. within a few seconds began having generalized rigid jerking for approx 5 sec, then patient came too, sat straight up, disoriented looking around. Able to recall name. states he was here for covid vaccine. Assisted to w/c by 2 EMT's and taken to private observation area. Patient c/o nausea and head pain. Color pale. Has an almond size swollen area at posterior base of head. Initial VS - BP 90/p; HR 53; O2 91% on room air. Responding to questions, but states he feels disoriented. Bilateral pupils 3cm with right reacting sluggish. Patient states he is a student. EMT attempted to contact patient's father and LVM. Patient's step mother returned called. Informed her that patient is being transported to Hospital downtown FW for further eval. She asked him what did she need to do. Nurse informed that his vehicle will be left at the vaccine location and he will need assistance pending hospital eval. Patient then called his boss to notify him that he will not be at work tonight. Patient states that he had a reaction to his first HPV - states he fainted, but completed the series without further problems. Repeat VS at 1550 BP 90/p; HR 67, O2 98%. Color remains very pale. EMS activated. patient states he needs to lie down. Assisted to stretcher per EMT, elevated legs, cushion under head with ice packs on back of head. 1602 EMS arrived, BP 121/75; HR 69 O2 100% on room air. Transferred to stretcher 1605 Patient transported to Hospital

had 2 doses of COVID vaccine > 4 weeks prior to a PCR test and had a positive PCR test via nasopharyngeal swab on 3.4.21. Experiencing congestion/mild symptoms

Muscle soreness, achey feeling all over body, chills, migraine, and a lack of appetite paired with slight upset stomach.

Really Big Headache; This is a spontaneous report from a contactable other health professional. A 19-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (batch/lot is unknown: Not available/provided to reporter at the time of report completion) via an unspecified route of administration on 16Feb2021 at single dose for COVID-19 immunization. Medical history included Covid-19. Prior to vaccination, the patient was diagnosed with COVID-19. No known allergies to medications, food, or other products. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously received the first dose of BNT162B2 on an unspecified date for COVID-19 immunization. The patient experienced really big headache on 17Feb2021. Event did not result in Emergency Room Visit or Physician Office Visit. No treatment received for the adverse event. The event was considered non-serious per reporter. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Bad headache reported when he woke up that Sunday morning. Gave him 2 200mg ibuprofen tablets. An hour or so later he reported his headache was gone.

Day two following inoculation, slight full feeling in left ear. Went away sometime during the day. Day three following inoculation, vertigo like symptoms appeared, 1-10 seconds in duration. Continued in various numbers of episodes per day for approximately 14 days. Treated with Meclizine 25mg tablet 1x on Thursday March 11 around 1pm, which caused fatigue. On Friday March 12, pcp was notified, advised to take Benadryl 1/2 dose, only took one dose due to fatigue. Neither medication had a noticeable affect.

At 2-8-21 at approximately 1:00pm I recieved my 2nd shot. At 5:00am on 2-9-21, I woke up experiencing an extreme headache, nausea, body aches, and severe chest pain. I checked my heartrate with a PulseOximeter and found it to be elevated at 105-115. I called out of work and rested in bed for the day. On 2-10-21 most of my symptoms had subsided however the chest pain persisted through 2-11-21. On 2-11-21 at 2:00pm, I visited the Urgent Care. While there, the provider ran an ECG, Chest X-Ray, and bloodwork. Test results showed Troponin levels in my blood had reached critical levels of 7.72ng/ml. I was immediately transported to the ER at the Hospital, where upon arrival they did an EKG and bloodwork. I was then admitted and seen by a cardiologist, who ordered an CT Angiogram, more bloodwork, and an Echocardiogram. After I was admitted, my mother contact the nurses station to check on me and asked what was wrong. She was then told the hospital was treating me for an NSTEMI and Myocarditis. This resulted in a 3 day hospital stay where the results of the tests showed there was nothing wrong with my heart other than the increased Troponin levels. It should be noted that I have had ZERO previous cardiac issues, or any other significant health issues. I was discharged from the hospital with lower but still elevated Troponin levels, and told to follow up with my primary care doctor. I had no health issues and felt fine until I had my second dose of the Covid-19 vaccine. I have copies of my hospital records detailing all of this.

Pt reports generalized body aches, fatigue, fever 3/26, one day after receiving vaccine. Evaluated at ED 3/28, received Ketorolac and was discharged. While in parking lot, patient experienced blurring of vision, lightheadedness, nausea, SOB, and left-sided chest pain with return for re-evaluation. Pt treated for possible allergic reaction and concurrent EKG and blood work showed elevated troponin and transient ST elevation. Cardiology consulted and evaluated patient to have severe acute onset systolic heart failure, cardiogenic shock with pulmonary edema, Idiopathic fulminant myocarditis with myonecrosis, and hypoxic respiratory failure. Placed on furosemide, supplemental oxygen, and pending MRI.

