Pfizer

Pt complaints of stomach ache, no dizzines or SOB. No pain on palpation of abd. Stomach pain resolved quickly w/laying down & relaxing.

Patient Vomitted and Fainted for couple secs. No signs of distress or SOB observed. Patient stated "that she is ok". Patient discharged home.

PT REPORTS FEELING LIGHTHEADED,DIZZY,NAUSEA AND SWEATY. NOTED TO BE DIAPHOREETIC AND PALE. DENIES SOB, DYSPNEA OR ITCHING. PATIENT IS ON THYROID MEDICATION AND TOOK A DOSE IN THE MORNING VS; O2 SAT 97% HR 83 PT ENCOURAGED TO LAY FLAT W FEET RAISE. ENCOURAGED TO DRINK WATER AND EAT BEFOR COMING TO THE NEXT APPT. PT HAD NOT EATING BEFORE COMING THIS MORNING. PATIENT FELT BETTER AFTER A CULE OF MINUTE. PT INSTRUCTED TO NOTIFY OBSERVATION TEAM IF SYMPTOMS WORSEN

Approx 6-7 min after receiving vaccine in left arm. Patient's mother expressed concern about her daughters reaction. She complained of headache, stomachache, weakness in her legs and her eyes rolled back in her head and her head dropped.

About two minutes after she received her shot she told us she was seeing black spots. Then she told me she couldn?t see and she passed out. She started to regain consciousness and a little bit of blurred vision and then she began dry heaving. She was clammy and sweaty at that point but continued to improve after she drank some water.

On the morning of May 17, approx 40 hours after vaccine dose 1, patient developed stomach pain, nausea and vomiting.

approximately 30 seconds after patient received this vaccine she fainted and fell to the floor. She regained consciousness but then began to vomit. Symptoms were short lived and 9 hours later she seems to be fine.

An incomplete Vaers report was previously submitted for this patient. Please reference Report. Please disregard previous report. Adverse Event At 10:10am, patient was sitting with her mother when she started to convulse while sitting upright in a chair and vomited as well. This episode lasted for about 15seconds. Past medical Hx Patient reported one syncope episode after receiving a shot in the past, blood was drawn. No Hx of seizure disorder Treatment Patient was given crackers, juice, water EMS called at 10:31am for patient to have further evaluation. Patient was in stable condition prior to transport to ER A translator used, parent consent was provided.

Patient reported history of syncope episode with another vaccine in the past. Patient has history of seizure disorder. At 10:10am, patient was sitting with her mother when she started to convulse sitting up right in a chair. She also vomited while convulsing for about 15seconds. Full consciousness regained.

headache, lightheadedness, fatigue, and a fever of 100.4 - site of vaccine has a slight redness/tenderness (mom reports mild - consistent with vaccine localized reaction). Sxs have persistent through from 5/16/2021 to 5/18/2021, temperature has slightly improved at 99 with Motrin, but headache/fatigue persisting, and then patient woke 5/18/2021and vomited x 1. day 3 with slightly elevated temp, persisting headache, fatigue, and new onset sx of vomiting today. Motrin for fever, fluids, rest, and monitoring at home.

Patient got anxious then dizze and nauseated 1 min post vaccination Provided water and crackers Discharged to home

Pt c/o weakness, HA, dizziness, and Nausea. BP 121/76, HR 112, RR 22 -- > HR 98 -- > 108/62, 90. Patient stable and released from vaccination site.

Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Additional Details: Patient fainted and immediately regained consciousness. Father broke her fall but she may have hit her head on a shelf so we called paramedics to check her out. She declined to go to the hospital and paramedics cleared her to go home. She was instructed to go to hospital if any signs of severe reaction or concussion.

Fatigue, chills and arm pain -18-48 hours Headache and nauseous 18 hours after and still present after 5 days

child became unresponsive, clenched teeth, unable to stand alone, vomited, eyes dilated, unable to speak, headache, called 911 was transported to the hospital emergency room

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Mild, Systemic: Vomiting-Mild, Additional Details: Patient passed out within 30 seconds of receiving the Pfizer COVID vaccine. She was out for about 15-20 seconds, during which time she had a couple spasms. After that, she woke up, was aware that she had passed out, then threw up once. She waited with her mom for 30 minutes after that, but felt fine during that period.

On 5/15, at 4:00pm while in the shower, patient had a pre-syncopal episode with dizziness, and heaviness in her arms and legs. Before she fell I was able to assist her to a sitting position. Her skin was pale and clammy, pulse thready 90bpm, bp 80/50. Symptoms improved after 15 minutes. On 5/21, at 10:00am was outside at a school sports activity. She began to feel slightly dizzy. She ran a short race and the dizziness was worse. She was pale, hr 120, bp 100/60. She drank fluids and rested but still felt unwell and a headache started so she came home. The headache evolved into a severe migraine with several episodes of vomiting. She also felt heart palpitations, which is unusual with her migraines. Hr was 100 and regular. Bp 100/60. Discussed with pediatrician, who patient had seen 5/20. Appointment scheduled with cardiology 5/26

Systemic: Dizziness / Lightheadness-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild, Additional Details: she was nervous, after shot felt nausea, lightheaded, and vomited up some water.

Reported feeling like she was about to pass out, emesis.. Seen by Medics. Left in stable condition at 10:27. Recorded by RN.

left vaccine site at 12:30, went to dinner at a local restaurant with family, no appetite, had some french fries, went home and c/o stomach ache. Pain in lower right side 1/2 inch above her hip bone. constant dull pain, not piercing. Hurt when coughing. no appetite the next day, vomited twice overnight. went to ER at 2100 on Sunday (the next day) and was admitted. CBC, UA, ultrasound , diagnosed with appendicitis. admitted and scheduled for surgery.

reports dizziness. denies any difficulty swallowing and/or other s/s. at 1604, c/o difficult swallowing- transferred care to EMS. EMS administered epi & called for transport, 1611- mother agreeable; 1616 pt. reports feeling better- symptoms resolved.

Pt is a 12 y/o female, a&o x4, accompanied by mother. Within 5 minutes of vaccination the patient complained of stomach cramping and nausea. On further assessment both of the patient's arms appeared red and she developed a rash on the neck and right side of cheek. Pt spit clear fluid x2. Pt vital signs were within normal limits. Lung sounds were clear. The patient was administered 25 mg of diphenhydramine hydrochloride IM. Last vital recording was at 1:50 pm 111/77, HR 88, Spo2 98%, when EMS arrived.

Patient experienced vertigo and nausea about 5 to 10 minutes after being vaccinated. She was given water and observed for another 30 minutes, after which she was feeling better.

fainted; Nausea; lips white; Really pale; 12 year old daughter; This is a spontaneous report from a contactable consumer (patient's mother). A 12-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 14May2021 got it closer to 12:00 (Batch/Lot number was reported: First letter was R, W or B, followed by A6256) at the age of 12-years-old as SINGLE DOSE for covid-19 immunization. The COVID-19 vaccine was administered at Pharmacy/Drug Store. Medical history reported as none. No family medical history relevant to adverse event, reporter who was the patients mother, is a fainter, who fainted a lot when she saw blood. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. As they were driving away, her daughter started feeling really nauseous, then fainted, was super pale, lips were white and she was really pale. It all occurred at the same time all started 10 minutes after vaccine on 14May2021. Then the ambulance came. Her daughter looked really bad and it freaked reporter out. Her daughter sat for a little while and was feeling better now. Her daughter was no longer pale, it went away. They checked her and everything was normal. No Emergency Room and no Physician Office visit required. Ambulance was called, they checked her and she was fine. Told her to keep any eye on her at home. The outcome of the events pale, lips were white was recovered on 14May2021, the outcome of the events nauseous, and fainted was recovering. Information about Lot/Batch number has been requested.

It was within 5 minutes, she started having hives that went down her arm and spread to other arm, face, trunk, legs, stomach. I went and got a nurse and she called a pediatric team - three nurses and one doctor - they took her vitals and gave her some Benadryl - 30 ML (children's). They had her sit and drink a bottle of water. We watched to see if the swelling and the hives would shrink and go away. It was probably about 20 minutes later where they went away, but she developed a headache and she was nauseated. We administered Benadryl (gave her regular 25 mg tablet every 6 hours) for the next 24 hors in the dosage times. She was nauseated the first day and she had headache for two days. The hives went away by the time she went to bed the evening of the vaccine.

Patient reported feeling dizzy and was not verbally responsive for 10 seconds after receiving vaccine, and then vomited. Patient's pulse was faint, but became palpable once patient started talking again. Patient was breathing spontaneously. Patient reports last meal at 10am (7-8 hours prior vaccine administration), and anxiety to needles. Mother reports that patient faints with vaccine administration. Patient was taken to a cot to lay for 15 minutes and instructed to slowly drink sips of water in case of vomiting. Patient's symptoms resolved 15 minutes after laying supine. Instructed patient to go to ED if symptoms worsen.

About 5 minutes after the shot, patient's mom said that she didn't feel good. Patient was dizzy, sweaty, nauseas and really hot. The arm that got the injection was also really hot. I had the patient lay down, and gave her an ice pack for her neck/arm. After a few minutes patient said that she felt better. I had her lay down for about 5 minutes. She then sat up and said she was much better. Wasn't dizzy or nauseous anymore. Arm felt better too. I had the patient sit and wait in total 30 minutes. Mom wanted to leave sooner but I asked if she wait so that we could make sure she was ok. THey waited 30minutes and left . patient was fine.

She was taking Claritin for the few days before this event. She normally takes it every fall and every spring. She had seasonal allergy symptoms on the days leading up to this event- she had sore throat, runny nose, a little headache and congestion and developed a cough; on the day of this symptoms she spiked a low grade fever - 100.5. I did a rapid test for COVID at home which was negative for her. Sudden onset: A bunch of knives poking her on the inside of her stomach - pokey from hips to ribs. She started to double over and bend over. Within 10 minutes, she couldn't stand up. She was telling me that something was really wrong. This isn't her character so I knew it was very wrong. I took her to ER. I was still concerned about appendicitis or COVID. This episode lasted for 90 minutes and then it came and went for the rest of the night and then after that - she had runny nose and congestion (normal allergies after that). She was better before they gave her the medication but it didn't seem like she really needed them. She was improving before she got either of the medications: Zofran; Levsin. They gave her a dosage of each there and sent home with a prescription but we never had them filled as she was feeling better. - As it started to improve - it ( being the pokey pain) it was located closer to her ribs and breastbone.

No immediate adverse event, but 2 weeks later (5/28) pt was seen for abdominal pain and referred to ER. Workup showed acute appendicitis, pt was admitted and underwent laparoscopic appendectomy. At time of follow-up (6/1), pt reportedly recovering well.

light headed, headache, dizzy, vomiting ,sore throat, ,hard to swallow, weak, felt like someone sitting on her chest lost sense of smell and taste. Taken by medics to local hospital, , Placed on IV , GI cocktail, chest x rays 2 views, EKG,

She started to get a sore throat and drainage the day after the first dose of the vaccine. That day she had headache, sore arm with earache and joint pain. Those symptoms continued for several days with some loose stools which lasted for two to three days with abdominal pain which persisted for a little over two weeks. We visited the doctor because of ear and throat pain and nausea. All tests were negative, but the symptoms improved slowly but they are totally resolved right now.

Got lightheaded,nauseated and pale after standing after vaccination. Remained alert and oriented after falling. Her father caught her before she hit the floor. Vomited a small amount after sitting up. Remained a&O x4. b/p 110/62 pso2 99% heart rate 70. Monitored then released with her father@1320. Informed to seek medical attention for any further problems.

Fever of 101.5, chills, -body aches, stomachache, headache, high blood sugars 400-500 for 24 hours, sore throat, tired, and sore muscles.

Patient awoke the morning after her 1st COVID vaccination. Reported she slept well. Her arm was sore from COVID shot. She was up for approximately 20 min and had brushed her teeth and did her hair. She was going to get dressed for the day and states she got a sudden pounding headache and felt nauseous. She was on her way out to the kitchen to tell us she didn't feel good when she blacked out. She face planted, hitting her forehead on the hardwood floor witnessed by both parents. She was out for approximately 30 seconds. Her blood pressure was 90/60, HR 120, O2 on rm air was 98%. She has no previous history of syncope. After spell heart rate ran in the 100-110s for about 30 min and then normalized around 88-95. Was tired and sleepy for 2 hours after. (No post ictal sx to suggest seizure) Patient also received Tdap and meningococcal vaccine in other arm at the time of 1st Covid vaccination. The night of her COVID shot patient had normal appetite and activity level.

Client had chills, fever, headache and was throwing up after the 1st dose of the Pfizer vaccine. She was sick most of the day after the vaccine was administered.

first headache then nausea then 3 days after had chest pain and elevated troponins. Is being admitted for ECHO and serial troponins

Nausea and vomiting started just after midnight, every 30 minutes, then increased to constant every 5 minutes by 0500. 0630 intractable and heart rate in 130s. Taken to ER where 2 boluses of fluids and Zofran given. 1200 she still could not get an ice chip down without vomiting and heart rate remained between 110-140. Admitted to pediatric floor for observation and fluids. About 1600 she was able to hold down spoonful of fluids. By 1900 she was totally back to feeling good and was able to hold down mac-n-cheese, ice cream, crackers with no nausea.

did well acted right, felt right up until 5 AM this morning (6/4/21), she woke up throwing up over and over again, she couldn?t keep even a dissolvable Zofran down. > I immediately contacted her Hematologist and he told me to take her to the E.R. > blood disorder, ?Hereditary Spherocytosis? came to life, flared up. >got extremely sick, where she could not walk or stand by 8:00 am this morning, when we arrived at the E.R. she had to be placed in a wheelchair because she was so weak. > Fluids, Pain medicine, Motrin, and nausea medication were given, plus rotating cool rags on her head to get her body temperature down. > CBC, was off the charts, she has developed Anemia and was diagnosed this morning. > blood pressure dropped to 91/42. > I spoke with two hematologist on top of speaking with the 2 E.R. Doctors. >reached over 110% immunity if not more. > Both Hematologist I spoke with plus the E.R. doctors determined she was at 100% immunity with just the first dose. > Due to her reaction her Oncologist/Hematologist are communicating with other hematologist in the U.S. about a reaction of a ?12 year old pediatric patient with Hereditary Spherocytosis?, further research will begin according to the Director of Onoccologist/Hematologist in the next few weeks to help other pediatric patients with Heriditary Spherocytosis in the U.S., the main point of this research is determining that one dose of Covid vaccine reaches 100% immunity vs 2 doses which would be equivalent to ?2 doses plus 2 booster shots of Covid vaccine? to someone with hereditary spherocytosis. > > After 8 hours of going through this, she was able to walk and stand. She was back to her old self. > If you can please reach out to CDC and let them know about a 12 year olds patient with Hereditary Spherocytosis reaction to second dose of Phizer Vaccine.

Ten minutes after shot she began complaining of tightness in throat and chest. Monitored for 45 min and then began throwing up at 7 pm. Vomited rest of evening and all the next day. Went to ER and given an injection of epinephrine. Sent home. Continued to vomit and went back into ER and admitted to hospital.

17 hours post dose, pt started with low grade fever, chill and nausea. 22 hours post dose she began vomiting and complaining of on and off stomach pain. 36 hours later on Sat June 6, she presented with severe lower right quadrant pain and we went to ER. Diagnosis was perforated appendix requiring emergency appendectomy and treatment for 72 hours with IV Cipro and Flagyl. She was discharged from hospital on Tues, June 7th on Cipro 500 mg BID po for 3 days.

Noticed on apple watch HR was going up to 120s/HR still elevated. Goes up to 120 when standing. Went to take a shower and HR was 150; diarrhea; Developed rhinorrhea; Developed a pruritic rash on right side of back; chest heaviness; allergic reaction; SOB; chills; This is a spontaneous report from a contactable nurse. A 12-years-old female patient (non-pregnant) received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: EW0168, expiry date not reported), intramuscular, administered in left arm on 15May2021 as first dose, single dose for covid-19 immunisation. Medical history included allergic rhinitis/conjunctivitis from an unknown date and unknown if ongoing. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient's concomitant medications included medications the patient received within 2 weeks of vaccination as cetirizine 5mg, and clotrimazole 1% topical cream. The patient previously took amoxicillin and experienced allergies. The most recent COVID-19 vaccine was administered in a hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Since the vaccination, the patient been tested for COVID-19 which included Covid 19-PCR (nasal swab) on 16May2021 as negative. On 15May2021, the patient received vaccine (Pfizer) and got chills a couple hours later. On 16May2021, patient developed a pruritic rash on right side of back and mom gave an allergy medicine (cetirizine), developed chest heaviness, and SOB (shortness of breath), no tongue/lip or throat swelling. Patient came to ED and received albuterol and decadron due to concern for an allergic reaction. On 17May2021, patient developed rhinorrhea; and chest and SOB improved, but continued to use albuterol. On 18May2021, patient had rhinorrhea and diarrhea; continued to use albuterol. On 19May2021, patient had diarrhea and noticed on apple watch HR (heart rate) was going up to 120s; last use of albuterol. On 20May2021, patient's diarrhea resolved, HR still elevated, went up to 120 when standing; and went to take a shower and HR was 150. The events were reported as serious medically significant, resulting in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. Therapeutic measures in response to the events included diphenhydramine, decadron, and albuterol. The patient recovered from the event diarrhea on 20May2021. The outcome of the other events reported was not recovered.; Sender's Comments: Based on temporal association and profile of the product, the events are considered related to BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: EW0168, expiry date not reported).

Received her 2nd dose of Pfizer approximately 12:15 PM. A couple of minutes later while sitting in observation the pt started to c/o dry cough, itchy throat, and difficulty swallowing. The pt appeared flushed. Pt was laid down and assessed by staff. 911 called and asked for lights and sirens, 911 was called at 12:19 PM. Initial VS: 107/63 HR 106, O2sat 93%, pt began to c/o worsening difficulty swallowing, pt appeared flushed, O2sat dropped to 88%. Epi Pen autoinjector administered IM in the left thigh at 12:20 PM. About a minute after the Epi pen was administered the pt?s pulse ox came back up to 96% and the pt reported a strong relief of the difficulty swallowing and the itching in her throat. BP immediately post Epi was 103/78, HR 76 O2 Sat 96% Repeat BP; 109/79 HR 89 O2Sat 99% RR 16 Repeat BP 12:27 PM 106/63 HR 114 O2Sat 98% Staff continued to monitor pt?s O2sat and HR. At one point during observation while waiting for EMS the pt reported the difficulty swallowing seemed to be returning, pulse ox remained above 90%. Pt transported to ED. Pt has no medical history or allergies per mom. Pt is not taking any medications. Mom reports when the pt received her first dose she did experience flushing, dizziness, and a cough. The pt?s pediatrician happened to be present at clinic and told the pt she was fine and was cleared to get the 2nd dose per mom. RN followed up with mom later that day, pt was home and doing well.