Starting at 10:18am my ears started popping every time i swallowed as if I was changing altitude and it feels like there is a lot of pressure buildup in the front of my head.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Additional Details: Immunization verified under (name), (name) administered, patient fainted during the 15 minute monitoring session. Patient was over-heated, fainited, responded immediately, had to prop patient up, continued to talk verbally to keep patient engaged. gave a cold water to rest behind neck, patient was sweaty, dizzy, propped a fan to cool patient, helped immediately, color returned to patient face. spoke with patient and mother of patient. counseled pt to be picked up. wfu with pt tomorrow.

Within 5 minutes of administration patient started to feel very light headed, then started to have sweats, said he started to fell odd all over, patient remained fully conscious, ems was called and patient left with them

5 minutes after vaccine, experienced SOB, sweating, trouble seeing/hearing, and anxiety. Since he has other allergies and has had an anaphylactic reaction in the past, he asked for the epipen which was administered. EMTS were called and he was brought to hospital as a precaution.

4/4 headache, chills, temp 102.8, sore arm, hard swollen lymph node in right axilla. Symptoms persisted into 4/5 with addition of nausea. 4/6 tightness in chest, short of breath. Went to ER and was found to have elevated troponin level peaking at 9.6. Transferred to hospital, direct admit to CCU for suspected non STEMI. Hospital stay through 4/9 and diagnosed with myocarditis.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Visual Changes/Disturbances-Medium

patient complained of dizziness on vaccine floor. patient brought to observation area. upon arrival patient reports dizziness, sweating, "hard to hear", and shakiness. Vitals taken HR-71, RR-18, BP- 100/63, Pulse ox- 98%. Patient drank water bottle and apple juice cup. Vitals taken Q5min while under observation. 1455- HR-89, RR-18, BP- 117/75, Pulse ox- 100%, 1500-HR-72, RR-18, BP- 128/78, Pulse ox- 100%, 1505-HR-72, RR-18, BP- 123/77, Pulse ox- 99%, 1510 (while sitting upright)- HR-65, RR-18, BP- 116/72, Pulse ox- 99%, 1515 (while standing)- HR-79, RR-18, BP- 138/80, Pulse ox-100%. Patient reports feeling better and would like to leave.

PATIENT HAD VACCINE ON 04/09. ON 04/10 DEVELOPED A FEVER, COUGH AND SHORTNESS OF BREATH THAT GOT WORSE DURING THE DAY ALONG WITH SHARP SUBSTERNAL AND PRESSURE LIKE CHEST PAIN. ARRIVED TO ER ON 04/11@1851.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient started to feel dizziness after 15 minutes of the waiting period. He was told to lay down and lift his feet up. He mentioned that it was BP after 15 mins was 135/73. Water and orange juice were given. Patient laid on the floor with legs up for 15 mins. After that the BP down to 117/73. He was able to walk okay and he said he felt okay 100% before he left.

Per patient he received his second Covid vaccine 3 days prior to arrival and immediately following developed myalgias, subjective fevers and " viral symptoms" which she managed with ibuprofen 2 tabs q6h some improvement. On the day prior to arrival he developed increasing shortness of breath particularly with talking and with ambulation. He also describes chest tightness with deep inspiration, the tightness radiates to back, no radiation to left arm or jaw. Chest tightness is non-positional, but does feel worse immediately after he lies down from ambulation and then slowly dissipates. His last subjective fever was yesterday evening. He has never had a reaction to the vaccine before. He has no allergies. No prior medical conditions he is aware of, and takes no medications. He did not experience any of the symptoms following the first vaccine. He has h/o asymptomatic COVID infection in November 2020. Cardiology consulted for concern of pericarditis post COVID-19 vaccine. He does not have significant ST elevation or PR depression. He also does not have evidence of significant pericardial effusion at this point. The high sensitivity troponins are mildly elevated. He does have viral syndrome. Is unclear if Covid vaccination was causally related to his symptoms. We would like to improve his medications for better chest pain control and to prevent recurrent pericarditis in the future.

Fatigue for 7 days. Fever 1 day. Chills 2 days. Body aches 5 days. Headache 5 days. Blurriness in eyes 1 day. Vomiting 1 day. Bloody nose 2 days. Dehydration 4 days.