Pt. started feeling nauseated about 2 minutes after the vaccine, asked the post observation nurse for water, drank some and then vomited a very small amount of yellow liquid. After vomiting she stated she felt better. She reported being very nervous about getting the vaccine. No s/s after vomiting. Observed for 30 minutes post event. Escorted home by mother.

A few minutes after her vaccine the patient became dizzy, clammy, and nauseous. She said she felt she might pass out so we got out a yoga mat and cushion for her head so she could lie down. We took her blood pressure which was 102/71 with a pulse of 65. We elevated her legs and gave her a cold pack for her neck and wrists. After watching her for about 30 minutes she felt better and left with her mother.

Nausea, vomiting, elevated heart rate, low grade fever, chills started next day. Weakness and mild nausea day two.

Patient had her #2 Pfizer vaccine 6/7/21. 6/8/21 pt describes waking up with mild headache and fatigue. Standing at bathroom sink brushing her teeth felt nauseous, then fainted. Woke seconds later when MOC (who heard "thud" of pt hitting ground) roused her. Pt woke with mild TTP at back of head assuming she hit her head on a door knob. During drive to The Hospital ER, pt reports drinking some juice started feeling a little better. Upon arrival, they advised Urgent Care instead of ER and again provided a juice box. The Hospital Urgent Care drew blood for BMP, performed EKG, and PE noting only abnls to be hyperglycemia at 166 and TTP at L occiput. Pt was dischg'd to home in good condition. 6/9/21 she woke with a slight headache that is since resolved despite walking to lunch in 90+ degree heat and working at library. MOC reports her complexion has returned to normal today (was pale yesterday). Pt reports she has been hydrating very well since visit. Currently pt reports feeling 100%.

Next day: fever ranging 99-102 Vomiting: 2x Fatigue, headache Resolved about 30 -48 hours after dose

Fever and gastrointestinal symptoms started on Wednesday. Gastrointestinal symptoms include strong cramps nausea and diarrhea. These are worsening to the present date.

pt reports feeling light headed with mild nausea, after 1st pfizer vaccine dose. Similar occurrences with previous injection according to dad. Skin mildly pale, spit up a small amount, denies any recent injury, denies pain, dad denies loss of consciousness, skin warm & dry on discharge. BP 112/67 HR 94 O2 sat 100%. Left ambulating with her dad.

Bad headache, upset stomach, very mild temp, extreme tiredness, started around 6 AM, got worse for about 5 hours. Headache first to go away. By 8 PM all but tiredness gone

Fever - Mild - start date 08Jun2021 - end date 08Jun2021 Fatigue - Moderate - start date 07Jun2021 - end date 09Jun2021 Headache - Moderate - start date 08Jun2021 - end date 09Jun2021 Body pain - Mild - start date 08Jun2021 - end date 09Jun2021 Nausea - Severe - start date 08Jun2021 - end date 09Jun2021 Emesis - Mild -start date 08Jun2021 - end date 08Jun2021 Con Med - Tylenol - 325mg

Patient received her 1st covid vaccination. She wanted to walk around and shop during her 15 minute post-vaccine monitoring period. She stated she was dizzy and notified her father, who was able to get her to the ground safely. I (the pharmacist) was notified; when I approached her she was sitting up with a cold bottle of water. I verified it was not an anaphylaxis reaction, then offered a seat and ice packs to cool down. She stated she was dizzy and nauseous. dad sais she was anxious about the vaccine. After sitting for 15 minutes, supervised by the pharmacist, she said she felt better. She was bale to stand and walk out of the pharmacy.

right after receiving 2nd shot of Pfizer covid vaccine pt was felling weak, nauseated. she could not stand up by her self. she was breathing and talking ok.

Beginning Thursday night, fever onset reached 101. Patient reported extreme fatigue but aches and sore arm made sleeping difficult. By 2 am on Friday, June 11th, vomiting and diarrhea began. Patient was given 200 mg of Tylenol and 25 mg of Benadryl. Arnaca gel was applied to the rash that formed on the vaccine site. The rash was approximately 3 cm wide and 5 cm tall oval shape. It was bright red and painful to touch (like a sunburn). Arm was also swollen from shoulder to elbow. Patient slept from 4 am - 8am on 6/11. All day on 6/11 patient had trouble keeping down fluids (tried water, juice, gatorade, and broth) and patient refused food (tried popsicles, rice, bananas, scrambled eggs, and plain noodles). Patient complained of throbbing pain in left arm. Patient refused to massage the area and would screen in pain and cry with tears if mom touched it at all. Cold packs and warm packs brought no relief. Patient continued to receive Tylenol every four hours. Fever would reach 102-102.5, break with sweats. Patient reported feeling very cold and then very hot. Fever break would last 30 min - 1 hour before climbing again. Sunday 6/12 continued the same as 6/11. Patient began alternating Advil 200 mg with Tylenol every four hours. Advil didn't seem to help any more than the Tylenol did. Parent called consulting nurse and was advised to take patient to urgent care where she received anti-nausea medication. Monday 6/13 patient continues to have difficulty with food and drink. The phenergan meds help with nausea but make patient so tired, there's little chance to get patient to eat or drink. Vomiting has stopped but diarrhea continues.

Patient felt "not right" and momentarily passed out after receiving vaccine, when she regained consciousness she vomited but was then ok, possibly due to sight of needle and blood, since she bled. Paramedics called and arrived, took over.

After the second dose she had immediate pain at the injection site and over the next 24 hours she developed: A fever of 101.4 severe abdominal pain and chest pain that made her feel like her heart was being pulled out painful electric shocks down her neck and spine that made her walk hunched over numbness and swelling in the arm she got the shot pain in her fingers and toes that turned white and were ice cold to the touch Over the next 2.5 months her abdominal, muscle and nerve pain became unbearable plus she developed new symptoms: Fatigue gastroparesis, nausea and vomiting Eventually she couldn?t even swallow food or liquids without immediately spitting it up. An itchy rash on her arms peeling skin on her feet Her menstrual cycle lasted a month with large clumps of blood She had unexplained painful cysts vision problems headaches erratic blood pressure and heart rate memory loss, mixing up words and brain fog Dizziness, fainting and then nonepileptic seizures that we suspect were from lyrica verbal and motor tics loss of feeling from the waist down, muscle weakness, abnormal gait and eventually she wasn?t able to walk at all urinary retention From the day she got her 2nd dose to today we took her to the ER nine (9) times and she was admitted to the hospital a total of 3 times totalling 2 months. The last time she was admitted to the hospital she could not walk, was unable to feel or move below her waist, threw up anything she tried to eat or drink, had tachycardia and her blood sugar was at 47. Once she got an NG tube and was stable they transferred her to Inpatient Rehabilitation and she was just discharged on June 1st. Today she is able to walk with a walker and take care of herself but she still has little to no feeling below her waist. She still has an NG tube for nutrition and continues to have GI and urinary retention problems.

Approximately 10 minutes after receiving the second Pfizer COVID-19 vaccine patient became nauseated and vomited partially digested food.

On 6/8/2021 patient c/o fever to 102.5 then at 1:15 PM woke up from a nap with upper left chest pain described as burning. Parent treated with Tums and ibuprofen and pain lasted about 8 hrs. Also c/o nausea but no vomiting. Had dizziness earlier in the day but not when she had chest pain. No shortness of breath or palpitations. All symptoms resolved by the morning on 6/9/2021. Parents did not seek medical attention until 6/15/2021 when they learned about possible myocarditis as a vaccine side effect. Patient is currently asymptomatic but is not able to seek medical attention today. Recommended to go to nearest UC or ER to check a troponin and ECG.

Started vomiting 2hrs after vaccination. Went to ER who initially obtained CBC with stable Hgb and sent home with Zofran. Patient continued to have bloody emesis so presented back to ER where they did CXR which was normal, gave IVF bolus, zofran, repeat CBC with Hgb 12.4 and transferred to another hospital for higher level of care. At the hospital, Initially made NPO and placed on IV fluids in preparation for possible endoscopy. Repeat labs showed stable hemoglobin compared to outside hospital. GI consulted and determined that hematemesis was most likely due to Mallory Weiss tear. Recommended carafate before meals, chloraseptic spray as needed for sore throat, continuing IV Protonix and IV zofran as needed, and gradually advancing her diet. On HD#3, she had another episode of hematemesis after eating solids. Overnight, tolerated liquids and solids without any further episodes of emesis. Tolerated transition from IV to PO meds and maintained hydration off of IV fluids. Due to symptom improvement, GI did not recommend endoscopy at this time and recommended that she be discharged on 1 week course of carafate, 2 month course of omperazole, and zofran as needed with plans for GI follow-up in 1-2 months. Had another episode of hematemesis at home after discharge. Went back to hospital and admitted again. The patient underwent upper endoscopy which showed no source of upper GI bleed. ENT was consulted and performed a nasopharyngolaryngoscopy which was negative for an ENT source of bleeding. She remained stable without an identifiable source of bleeding. Mom was comfortable with her being discharged home with close follow up by PCP. Pt seen on 6/7/21 at pediatrician's office for ER F/U. Pt reported she was still vomiting, 2x so far that day. The day before vomited 4x during the day and continued until the night. No more bright red blood in vomit. Describes vomit as blue and pink colors now. Pt does take a light green tablet that is her levothyroxine. Threw up the blue colored vomit immediately after taking this medication. Instructed to take zofran when feeling nauseous. Seen again by pediatrician on 6/10/21- Currently, per mom pt is still vomiting. Last time she vomited was last night. Pt is taking omeprazole. Pt vomited 5-6x yesterday. Decreased appetite, but has been eating some crackers and rice. Complaining of stomach pain after eating and vomiting. Pt used zofran once and it helped a little. Pt denies self induced vomiting. Pt has ben observed by family when vomiting and they do not report any self induced vomiting. Pt denies trying to lose weight. Pt never vomits up food, always liquid. Vomit is different colors, can be pink or blue. No more red color in vomit, only pink. Pt drinks water and gatorade. Pt denies feeling any burning before vomit, but feels burning sensation after vomiting. Pt has been having BMs, not regularly and hard. Taking one capful of miralax at night. Instructed for next five days, instructed to take zofran pill 1hr before dinner. F/U with GI. Seen again by pediatrician on 6/15/21- Per mom and pt she is still vomiting about 5-6 times a day. Pt went to GI yesterday, given lansoprazole 30mg qd and told to continue zofran.. Pt is now able to eat all her meals, takes zofran 1hr before dinner. Pt has vomited 1hr after dinner and has only vomited liquids. Hematemesis has resolved. Still has some blue colored vomit, most likely from levothyroxine medication she takes daily. Stopped taking Miralax 3 days ago. Pt had a soft BM earlier this morning. Pt states she has occasional stomach pains after vomiting, takes a while to calm down but then resolves. Described as lower abdominal. Pt has nausea before vomiting, after vomiting takes 15-30mins for nausea to resolve. Pt states she had a headache with a heavy sensation when vomiting. No headaches at night, but does vomit 3-4x overnight. LMP: 2wks ago. Recommended to go to ophthalmologist to r/o papilledema. WIll contact hospital to get results of any bloodwork done inpatient (reviewed - only CBC done inpt).. F/U in 1wk. Ordered MRI brain w/contrast. CMP. lipase, amylase, celiac disease panel. All results pending.

She complained of a headache developing soon after receiving the shot on June 11th until June 13th. She was tired most of the day on June 11th. On June 13th, she showed me where a red circle had developed around the injection site. On June 15th, she complained about sneezing a lot, a sore throat and having a headache throughout the day. Later that evening around 9:30 pm, she started vomiting (2 episodes) and stated her throat pain was an 8 out of 1 to 10. After vomiting her throat pain dropped to a 7.

approx 24 hours after receiving 2nd pfizer vaccine, she developed behavioral changes including nightmares, shaking, nausea, chills, paranoia about being hurt by someone. She was up every hour and crying if mom left the room (not her typical behavior). She knew this was not how she normally was, but felt she couldn't control her fear. lasted for 36 hours and resolved. similar reaction when she received tamiflu for Influenza.

Patient was siting at the waiting area after about 10 minutes receiving first Covid19 Pfizer shot. Mom reported to pharmacist staff that patient turned pale and felt dizzy. Pharmacist suggested patient to drink water and continued to rest while pharmacist monitored patient. Pharmacist tried to take patient's blood pressure but pharmacy didn't have the right cuff so she was unable to obtain patient's blood pressure. Patient then was sweating and mom continued to give her water while pharmacist checked patient's temperature (recorded 94.6'F). Few minutes later, patient vomited. Mom gave patient water after she was done vomiting. Patient reported she felt better afterwards. Patient was monitored for about 15 minutes and she was able to walk herself and left the pharmacy waiting area with mother. Pharmacist suggested mother to call doctor for follow up advice.

Nausea and Significant Vomiting; Nausea and Significant Vomiting; Felt ill; This is a Spontaneous case report received from a contactable consumer. A 12-year-old female patient received first dose of BNT162B2 (Pfizer, Solution for injection) via an unspecified route of administration on an unspecified date (Lot number/NDC number/Expiry date: Unknown) (at age of vaccination) as single dose for Covid-19 immunization. Time the vaccination was given: afternoon. Anatomical location of vaccine: Unknown. The patient's medical history was not reported. Concomitant medications: Caller stated she knew the patient did take several medications because she had babysat her, but she did not know what they are. History of all previous immunization: none. On an unspecified date, the patient experienced nausea and significant vomiting and felt ill (afternoon). Caller was reporting what she heard about an adverse event in her daughter's friend with her first dose of the Pfizer Covid Vaccine in the newly approved age group, 12. Caller stated the patient had no other illness or notable cause for the nausea and vomiting. Caller stated the patient received the vaccine in the afternoon and then next morning she felt ill and then in the afternoon she had the nausea and vomiting. Caller stated dates were unknown, but she did know it was only on one occasion, she vomited a few times on that day and not any additional days. Caller stated she encouraged the girl's parents to call the number and she was hoping they would report it. Adverse event details: Provide the time of onset of AE(s): Morning. Treatment was unknown. Outcome of the events was recovered on an unspecified date. Communication: Caller provided with Report Reference Number. Information about the lot/batch number has been requested.

Fever on 6/9 night and body aches the next morning. Morning of 6/11 at 6-6:30am complained of chest pain. Fever of 99-100.5 F on 6/11 that resolved that morning without medication. Decreased appetite.

Patient loss consciousness for a few seconds, vomited, hot to the touch at first then cool to the touch. 911 was called and vitals were checked by the paramedics. Patient did not go to the hospital and vitals were within range.

vomited small amt 6 minutes after the vaccination. She also c/o lightheadedness and stomach cramping. is menstruating at present. Assisted lay on Yoga mat with legs elevated. Her VS were taken. Her BP was 100/58, P 65;R18 and O2 sat 99%. stated she felt better after lay on yoga mat. Assisted sit up on Yoga Mat at 1:55PM ; VS taken sitting: BP 90/56; P90: Resp 18 and O2 sat 98%. admit she did not drink much water before she came and her menstrual period is heavy. instructed to drink water and electrical flds provided to her while sitting on mat which she did. Her heart rate went back to 70 and her BP went up to 100/60 sitting. At that time states she feels good and she went back to her chair. Observed for another 10 minutes and she left the site with her mother at 2:10pm completely recovered.

The patient was in extreme pain in her legs. this spread to her whole body. She had chills, shaking, sweating and stomach cramps. This event lasted almost 6 hours. We called the pediatricians on-call nurse and were told to start ibuprofen. The symptoms began residing about 5 hours after on-set and then by hour 6 the majority of the symptoms were gone. Patient still had body aches and chills for 12 hours more.

Patient is a 12 yr/o child with a history of mobility, pots, factor VII deficiency, scoliosis who presents with chest pain and headache after receiving the second Covid vaccine. Mom reports patient got the second Pfizer Covid vaccine yesterday. After the vaccine the patient had some nausea and dizziness which he occasionally has at baseline. This morning when the patient woke up he was having chest pain with deep breathing and complaining of burning in the chest. Mom reports the patient had a temperature to 100.7 at home. Mom endorses decreased activity level and mom noted the patient to have a heart rate to the 130s at home. Patient endorses chills and nausea without vomiting, no diarrhea. Patient also endorses a poor appetite today. the patient has difficulty describing the exact location of the chest pain, mom reports that the patient has always had difficulty with pinpointing the exact location of pain.

Fever 101.3 lasting full day (treated with Motrin after vomiting) Projectile Vomiting 3 separate times - 5:15am, 7:30am, 9:15am (Fluoxetine was skipped this morning due to vomiting) Chills

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium

Patient woke up and complained of a stomach ache and went to the bathroom Patient felt dizzy and complained of a headache. Had then started having a seizure. Patient does not have seizures.

Red ring and bruising at injection site 12 after vaccination lasting about 2 weeks. other symptoms included lymph node swelling, fatigue, headaches and stomach for a day or two after vaccination.

Patient was a 12 year old female with a weight of 94 lbs who came into the clinic with her father for her second dose of the Pfizer vaccine. During the interview, she stated that she did not have any adverse effects with her first dose. At 2:45 pm, after administering her second dose of 0.3 ml of Pfizer vaccine, I witnessed her having trouble standing up and assisted her back down into the seat. She vomited, was pale and diaphoretic. We elevated her legs up onto a bench and began fluid resuscitation. Her first BP was 71/55 and respiratory rate was unlabored. At 3:00 pm her second vitals were BP: 82/69, RR: unlabored, SPO2: 98, HR: 80. At 3:07 pm her third vitals were BP:83/64, RR: unlabored, SPO2: 99, HR:74. We changed her position from legs elevated to 90 degree angle. Fluids and crackers were still being administered. At 3:16 pm her fourth vitals were BP: 94/76, RR; unlabored, SPO2: 85, HR 67. At 3:30 pm her final vital signs were BP: 96/74, RR: 14, SPO2: 99, HR: 70. The patient was given a total of 60 oz of fluid and 1 pack of crackers. I reassessed that the patient's hemodynamic status improved and her skin was warm and dry. The patient was alert and oriented throughout the process. Her father stated that she no longer looked pale. She was brought to the observation room for another 15 minutes and her father was informed about the progression of her condition. He was informed to refer to her pediatrician if there were any other adverse effects related to the vaccine or changes in her condition.

stomach ache; lethargic; dizzy; 102 fever; This is a spontaneous report from a contactable consumer(parent). This consumer (parent) reported for 12-years-old female (daughter) patient who received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection; Batch/Lot Number: ER8736) via intramuscular on 11Jun2021 at 03:15 in right arm as a single dose for Covid-19 immunization. Medical history was reported as none. The patient's concomitant medications, past drug history and known allergies were not reported. The patient did not receive any other vaccine within four weeks prior to the COVID or any other medications within two weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient historical vaccine included first dose of BNT162B2 (COVID Pfizer vaccine; lot number: EW0177) via intramuscular on 16May2021 at 12:00 in right arm for COVID-19 immunization. The patient experienced stomachache, 102 fever and she was lethargic and dizzy at 06:00 on 12Jun2021.The events were reported as non-serious. The patient did not receive any treatment. The patient underwent lab tests and procedures which included body temperature as 102 on 12Jun2021. The outcome of all events was resolved on an unspecified in Jun2021.