IMMEDIATELY FOLLOWING VACCINE DEVELOPED A HEADACHE, WITHIN 45 MINUTES DEVELOPED SKIN FLUSHING, SHORTNESS OF BREATH, FEELING OF THROAT CLOSING, AND DIZZINES.

19 year old male given 2nd dose of vaccine then suddenly became dizzy, lightheaded, diaphoretic and momentary loss of consciousness while seated in sun at vaccine clinic. His nearby family held him and he did not fall then regained consciousness and was lowered to ground with legs elevated by medical staff. Patient was assessed with normal vital signs. 911 was called and patient was reassessed. He was not transported to the hospital. Family was encouraged to monitor symptoms and call 911 if he worsens for further evaluation.

Around 9:00 am EST on Saturday, April 17 - vomiting, fever, chills, fatigue, loss of appetite. Lasted all day. Took a nap around 11:00 am for about an hour. Took another nap around 4:00 pm. Took another nap around 10:00 pm; had chills and fever. When he woke up, blanket drenched in sweat. He went to bed - still not eating anything. Slept until next day (Sunday, April 18) until about 10:00 am EST. Feels fine now.

He presented with a sharp pain on the right side of his throat about 5-10 minutes after getting his 2nd dose of the Pfizer vaccine. He reported he had swelling of his throat when he eats shellfish and he does have an Epi Pen at home but he doesn't carry one with him. He said Benadryl usually also helped. I told him we had Benadryl if he wanted to take a dose and he did want to receive it before leaving. I confirmed with the patient that Benadryl did not make him drowsy and that after taking 25 mg, he said he would be fine to drive and doesn't get drowsy with that medication. I did administer 25 mg of liquid diphenhydramine. His throat was feeling better before giving the dose and he also mentioned that it might have been him just getting worked up over getting the vaccine.

Patient had HA and fatigue after vaccine, but also had significant bilateral arm pain. On the am of 4/15 the right arm had resolved but he continued to have significant left arm pain and was seen in clinic. Was treated with ibuprofen. Sx resolved later in the day.

Pt was found unresponsive on floor, pale, diaphoretic with BLEs elevated on chair. Pt became responsive in under 10 seconds. No head injury. VS laying down as follows: BP 111/66, HR 99, sats 99% on RA. Pt given water, snacks, cold compress applied to forehead. After 10 mins, pt was assisted to seated position on floor, VS as follows: BP 139/81, HR 85, sats 99% on RA. Pt recovered within 20 mins, ambulated out of clinic in NAD and was escorted to car by staff, driven home by friend.

POST VACCINE, PATIENT HAD NEAR SYNCOPAL EPISODE, S/S WERE DIZZINESS, DIAPHORESIS, LIGHTHEADEDNESS. BROUGHT BACK TO OBS VIA WC. ASSISTED TO STRETCHER TO LAY DOWN. REPORTED S/S RESOLVED AFTER A FEW MINUTES. VSS. ESCORTED TO EXIT WITH NO ISSUES AT 1537. 1526 LYING BP 127/70 HR 60 RR 16 SATS 99% RA 1533 SITTING BP 136/76 HR 58 RR 16 SATS 100% RA 1535 STANDING BP 125/75 HR 68 RR 18 SATS 99% RA

Pain in chest. Dizzy. Not hungry. Runny nose. I slept for like 10 hours. Day after getting the second dose I woke up at 9pm.

Headache, sweaty and dizzy. In observation with medics for 30 minutes. BP 105/72 . Went home on his own.

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Vomiting-Mild, Additional Details: numbess and tingling of the right arm

SEVERAL MINUTES AFTER GETTING THE VACCINE THE PATIENT FAINTED AND SEEMED TO BE HAVING A SEIZURE. THIS HAPPENED 4 TIMES AND EACH EPISODE LASTED ABOUT 10 SECONDS. AMBULANCE CAME RIGHT AWAY. PT HAD SEVERLY LOW BLOOD PRESSURE, SWEATING, NAUSEA. MOM CAME AND PICKED UP PATIENT, HE REFUSED TO GO TO HOSPITAL.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Medium, Additional Details: Patient was sitting and suddenly things went black for a second. Patient thinks they passed out for a few seconds. Patient's first blood pressure reading was 90/64. Patient was shaking and sweating. After resting patient was feeling well and blood pressure returned to 122/72. Patient felt well after resting.

Patient had first dose of Pfizer vaccine for COVID 19. He had the COVID-19 infection 2 months prior. He was found to have fevers, chills, myalgias 12 hours following vaccine and then 24hrs after vaccine administration, developed chest pain and found to have a troponin elevation to 31 and EKG consistent with pericarditis. Found to have mildly reduced EF with mild global hypokinesis, suggesting viral myocarditis.