6/12 - patient developed fever and cervical lymphadenopathy. Worsened gradually with difficulty swallowing. 6/16 - presented to ED. Patient also reported rash in right lower extremity that is pruritic, 2 episodes of non-bloody non-bilious emesis daily since Saturday, intermittent chest pain and dyspnea, myalgias, diarrhea, generalized abdominal pain, and neck pain. Concern for infectious mononucleosis with lymphadenitis. Prescribed Augmentin and discharged home. 6/17 - returned to ED due to worsening rash (no longer pruritic) and diarrhea. Continued fever and neck pain. Hypotensive requiring 3L bolus and norepi. Large volume diarrhea. Mild AKI that resolved with fluid resuscitation. Treated broadly with antibiotics for toxic shock syndrome but rash was not consistent and cultures were negative, so eventually narrowed to ampicillin-sulbactam. Neck pain and swelling improved, but fever persisted through 6/19. Transferred to the floor on 6/20 and gradually improved without further intervention. Antibiotics were continued to target possible tonsillitis/lymphadenitis, but course did not seem to be truly responding to these antibiotics. CRP continued to increase despite antibiotics. Patient's presentation seemed most consistent with MIS-C; she also met criteria for incomplete KD with fever, rash, cervical lymphadenopathy and lab abnormalities, but this was felt less likely and she was not treated with IVIG or any other anti-inflammatories. Patient eventually improved and was discharged home 6/24.

Systemic: Abdominal Pain-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Additional Details: patient vomiting within minutes of receiving injection

Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Weakness-Medium, Additional Details: hypoglycemic event

Per Parent, Pt started on 06/26/2021 with headache, fatigue, and nausea at approx. 10 a.m.. Parent called our office on Monday 6/28/2021 at approx. 10:54 am and said symptoms continue.

With the first dose: Headache (came and went frequently) dizzy(2-3 days) nausea (2-3 days) sore arm (3-4 days) gave ibuprofen for about 2 days and most symptoms went away. She continued to complain about a headache every once in awhile. About a week later I noticed her eyes seemed a little yellow but it didn't seem to get worse and thought maybe she just need to drink more water and get some sleep. After second dose: Bad headache (3-4 days) dizzy and nauseous (3 days) gave ibuprofen for 2 days. Two days after the vaccine she was fully jaundice. Hadn't notice because she was feeling bad from the vaccine so I just let her sleep mostly. Next day we got into see her primary care dr who ordered stat bloodwork and stat ultrasound. That same day she got some blood work back and told us to go to the er because her platelets were really low. At the er they diagnosed her with autoimmune hemolytic anemia, which explained the jaundice. She was admitted and put on steroids. Her hemoglobin got as low as 5 and they cross matched her incase they needed to do a blood transfusion. They were concerned that there was a possibility that her immune system would attack the donor blood since it seemed to be attacking her platelets as well. Luckily the steroids started working and he levels creeped up a little. She also recieved 3 vitamin k transfusions and pain meds. When she was switched to oral steroids and her numbers were still rise they released her. She is still taking steroids and has weekly follow ups with Dr. . We are also in the process of getting a rheumatology referral to see if there is an underlying condition we didnt know about.

Systemic: Allergic: Anaphylaxis-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Vomiting-Mild, Systemic: Weakness-Mild

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: Patient reported severe dizziness and nausea about 5 minutes after receiving the Pfizer vaccine. She ended up vomiting few times. Patient was given water and crackers. She did not end up feeling better even after resting for 15 minutes. The family called 911 and Emergency services took her to the hospital

My daughter experienced on day of her 2nd vaccine, feel nauseated in the evening time, then the second day. Felt very lethargic, fatigue, laying in bed all day, sleeping. She still had nausea also experienced chills, highest temp 99.8F. Her arm pit on the right side where she got the vaccine was really sore. She basically like within a couple of days she started her period cycle again and it was very heavy and lasted one week and half almost two weeks. On 06-08-2021, at about 10pm, she was brushing her teeth when she saw black spots and she went to tell me. At about 11:30pm that night, she squatted to pat our dog and when she got up and she felt really dizzy, lightheaded so I got concerned. Her symptoms persisted and I scheduled an appointment with her pediatrician on 06-15-2021. The pediatrician ruled out anemia. Her pediatrician said she has Postural orthostatic tachycardia syndrome. Her pediatrician said that this is something manageable, she needs to strengthen her calf muscles and drink lots of water. They monitored her heart pressure and blood pressure. Her heart rate had increased to 40bpm. I also gave her Ibuprofen medication after the vaccine. Leading to today she has been having dizziness and light headiness every single day. My daughter is still experiencing symptoms, dizzy and light headed today. For her 1st vaccine- within few days after her 1st dose, she experienced when using the treadmill, she would feel very dizzy. I did not think anything of it at first and this happened three times then it stopped. She also had a sore arm.

headache; threw up; shallow quick breathing; fever; Injection site sore arm 4 hours after vaccine given; very tire 10 hours after; chills; shallow quick breathing; heart racing; very uncomfortable; dry throat; arm extremely sore; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 12-year-old female patient (non-pregnant) received second dose of bnt162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: EW0187), via an unspecified route of administration, administered in Left arm on 06Jun2021 at 09:00 AM (at the age of 12-year-old), as single dose for covid-19 immunization. The patient's medical history was none. The patient's concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection; Expiry Date: unknown, Lot number: EW0180), via an unspecified route of administration on 25May2021, 09:00 AM administered in left arm as single dose for COVID-19 immunization. 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 and since the vaccination the patient was not tested for COVID 19. On 15Jun2021 at 13:00, the patient experienced injection site sore arm four hours after vaccination/ arm extremely sore; she was very tire 10 hours after chills; had fever; experienced shallow quick breathing, heart racing, dry throat; and she was very uncomfortable. On the same day, she fell asleep about 11:30pm and threw up at 3:00 AM. On 16Jun2021 (on next day), she had headache and still on day 3. Therapeutic measures were taken with Tylenol, cool compress, hydration as a result of reported events. The outcome of event was resolving. Follow-up attempts are needed. Further information is expected.

throwing up; white as a ghost; wasn't feeling good; This is a spontaneous report from a contactable consumer (Mother of patient). A 12-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number: EW0196 and expiration date: not reported), via an unspecified route of administration, on Right Arm, on 12Jun2021 in the afternoon (at the age of 12-year-old), as DOSE 1, SINGLE for covid-19 immunization at . The patient had no medical history and there were no concomitant medications. There were no other previous immunizations. No other vaccines administered on same date. The patient didn't receive any other vaccines within 4 weeks prior to the COVID -19 vaccine. There were no adverse events following prior vaccinations. Reporter stated that, the patient has an elderly grandmother and patient wanted to go see her and every time they go see her, they have to get tested for COVID. On 22Jun2021 patient experienced, throwing up. The patient went and got the milk and came back and wasn't feeling good, she was as a ghost on 22Jun2021. The reporter stated that patient is okay now, at the time of reporting, and wanted to know if it was normal after taking the shot, if it was a side effect from the shot or not. No test was taken. The outcome of the events was recovered on 22Jun2021.

12 year old patient received 1st dose of Pfizer COVID Vaccine. After receiving the vaccine and waiting the 15 minutes, the patient and her father left the pharmacy area and began to shop in the store. While walking the patient stated that her stomach was hurting and she felt her eyes "look up and then down" and then she started to fall. Her father was able to catch her before falling and carried her back towards the pharmacy area. Patient was able to walk before completely reaching the pharmacy area. Once she was in the pharmacy area, the pharmacist was about to administer another vaccine heard a member state that she would call 911 for the patient. After then the pharmacy went over to the patient and her father and noticed the patient was sweating and immediately gathered a cool compress and provided care to the patient. Patient stated that she received her shot on an empty stomach and the father went to get the patient food. EMT were called and arrived and asked patient a series of questions in which the patient was able to respond to. After about 30-45 minutes, patient had eaten and stated that she felt better and her and father left the pharmacy.

Dose was given 7 days early and patient experienced nausea and vomiting 16 hours later. Back to normal the next day.

Localized hematoma/swelling on dorsum of right foot. Hurts when walking. Also had nausea and abdominal pains. No fainting and no vomiting.

Meningitis pain; she woke up and said her face felt funny; pressure on her chest; pressure behind her eyes; muscle pain; she had not slept,; fever; headache; the chills; sore throat; nauseous; Caller states she was assuming hives; inflammation stayed around awhile; body aches / pain through her head and back down her neck; trying to push her eyeballs out and it is really painful; she was slumpy; swelling from the digging and scratching; her hands began to swell yesterday; she was just not feeling right; couldn't walk by herself; lip swelling and numbness; lip swelling and numbness; itching on face, hands and feet / Caller states then her daughters hands and feet began to itch; This is a spontaneous report from a contactable consumer or other non health care professional. A 12-years-old female patient received bnt162b2 (PFIZER-BIONTECH mRNA COVID-19 VACCINE, solution for injection, Lot Number: EW0178; Expiration Date: 31Aug2021), dose 2 via an unspecified route of administration, administered in Arm Right on 08Jun2021 16:00 (age at vaccination: 12 years) as DOSE 2, SINGLE for covid-19 immunisation. Medical history included, meningitis from an unknown date and unknown if ongoing at 7 years old. The patient's concomitant medications were not reported. The historical vaccine include COVID-19 Vaccine on 18May2021 for COVID-19 Immunization (1st dose Expiry Date of Covid 19 vaccine: 31Aug2021, lot EW0168 ,anatomical location: Right arm) and had she had itching on the hands. And other vaccine includes flu shots (she does the flu shot every year) for immunization. The patient experienced Meningitis pain on unspecified date, lip swelling and numbness, itching on face, hands and feet / caller states then her daughters hands and feet began to itch in Jun2021. She has pressure on her chest on 09Jun2021. She had pressure behind her eyes, muscle pain,she had not slept, fever, headache, the chills , sore throat, nauseous, caller states she was assuming hives, inflammation stayed around awhile , body aches / pain through her head and back down her neck, trying to push her eyeballs out and it is really painful , she was slumpy, swelling from the digging and scratching, her hands began to swell yesterday in Jun2021. she woke up and said her face felt funny on 09Jun202. she was just not feeling right and couldn't walk by herself on Jun2021, Caller relays her daughter will be (withheld) . HCP: Caller states she called the pediatrician office and 1 was by phone and she was seen by this provider yesterday and she encouraged her to reach out to us as well. Mom states she was aware of the possible symptoms to occur and her daughter came home Tuesday perfectly fine and went to bed and woke up with the typical symptoms, she had not slept, fever, headache, the chills, sore throat, nauseous and had all the symptoms pretty much. States she didn't have anything weird going on during the observation time the day of the vaccine. Caller relays her daughter didn't have anything weird after her 1st dose. Caller states she took a nap Wednesday about 24 hours after her 2nd dose and she woke up and her lips had begun to swell and she woke up and said her face felt funny and it was itchy. Caller states she was assuming hives. Caller states that there was nothing concerning as it wasn't in that initial 15minutes to 4 hour and that this occurs 24 hours after and that was a concern. Caller states then her daughters hands and feet began to itch and that was kind of along the same lines and said hives and she would itch itch itch and there was swelling from the digging and scratching. Caller states she has numbness in her lip with the swelling. Caller states the other symptoms that are bizarre is more yesterday and it started some on Wednesday she had a pressure in her chest and this was a child, her daughter was very strong, she got up yesterday and tried to do school and had a fever of 102 and Wednesday evening was so sick with symptoms and she still tried. Caller states the pressure in her chest is concerning and told them yesterday and she needed to be seen. States her daughter described it to the doctor that it felt like someone was sitting on her chest sort of pressure and on a scale of 1-10 she was a 7. Caller provides that not at any time did she experience trouble breathing and she never saw her lose or get weird coloring. Caller states she called her doctor Wednesday afternoon and talked to another doctor, that she called the help line after hours as they close 4:30 or 5pm. States she was told it was good news that she did not have trouble breathing but to have it at this point was weird and no one knows what to expect and everyone is different. States she was told to do Benadryl and continue with pain medication for fever and discomfort. Caller states her daughter was miserable the rest of the evening. Caller relays that the swelling subsided and the inflammation stayed around awhile and yesterday she woke up better with no nausea and the common symptoms are better and she still had the fever. Caller relays that at about 9:00 she began to have a problem where she said that behind her eyes she had significant pressure and that scared the caller what with the brain and swelling. Caller states her hands began to swell yesterday, like her lip and her fingers are itchy and swelling and it's constant itching and the pressure on her chest yesterday, that those 3 things freaked the caller out and she called the pediatrician and they said to have her checked out to make sure as nobody wanted to rush her to the ER as she was not struggling to breathe she was just not feeling right. Caller states the pediatrician did her research about heart inflammation and listened to her heart a couple of times and said her best observation for rubbing sounds was she did not hear any. Caller states when her daughter was younger she had meningitis and went through a whole lot with that and caller states she does not immediately rush to the hospital as that brings back emotions with that. Caller states the doctor said she didn't see any immediate distress and would do an EKG or they could wait and see, that she thought the pressure might be like body aches and her daughter had laid in bed all day the day before and had a time with it. Caller states she couldn't walk by herself and she was out of it. Caller states she could do the EKG or wait until today and they chose to wait. States that today she seems better and the only thing today is the continuing pressure behind her eyes that her daughter described as it felt like someone had 2 spoons and was trying to push her eyeballs out and it is really painful. Caller relays her daughter has been through meningitis pain and has pain through her head and back down her neck and the concern is swelling. Caller states it could be a weird reaction and the doctor thinks it is a weird headache she is having and is still doing ibuprofen. Caller relays that her chest is not nearly as heavy today and she has taken Benadryl again for itching and swelling. States the doctor says they don't know what did it because the risk was there and the benefit and don't want to get reactions. Caller states she had no problem with getting the shot, that weird things happen and the pediatrician is saying it can happen but doesn't know. States it is kind of scary. Caller states they checked her out and they checked her oxygen and blood pressure and that made the caller feel better. States that 9:30-10 last night after she got home she was slumpy and her head was hurting and she had chest pressure. Caller states with the hand swelling, that the caller herself went through reaction and hives and the doctor had asked if her daughter had anything new introduced and no nothing was and her daughter didn't seem concerned to share this but after her 1st dose her hands itched and she didn't pay it any mind. States she had no face swelling. Caller states she is wondering if those little hand itches after the 1st dose she didn't tell about till now was that a little bit of a sign that something else was there. States she didn't mention it after the 1st dose and was good to go. States after the 2nd dose she said mommy my hands itched after the 1st dose, her lip didn't swell and she told the doctor it's not conditions on the list of symptoms and she didn't have breathing issues. Caller states it's a non severe reaction and is assuming to dose and said yesterday if she gets a booster what does Pfizer advise. Caller states they have all intention of getting what she needs in the future. Caller states she wants to make sure she doesn't have worse and the lip swelling was freaky. Caller states she thought her daughter was out of the woods after the 20 minutes waiting and was home and then turned. Caller states it was pretty straight forward and knew what the expected symptoms were and they were fine and knew she was having the exact ones on the list and was not feeling well and had a fever. States she was thrown for a loop when others came up and the fact that they were 24 hours out, that she got the 2nd dose 4-4:15 on Tuesday and these evolved well after that time. Caller said they said to report this and her hope is that they can help if someone else has this issue. States when she said she was laying there my hands did itch after the 1st but not like this to this degree. States she never said anything and caller didn't know. States she knows as a parent there are certain questions to ask and warning signs of potential allergic reactions. Caller states she is assuming this is some sort of allergic reaction, not the worst kind but pressure in the chest and other concerns about her heart having some sort of issue she knows have been reported.Caller states that today she could have done the EKG for more information but based on her listening and what she wanted to thinking the body aches and extensive issues with that she is glad she waited. States she was laying in bed at 6:30 and asked her if she wanted to get the EKG and she said she was afraid of going to the hospital and it's not fun but would give answers if there is something else and she laid in bed until 9:30-10 and gave her more Benadryl and Ibuprofen and continued with that for the discomfort behind her eyes and the doctor is thinking it's body aches. States the fever subsided yesterday.Caller states she would like to share that her daughter is a tough kid and tough kids can be taken down too and may not pay attention. Caller states she doesn't over react but she is aware and if she had told her about her hands she would have thought allergic reaction, mild one and brought her to the doctor or at the 2nd vaccine and she didn't say anything until after the fact. Caller relays her daughter has never been through hives and the caller has and has a lot of seasonal and environmental allergies and the caller was that kid. Caller states with her daughter not having seen her lip swell and her eyes started hurting and she started thinking the worst. States the doctor pushed on her and checked her lymph nodes and did a thorough exam that lasted about 30 minutes and nobody knows. States she appreciates all that Pfizer and the other companies have done, that we need this.Caller states her daughter goes to the pediatrician in 2 weeks for her annual check up. States the doctor yesterday said her body responded and had a hard time with it. States she does the flu shot every year and this was weird and she wanted us to know and hopes this report can help. Caller states her daughter is a tough kid nobody knows and today she is better, she has a headache behind her eyes still there.Caller relays that Friday she had her annual eye check up and it's not a vision thing, that was fine until Wednesday and other other stuff and yesterday with pressure and she is sure it's residual and her body adjusting and if she can help with letting other people know.Caller relays if it comes back she is going to do the EKG, that she is not the parent to say it is nothing and will follow through with Pfizer also. Caller states she didn't have anything weird for heart beat and no rubbing sound and no signs and she thinks it was issues from body aches and hopefully she is on the up and up and nobody will have to leave and go to the doctor today. And didn't think because it was not an immediate issue with her breathing and nothing like that and didn't think it would be an issue with a booster. Caller states it could be that instead of sitting for 20 minutes they keep her longer and that when she fills out the sheet if was not an option, she knows there is severe reaction listed, she will make notes and make the person giving the dose aware that she had the delayed what they are believing to be allergic reaction and make sure, that she may never have it again and it could have been her system was so under attack. Caller states she doesn't understand vaccines and knows it's the body's job to do something and she is not reluctant helping her be immune and she understands what to do in the event and doesn't have an epi pen and her daughter has no allergies and no reactions to anything. Caller states she didn't have the worry, that there is always a chance and you worry when something foreign goes in the body that there is a chance to react. Investigations: Caller states they listened to her heart and took her vitals and tests with her fingers checking her eyes to make sure her pupils were dilating correctly and move her eyes with a moving finger. Caller states she doesn't know the medical term but the basics and let them know she was not in dire straights to rush to the hospital immediately. The patient underwent lab tests and procedures which included blood pressure measurement, body temperature: 102 fahrenheit, electrocardiogram, oxygen saturation, vital signs measurement was unknown and unspecified date. Therapeutic measures were taken as a result of lip swelling and numbness, itching on face, hands and feet / caller states then her daughters hands and feet began to itch, pressure on her chest , fever, swelling from the digging and scratching. The outcome of the events was unknown.