10 minutes post shot patient was feeling light headed. Pharmacist went out to check on them and his eyes rolled back in his head and he started having a seizure that lasted for just under 1 minutes. regained consciousness, started sweating . no history of seizure. Ambulance called and came within 5 minutes

Some chills, runny nose, sweating a lot during sleep, trouble sleeping. Started night of vaccine, hasn?t stopped 2 days later

Sharp chest and back pain that gets worse with any movement and hurts to breathe. Hot flashes, nausea, fatigue, joint soreness, shortness of breath. All these symptoms started 2 days ago and have not subsided.

Heavy pressure in chest area, causing difficulty breathing. Also caused headaches that caused blurry vision, and muscle tightness in shoulders and back on side of injection.

Patient reports feeling light headed and diaphoretic. also reported muffled, heavy and blurry vision.. patient had seat laid flat. patient brought water and encouraged to stay hydrated .patient stated he has anxiety. Patient felt better after five minutes. Instructed to finish the rest of his 15 minutes and to let us know if symptoms return or become worse.

Fever; chills; body aches; nausea; This is a spontaneous report from a contactable consumer (patient's parent). A 19-year old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EP6955) via unspecified route of administration in arm left on 10Apr2021 10:45 AM at age of 19-year old at single dose for COVID-19 immunization. Medical history included autism spectrum disorder-Asperger's, no allergies to medications, food, or other products. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. There were no other medications the patient received within 2 weeks of vaccination. Patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EP6955) on 20Mar2021 11:00 AM in left arm for Covid-19 immunization. Patient experienced adverse event: fever, chills, body aches, nausea on 10Apr2021 10:30 PM. Patient did not received treatment for the adverse event. Patients mother became aware of these symptoms the morning after patient received the vaccine on April 11th. Since the vaccination, the patient had not been tested for COVID-19. Patient was recovered from events. No follow-up attempts are needed. No further information is expected.

Nausea, dizziness, light-headed, muscle ache, ear ache, stomach ache, exhaustion, fever, chills, sensitivity to light, headache, restlessness

Chills; aches in bones and muscles; aches in bones and muscles; fatigue; This is a spontaneous report from a contactable consumer (parent) reported for his/her son. A 19-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 09Apr2021 at 09:00 AM (Lot number: EP6955) on the right arm as single dose for covid-19 immunization. Medical history included depressed left ventricular function due to COVID-19. Prior to vaccination, the patient had diagnosed with COVID-19. Concomitant medications included fexofenadine hydrochloride (ALLEGRA); metoprolol tartrate; probiotic; ascorbic acid, ergocalciferol, folic acid, nicotinamide, panthenol, retinol, riboflavin, thiamine hydrochloride (MULTIVITAMINS); that patient received within 2 weeks of vaccination. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 19Mar2021 at 09:00 AM (lot number: EP6955) on the right arm as single dose for covid-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Since the vaccination, the patient had not been tested for COVID-19. The patient experienced chills, aches in bones and muscles, fatigue; that the symptoms started late evening 09Apr2021 at 23:00. Treatment of Tylenol received for the adverse event. The outcome of the events was recovered on 11Apr2021. No follow-up attempts are needed. No further information is expected.

I got my shot at around 2:50PM on 04/29/2021. I started experiencing symptoms at around 12 hours (3am)after the shot. Basically chills, fever, headache, and just overall body cramps. Overall just felt super dizzy and could barely walk due to the dizziness and fatigue. About an hour later, I had trouble breathing and started hyperventilating. My body started cramping up all over to the point where I couldn?t move any part of my body and my entire body was tingly and it felt like I was having a heart attack but I believe it might have been a panic attack. I have not had many symptoms to vaccines in the past. Only meningitis B

I felt fatigued the morning after until about 2 PM. My arm was also sore but that is standard with any shot.

Patient felt febrile with flu-like symptoms on 4/29/21. Woke up on 4/30/21 with chest pain. Went to the emergency department. They evaluated him and transferred him by ambulance to Medical Center where he stayed for three days for tests and evaluation. Patient was ultimately diagnosed with acute perimyocarditis.

Injection arm was really sore until around 4-5PM - a lot worse than the first vaccine I received and I had a 4/10 headache the whole day. Other symptoms started about 12 hours later which included: Whole body was sore and weak Sluggish/exhausted About 13-14 hours after injection: Sudden chills Treatments: I took two ibuprofen and took a warm shower and I was completely fine afterwards.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Medium, Additional Details: Patient was sweating and light headed post vaccine, during observation period. Was given water and candy. Patient stated they had not eaten today. Observation period was extended 10 min and then patient was released after confirming "they felt fine" and was instructed to eat full meal ASAP. (Low blood glucose assumed)

panic attack after receiving vaccine - diaphoresis, anxiety. He lied down, drank water and recovered in 30 minutes. He declined referral for medical/counseling services. Was given resources for counseling and will self-refer.