Patient got her 2nd covid19 vaccine on July 2nd. starting from July 7th, after eating methimazole, she feel headache, nausea, want to vomit, but can't spit it out. she is lack of energy. she take methimazole for more than 2 years, never has this symptom before. all abnormal happened 1 week after her 2nd covid19 vaccine. I am worried about her.

Systemic: Abdominal Pain-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Medium, Additional Details: Patient's original BP was 91/57 and second reading was 92/72. She fainted for less than a minute and regained consciousness. She suffered from severe nausea/abdominal pain and vomited. Patient was given water and felt much better after throwing up. She also complained of feeling tired.

Upon patient shopping with mom after waiting 15 minutes for monitoring, the patient became nauseous and vomited in the store. My pharmacy manager, and I both came right away after being notified. We questioned the patient who stated that she immediately felt better, but just that her stomach had been hurting. She did not feel light headed or nauseous after.

Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: VOMITING ONCE-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild

Approximately 3 days after the vaccine started with abd pain and vomiting, this lead to dehydration and hospitalization

began seeing a scary image of a very distorted, grotesque person; pain in her arm; malaise; nausea; headache; fatigue; She is afraid to walk alone in the hallway. She has this fear that someone is gong to jump off and attack her; This is a spontaneous report from a contactable consumer. This consumer (patient's mother) reported for a 12-year-old female patient (reporter's daughter) that: A 12-years-old female patient received first dose of bnt162b2 (Solution injection; Batch/Lot Number: EW0181; Expiration Date: Aug2021), via an unspecified route of administration, administered in Arm Right on 18Jun2021 at 09:15 as single dose (at the age of 12-years-old) for covid-19 immunisation. Medical history included PFAPA syndrome, fever, and redness at the injection site. The patient's concomitant medications were not reported. Patient did not take any prior vaccinations within 4 weeks. On 18Jun2021, in the evening, patient had pain in arm, nausea, headache, fatigue and malaise. Reporter stated that, three days after receiving the vaccine, her daughter began seeing a scary image of a very distorted, grotesque person. She was afraid to walk alone in the hallway even during the day. Caller reported that it has gotten better, at least during the day. Caller reported that the patient doesn't tell her about the image, but the patient knows it's not real and not there. Caller reported that the patient says that she cannot shake this feeling of fear that something is going to jump out at her or attack her. Caller reported that the patient's feeling of fear comes and goes. Caller reported that what has gotten better it seems is during the day. Caller reported that the patient said that when she is busy or distracted, she doesn't think about it, but if the patient has more time on her hands she starts to go there. Caller reported that the patient is having kind of like this feeling, not necessarily paranoia, but a feeling like something is going to happen or jump out at her and she can't shake it. Caller reported that the patient knows that it is not real and not there. Caller reported that the patient received the Covid-19 vaccine because of school as they are not going to have a virtual option, as well as just to be safe and be able to travel. Caller reported that on night of 30Jun2021 was a little better but was a little worse at night on 01Jul2021. Caller reported that the patient was home schooled and was fully fine. Caller reported that the patient's grades were excellent and that she was happy to be home but missed her friends. Caller reported that this was very bizarre to her and that the patient's pediatrician advised the caller to call Pfizer and not to give the patient the second dose of the Covid-19 vaccine. Caller reported that although the patient's physician hadn't heard anything, she wanted to ask if Pfizer had heard anything. Caller stated that she reported the event to VAERS as well and made a submission. Caller stated that she does not know if Pfizer can give her that information or not but she just didn't know if this is something Pfizer has seen. On 19Jun2021, pain in arm, fatigue, nausea, headache and malaise was resolved. The outcome of She is afraid to walk alone in the hallway. She has this fear that someone is going to jump off and attack her and began seeing a scary image of a very distorted, grotesque person was unknown. Follow up attempts are needed. Further information has been requested.

in a lot of pain; Fever; Vomiting; Severe headache, very bad headache; This is a spontaneous report from a contactable consumer (parent). A 12-years-old female patient (reporter's daughter) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection and lot number and expiration date were unknown), dose 2 via an unspecified route of administration on 02Jul2021 02:30 (age at vaccination: 12-years-old) as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On 02Jul2021 at 02:30, the reporter's daughter just got her second dose of vaccine for the Covid-19 and at 03:00 in the morning, she started with the side effects which included fever since then, vomiting and severe headache, very bad headache. At 04:00 in the morning, the reporter further stated that She was in a lot of pain, her headache was killer her. The reporter thought that going to take her to the (unspecified, which was not clear) because she can't take the pain anymore. The outcome of the events was unknown. Follow-up attempts are needed; information about lot/batch number has been requested.

Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Mild, Additional Details: Rph gave first pfizer covid vaccine to patient and she felt nauseaus within a couple of minutes. Mother reports daughter lighter in color and needed a bag in case she needed to vomit. PT's mother declined to be brought into ER because daughter (patient) appeared to have recovered. Instructed by parametics to f/u with primary doctory.

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Additional Details: Pt was sitting down during 15 minute post vaccination on a chair when she began to slide out of it. Her grandfather called to us and helped her sit upright. She said all of a sudden she felt really lightheaded and nauseous and then she woke up in her grandfather's arms. her face was pale. she stated she had been "nervous" about getting her shot. after drinking some water and eating a piece of candy, patient regained color in her face and was able to walk out of the store normally.

Had routine reaction immediately post vaccine (pain, redness, nausea, muscle aches, fever, etc) that recovered. Then, on 7/12/21, she started to experience pain, redness, and some swelling again but this time there was some pain on the right side as well. Pain originating from deltoid and radiating through arms and shoulders. On 7/16/21 the pain was worsening and she was no longer able to perform daily activities as well as would cry if her arms were even slightly touched. she was referred to the Urgent Care who did testing for illness and muscle conditions which came back normal. She was screaming through trying to get bloodwork due to the pain which is atypical for her and they sent us to the ER for pain with unknown origin. ER physician said all neurological processes were normal and was concerned for Complex Regional Pain Syndrome so he wanted an urgent follow-up with Primary Care. on 7/19/21 Primary Care suggested delayed response to the vaccine and referred her to Neurology. On 7/22/21 Neurology decided it was a delayed immune response to the Covid vaccine and prescribed Prednisone to start today 7/23/21.

1 day after receiving the COVID #2 vaccine, felt dizzy, body weakness, pain in stomach and head, fever (tactile), 1x vomit - food contents, blood pressure low (unable to recall).

Warm flushing on right side of face near the ear, then eventually on the left side of face. Nausea. Throat felt it was swollen.

Patient received vaccine at 17:00. At 17:04, she complained of nausea, of feeling 'hot" and had noticeable diaphoresis. At 17:06, patient started having emesis X 4. We placed cold packs on her neck, directed several floor fans toward her chair, offered her cold water and reassured her. At 17:20, patient was no longer diaphoretic and she said her stomach "felt better.' At 17:28, patient denied having any more symptoms. She felt better and wanted to go home with her mother who was with her. She had no dizziness upon standing and walked out of vaccination clinic on her own.

Chills; Vomiting; Headache; Nausea and stomach cramps; Nausea and stomach cramps; Sore arm at the vaccination site that was also a little bit warm; Sore arm at the vaccination site that was also a little bit warm; This is a spontaneous report from a contactable physician (parent). A 12-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration in Arm left on 19May2021 16:00 or around 15:15 pm (Batch/Lot Number: EW0185, Expiry date: unknown, Age at the vaccination: 12-years) as single for covid-19 immunization. Medical history included ongoing allergies, seasonal and environmental. Concomitant medications included fexofenadine hydrochloride (ALLEGRA) (she had been taking for a while), pseudoephedrine hydrochloride (SUDAFED 12 HOUR) (she only took it once) taken for hypersensitivity, ibuprofen (ADVIL 12 HOUR) (she had taken it here and there once or twice, not all the time) taken for an unspecified indication, fluticasone furoate (FLONASE SENSIMIST ALLERGY RELIEF) (she did not take it the day of the shot, but she took it the entire week prior) taken for hypersensitivity, seasonal allergy and azelastine (she was supposed to do one pump of spray twice daily per nostril) taken for an unspecified indication, start and stop dates were not reported. History of all previous immunization with the Pfizer vaccine considered as suspect was mentioned, additional vaccines administered on same date of the Pfizer suspect if applicable, list all vaccines administered on same date with the Pfizer vaccine considered as suspect and prior vaccinations (within 4 weeks) if applicable, list any other vaccinations within four weeks prior to the first administration date of the suspect vaccine was mentioned as none. When she was young, she had a fever after one of her shots. It was a high fever, only once. The reporter stated that his daughter got the vaccine on Wednesday in the afternoon at 4 pm, or around 3:15 pm. She was 12 years old. She had not been feeling well since then. On 19May2021, the patient had sore arm at the vaccine site that was a little bit warm, it was a little bit warm all day yesterday. It was still a little sore but maybe a little better. Left arm. It was quick it happened after the injection. On 20May2021, he stated that his daughter had chills started last night, Thursday night it was about the same, and just a lot of nausea and vomiting during the day along with stomach cramps. And now, it was Friday. She vomited like a dozen times and it was still going on. She had headache all day yesterday, it was better today. Relevant tests reported as none. Treatment in regard to the events was Advil for the headache, Pepto for the stomach, Pepcid for stomach discomfort, Benadryl to sleep, and rest. The outcome of event headache was recovered, vaccination site warmth and vaccination site discomfort were recovering, and other events was not recovered. Lot/batch number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected.

Within 5 minutes of vaccine administration patient complained about feeling dizzy. Patient became pale, appeared lethargic, felt clammy, dizziness, weakness, and threw up 3 times immediately. Patient was sitting in the chair, ice pack was applied to her neck and head, legs were elevated with a chair. Patient's blood pressure was taken after vomiting and was 60s/40s. Patient continued with the symptoms noted previously. Nurse assessed patient and administered Epipen 0.30mg. Blood pressure was taken again, 100/60, 911 was called and patient was taken to near by hospital, guardian left to meet at the hospital.

pt received 1st dose pfizer. pt was extremely anxious and nervous. After receiving dose patient waited/monitored for 15 minutes. After 15 minutes patient asked to use the restroom and on the way to the restroom vomited. Phoned patients mom later in the day to check on child and she was doing well

Late at night patient began having chills and extreme muscle pain all over her body, sore throat, nausea, extreme fatigue. She also had a fever of 102.

Felt like throat was closing after 5-10 minutes after the shot. Difficulty swallowing. Water did not help. No other symptoms. Got medical attention at 30 minutes post-shot. Vitals all ok. Received Benadryl. No symptoms after 2 hours.

patient c/o difficulty to swallow 27 min after vaccine administration. Vital signs stable. no rash no SOB noted. throat assessed, Left side appears swollen. given Benadryl 25min PO x1. consulted Urgent care doctor, advised to send over patient to be seen for further eval.

Patient states she did not eat or drink anything in the morning prior to her vaccine. Crackers and water given prior to vaccine. Vaccine administered at 0730. 0748 patient stated she was dizzy, pale, and had blurry vision. She states she felt a whoosh. She was transported to wheelchair and transferred to observation area. BP 81/34 HR 86 100% RA. Patient drank more water and crackers. Remained pale, nauseous. Denies dizziness/blurred vision. 0751 85/40, HR 68 100%RA. 0756 89/53, HR 60, 100% RA. 0801 100/49, 61, 100% RA. 0807 95/64, 57, 100% RA. Patient denies any symptoms. Educated patient and mother on when to call 911. Patient ambulated without difficulty. Discharged home with mom.

My daughter passed out 2 times within 5 minutes of receiving her first dose. She complained of being nauseous after both fainting episodes. We gave her water and orange juice and she ultimately felt better after about 25 minutes of resting.

Pharmacist gave my daughter all six doses. She used an undiluted bottle and shot her full of it. She has fever chills aches headaches green poop nausea

Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Systemic: Vomiting-Mild, Additional Details: Patient became nauseous and pale several minutes after inject. She was stated she was nervous about injections and felt a little lightheaded and did vomit one time. She returned to normal within 10 minutes and was monitored the whole time.

Patient received first dose of Pfizer at an unknown location and presented to the ED at with lip swelling and tingling. States the symptoms started 30 mins after the vaccine. Given treatment with steroids and discharged home. Patient returned to the ED on 5/15 complaining of nausea and throat tightening with a rash on her back and arms. Zofran, Benadryl, Pepcid and steroids administered. Pt was discharged home.

@3:52pm pt c/o headache, dizziness and nausea. Pt. placed in gurney to restwith HOB elevated. V/S monitored. Vitals: 102/63 BP, P-62, RR-17, o2 - 98% RA Patient had sips of water with relief of nausea noted. Vitals monitored @4:18pm vitals BP: 100/70 , P-73, RR-17, o2 -99% RA @4:20pm - pt. verbalized recovered from symptoms. Pt. sent home. Advised to notify primary MD of recent COVID-19 S/E. #21: pt. stable and sent home

Patient received 1st of dose Pfizer from nurse on duty. Within five minutes patient become dizzy and nauseated. She was barely coherent and blood pressure was low at 66/45. She was laid on the floor to help and paramedics were called. paramedics took her to hospital. she was more coherent and bp improved but still having side effects.

Uncontrollable vomiting (about 12 times over 8 hours) starting 2.5 days after vaccination. No one else in family is sick, no exposure to sick individuals.

pt had fever the night after taking the vax. The next day she when she woke up her entire right side of the body was sore and had diarhea. She had fatigue and developed a rash on her left arm. Three days later she still has a rash, sore arm, slight fever and diarhea. Pt will be going to urgent care today for treatment.

Felt warm, dizzy, nauseated about 5mins post vaccination Given juice, water and crackers at 10:50am Discharged to home

Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Additional Details: Immunizing pharmacist checked patient's blood pressure after syncopal episode, and again before sending patient home. He then called later to follow up and was informed of a second episode, after which he accompanied patient and mother to hospital. He remained with them until she was cleared to go home.

Event occurred during COVID vaccination clinic of students at School, under direction of Hospital COVID Vaccination team. Syncopal event 5 minutes after injection. Fell backwards striking her head on the floor. Regained consciousness immediately. Pale, diaphoretic, reported lightheadedness and nausea. BP 86/50 HR 116 SpO2 99%. Consumed several ounces water and ice pack to head and neck while in observation. Released to parent after 30 minutes. BP 110/60 HR 90 SpO2 98% skin dry, color pink, denied nausea. Able to ambulate without assist. Presented to urgent care 5/18/21 for concussion evaluation reporting sensitivity to bright lights. Advised by provider to rest, avoid electronics and strenuous physical activity.

*Per patient's mom's report* After leaving pharmacy, Pt c/o throat swelling/difficulty swallowing. Within 45 min, angioedema + tongue swelling. Benadryl + prednisone given orally @ home. Dad rushed Pt to ER, IM Epi given, Pt admitted for observation over HS.

approx 15 mins post injection client's mother states client is not feeling well. Eval'd client, c/o mild nausea and "throat feels a little scratchy" denies any other s/s. v/s remained stable throughout, Administered 5mg of Zyrtec to client, observed for another 30 mins, client states "feeling normal as always now" discharged from site, in stable condition.

pt reported nausea, dizzines and feeling shaky she denied SOB or dsyonea, she has not had any prior reactiobn to vaccines. she has not eaten prior to the vaccine; pt was encouraged to lie down and hydrate, symproms improved with in 10 min, family was encourged to wait full 30 min prior to leaving and once symptoms resolved

Patient felt like she could not swallow , she was able to drink water without difficulty. We took the patients vitals at 12:35 pm heart rate 96, resp 20, o2 99, blood pressure 120/84, again at 12:45 pm heart rate 92, resp 20, o2 98 and blood pressure 123/73. Asked how the patient was feeling. The patient was feeling better so we released her home with mom at 12:46 pm.

Feeling of tightness in the throat and like a lump and acid reflux not getting better IM Benadryl felt better immediately OBS vs 99% HR 116 BP 115/73

PATIENT FAINTED WHILE SITTING DOWN, MOM CAUGHT HER AND HELPED HER STAY IN THE SEAT. PATIENT LOOKED PAIL AND WAS FEELING NAUSEATED. MEDIC ARRIVED AND TOOK VITALS AND OBSEEREVED. PATIENT WENT HOME WITH MOTHER

Patient received her 1st dose of the Pfizer Covid vaccine around 11:20am, and started feeling bad within about 5-7 minutes of administration. Her grandmother came to the counter to alert me that she wasn't feeling well, patient was lightheaded and just "felt bad". She did say she was nauseous, but was very agitated and had trouble verbalizing what was wrong. She was very hot and clammy, her mother reported that she looked very pale. I went to get a cuff to take her blood pressure, but by the time I got it on her arm, she was slumping significantly in the chair, so we decided to move her back to the clinic room to lay her down and elevate her feet. Her mother and I each took an arm to move her. I thought she may have briefly lost consciousness, her legs were not holding any of her weight, but her head was down, so I couldn't tell if she was alert. We moved her a few more feet into the room and her mother moved to set her down in a chair, she was talking and alert. At this time, her bladder evacuated and she vomited, her mom moved her the rest of the way to the chair. I immediately went back to the room with them and dialed 911 at 11:34am. She was more alert at this time, did not report any difficulty breathing or any swelling or itching of the mouth or throat. She was very anxious/agitated, but she did say that she felt a little better after vomiting. EMS arrived at 11:52, I believe she vomited again before they got here, she did take a few sips of water. EMS left at 12:06pm, the patient and her mother left at 12:07, she was walking on her own, with support from mom.

Fever, eye redness, body pain starting 1 day after vaccine cough, nausea, abdominal pain 3 days after vaccine 1 episode of emesis 5 days after vaccine - Admitted to hospital with suspicion of MIS-C - As per ID and Hem/Onc, Started on IVIG and aspirin (5/23/21) - currently still admitted for management of MIS-C

Fast onset of dizziness (head spinning, difficulty walking), nausea, temple pain, stomach pain. Some chest ?burning? sensation.

Patient received her first dose of the Covid vaccine without a problem. She was reading a magazine in a chair while waiting for me (her mother) to have the second dose in the same room. About 5 to 10 minutes has passed since patient had received her injection. I looked over at patient, her eyes had rolled back and she had slumped in her chair. I ran over to her - her face was very red and she did not appear to be breathing. Her eyes were open but were not focused. I sat her up as straight as I could while the technician who administered the vaccine ran for the pharmacist. This took a few minutes. By the time the pharmacist arrived patient was gaining consciousness but began throwing up (although mainly dry retching). Her face had gone pale. The pharmacist was very helpful - she gave patient some Coke to drink and took her blood pressure, which was low. After 30 minutes of observation we were allowed to leave. The event was very frightening. Patient was very pale for the rest of the day. She had a severe pain in her left arm (and leg) which gradually improved over the next three days. We are very worried about her taking the second dose of the vaccine.

Approximately 3 minutes after her injection, the patient experienced stomach pain, hot flashes, and pallor so was taken to our roof for fresh air. While being escorted by parent and staff, the patient fainted and was supported to the ground. Epinephrine was administered and 911 was called. Paramedics arrived shortly thereafter and examined patient. Patient was cleared by paramedics and walked out of the clinic unassisted.

2 days after vaccine was give on 5/20/21 around 430 she complained of chest pain that was sharp and pressure and that it was hard to breath. She was taken to the ED for evaluation. At the time of exam she was feeling better in her chest and complained that the pain had moved to her upper abdomen. There were no findings on physical exam or heart monitor. Her heart rate was elevated mostly in the 90's and low 100's. No further complaints of chest pain, but continues to be achy 1 week post vaccine especially in her knees.

Chest pain shortly after the vaccination. Swallowing and throat. Long lasting and was sent to the emergency room. Labs and EKG were normal. Sore throat lasting up to five days after the vaccine. Tightness in throat and chest experienced

Pt received vaccine (1st dose, Pfizer lot #EW0185) at 9:42 am and was seated in observation area. Patient raised hand and told observation/charge nurse her stomach hurt and she wanted to use the restroom. When asked to describe pain, pt stated she felt a little nauseous. The pt also stated she felt sick before getting the vaccine. The nurse accompanied to the patient to the restroom, and pt used the toilet. When pt came out of the stall, the nurse asked if she was feeling better. Pt stated her stomach still hurt, and she wanted to go to the school nurse's office. Charge nurse escorted pt to school nurse's office. The nurse stated "oh, we know her," and told charge nurse pt had frequent abd pain. Charge nurse left pt in care of school nurse and returned to vaxxing area. Nurse who administered vax to pt stated to charge nurse that the pt told her her stomach was hurting when she asked if she was well, and that it was an "ongoing thing," and she was getting an ultrasound for it Friday. Pt had no fever and no other complaints, but stated she was "only getting the vaccine because my grandmother wants me to." One-half hour later, school nurse came to auditorium asking if charge nurse could speak to pt's GM. Per school nurse, pt's GM had picked pt up from school d/t stomach complaint and now was on the phone with a question about vax SEs. Charge nurse spoke with GM on the phone. Per GM, pt had vomited x 1 and her ears were "very red." GM stated pt had recent issues w/ vomiting, but was concerned that pt's ears were red. GM denied any itching, rash, SOB, voice changes, dizziness, redness or weals anywhere else, or other symptoms of concern. Advised GM to give pt benadryl following dosing instructions on bottle, give her small sips of water and bland food as tolerated, and monitor pt at home. If pt's condition worsened, GM should take pt to UC/ED immediately for assessment. GM agreed w/ plan of care. At 2:30 pm, the school health director emailed the school site coordinator and told her the "student had an adverse reaction after today?s vaccination. She is currently in the emergency room and the docs believe it is definitely an allergic reaction to the vaccine. ....She did speak with your NP who was on-site this morning after she was dismissed to home, and advised to take Benadryl. Symptoms worsened and she went to ER where she received 2 doses of epi." Charge nurse reached out to school health director for information on where pt was treated to call for a report of symptoms prompting the epi intervention, but had not received a reply at the time of this report.

Patient awoke from a nap with chest tightness, difficulty breathing, and nausea, symptoms have continued interimittently, and are associated w/fatigue.

Approximately 10 minutes after vaccine she reported she felt hot and was ' having a hard time breathing'. Advised her to take off mask and she vomited on floor. Had her lie down on gurney. She denied SOB or breath or difficulty breathing BP 118/84 HR 73 02 sat 94% RR 16. After resting for 5 minutes she reported improved nausea, BP 118/84, HR 73, O2 sat 97%, RR 16. Offered small sips of water. Patient rested for 30 minutes with VS monitored every 5 minutes. Patient reported feeling better and denied dizziness, SOB, or with position change. parent instructed to follow up at ER or urgent care if symptoms returned or if concerns.

She had an upset stomach and was feeling really tired. Then the next morning, she had a rash - itchy and bumpy - torso, back arms and face. Went to the Doctor and she said it looked like an allergic rash. She told us that based on my daughter's genetics and her asthma - (I (her mother) had an anaphylaxis with my second Moderna shot - my entire body was giant hives.)- That he did not recommend her to have the 2nd shot. My daughter still has some of the rash - a little on her left cheek, stomach and back still. The itching is gone. She did take Benadryl for it.

Approximately 3 minutes after recieving the shot, the patient fainted for approximately 15 to 20 seconds while seated in the waiting area. Patient reported feeling nauseous but did not vomit. EMT was called to the scene and checked her pulseox was at 100 and pulse was at 60 approximately 13 minutes after shot injection.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Additional Details: Patient sat down in waiting room right after her first COVID shot & seemed fine. She suddenly started to shake & looked dizzy. She said she just felt nauseated. We called ambulance & they checked her vitals & everything was normal. Her mother said she reacted this way to last HPV shot last year. She went home & we called her later in the day & she was feeling fine.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Additional Details: Patient sat down to wait for 15 minutes then all of a sudden started to shake & looked like she was dizzy. She said she only felt nausea. We called the ambulance & they checked on her. Her mother said she reacted this way about a year ago to her HPV shot. We called the patient a few hours later & she was feeling fine.

She had troubles breathing. On the first day, she also had headaches and tummy pain. On the second day, she vomited in school. She also had a headache and troubles breathing. She had belly pain, as well. On Wednesday, around lunch break she called me to pick her up, she had troubles breathing and headache and feeling blah. Also on the first evening, Her arm was hurting and her left body side was hurting. (Wednesday this got a little bitter but she still had pain on her front left side -- especially her left leg.) I took her to primary care and he prescribed Prednisone. Prednisone started then. On Thursday, she still had troubles breathing and she stayed home from school. On Friday, it was okay for her to go to school.

headache; diarrhea; stomach ache; tired; This is a spontaneous report from a contactable consumer (patient's mother) via medical information team. A 13-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EW0182), via an unspecified route of administration in Arm Left on 25May2021 at 13:00 (13-years-old at the time of vaccination) as single dose for COVID-19 immunization. The patient's medical history included mental problem (reported that she takes a medicine for a mental problem that she has but the caller does not know the name of the medication or the condition). The patient had no family medical history relevant to adverse events. The patient did not receive other vaccinations within four weeks prior to the first administration date of the suspect vaccine. The patient's concomitant medications were not reported. The patient's weight is 200 something. On 25May2021, the patient experienced headache, diarrhea, stomach-ache and was tired. Clinical course included: headache began after the shot yesterday (25May2021); diarrhea and stomach-ache began last night. Her daughter was also tired, she just said she was going to go take a nap now. The tiredness also started yesterday because she laid down with the headache, so it had to be yesterday. The tiredness was persisting about the same, caller's spouse can be heard in the background of the call saying everything was persisting about the same. The outcome of events was not recovered. Additional information is requested.

Patient reported feeling nauseous and light-headed post-vaccination. EMS evaluated her, determined her blood pressure was low, and gave her snacks and water. Patient was driven home by her mother. 6/1/21:10:50am - TC to mom - daughter is doing fine and have no concerns or questions. - RN

On 05-22-2021, participant's mother states her daughter pain started at about 1:00AM. I took her to Urgent care because she was having chest pain, nausea and headaches. She also had 99.2F of fever but no congestion or cough. At the ER an EKG was done and it was a bit off, lab work was also performed, x-ray of the chest was also done and they gave her an Albuterol treatment. She was given IV fluids and steroids and a CT scan of the chest was also performed. After 9 hours, she was discharged home and could not find anything wrong. On 05-25-2021 I took her to her pediatrician who pushed on her chest and it hurt her when he did this, her pain level was between 5 and 8 out of 10 on VAS scale. EKG's were performed as well as lab work, x-ray of the chest at the pediatrician office. Her daughter also said her chest hurt her to exhale and inhale. The pediatrician said that her rib cage and breast bone where inflamed upon pressing on her daughter's chest and that she has s costochondritis. As of today my daughter still has nausea that comes and goes and also continues with the headaches and takes Ibuprofen as pain medication.

She had her first shot vaccine yesterday June 2, 21 and today she has sintoms off.. nausea, disiness , can't eat , headache, and body illness, has well a lot of pain on the arm and body muscles, and difficulty on breathing..

Face is swollen/face was puffy; complaining of pain in her throat glands/Glands under throat are painful; sleeping a lot; didn't really eat much; Very Lethargic; vomited once or twice/Vomiting; This is a spontaneous report from a contactable consumer. This consumer (patient's mother) reported for her daughter (patient). A 13-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose at the age of 13-years-old via an unspecified route of administration on 15May2021 15:30 (Batch/Lot number was not reported) as 1st dose, single for covid-19 immunisation. Medical history included ongoing reaction to bread. Concomitant medication included an unspecified anxiety medication. It was reported the patient received the first dose of the Pfizer COVID-19 vaccine on 15May2021, and the next day, 16May2021, she was sleeping a lot and vomited once or twice, didn't really eat much. This morning, 18May2021, she vomited and noticed face was puffy and complaining of pain in her throat glands, they will be taking her to her HCP this afternoon. Shee mentioned that she has had a reaction to bread, possible gluten intolerance, maybe yeast, and was asking if is there is yeast in the production of the vaccine. She got the vaccine on Saturday at 1530. It was further reported that for the first day or two she was very lethargic and vomiting on 15May2021. States they thought it was just a normal reaction. The reporter stated that today her daughter isn't in school again because she is vomiting, her face is swollen, and her glands under her throat hurt. States she is going to the doctor this afternoon. The patient did not recover from vomiting, was recovering from very lethargic while the outcome of the other events was unknown. Information on the lot/batch number has been requested.

Pfizer vaccine. Patient stated she was having some slight pain in her sternum area, then she stated it moved to her "belly" making her nauseas, then stated her throat felt like it was a little scratchy. Symptoms did not all happen at same time, the progressed. Patients blood pressure was115/75 pulse 81. Patient alert and oriented, appeared in no distress. Patients mom at side. Decided to drive her to the hospital. Did not want this RN to call 911.

About 5 minutes following immunization, parent came to alert pharmacist that patient was experiencing nausea and light-headedness. Pharmacist observed that patient had a drowsy appearance and her eyes would periodically roll to the back of her head. Patient was also warm to the touch. She was given a cold pack which we placed on her wrists and she said that seemed to help. Patient remained under observation for about 20 minutes before she felt comfortable to leave the store.

Patient was vaccinated at 1631 6/3/2021. She came to observation room with many allergies in the past and history of serum sickness. She was to be watched in the observation room for 30 min. She developed nausea and abdominal pain (6/10) She was flushed and itching. 1645 Benadryl 50 mg given per mom's OK. 30 min later she was still the same but with dizziness too. Given gatorade to sip on and vitals taken. 125/76 Mean 95, HR 90, RA pox=97%. Continued to watch with no improvement despite interventions . RRT called ultimately. Patient taken to ER with Mom at patient's side.

Daughter stated she had diarrhea for 3 weeks while we were at the hospital on 6/2 for IV fluids and severe dehydration. Her poop was mushy, and not diarrhea, however for her it was much softer than normal. She collapsed at home and was unresponsive, 911 was called, ER doctor determined she was severely dehydrated and administered 2 bags of IV fluids to stabilize her blood pressure.

Post 2nd dose pt c/o nausea, pt was sweaty and poor color. Pt was assessed by medics low pulse/bp. Pt vomited x1 Pt transported to ED "not getting better".

Patient fainted in the bathroom around 2:00am. When we heard the thump, we ran to her and my husband picked her up. She wasn't talking much, she started gagging and fainted again and her body started convulsing. We believe she was having a seizure. Patient has never had a seizure, her fever was high. It only lasted probably 20-30 seconds. When she stopped, she was able to walk with assistance back to her room. We quickly gave her some medicine to bring down her fever. Wet wash cloth and a fan on her. I failed to take her temperature. I was too concerned at what was going on.

She woke me up in early morning - and she felt feverish and she had a headache. I gave her Tylenol and she went back to sleep. When she woke up around 08:00 a.m. she felt like she had the flu - terrible headache, chills, 100 degree fever, body aches and nauseous and really restless. By the morning, her left arm at injection site was also sore. We gave Ibuprofen at 10 am to help with aches and pain. About 20 min later, she threw up a lot. I called the doctor and talked to nurse. Told me to wait four hours before giving pain meds again. We gave her Pedialyte. at 02:00 pm, I gave her a dose of Tylenol and in within 30 seconds after giving it to her she threw up again, a lot. I called the doctor again. Nurse said to give her more Tylenol when she was able to feel better. She took a bath and drank some Pedialyte and that helped rehydrate her and then we gave her Tylenols when she was feeling up to it. On Sunday, when she woke up, she had swollen and painful lymph nodes on armpit on her left side and those are still persisting - not as swollen but painful a bit. She was tired still on Sunday but feeling a lot better. Tiredness, sore arm and pain in lymph nodes under her left arm were what persisted on Sunday. She still has pain under her left arm with swollen lymph nodes but did go back to school today.

It was Wed night and she said her stomach hurt so she couldn't sleep. She woke up at 4 and had to throw up. It was yellow. She went back to bed but then woke up and at 06:00 am threw up again. She said she hadn't been able to poop for 2-3 days. Docusate for constipation on Friday and she went twice but she told me yesterday that she hasn't gone again since that time. Has not received more than the one dosage of the Docusate. Dr. gave her sublingual med for throwing up but we haven't filled it as her nausea is gone. She says her stomach doesn't hurt and she doesn't feel nauseous - she just hasn't been able to have a BM again.

Pt. accompanied by her mother arrived at site around 0845 to be vaccinated with her second of the Pfizer vaccination. Pt. and parent confirmed no adverse reactions after first dose, no known medication or other allergies, no known past medical conditions and the pt. indicated she was not pregnant. The pt. was given her second vaccination and as the vaccinating nurse turned away from the patient to move her cart out of the way and shut the patient's car door the patient was slouched over and nearly falling out of the car. The vaccinating nurse caught the patient and lowered her down to the ground from her vehicle. Charge Nurse was in prep directly across from the incident. Site lead brought over the E-Kit Charge Nurse utilized sternal rub to awaken patient which she was responsive to. Pt. was pale in color and stated she felt very lethargic. Pt. confirmed the last meal she had was over 13 hours ago. Upon initial evaluation of patient's vitals pt. was hypotensive 74/45 and bradycardic 45. EMS was called. Vitals reassessment BP increased to 81/54. Within two minutes of the syncopal episode the patient was able to talk and A&Ox4 after she was able to state full sentences she was given water, capri-sun and a sucker. After arrival by EMS the patient was reassessed. Vitals stabilized within normal limits. Parent informed the patient is stable and upon her choice she can be transferred to the hospital via ambulance for further evaluation. Parent decline. Pt. vitals and appearance within normal limits when driven from site by parent. Parent stated she will call the daughter's PCP to see if she can be further evaluated in her doctor's office today. Mother also stated pt. has an appointment 06/14/2021 for regular physical and follow-up.

Woke up exactly 12 hours after vaccine with the following symptoms: Fever 99.5-100, red cheeks, shaking, body aches, nausea, headache, couldn't lift her arms much. Symptoms lasted 24hours and as fast as they came on, they went away the same. A severe headache remained the second day.

Note- This patient did not receive the vaccine at our facility so I do not have further details on the vaccine. 13 y/o female with hx of juvenille arthritis, migraines and anxiety, here for left sided CP, palpitations, fast HR, SOB since 6/8 receiving the 2nd Covid vaccine on 6/6/21. Pt states she is also having some nausea and fatigue. Pt has not taken any medications at home for pain. Pt currently taking methotrexate but no steriods. No family hx of blood clots or blood disorders. Differential Diagnosis: Electrolyte abnormality, dehydration, arrythmia, COVID vaccine reaction, myocarditis r/t COVID vaccine. EKG NSR. negative troponin.

She was observed for 30 minutes in the center of vaccination. At around 40 minutes, she started to smell a strange odor, later a strange laryngeal foreign body sensation, her voice changed tone to hoarse (dysphonia). Later she had difficulty breathing through her nose and in seconds general shortness of breath. Marked pallor of skin and lips. Strange sensation of the extremities. She does not remember what happened, she had for a few seconds cloudiness or a sensation of faintness. She spontaneously recovered from the shortness of breath around 5 minutes, time that we were able to get to the emergency room. We consulted the Clinic, emergency room. Where she was observed and monitored for two hours. She recovered well. The evening of 6/5/2021 she had fever up to 100.6, nausea, headache, mild myalgia.

Got very anxious prior because of past issues with tetanus shot (similar symptoms), then felt extremely dizzy, blurred vision, momentarily fainted and then threw up about 3 times in the parking lot

Shot at 4 PM Monday. Woke up at 3:30 AM Tuesday feeling very hot and thirsty. Passed out in doorway of parents room when looking for assistance, Came to and began to vomit. Vomited several times. Passed out a second time. Ambulance called. Hot, sweaty. Fever and chills, massive headache and generally uncomfortable all day Tuesday. Woke up Wednesday morning feeling 100% fine.

During monitoring period post initial Pfizer COVID-19 vaccine, patient experienced headache, fatigue, dizziness. VS 141/97, P-157, O2-99% RA. Patient states she did not eat anything today and drank very little fluids prior to administration of vaccine today. Patient began to experience chills, flushing placed in Trendelenburg position. VS: 132/80, HR 105, 02 99%. Patient remained in Observation area for an extended period of time. Nurse remained with her and Mom for duration of observation. After an hour, VS: 130/85, P- 105, O2 100% RA, stated headache lessened.

Patient originally enrolled in COVID19 vaccine trial but tested COVID19 Positive 1/7/2021 and loss smell and taste. She has since been tested 1/21, 1/29, 2/17 & 5/19. Four of these tests were done during and with the Pfizer study for adolescents. She then came in 5/19 for her 1st Covid vaccine and came also came back positive and experienced a fever and chills after the injection, which mom associated it with her previously having Covid until that test came back positive too. Symptoms since after her vaccine include decreased appetite due to nausea, severe abdominal cramps and when she has a BM it is liquid. Patient reports when she touches cold metal her hands feel as if they are being shocked or burned. Having Headaches and very fatigued will sleep 12 hours+.

Dizzy; Fever; Headache; Chills; Nausea; This is a spontaneous report from a contactable consumer or other non-health care professional. Reported regarding a 13-years-old female patient received second dose of bnt162b2 (BNT162B2, solution for injection, Batch/Lot Number: EW0165) via intramuscular route of administration and administered in left arm on 06Jun2021 as single dose for COVID-19 immunization. She took the first dose of Pfizer vaccine prior, that was the second shot. The patient medical history and concomitant medications were not reported. Reporters daughter gets the second dose of Pfizer vaccine yesterday (distorted voice) she had a fever, headache, chills and then she was dizzy. reporter called the doctors office he told me it was normal with the vaccine, then today patient called them and the person patient talked to said, because she is dizzy take her to the ER, taking her and they told me to call and report her side effect. It was unknown that Investigation Assessment performed or not. Therapeutic measures were taken as a result of fever, headache, chills, nausea with Tylenol. The outcome of events was unknown. Information on Lot/Batch number was available. Additional information has been requested.