Shortly after vaccination pt began experiencing blurred vision, loopiness, sweating, heavy breathing. BP: 128/60, P: 73, 98% room air.

The patient was crying at time of shot administration, came out to waiting area, after about 10-15 minutes, we were asked to come help by his mom. He had passed out, we checked his pulse it was present., patient was very tense with head laid back. after about 30 seconds patient woke up and was agitated and was jerking his arms about . mom tried to calm him down. He was very pale , was sweating, and said he felt he had to throw up. We called 911 and has management staff come to area. He stated his arm was numb that he received shot in and was very emotional. We moved him to a more private area and got him a cold cloth and waited for ambulance to arrive. He refused to go in ambulance and mom was gonna take him to er in her vehicle.

Immediately I heard some sort of fluid flowing, figured that was what ever. Within minutes I had a metallic taste, which I figured was no big deal where I was then released. Within minutes after I had some malaise all throughout the rest of the day which lead to eventually feeling extremely tired and worn out. Today I'm feeling very ill and sore still, with some abdominal pain on my left side and I'm tasting a lot of blood which started up around 10 am.

Congestion, ear-ache due to sinus, headache, fever, sore throat, cough, all symptoms continuing for at least 24 hours after first appeared

I first experienced a headache ~20 minutes after vaccination (11:15 AM). It faded, and I felt generally unwell and tired throughout the afternoon. Around 10:30 PM, I experienced serious chills and generally felt like I had a fever. These symptoms worsened into the night, as did the fever (measured at 102 degrees F, possibly higher at the peak). I also experienced a headache, mild nausea, joint (knee) pain, although some symptoms may have been due to dehydration. Despite being very tired, I was unable to really fall asleep. At around 6 AM the fever finally dropped substantially, and as of 8:30 AM is currently only 99.4 degrees. I am still experiencing a bit of a headache as well, but the other symptoms are gone.

WITHIN 5 MINUTES OF RECEIVNG FIRST DOSE OF COVID19 PFIZER VACCINE, PATIENT RETURNED TO PHARMACY STATING HE WAS FEELING DIZZY, AND COLLAPSED INTO COUNTER. MANAGER WAS ABLE TO HELP HIM TO A CHAIR SO HE DID NOT FALL, PATIENT CAUGHT HIMSELF WITH THE SHIELD/COUNTER. CALLED 911 AND EMS ARRIVED WITHIN A FEW MINUTES. ASKED PATIENT TO DESCRIBE SYMPTOMS, PATIENT RELAYED FEELING DIZZY, TROUBLE SEEING, VERY WARM, SWEATY. PATIENTS VITALS WERE CHECKED BY EMS, PARENTS AND PATIENT CHOSE NOT TO TRANSPORT AFTER ABOUT 30 MINUTES PATIENT WAS CLEAR OF ALL SYMPTOMS.

5-1-21 Woke up with hives covering 35% of body; took Benedryl throughout day; 5-2-21 Woke up with hives covering 85% of body; Received steroid injection, started steroid dose pack, 2 additional antihistamines. Took 4-5 days for hives to completely go away. Then on 5-10-21 and 5-11-21 Body aches, headache, and 102.3 fever. Unable to get much relief with ibuprofin and acetominaphen.

Before giving his shot he denied any previous side effects from last vaccine and stated he did fine. He also voiced no complaints today. Pfizer vaccine Lot: EWO153 Exp: 07/21 administered at 1535. At approximately 1545 he got up from his chair and asked where the restroom was. When he turned to go to the restroom he fell to the floor without bracing his fall. His head hit the floor and then ?bounced? and hit again. He appeared to be unconscious for about 30 seconds but was A&O to date, place, name when he woke up. He did say that he thought he lost consciousness at some point because he ?woke up with everyone standing over him?. When he fell he was diaphoretic and pale- I asked him if he was a diabetic and he states yes. He said he ate before coming and took ?8 units of insulin?. He also said his BG was 121 prior to eating- finger stick done at 1549- and was 88; which he states ?is not low for me?. Doctor out to assess him and advised he needed to be evaluated by ER. The ambulance was called for him and his mother was notified. While waiting for EMS he had trouble keeping his eyes open and his eyelids were fluttering, c/o his head hurting and being tired, he continuously yawned and rolled his tongue asking for water. 1559 EMS arrived and took over care of patient at this time. VS post fall: 1548: 89/51; HR 52; 98% 1549: BG- 88 1551: 89/52; HR 50; 98% 1554: 83/47; HR 49; 98% 1557: ( Legs being elevated at this time) 108/64; HR 59; 98%