Mom was aware that her daughter doesn't do well with needles. Her dad is the same way, per mom. Patient fainted in the immunization room. We gave her a granola bar and some water before the injection, as a preventative measure. She fainted a second time. Mom checker her BP and patient felt nauseous. She started jerking and 911 was called. EMTs said it was not a seizure, but a vasovagal jerk. Paramedics said to lay the person down after the patient started jerking. When she was stable enough to be moved, EMTs wheeled her to the door of the store.

reported Fever, body aches. chills, Nausea, Severe headache which made me take her to Emergency Room on 6/11/21. Severe headache possibly from Covid Vaccine.

Pt received first dose on May 14. Initially, we did not think side effects. Pt did complain of getting dizzy when standing up, but we did not think was related. We thought it was from her methotrexate. Pt received her second dose on June 6. On June 7, Pt had chest pain, tachycardia, and did not feel right. We went to Hospital. Pt was admitted because of the high pulse rate and nausea and vomiting. It appears that the vaccine triggered POTS. This is an update to my report that I filled out in the hospital a few days ago

She was nervous before receiving the vaccine and felt lightheaded afterwards. While in the waiting room she vomited. She later drank water and after sitting down she recovered.

Patient following administration of the vaccine became lethargic and pulse slowed down. Epinephrine was administered and patient was responsive. She did vomit and was hot to the touch and mildly sweaty.

Feeling ill by 10 pm of vax date (6/8/2021). Experienced fever, chills, nausea, fatigue. Administered alternating Tylenol/Advil for next 24 hours. Too ill for school on 6/9/2021. Symptoms lasted more than 24 hours; less than 30 hours.

Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe

Nauseous and chills (flu like symptoms for 20 hours) Still has body temperature issues. Gets very cold and shakes periodically still Still has a sore arm

WITHIN 10 MINUTES OF VACCINATION, PATIENT EXPERIENCED NAUSEA AND SWEATING. PT DENIED ANY OTHER SYMPTOMS. PT HAD NOT YET EATEN THAT DAY. RPH PROVIDED PT ORANGE JUICE, WATER AND PEANUT BUTTER CRACKERS. PT DRANK ORANGE JUICE. PT DID NOT VOMIT. PT WAS PRESENT WITH PARENT AND PARENT STATED PATIENT WAS FEELING BETTER. PT AND PARENT LEFT AFTER OBSERVATION PERIOD.

13 yo old girl c/o difficultly swallowing and scratchy throat approximately ten minutes after receiving the second dose of the Pfizer vaccine. She appears well but has a nasal tone to her voice. Auscultation of her larynx did not reveal stridor. No rash, wheezing, or other associated signs or symptoms. She was treated with 25 mg of oral diphenhydramine with a resolution of symptoms after an extended monitoring period.

Patient is a 12 year old female arrived to observation area complaining of nausea, weakness, noted to be diaphoretic. Instructed patient to remain calm, relax. arrived to scene for further evaluation. Vital signs rendered EKG rendered. Pt. denies any pain, discomfort. Pt. refused hospitalization. Pt. recovered from adverse event and left via personal vehicle with mother at 4:10pm.

Patient complained of not feeling well after being administered with pfizer vaccine, she said she was cold, a little shaky, & nauseous. Checked her BP it was very low, elevated her feet, checked her BP several times after that and BP went up to 120/78. Called 911 because she was still not feeling well. EMS checked glucose level and it was low (patient did not have a meal all day). EMS said it was vasovagal syncope however patient did not pass out. Patient recovered while EMS was still on site.

nausea; vomiting; low grade temp 100; general tiredness; continuous stomach ache; This is a spontaneous report from a contactable consumer. A 13-year-old non-pregnant female patient received BNT162B2 (PFIZER COVID-19 VACCINE, solution for injection, batch/lot number was not reported), via intramuscular route of administration, administered in arm left on 04Jun2021 17:30 (05:30 PM) (at the age of 13-year-old and non-pregnant at the time of vaccination) as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Patient had no allergies to medications, food, or other products. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. The patient has not been tested for COVID-19 since the vaccination. The patient experienced about 36 hours after the injection patient had nausea, vomiting, low grade temp 100, general tiredness continuous stomach ache on 06Jun2021 05:00 AM. The patient underwent lab tests and procedures which included low grade temp was 100 on 06Jun2021. The patient received Pepto bismol tablets and Tylenol as a treatment medication for the events nausea, vomiting, low grade temp 100, general tiredness continuous stomach ache. Outcome of the events was recovered on an unspecified date in 2021.

6/13 Sunday she was tired and achey, T 100. 6/14 Monday, she said her stomach hurt and headache at the end of the day. 6/14 during the night she woke up her Mom and said her chest hurt. She has mild exercise induced asthma. She said her chest felt tight, and it hurt to breathe. She went back to sleep in Mom's bed. She got up very early 6/15. She took a shower, and it helped. She does look like she has laboured breathing, she does seem uncomfortable or unhappy. No fever today, not checked, but does not feel warm. She does have an inhaler, she did use it, but didn't help. She did eat and drink 6/15. She ate cold cantaloupe, and it helped her feel better. Is not complaining of burning. She has not done anything strenuous at camp yesterday. She does not have a history of seasonal allergies. Not in distress. No runny nose, she has had a little cough, when she breathes deeply. No rash on her body. She did feel nauseated 6/15. No diarrhea. Evaluated at PCP's office . Chest pain/difficulty breathing resolved on 6/16

Patient started experiencing moderate-severe abdominal pain one week after the first vaccine dose. Abdominal pain subsided over 2 days. Patient has never had any issues with constipation or gas, cramping, menstrual pains. This was the first time she experienced so much abdominal pain.

PATIENT FAINTED SOON AFTER VACCINE. PATIENT WAS HOT AND SWEATY AND NAUSEAOUS. PATIENT' S BLOOD PRESSURE DROPPED

13 y/o F with hx of exercise-induced asthma BIB mom for dizziness and chest pain s/p Pfizer COVID-19 vaccine received yesterday. Pt endorses nausea, HA, chest pain and SOB. No fever. Chest pain currently. Pt took albuterol 1.5 hours PTA. Pt usually only needs albuterol with physical activity. NO PMH/PSH. Vaccines UTD. NKDA. Differential Diagnosis: vaccine reaction, myocarditis, pericarditis, costochondritis. After assessment and treatment, pt is well appearing, explained to mom on reassessment symptoms have resolved, no chest pain currently. Explained symptoms likely secondary to vaccine reaction, explained normal heart enzymes and normal EKG, strict return precautions given including chest pain and fever.

13-year-old otherwise healthy female presents to ED by ambulance for chest pain. Patient received her second dose of the Pfizer vaccine on 6/18. The following day, patient had generalized fatigue, sore arm, and one episode of nonbloody nonbilious emesis. Yesterday, patient began to have intermittent midsternal chest pain which radiates to the back. Patient reports symptoms worsen with movement, walking, and deep inspiration. She denies any shortness of breath, or palpitations. She denies any headache, lightheadedness, fevers, chills, diarrhea, abdominal pain, or dysuria. No cardiac family history per mom. Patient did not have any symptoms after her first Pfizer vaccine. Differential Diagnosis: Chest pain, costochondritis, myocarditis secondary to vaccine.

Syncopal Episode after shower. Patient developed new onset nausea and dizziness and woke up on the floor. She felt unsteady on her feet for a few hours after the incident. Also experienced shortness of breath about 2.5 hours after the incident.

After waiting the necessary 15 minutes post vaccination, patient started to feel nauseated when she stood up to walk away. She made it a couple aisles away from the pharmacy and felt weak and she felt like she was going to throw up. So, patient dropped to her knees to avoid passing out. Patient was brought back to the pharmacy vaccine observation area and was giving a mat to lie on with a pillow and blanket. Patient was given a box of apple juice and a few minutes after patient felt much better, was no longer dizzy, weak or nauseated. Patient left area with mother after returning back to feeling normal.

Arm pain; Stomach pain; I feel like vomiting; I feel like throwing up; This is a spontaneous report from a contactable consumer (patient father). A 13-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0191, Expiration Date: 13Jun2021), via an unspecified route of administration, administered in left hand on 13Jun2021 as 1st dose, single dose for covid-19 immunisation. Medical history included was none and there were no concomitant medications. On 14Jun2021, Reporter stated that My daughter, she got the Pfizer COVID vaccine. She has the problem. The arm pain, which was normal because she passed all dosage stage however she keeps complaining about the stomach pain and then she says I feel like throwing up and which was, vaccination was happen on Sunday but she was keeps complaining like on 14Jun2021 Monday night, 15 Jun2021Tuesday night and also 16Jun2021 night and I thought let me update you. Is it normal or something different? She has not thrown up yet but she feel like throwing up and she was having pain in her stomach. She said, I feel like vomiting but no vomit so far but stomach pain still going on. Reporter stated that, I would like to know was that normal or she should checked by the doctor or she should wait one or two days more to get better or any other side effects which needs to be check right away. I mean she do not have any like fever or feel like emergency or anything. She was waking up in night two times. The outcome of the event arm pain and felt like vomiting was unknown and not recovered for other events. Information on lot/batch number was available. Additional information has been requested.

Patient said she felt immediate, strong pain in her arm from the jab the nurse gave her. She said the needle was in her arm a lot longer than when she received her first shot. I also watched patient receive her first COVID shot from a different provider, different facility, and I was surprised by the force of the jab of this second COVID shot, and length of time the needle was in her arm. After the nurse left us in the room to wait 15 minutes, patient became more and more uncomfortable, hot, sweaty and nauseous. Within 5 minutes, she was lying down on the exam table - at which time I alerted staff at the nurse's station in hallway that patient wasn't well and we needed help. She said she would get "the provider" and be right in. When I walked back into the room, patient was curled up in a ball on the table, pale, clammy and not able to speak. I yelled down the hallway for help right away, and stepped back into the room. Patient then began to vomit. At least two nurses entered the room, and began to assess her vitals. Her blood pressure was low, but she was breathing fine. 'The provider" (I don't know his name) came in and I told him about how hard she was jabbed, and that she began to feel badly immediately afterward.

Pallor- vagal event with subsequent possible loss of consciousness and brief generalized seizure possibly per family versus vagal event only. Return to normal function by the time of arrival from PCP office to the emergency department. Transported by No report of anaphylactic reaction clearly, though did have nausea and possible emesis once with event.

UPON MY TECHNICIAN GIVING THE VACCINE, PATIENT FELT WEAK AND MY TECHNICIAN DESCRIBED HER AS HAVING A SEIZURE TYPE REACTION FOR A FEW SECONDS. THE PATIENT THEN FELT NAUSEOUS AND NEEDED TO LIE ON THE GROUND. UPON ARRIVAL OF THE PARAMEDICS, THEY EVALUATED PATIENT AND STATED THAT SHE WAS FINE AND DID NOT THINK THAT IT WAS A TRUE SEIZURE. PATIENT AND HER MOTHER LEFT THE PHARMACY AFTER FURTHER OBSERVATION WITH NO OTHER ISSUES THUS FAR.

Patient is a 13-year-old who was transferred from another hospital for chest pain in the setting of Covid vaccination. She received her second dose of Pfizer vaccine on Tuesday, June 29. On Wednesday she developed fatigue chest pain shortness of breath weakness, nausea and mild abdominal pain. She also had a fever to 102.5 Fahrenheit. mom is a nurse and took her pulse and felt that it was 30 and fast. She then took 1 with her home equipment it was in the 120s. She called her neighbor who took her pulse and it was in the 130s. She then transferred her to another Hospital for further care at hospital her vital sinus evaluation was a temperature of 37.4 pulse 119 respiratory rate is 15 blood pressure 106/62 satting 98% on room air. On exam she was well appearing with tenderness to palpation of sternum heart rate normal rate and rhythm lungs clear bilaterally and abdominal exam benign. they obtain CBC with white count of 4.8 hemoglobin 12.9 Camm that was unremarkable LFTs are within normal limits troponin that was negative BNP 223 with a normal upper limit of 125 ESR 2 D-dimer 0.697 with upper limit of normal 0.5 and a CRP of 9 with upper limit of normal of 8.1. UA bland. She was given Toradol for chest pain EKG with sinus tachycardia . She was given 1/2 L normal saline bolus ondansetron Toradol and started on maintenance IV fluids of D5 NS. She was then transferred to another hospital for further care . Upon arrival here she notes improvement in her energy level and all of her pain except for her chest pain. She describes it as a pressure on top of her chest that is right in the center and is worse with movement and deep breaths. Of note she had a appendectomy a few years ago that was complicated by surgeons making the bowel and then required her to have a bowel resection. She has no dietary restrictions and eats by mouth, no GI complications in the long-term. PMH: as above PSH: No significant past surgical history FH: Reviewed and noncontributory to current presentation SH: Lives with caregivers Meds: None Allergies: No known drug allergies Immunizations: UTD Review of Systems Constitutional: fever, no chills, no sweats, fatigue Skin: no rash, no lesions, Eye: no redness ENMT: no ear pain, no sore throat, no congestion, no hoarseness Respiratory: + shortness of breath, no cough, no wheezing Cardiovascular: + chest pain, no palpitations, Gastrointestinal: + nausea, no vomiting, no diarrhea, no GI bleeding Genitourinary: no dysuria, no hematuria, Musculoskeletal: + muscle pain, Neurologic: no headache, no dizziness, no numbness, no weakness Psychiatric: no sleeping problems, Allergy/Immunologic: no recurrent infections, Additional ROS info: All other systems of a 10 system review are negative. Briefly, patient is presenting with chest pain, myalgias, and fever in setting of recent covid vaccine (2nd dose Pfizer 2 days ago). Seen at an outside hospital where labs were notable for mildly elevated BNP and D-dimer, negative troponin, normal LFTs and chemistries. Chest x-ray reportedly negative. EKG with T wave inversions in V1 through V4 (read as nonspecific ST changes by their physician), but otherwise normal. Given the possibility of post Covid vaccine myocarditis or PE, transferred for further management. Patient states that after Toradol that she received the outside hospital all of her other symptoms have resolved but she continues to have chest pain. My exam showed: Gen: tired but nontoxic appearing, no acute distress, alert and active; HEENT: PERRL, EOMI, normal conjunctiva, neck supple without LAN; Chest: significant reproducible chest pain; Card: RRR, no murmur, good perfusion, brisk radial pulses bilaterally; Lungs: CTAB, good air entry, no increased WOB; Abd: soft, non-tender, non-distended, no masses; Ext: warm and well perfused, moving all extremities; Skin: no rashes Chest pain. Overall well appearing with normal exam with reproducible tenderness. Given recent Covid vaccine, must consider myocarditis, although only mildly elevated BNP and negative troponin at the outside hospital are reassuring, especially given reproducible pain and reassuring EKG. Symptoms then may represent musculoskeletal etiology such as costochondritis or myositis related to vaccination. Less likely pneumonia or pneumothorax, but possible. Low suspicion for PE given lack of persistent tachycardia (tachycardia improved while in ED, currently HR 80s) or hypoxia. EKG obtained which showed T wave inversions in V1-V4 (normal for age). Bedside ultrasound with normal global function and lack of pericardial effusion. Labs obtained in BCH ED notable for negative BNP and troponin, along with reassuring lipase given abdominal pain. Thus, unlikely to be true myocarditis, more likely musculoskeletal etiology such as costochondritis or chest wall pain. Cardiology will discuss with mom for reassurance. Final Diagnosis 1. Chest pain R07.9 2. Fever R50.9 3. Fatigue R53.83 4. Shortness of breath R06.00 PLEASE NOTE: Since the patient is not from here, we do not have access to her vaccination records and cannot supply lot number, etc.

About 2 mins after the vaccine was administered patient stated that she did not feel good. She was hot, pale, sweaty, nauseas, almost passed out. We laid her on the floor and elevated her legs, then she started feeling better. The paramedics came. BP was 90/48. when they left her BP was 101/60. Her parents decided to take her home for observation. I called them at 7:58pm and mom said she was perfectly fine. Vaccine given at 4:55, paramedics left at 5:20.

Crohn?s disease in remission since 2019 began to flare the a few hours after vaccine administration (pain, nausea, blood in stool) and symptoms appeared to resolve after a couple of days but worsened again about a month after the vaccine (pain, blood in stool, diarrhea, possible anemia).

102 fever, chills, headache, body aches, nausea, fatigue, and hallucinations. Fever stayed between 99.8 and 102 and lasted 32 hours. Ibuprofen and Tylenol was given every 4-6 hours.

abdominal cramping; throat started hurting and started tightening; throat started hurting and started tightening; This is a spontaneous report from a contactable consumer(patient). A 13-year-old female patient received BNT162B2(PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot number not provided), via an unspecified route of administration on 20May2021(at the age of 13-years-old) as a single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported.it was reported that Complainant hung up abruptly/transfer incomplete. Reporter stated that I am just reporting a reaction my daughter had to the shot. It was the Pfizer Covid vaccine. On 20May2021, she had abdominal cramping and then her throat started hurting and started tightening. Her weight is approximately 135 pounds and she's probably 5'5. Product details and pharmacy details could not be probed as the caller hung up abruptly. Call back was done to gather further information however it was unsuccessful. Hence limited information available over the call. The outcome of the events was unknown. Information about lot/batch number has been requested.

pain in bilateral eyes; left hand and left leg numbness; tongue numbness with fasciculation to the left side; tongue numbness with fasciculation to the left side; headache; nausea; This is a spontaneous report from a contactable consumer (parent). A 13-years-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number ew0186, expiration date was not reported) via an unspecified route of administration at the right arm on 16Jun2021 (at the age of 13-years-old) at single dose for covid-19 immunisation. Medical history included ADD (attention deficit hyperactivity disorder) from an unknown date. The patient had no known allergies. The patient was not diagnosed with COVID-19 prior to vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not pregnant. The patient was not pregnant at time of vaccination. Concomitant medication included ibuprofen (ADVIL) and muscle relaxer taken for unspecified indication, start and stop date were not reported. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number ew0176,expiration date was not reported) via an unspecified route of administration on 27May2021 (at the age of 13-years-old) at single dose for covid-19 immunisation and no reaction on previous exposure to drug. The patient experienced pain in bilateral eyes, left leg numbness, left hand numbness, tongue numbness with fasciculation to the left side, headache, and nausea on 17Jun2021 17:30. No treatment was received for the events. The patient had not been tested for COVID-19 since the vaccination. The outcome of the events was recovered in Jun2021. The report was reported as non-serious.