lump under his armpit on same arm that he got the shot in; lump under his armpit on same arm that he got the shot in; swollen lymph nodes (lymphadenopathy); Chills; Fever; This is a spontaneous report from a contactable consumer or other non hcp. A 19-years-old male patient received second dose bnt162b2 (BNT162B2, Formulation: solution for injection, Batch/Lot Number: EW0157), via an unspecified route of administration, on 21Apr2021 at 10:30, administered in Arm Right as single dose for covid-19 immunisation. Patient's first dose of bnt163b2 (BNT162B2, Batch/lot number: ER8733) was administered on 31Mar2021 at 10:30 in left arm. The patient's concomitant medications were not reported. On 21Apr2021 the patient experienced fever (08:00), chills (thinks around 21:00 or 22:00). She says on 21Apr2021, the same day as his second dose, he took ibuprofen. The dose was 300mg or 400mg and he took a total of 3 doses. She does not know the NDC number, lot number, or expiration date of the ibuprofen he took. On 23Apr2021 lump under his armpit on same arm that he got the shot in. On 23Apr2021 swollen lymph nodes. Prior Vaccinations within 4 weeks were none. The patient was not sick at the time of either vaccination. There was no family history. The outcome for events fever and chills were recovered on 22Apr2021 but for event lump under his armpit on same arm that he got the shot in was unknown. No follow-up attempts are needed. No further information is expected.

lump under his armpit; Fever; Chills; This is a spontaneous report from a contactable consumer or other non hcp. A 19-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection,Batch/Lot Number: EW0157), dose 2 via an unspecified route of administration, administered in Arm Right on 21Apr2021 10:30 as single dose for covid-19 immunisation; ibuprofen (IBUPROFEN), via an unspecified route of administration from an unspecified date (Batch/Lot number was not reported) to an unspecified date, at for an unspecified indication.History: She says he took ibuprofen and that they all started to have fever and chills.He took ibuprofen. She things the dose was 300mg or 400mg and he took a total of 3 doses .Prior Vaccinations within 4 weeks (List any other vaccinations within four weeks prior to the first administration date of the suspect vaccine(s)): no. The patient medical history, concomitant medications were not reported. On 21Apr2021 The patient experienced fever, chills, and on 23APr2021 lump under his armpit. The outcome of events was recovered ,On 23Apr2021 and lump under his armpit (axillary mass) was not recovered. Follow-up (23Apr2021): No follow-up attempts are needed. No further information is expected.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: Patient blacked out twice approximately 5 minutes following vaccine

Temporary loss of consciousness for a couple of seconds. Loss of vision, trouble breathing, perspiration, and confusion lasting ~15 minutes.

Felt like I had the flu, back pain, headache for over 12 hours Tylenol did cure. Muscle soreness all over as well.

Fever about 10 hours after vaccination, hot flashes, chills, headache, muscle pain mostly in arm. This continued through the next evening as well

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Seizure-Severe, Additional Details: Difficulty seeing clearly. Difficulty hearing.

1st shot was given April 1st . On April 6-8th he began with low grade fever, chills, body ache. April 14th began to complain about chest pain went to hospital in and was told he had environmental pneumonia on right lung, was given antibiotics. April 17 went to the emergency room as fever and chill were high and had difficulty breathing. Was admitted and transfer to Hospital. Was given antibiotics Zithromax, iv fluids. Discharge on the 21st. Later that night we notice bumps that hurt on in front of his legs. Went to the doctor they indicated he had erythema nodosum was prescribed prednisone 2 a day for 5 days. At the end of treatment bumps had almost gone away. Took an x-ray that showed he had hilar lymphadenopathy and will go see a pulmonary specialist in June. Was told ok to take 2nd does of pfizer . 2nd does was taken 4/28th . On May 1st bump re appeared however only on ankle and heel. Went to the doctor and was put on another prednisone only 5 days once a day. Medicine did not help. On May 15 began with new symptoms and began to complain about wrist and ankle pain, heel pain. Not able to walk or stand correctly went to go see the doctor 5/19 and order a tb test and other blood work. Suggested to report to the cdc since symptoms appear after getting vaccine. PT is not feeling good, indicates his body feel different since the vaccine. weak , tiered, sweats from not doing anything. Waiting for results.

Systemic: Dizziness/Lightheadedness-Mild, Systemic: Fainting/Unresponsive-Mild, Additional Details: Patient passed out briefly during the 15-minute waiting period, after receiving the Pfizer COVID vaccine. We put patient on the floor; elevated his knees and feet; and called EMS. EMS arrived in just a few minutes. They monitored his blood pressure. EMS determined he was dehydrated and suffered an anxiety attack. Patient's mom was present and stated patient has a history of fainting due to anxiety. Patient stated he was fine. He walked out of the pharmacy on his own smiling with thumbs-up.

Patient is a 19 y.o. male with a variety of minor past medical problems but without any significant PMH who presents with 24h of acute onset chest pains. He reports yesterday morning he was woken from sleep at 3-4 am with severe substernal chest pains that radiated to his arm and neck. This was worsened by laying flat and better if he waked around/pacing. He took ibuprofen and it got better so he went back to sleep. The pain returned about 6 hours later and was getting more severe so he went to see his doctor. There an EKG was abnormal so he was referred to the ED where a work up showed ST elevations c/w pericarditis and an elevated trop I of 24. The night prior, he reported a low grade temperature. He has not had any more fevers for the past 12-18 hours. He denies any other symptoms such as palpitations, shortness of breath, cough syncope. He denies sick contacts but did have a sore throat 4-5 days ago without any other associated symptoms. He has had recent negative COVID tests while at college. Of note he did receive the 2nd dose of Pfizer on 5/15 about 24-36 hours before onset of symptoms. Of note, he does boxing at school and has been participating in work outs until about a week ago. ED course: EKG w/ diffuse ST segment elevation in V3-V6, I, II, II, AVF. Troponin I 24. Creatnine 1.2 with baseline of 0.5 but BUN WNL (11). CBC WNL, CRP mildly elevated to 3.1, Transferred to another ED. Second ED Course: BP 120/64 | Pulse 83 | Temp 36.7 °C (98.1 °F) (Temporal) | Resp 18 | Wt 76.3 kg | SpO2 97% exam non-focal, COVID ab notable for +spike neg nuclear capsid consistent with vax but no infection, D-Dimer, procal, ESR, ferritin, Coags all WNL, Trop T elevated to 1.46,, ECG with consistent diffuse ST seg elevations, seen by ped cards who did echo in ED and notable for EF ~50%, admitted to PCICU for further management and treatment Admitted to the PCICU in stable condition. Placed on telemetry monitoring for the duration of the admission. Started on IV steroids and given IVIG on hospital day 1. Continued on toradol which was switched to motrin on hospital day 2. Cardiac MRI did not show signs of fibrosis. Troponin downtrended throughout his stay. At the time of DC echo showed normal function, ekg showed T wave inverions, and troponin was down trending to 0.57. Pt to be restricted from physical activity until cleared by cardiology. Infectious workup also sent, most of which was pending at time of discharge.

C/O dizziness and headache Vital Signs: BP 119/79 HR 66 Resp 15 O2Sat 98% Skin Signs: Warm and dry Circulation: Cap refill <2sec Initial Treatment: Patient sitting on floor and continues to C/O dizziness. No increase in S/S Notes: Parents instructed to follow up with PCP and to seek medical care if symptoms increase. Parents verbalized understanding. Home with parents.

Patient started having blurred vision immediately after sitting down for the 15 minute wait. Afterwards he began experiencing muffled hearing, lightheadedness, tingling fingers, and was observed being pale and sweaty. Patient was instructed to lie down and place feet upon a chair and vitals were taken (BP: 110/61, Pulse: 75). Patient reported he had no food/water for some time and was immediately given something to eat and drink. Symptoms resolved within 5-10 minutes.

Reports "difficulty of breathing", chest tightness 1-2 hours post vaccination on 4/27/2021. Had fever, chills, headaches, rhinorrhea, and watery eyes. Resolved with allegra and Dayquil. Pt came for dose #2 on 5/18. Held dose #2. Need pcp clearance. Question of Allergic reaction vs. covid infection.

On May 14, patient developed fatigue and weakness. He took 2 tablets of acetaminophen 500mg and after a couple of hours he felt better. Three days later on May 17, at 5 am patient developed chest pain. He visited a local health clinic patient presented high troponin levels 2533.4. At 6:58 pm he was transferred to the Emergency Department. Patient was admitted to the Pediatric Intensive Care Unit (PICU) at 8:00pm. The date of the event patient received Motrin 400mg, Toradol 30mg, Aspirin 81mg, Brilinta 180mg and Tridil 250mg/50ml (at 3 ml/hr). An acute myocardial event was rule out with a negative result of the catheterization procedure. Patient was diagnosed with myopericarditis. He still hospitalized, his troponins levels are decreasing and chest pain has been resolved.

19 years old male, indicated no to all questions on vaccination, fainted after few minutes of getting the vaccine, was disoriented for a minute after falling down on his face, was sweating and looked pale , management called paramedics, was evaluated ok after checking all vitals

Desquamating rash of hands, feet, groin/legs after covid vaccine. Patient received his first COVID-19 vaccine dose on 5/2/2021. Patient initially had sore throat that started 5/4/2021 followed by rash 5/6/2021. He had TAV with on 5/8/2021 and reported headache, sore throat, swollen glands, tactile temps, chills, nausea, vomiting, loss of appetite. Prescribed amoxicillin for 10 days. TAV on 5/13/2021 complaining of diffuse itchy rash all over body, started on face, but now everywhere including groin. Video appointment on 5/17/2021; sore throat better after antibiotics, rash continues to itch. Advised to stop antibiotics and pending in person clinic visit. Seen in clinic on 5/18/2021; antihistamine and hydrocortisone ointment has not helped the rash. Rash by this time less erythematous than when started and skin starting to dry/peel. Rash on bilateral palms, axilla/neck, groin. Telederm appointment probable atypical viral exanthem and recommended moisturizers, low potency topical steroids. Came to the ER on 5/20/2021 for continued skin peeling. Discussed with dermatology and prescribed prednisone 40mg daily for 7 days. Returned to the ER on 5/21/2021 for continued progression of the rash, started on clobetasol ointment, a higher dose steroid than what he was previously on. Presented 5/23/2021 of burning, itching, flaking off of rash and uncontrolled pain. States it hurts to sit due to the rash behind his thighs and buttocks.

My son is rarely sick. He came home from college, just after a few weeks from receiving the vaccine with a terrible cough and an unusual nosebleed. Every time he blows his nose, it is bloody. Never in 19 years have I observed this. My son is a college athlete and is extremely strong and healthy. These symptoms do not seem to be going away. The bloody nose is the most unusual effect and we are concerned this is an inflammatory side effect.

Typical side effect symptoms experienced and cleared within 24 hours. Same symptoms returned (chills, low fever, heavy sweating, tense breathing) approx. 60 hours later along with severe aching chest pain. All symptoms resolved by next morning besides chest pain, which was severe enough to warrant emergency room admission about 72 hours after vaccination. Admitted to hospital overnight with an episode of palpitations around 6pm on the first night, being given motrin and colchicine throughout stay. Pain somewhat resolved and was discharged aprox. 100 hours after vaccination. Continued use of ibuprofen and colchicine in weeks following as pain slowly resolves.

I have below symptoms starting from 05/18/2021 Fever Nausea Shortness of breath Coughing Pain in body

Patient was admitted approximately 24-36 hours after vaccination with chest pain, fever. Had elevated troponin, decreased ejection fraction. He was treated with corticosteroids and high dose aspirin in addition to colchicine. He did require oxygen.

cold chills; sweating; joint pain; dehydration; headache; vomiting; tight chest; light sensitivity; shaking; muscle pain; This is a spontaneous report from a non-contactable consumer. A 19-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE)(Batch/ Lot Number: Unknown), 2nd dose, via an unspecified route of administration in the left arm on 15Mar2021 at 10:00 AM for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient's past drug history included BNT162B2 (Lot/batch no: Unknown), 1st dose, via an unspecified route of administration on an unknown date for COVID-19 immunization. The patient did not have any allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with Covid-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to vaccination. On an unknown date in Mar2021, the patient experienced shaking, sweating, cold chills, vomiting, headache, muscle pain, joint pain, dehydration, tight chest and light sensitivity. The patient did not received any therapeutic measures for the adverse events. The clinical outcome of the events shaking, sweating, cold chills, vomiting, headache, muscle pain, joint pain, dehydration, tight chest and light sensitivity were recovering at the time of reporting. No follow up attempts are possible, information about batch number cannot be obtained. No further information is expected.

Fever, chills, body aches, fatigue. I felt like my mind was out of it like I was extremely tired. Took Tylenol and ibuprofen alternating throughout the day. Did not feel better until around 10pm the following day after vaccine.

Patient developed chest pain, shortness of breath and fatigue. Chest pain was worse with laying down. Went to Urgent Care and EKG revealed abnormal changes and was sent to ER for evaluation. Found to have minimally elevated troponin, WBC, Sed Rate, CRP and D-dimer. CXR and CT scan were normal with only small L axillary lymph node identified. Diagnosed with pericarditis and discharged home with Ketorolac for 5 days. Symptoms resolved.

Started with small headaches, then I got a fever, chills, muscle aches, and severe headache. Over the counter medication made most of it go away, but I still had a light headache.