Syncope, nausea Duration of approximately 20 to 30 minutes in total Loss of consciousness was only 30 seconds or less

Within 15-20 seconds of receiving the injection, my daughter who has NO history of seizures or health issues of any kind, , began having seizures. Her skin color becamee gray, her lips turned blue. The seizure last approximately 20 seconds and when she came out of it she was able to breathe but said her throat felt funny, scratchy, smaller - but she was still able to breathe. She was nauseous, head hurt and was very disoriented for approximately 20-30 minutes. The pharmacist called 911. 911 arrived and took her blood, did a multitude to tests which all came out ok. We opted not to take her to the hospital as she was breathing ok, and her color was returning.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Hyperventilation-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium

After about 5 minutes after getting her Pfizer dose, she was pale. She vomited and was not able to see. EMS called and when they came they checked her blood pressure which was 74/49. EMS stayed with patient for another 20 minutes until the patient became better and was okay to return home with her mom.

Abdominal Pain, Nausea/Vomiting, Fever, and Body Aches after receiving 1st dose of COVID-19 vaccine (Pfizer) on Sunday. Acetaminophen given 1 hour prior to admission

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Severe, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Weakness-Severe, Additional Details: Patient presented about 10 min after vaccination as lightheaded and nauseous. Patient vomited one time. EMS was contacted, when they arrived the patient's BP was 90/60 and HR was 88 bmp. Parent of patient refused hospital transport after EMS gave all clear, and patient was able to talk, stand, etc on her own. Mother stated that patient was very anxious before and during the vaccine.

Severe nausea; Headache; Dizziness; Can't sleep; This is a spontaneous report from a contactable consumer (parent). A 13-year-old non-pregnant female patient received second dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and Expiry date: not reported, age at vaccination: 13-year-old), via an unspecified route of administration, in Arm Right on 23Jun2021 10:00 AM as dose 2, single for covid-19 immunisation administered in Doctor's office/urgent care. The patient medical history and concomitant medications were not reported. Previously, the patient received first dose of bnt162b2 (Lot number not reported), on an unspecified date for covid-19 immunization (age at the time of vaccination: 13-year-old). On 23 Jun2021, several hours after the vaccine, the patient complained of sever nausea, a headache and dizziness. She also cannot sleep, even after taking Advil pm. The treatment was not yet sought but may if this continues or worsens. The patient visited doctor or other healthcare professional office or clinic visit due to these adverse events. The patient did not receive any other vaccines within 4 weeks prior to covid vaccine and did not receive any other medications within 2 weeks of vaccination. The patient was not diagnosed with covid-19 prior or since the vaccination. The outcome of event was not recovered. Information on the lot/ batch number has been requested.

severe nausea; headache; dizziness; cant sleep; This is a spontaneous report from a contactable consumer (Parent). A 13-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: Unknown), via an unspecified route of administration on 23Jun2021 at 10:00 (at the age of 13-year-old), as dose 2, single in right arm, for COVID-19 immunization at Urgent Care Center. The patient's medical history and concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine or any other medications within 2 weeks of vaccination. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: unknown), via an unspecified route of administration, on an unspecified date, as single dose for COVID-19 immunization. On 23Jun2021, several hours after the vaccine, the patient experienced severe nausea, a headache and dizziness. Patient also reported that she couldn't sleep, even after taking Advil pm. Reporter, stated they did not sought treatment but may if that continues or worsens. Adverse events resulted in doctor or other healthcare professional office/clinic visit. The patient had no COVID prior vaccination and was not tested COVID post vaccination. The clinical outcome of all the events was not resolved. Information on the lot/batch number has been requested.

Patient felt ill right after getting vaccine. She complained of temporarily losing vision and hearing. Patient became pale in appearance and vomited once. An ambulance was dispatched and patient was taken to an emergency room

Patient presented to the ER at 630 am with acute onset of generalized hives , itching and vomiting x 2 and was treated for anaphylaxis . SHe was given OM epinephrine and Benadryl with improvement .

- Patient received 2nd dose pfizer accompanied by parent and family member. Reported loss of hearing in one ear and reported not feeling well. - Patient ambulated to the observation area and within a few minutes, she felt nauseous. Mother assisted patient to bathroom and patient became lightheaded. - Safety officer assisted patient to wheelchair and wheeled into Special Obs area and put into supine position - Vitals taken every 5 minutes for 15 minutes. Patient was able to sit up afterwards, felt better, and blood pressure was normal before leaving. - Counseled patient to contact PCP if any further reaction or call 911 if emergency.

Systemic: Confusion-Medium, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Additional Details: Patient fainted within 2 minutes after getting her vaccine. Then she recovered then got light headed and vomited after another 20 minutes. Mother states that they contacted patient's pediatrician and was told to monitor her. Patient had diarrhea about 1 hour after shot and is fine 24 hours later.

At first, waking up with difficulty breathing (around 4:30 AM), pain when breathing (throat), Chest pain. Headache. Very fast heartbeat. Took a lot of effort to walk, especially down stairs. Took Tylenol (around 5:00 AM) , went back to bed. After 7 hours of sleep, had no appetite. Headache. Symptoms faded after a couple more hours.

Patient had Dizziness, Nausea and Sweating Beginning immediately after Vaccine was administered. Patient was given an ice pack and after 15-20 minutes felt well enough to leave with her father.

Swollen lips after 4-6 hours Discoloration of top lip (purple in color) with redness on skin above. Started peeling 2 days after, still with purple discoloration of top lip but improved. vomiting for 2 days after - vomiting that evening. With headaches which also resolved after 2 days.

About 10 minutes after injection patient became dizzy, diaphoresis, flushed, hypotensive (100/80), drowsy, nausea. Patient was seated and legs elevated. Cool water bottle placed behind neck, blood pressure obtained. She remained in this positi9on for about 15 minutes. No reaction noted at the injection site. When she began to stabilize we offered juice which she took and began to feel better. She was released to go home. I contacted her mother at about 7:30pm that evening and patient was feeling much better

Patient reported to clinic 1+ hour post vaccination with complaints of itchiness and swelling to face. Patient denied any discomfort of the throat or tongue. Vital signs were within normal limits. Consulted with Pediatric Dr. who consented the administration of a 25 mg oral capsule of Benadryl. Patient began to feel slight discomfort swallowing. Oxygen levels remained within normal limits. Consulted with Dr. and per his assessment patient stable and no need for further intervention. Patient was observed for a total of 30 minutes following administration of medication. After 30 minutes patient reported that her symptoms were resolved.

PATIENT WAS NERVOUS ABOUT THE SHOT. AFTER THE VACCINE WAS ADMINISTERED, SHE WAS TOLD TO WAIT AROUND FOR 15 MINUTES. APPROXIMATELY 2-5 MINUTES AFTER, THE PHARMACY STAFF HEARD A THUD AND SAW SHE SLUMPED DOWN ON OUR CHAIR. THE PATIENT CLAIMED SHE IS DIZZY, NAUSEOUS, BLURRY VISION, AND MUFFLED SOUNDS. PARAMEDICS WERE CALLED AND CAME TO CHECK HER VITALS. THE PARAMEDICS CONCLUDE THAT SHE IS FINE TO GO HOME AND REST. PHARMACIST FOLLOW UP WITH THE PATIENT'S MOTHER 4 HOURS LATER AND WAS TOLD PATIENT IS FINE.

The patient have seasonal allergies and she already took Benadryl at night. She developed throat feeling itchy about 30 minutes past vaccine administration. The patient drunk water ,ate crackers and offered to take another dose of Benadryl. She was unable to swallow the Benadryl for the first attempt then second attempt successfully swollen. At 12:00 she was feeling better and symptoms improved. Discharged to go home.

Nausea, dry heaving, felt dizzy at the time of injection. At 09:48: pulse: 98 then 87 Respiration; 16 SPO2: 98%BP: 90/60 Observed and gave water and crackers, at 9:50 she felt much better and discharged home

Pt. stated she felt like her throat was closing and was having difficulty swallowing. Assess patient, ausuclated lungs and cleared in all fields, O2 saturation 99%, HR 108. Zytrec 10 mg po given. Continue to monitor and patient recovered quickly.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Headache-Medium, Systemic: Nausea-Medium, Additional Details: patient's mother told that pt has sickle cell's disease. As rph wasn't unsure the disease's effect on covid 19 vacicne. Rph asked pt to stay in resting area for 30 minutes. Approximately, 25 minutes after the patient got the shot, her mother reported her having allergic reactions. Patient reported as having dizziness, not being able to hear, nausea, and some eye blurness. I gave water, candy, and benadryl. Also 911 called just in case. By the time emergency team arrived, pt was doing fine back

After receiving 1st dose covid vaccine patient became lightheaded and nauseated. Laid Patient on cot. Vitals stable. Pt evaluated by Dr . Patient felt better after eating crackers and was discharged with family member

Patient started vomiting after administration of first dose of Pfizer. First dose was administered at 15:16 and patient felt dizzy, c/o of headache and started vomiting right afterwards. Charge RN, ANM, and onsite provider was notified. Moved patient to triage area and her VS were as follow: BP: 96/50; HR: 73, SPO2: 98%. Patient was given a peppermint gum to chew and water. Patient felt better five minutes later. Patient stable, and released into the observation area for 30 minutes. Patient was accompanied by father d/c to home stable steady gait. Pt advised to seek emergency services for any further sx.

Immediate syncope lasting about 15 seconds with 5 seconds of tonic-clonic activity and brief emesis. Normal mental status within 30 seconds. Initial heart rate 50, and BP 90/60, recovered to normal with BP 100/60 and heart rate 70 within 30 minutes. No signs of allergic reaction or anaphylaxis. Taking fluids and felt well upon discharge.

Vasovagal syncope resulting in loss of consciousness for approximately 1/2 to 1 minute. Followed by nausea and and multiple rounds of emesis over the course of the next fifteen minutes. Patient remained in pharmacy for approximately another 15 minutes before her mom and her felt she had recovered enough to leave under her own power.

Pt received vaccine while seated and when she stood to go to observation area she experienced syncope and fell supine to tile floor. No LOC, was A&Ox4 immediately. Pale, strong pulses, RRR P 60's, unlabored resp effort. BP not evaluated. Some nausea, no vomiting. Exam of head revealed mild TTP with no open wound, swelling, or depression. Pt responded to rest and required no intervention. Pt was monitored x 60 mins with full resolution of sx and discharged to home in good condtion.

Patient got up from receiving shot and fainted on the ground-patient hit his head. EMS was called. Patient turned very pale and nausea, patients arms was swelling. Patient started to return to conscience but remined unwell. EMS did an evaluation. Father took son to hospital

A 14-year-old female received her COVID vaccine. After about 5 minutes of sitting in the chair for her 15 minute observation, her mom said she felt nauseous and like she was going to pass out. She was laid her back in the chair. The patient's mother went to get orange juice. She was pale and her eyes were rolling back in her head. She did pass out for a few seconds, and I checked the patient's pulse and blood pressure. BP 139/58, pulse 53. By that point she was coming back around. After she sat for several minutes and had orange juice and water, she was feeling much better.

My daughter was fine that first 30 minutes. When we got home she had chills and had a rash on both her legs above and below her knees. I bundled her up and within 20 minutes was okay. I monitored her and there was no other issues than diarrhea later

14 year old female with a CC of lightheadedness about 8 minutes after her first dose of Pfizer. States she also noted mild nausea. I asked the patient to elevate her legs and she states her symptoms resolved. I also had the patient drink more water at that time. No wheezing, no hives, no toungue, lips, or throat swelling. No vomiting. Vitals signs were stable, oxygen saturation 98%. EMS was not called and mother and patient decided not to go to ED for follow-up as the patient has a history of vasovagal syncope around needles and states this response is normal for her.

Client received 1st COVID vaccine of Pfizer (Lot# EW0182). Client reported to feel nauseated and dizzy. EMT responded at 4:18PM and informed RN . Client is accompanied by her mother sitting in the observation waiting area. Client has completed 20 minutes of observation before feeling nauseated and dizzy. At 4:18PM vital signs are BP 97/53, Pulse 56, SpO2 98%. RN consulted Client and mother in regards to ED precautions and common adverse effects of the COVID vaccination. Vital signs at 4:29PM are BP 111/68, Pulse 65, SpO2 98%. Nausea and dizziness has improved. At 4:32PM Client and mother left observation area. Client states adverse effects has resolved. Client left facility at 4:32PM with steady gate.

Pt had an episode of vomitting while sitting down in the observation hall. She was taken to a cubicle inside the hall for further observation. The stomach content w as mainly water and undigested food particles. Pt. remained A&O x4 and verbal. She c/o no pain, dizziness or respiratory distress. V/S obtained was b/p 121/81, rr16, Hr. 97, temp 96.9, O2 98% RA.At 12:50 p m Pt.said she felt well and ready to go home. She left unassisted in the company of her mom.

Patient reported "not feeling right", throat is tight, hard to swallow, light headed. Patient was put in the exam room at 6:00pm VS take, WNL. Doctor examined patient, lungs clear, airway clear. No swelling, redness, rash. Patient was given 25mg cap of Benadryl, monitored for 25min. Repeat vitals taken, improvement in HR, otherwise WNL. Patient given prescription for Albuterol inhaler, Benadryl, Loratadine. ER precautions advised to parent

Patient received Pfizer COVID19 vaccine at 03:50 PM to left deltoid by EMT. Patients skin began to become pale. Patient reported nausea. Her eyes closed and her head went limp for approximately 10 seconds or less. Patient remained upright in chair with support from this RN. Patient was moved to cot with assistance from EMT and placed in prone position with feet elevated. Blood pressure, pulse oximetry and pulse obtained by this RN. Initial blood pressure of 90/58, heart rate 71, and oxygen saturation of 98% on room air at 03:52 PM. At 04:00 patient reported she began to feel better. Patient was assisted to sitting position. Patient denied dizziness or nausea upon rising to sitting position. Vital signs at 04:00 PM blood pressure 102/68, heart rate of 81, and oxygen saturation of 98% on room air. Patient stated she was feeling much better. Patient left building with her mother accompanied by this RN.

Vomiting second day morning followed by rash on face around eyes. Rash subsiding but left eye has blood hemorrhage ( blood shot eye). 24 hrs later second eye also blood shot. Tightness of chest also started third day but now improving. No discharge from eye, no discomfort as of now.

Patient received vaccine and within 5 minutes was not feeling well. Patient fainted and then when conscious began vomiting. Patient also became very pale and clammy. Patient has experienced vasovagal symptoms before when having blood work done but not during vaccination. Patient also stated afterwards that she had not eaten any food all morning prior to receiving the vaccine.

Vaccine Administered: Pfizer COVID-19 Patient reaction: Flushing Pale Skin Nausea/Vomiting Fainting Dizziness Action taken: Antihistamine given. Outcome: Patient recovered. Late charting for 5/17/2021 - 5ml Diphenhydramine given PO 10 minute after c19 vaccine - patient dizzy, diaphoretic, and nauseous. Emergency medication entered and signed.

14 Y/O F hx of lightheadness post vaccine, laying supine for 5 minutes before onset of nausea. Provided emsis bag for episode of emsis lasting approx. 3 minutes. road test conducted at 10 minutes after pt stabilized. V/S WNL.

Patient received vaccine, stood up to walk around corner, then collapsed, hitting her head on floor. An EMT was in the area and stepped in. Pt was unresponsive for about a minute, pulse very weak. 911 was called. Pt was moved into a separate room once slightly responsive, she was very pale and seemed confused and was very nauseated. Her blood pressure dropped to 68/44, but over the course of a few minutes started coming back up. EMTs arrived and took patient to hospital to evaluate.

Within first five minutes sudden ringing in ears, nausea, dizziness, sweating. An urge to pass out/faint. Symptoms subsided after 10 minutes.

Pt seen ER Dr this moring 5/21, Vaccine reaction, initial encounter, dysphagia and pain with swallowing, received Pfizer first covid vaccine yesterday, some pain in arm after vaccination, no initial issues noted, went to bed, woke up in night complaints of painful and difficulty swallowing water, no shortness or breathe or difficulty breathing, no rash, mom gave bendayl at home this morning, able to swallow food and water now, no issues with prior vaccines, pt does have seasonal allergies, pt. discharged home with mom, continue over the counter allergy med like claritin or zyrtec for next few days, follow up with PCP for recheck prior to decision about 2nd vaccine.

14-year-old patient brought in by Ambulance to our ED last Sunday complaining of numbness and vomiting 3 hours after he received a Pfizer Vaccine . In ED pt given 1L NS, Zofran 4mg IVP, Pt given discharge script for Zofran ODT

Patient presented to COVID-19 vaccination clinic with mother for first COVID-19 vaccine dose. Patient c/o feeling dizzy post vaccine and vomited x 1. Mother of patient stated that patient always feels anxious and blood pressure increases whenever she is in a medical setting.

Nausea Patient brought in to medical screening for evaluation by medics. Left on stable condition at 09:59. Vital signs at 9:47 BP 81/54 at 09:55 HR : 64 BP: 100/59

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Nausea-Medium, Additional Details: after getting vaccine, pt felt dizzy/lightheaded. pt has had hx of fainting after getting vaccines due to anxiety. pt was very sweaty/hot. laid pt on the ground and instructed her to put legs up on the chair. provided water stated that was helping. nurse, lpn came and checked pts vitals. while we called 911. ambulance came and took her away. mom came back and said daughter was feeling better and did not go to ER

is a 14 y.o. female who has a history of Hashimoto's followed by Endo. also has no known allergies. She received the COVID vaccine on 5/14/2021 at 10AM. Per notes, 10- 12 hours later, she developed throat swelling and trouble swallowing. She went to ED, but left without being seen. There is no description of skin, mucous membranes or gastro-intestinal involvement. There is no description of respiratory distress following the events. There are no vital signs listed following the event (BPs, oxygen saturation, etc). She was given advil. The neck swelling "got better" the following day. will be getting an USS of the thyroid to assess.

1:16 Pt. c/o that she feels faint, also has nausea and vomiting. 1:25 Pt. report feeling better. 1:45 left site. BP 133/66, 81hr, O2Sat 100%1. 1:47 Patient reported feeling better. Mom was advised that if patient (daughter) still experiencing symptoms to consult 911 or family physician. Understanding verbalized.

8:50AM- patient started exhibiting symptoms of anaphylaxis (difficulty swallowing, difficulty breathing, lip tingling and tenderness. 9:30AM- Benadryl was administered (25mg chewable POx1) 9:30AM vital signs: HR 115, RR 22, O2Sat 98% on room air, BP 123/95, 9:33AM- EMS arrived 9:34AM- Epi pen administered . Patient tolerated well, school nurse notified. 9:45AM- Breathing appears better, still having difficulty swallowing 9:45AM vital signs: HR 120, RR 22, O2sat 95% on room air, BP 132/74 9:53AM EMS administered 10mg dexamethasone IM left deltoid, tele monitor placed on patient

Patient while sitting in the post-vaccination are, fainted in her chair. Upon my immediate arrival, I tapped the patient and she was coming to consciousness. Patient upon awakening, felt nauseous and wanted to vomit, but barely did. I gave the patient water and sports drink and the patient was regaining normalcy. Both the patient and her guardian reported that she did not eat or drink anything prior to coming to the vaccine appointment and that she was very nervous and worried prior. Patient denied history of fainting. I recommended to have the patient sit for at least another 15-20 minutes, but the parent stated his daughter was fine and decided to leave.

Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Severe, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Weakness-Severe, Additional Details: within minute of injection patient passed out, parent and witness said patient had seizure like shaking (I did not personally witness this), became extremely pale and non-responsive for few minutes. Before shot given Mom informed me patient normally faints and has extreme anxiety and aversion to needles.

Her father let me know that patient felt nauseated a few mjnutes after vaccine.we had her remained seated with head down and she vomited a little

Patient fainted within 10 minutes of receiving vaccine. Patient was woke up within 30 seconds of fainting. Upon awakening patient did experience nausea and vomiting. Medical intervention was not necessary. Patient was able to leave pharmacy on own power.

AE: patient got dizzy, vomited and syncopal walking. No medication was given. food and water improved the symptoms Outcome: patient discharged to POV/Home

Mom reported that she has had syncopal events with shots before and the student and mom thought that she had grown out of it. Student was holding her breath while given the shot. Eyes started to roll back. RN giving the shot told her to cough and RN was tapping her her back to try to get her to cough. Ice, juice, water were given to the student. Student vomited x 1, Student rested on the cot until she felt better in about 10 minutes.

Started Tuesday evening with light headed, dizziness, headache, in the early morning hours pt said she felt as if her right side was going numb & asked to go to the hospital. Later in the afternoon she got worse along with bad chest pain & stomach & started vomitting

Nausea; vomiting; This is a spontaneous report from a contactable physician. A 14-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EW0182), dose 1 via an unspecified route of administration on 14May2021 (at the age of 14-years-old ) as first dose, singe for COVID-19 immunization. Medical history included gluten allergy. The patient's concomitant medications were not reported. Prior to vaccination, the patient was not diagnosed with COVID-19, did not receive any vaccines within four weeks and was not pregnant. The patient experienced nausea and vomiting on 17May2021 11:00. Since the vaccination, patient has not been tested for COVID-19. The events resulted in physician or other healthcare professional office/clinic visit and was treated with oral Ondansetron. Outcome of the events were resolved.

Pt fainted/syncope s/p vaccination. No head injury. Experience nausea. symptoms self-resolved and pt discharged home in stable condition with family. BP 93/56 HR 76 RR 16, unlabored SpO2 99% RA

Following routine volleyball practice, patient developed heartburn, lightheadedness, and palpitations. Elevated heart rate noted by this reporter (mom and also RN), called Peds on-call and were directed to ED. Patient was found to be in SVT with heart rate over 250. After several tries, able to reduce HR to 110-120 range with vagal maneuvers, discharged home to follow-up with pediatric cardiology (patient has no medical history). Correlation unknown and long-term effects yet unknown (currently wearing long-term heart monitor with other testing and follow-up pending).

Per dad suffers from motion sickness and arrived at clinic feeling nauseated from the trip from home. He also reported she was experiencing 'huge anxiety' about the shot. Vomited a few minutes after receiving the vaccine. Reported no longer feeling nauseated afterward. Observed for 30 mins. Drank a juice box. Walked out of clinic with dad.

Approximately five minutes after the vaccination, patient became very light-headed and nauseated with loss of vision. She was offered water and hard candy while waiting for the paramedics to arrive. She took a small amount of each, but declined anything else from the store. She seemed to be in significant distress and had difficulty moving to the immunization room where she would be out of view from others in the store. Parmedics arrived and checked her vitals and said those looked ok, so they didn't seem concerned. Patient still seemed very unsteady when leaving, but did say that her vision had improved. Patients were advised to keep a very close eye on her.

Within 5 days of immunization, developed fever, abdominal pain, headache, elevated inflammatory markers, DDimers, ferritin and BNP and coagulopathy. Admitted to Hospital and evaluated for MIS-C. Observed and treatment recommended for MIS-C with IVIG and steroids.

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

HPI: Patient is a * year old * who presents following administration of the first dose of Pfizer COVID19 vaccine in the left deltoid. She states that immediately following administration of the vaccine, she started to feel lightheaded with ?fuzzy vision,? and pain with swallowing. She denies a history of anaphylaxis. She affirms seasonal allergies and confirms that she was feeling ?stuffy? this morning. She affirms that she ate and drank this morning without odynophagia. She relates that there was a big family argument that is causing her to feel stressed at this time as well. She affirms pleuritic chest pain, odynophagia, epigastric abdominal pain, headache, lightheadedness, and blurry vision. She denies chest pain, difficulty breathing, swelling of the face/lips/tongue/throat, skin rash/itching, cramping abdominal pain, nausea, and vomiting. Exam: GEN: Alert and oriented x 4, NAD. Patient appears to have a developmental delay secondary to eye contact avoidance, slow to respond, and speech impediment. HEAD: NCAT EYES: PERRL, EOMI ENT: Ears normal, Nose normal, OP normal, no evidence of angioedema NECK: Supple, without LAD. CV: RRR, no m/r/g PULM: Shallow, guarded breathing at rest, but clear to auscultation bilaterally with deep inspiration, no accessory muscle use ABD: Soft, no tenderness. SKIN: No rashes, skin warm and dry. No erythema or edema of the injection site. MSK: FROM, MS 5/5 NEURO: Alert and oriented x 4, CN 2-12 grossly intact, no ataxia, gait steady Clinical Impression/Field Tx: Vital signs stable and physical exam within normal limits, however, patient continued to report odynophagia, pleuritic chest pain, abdominal pain, lightheadedness, and blurry vision, even after giving patient snack/drink and reclining her with lower extremities above the level of heart and head. EMS called to the scene for further evaluation. Instructed patient and parent to consult their PCP regarding the post-vaccination reaction. Patient and parent instructed to go to emergency department should she develop chest pain, difficulty breathing, swelling of the face/lips/mouth/tongue/throat, or cramping abdominal pain with nausea/vomiting. Patient and parent demonstrated understanding of post-vaccination instructions. Medications administered: None Disposition: EMS contacted due to patient not improving. Care transferred to EMS . No workup was performed by EMS and they instructed the parent of the patient to take the patient to ER via private car for further evaluation. Father was amenable to plan and signed form.

Patient felt dizzy immediately after the shot was given. She said she was going to pass out, and did for about 10 seconds. She was sitting up in a chair during this time, with her mom holding her up. She came to, the about 20 seconds later, she passed out again for another 10 seconds. She came to, and was given some water to drink, but 20 seconds after that she threw up the water. I took her blood pressure, and it was 60/40, with a pulse of 60. She was very pale. After resting in the chair and taking deep breaths, her color returned and she felt much better. she also said her vision wasn't blurry anymore. Ten minutes later, she left with her mom, feeling ok. She was very anxious about getting the shot, and told me she had passed out in the pass after giving blood.

Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Additional Details: patient was having given epipen then felt better but called 911 then they took her since epipen was administered but while leaving the pharmacy she was in good condition feeling better no need to administer 2nd dose of epipen

Patient received 2nd shot and was standing nearby when she started feeling nauseous. She took a seat and started to become pale. She felt sick in her stomach and was responding to questions. Pharmacy staff gave her a bottle of water and bag to vomit in (but did not vomit). Staff also checked her blood pressure resulting in 109/68 HR 65. She felt better and left. Pharmacy staff called mom to follow up around 3:30pm. Mom said she was doing better, but feeling tired.

At 14:13 voiced complaints of Nausea, lightheadedness and dizziness. Then started vomiting. Attendee was pale and clammy. Assisted to the cot after she stopped vomiting. Elevated legs, when stated that she was no longer nauseated. HR: 84 BP 120/68 RR 16 O2sat 95. 14:20 - Attendee stated she felt better, a little pale, denied any dizziness, lightheadedness or nausea. Hr 82 BP 120/68 RR 18 O2Sat 97. 14:36 -No voiced complaints- skin warm and dry. HR 69 BP 118/64 RR 20 O2Sat 98. 14:43 - Care Practitioner educated on home discharge/adverse reaction instructions and she was discharged to home with her mother.

Patient had gas starting the day after shot. It then progressed to stomach pain intermittent and then diarrhea with bloody stools. It progressively got worse and has been suffering with it for 3 weeks now.

Extreme fever, 104.1 Temporel thermometer, nausea vomiting, malice fatigue, lightheaded dizziness, hallucinations with the fever, Vasoconstriction that included numbness of hands and extremities. Fever exceeds the 48 hour mark only brought down by ibuprofen and acetaminophen alternating Q3 hours then bringing the fever down to 100.1 on average between doses

Patient presents to the ED with > 12 hours of vomiting the day after receiving Pfizer COVID-19 vaccine #2. From the ED note: 14-year-old previously well here for vomiting. Patient got her second Covid shot yesterday 230. 5:30 AM patient awakened with nausea and vomiting. She has vomited all day long (not bloody or bilious). Late afternoon they called primary care who called in prescription for Zofran. She took 4 mg at 6 PM but continued to feel unwell and vomit so came for evaluation. No fever. Some intermittent abdominal discomfort but no significant pain. No stool today. Decreased urine output. No fever, chills, dysuria, headache. No known ill contacts. Benign chem (elevated bun c/w dehydration). after fluids pt reports feeling much better:significantly improved appearance: good color, smiling, sitting up and able to walk around comfortably. improved hr, remains with nontender abd. Pt took po's without difficulty/N/V and voided in ED. Currently no evidence of bacterial infection, surgical abd/obstruction, significant dehydration/metabolic derangement, CNS process. May be related to vaccine vs possible viral vs food - although less likely given no known ill contact. Well appearing, taking po's well now. plan for discharge and outpatient f/u.

Immediately following first does of covid vaccine patient became unresponsive, diaphortic. Pt did have a pulse and spontaneous breathing. Pt responded to ammonia capsule by opening her eyes . She complained of sudden onset of chest and abdominal pain . Pt states she became dizzy, lightheaded immediately following the injection. Then developed chest tightness and abdominal pain and nausea . Pt rated abdominal pain 10 0n 1-10 scale. Pulse 88 resp 36 Tx at mobile clinic: Ammonia capsule, benadryl 25 mg PO Pts weight 40.1 kg Tx in ED: Prevacid , Tylenol with great relief ,symptoms resolved

Woke up feeling a bit nauseous/ Experiencing nausea "on and off"; This is a spontaneous report received from a contactable consumer. A 14-years-old female 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 01Jun2021 15:30 as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient woke up feeling a bit nauseous. experiencing nausea "on and off" throughout the morning on 02Jun2021. Event took place after use of product. The outcome of the event was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

She had abdominal pain and was diagnosed with an ovarian cyst; She had abdominal pain and was diagnosed with an ovarian cyst; This is a spontaneous report from a contactable registered nurse (patient's mother). A 14-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: Not reported, Expiration date: Unknown), via an unspecified route, administered in Left arm on 18May2021 as a 1st dose, single dose for COVID-19 immunization. The patient's medical history was not reported. No concomitant medications were reported for the patient. The initial information was not related to any study or programme.On 30May2021, the patient had experienced abdominal pain and was diagnosed with an ovarian cyst. The reporter had called to her doctor. There was no survey provided due to Physician waited for reporter. The reporter stated that, the doctor does not think it was related to the Pfizer vaccine and recommends that she get the second dose. The reporter explained that there were no reports of Ovarian cysts in Pfizer date or CDC information obtained and was referred to HCP. Offered to email this document for review. The reporter stated that her daughter had not been seen by the doctor provided at this time and stated they were out of town, so she was seen at an Emergency room. The reporter stated that, her daughter's pain was better, but she was assuming the cyst was still there. The reporter stated that her daughter's lab work was also a little off, stated her Lymphocyte count was low, was 15.6 and should have been 28-48. The reporter stated that patient's Chloride was 1.09 and her Anion was 4, so a little low. Exact levels were unknown. No investigational assessment was provided for Ovarian cyst. Product Details: NDC, Lot and Expiration unknown at the time of report. The reporter does not have the patient's vaccine record card on hand at the time of the report. The reporter wanted to know if this could be related to the vaccine. The reporter wanted to know if she should delay second dose because of ovarian cyst and then how long do we have to repeat. The outcome of the event ovarian cyst was not recovered and the outcome of another event was recovering. Follow-up (02Jun2021): This is a follow-up spontaneous report from a contactable nurse: Added report details, event onset date, lab data and reporter comments. Narrative was updated accordingly. Information on the lot/batch number have been requested.

Heart rate on 5/20 of 204 until now still higher than normal between 97-116, when usually is around 80; diarrhea; cough; cold symptoms; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 14-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in Arm Left on 19May2021 12:45 (Batch/Lot Number: EW0186) as 1ST DOSE, SINGLE for covid-19 immunization at the age at vaccination of 14 years old. Patient was not pregnant. Medical history included prior to vaccination, the patient was diagnosed with COVID-19. Past drug reported as none. There were no concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced heart rate on 5/20 of 204 until now still higher than normal between 97-116, when usually is around 80 (medically significant) on 20May2021 09:45 with outcome of not recovered; diarrhea, cough and cold symptoms (non-serious) on 20May2021 09:45 with outcome of not recovered. Reported as: Heart rate on 5/20 of 204 then we took her to the urgent care was given fluid and ekg and blood work, after that HR when down to 106, and until now still higher than normal between 97-116, when usually is around 80, also she had diarrhea on 5/20, and also cough from 5/20 until now like cold symptoms. The patient underwent lab tests which included blood test: unknown on 20May2021, electrocardiogram: unknown on 20May2021, heart rate: 204 on 20May2021, heart rate: 106 on 20May2021, heart rate: 97-116 on 20May2021 (still higher than normal, when usually is around 80), sars-cov-2 test: negative on 22May2021 (Nasal Swab; Test: Pcr). The events induced Emergency room/department or urgent care. The treatment received for the adverse event included: Fluids thru IV. Information on Lot/Batch number was available. Additional information has been requested.

CC: patient felt nauseated 3 minutes after the vaccine administration. Treatment: no medication was given. however; laying down , drinking water and eating crackers improved patient symptoms. Outcome: Patient symptoms improved and patient was discharged to POV/Home.

Projectile vomiting, double vision, confusion/ delirium No treatment just gave her time. All symptoms cleared within 6 hours of onset. Approximately 9 hours after vaccine administration. Other more expected immune response followed, sore arm, headache, body aches and lethargy. Theses all resolved 36 hours after vaccine administration.

She started exp chills around midnight with 102 fever. Then she exp abdominal pain and that evening around 6pm had 105 temp. I (parent/guardian) reached out to the physician was informed to give her Tylenol.

My daughter was receiving her second vaccine about 1230pm and while administered she immediately told me she felt ?dizzy and nauseous.? We sit down, she is not feeling better and within 3 minutes or so she said she felt? dizzy and feel like I?m going to throw up.? She then starts nodding off and on, not able to keep her eyes open. I waved over for help and by the time volunteers got to her she went limo and passes out. She was taken by wheelchair to medic room and they had her lay down. She came alert and said ?everything went black? and had no memory/recollection or awareness of where she was and how she got to the medic room. We gave her water and I asked for crackers and she felt better and was able to leave around 115pm. In addition, we saw a teenage male pass out prior to my daughter and was also taken by wheelchair. I spoke with a RN as I was leaving and was told multiple teens had had the same initial reaction today. She had no reactions or side effects with her first dose.

Patient had received her vaccine around 4:15pm. Patient was feeling fine immediately after receiving the vaccine. Around 4:27, the patient stated to her grandmother that she felt nauseous. As she stood up to walk to the bathroom, the patient fainted. One epinephrine pen was open but was not administered to the patient. The patient regained consciousness within a minute or two. The patient was given water and after a few minutes, she was able to sit and rest for a few minutes. The patient was then told contact her physician of the reaction.

fever (102/103) for 24 hours with chills vomiting for about 30 min, 36 hours after injection headache, moderate, 4 days

Pt. stated, I got dizzy and nauseous two minutes after getting vaccinated." "I'm also afraid of needles, something happened with the first dose." Vital signs done. BP 110/60, HR 66, O2Sat 96%, R 18, glucose 91. At 12:26pm pt. stated, "I feel better now." At 12:38pm reported feeling better and wants to go home. 12:39pm patient went home with her mother.

Patient has experienced nausea and vomiting. she had abouth250 cc of emesis mostly food stuffs. She felt better after throwing up Vitals stable.

12 hrs post - severe headache, 100.5F fever, chills. Gave advil. Worsened over night. 6/10 vomited, nausea, 101F fever despite advil, body aches, severe headache, left arm pit/axillary lymph node pain, chills, shivering, muscle pain, continued advil and tylenol alternating, severe fatigue. Temp 101.6 at 8pm 6/10. 6/11 temp 99.4, headache improved, chills improved, able to eat 6/12 discontinued advil/tylenol, mild back ache, mild pain behind eyes, otherwise returning to normal

Stated that he felt fine at first, recovered for the fifteen minutes and returned to class. Then stated that he started to get really tired and his stomach hurt. Returned to clinic site, laid down for forty five minutes on stretcher, vital signs were stable throughout. Was released to go home with his mother.

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

9 days of left upper quadrant abdominal pain and fever (starting 6/7/21), and splenic infarctions visualized on CT abdomen/pelvis on 6/14

Day 1 after vaccine abdominal pain started. Day 2 diarrhea started and still continues (day 8 today) Day 4 vomiting started and still continues. Diarrhea is bloody. Low grade temperatures but no high fevers.

Caller stated that 12 hrs after shot his daughter had expected side effects...chills, headache and nausea which lasted 24 hrs. 2 days later she had a very painful very heavy period 2 wks early. (dad stated period has always been regular until after shot)

On sunday night, about 36 hours after vaccination, she started to have numbness of her lower jaw and tongue. She started to have an incredible amount of drooling and could not swallow. She then started to have epigastric cramping and sharp abdominal pain that moved into the right lower quadrant. She had pretty severe headache that started the same time as numbness and drooling with photosensitivity. No fever. No vomiting but she was nauseous. she went to the ER late on 6/13. She was then transferred to the hospital for furthur care. She had a neurology consult that thought perhaps her headache, numbness and drooling could have been an atypical migraine-this resolved as of 6/14. Her abdominal pain resolved after appendectomy and now she just has muscular pain related to surgery.

Patient reported being nauseated, lightheaded, dizzy, and felt that she needed to vomit. Patient stood and immediately collapsed to the floor. BP 117/81, R 18, HR 117, T 98.2, O2 sat 99%. Father stated that she had not eaten that morning; she was given crackers and water. , BP 110/76, R 16, HR 92, O2 sat 100%. Patient stated that she was feeling much better and was able to walk/stand without feeling lightheaded or dizzy and went home.

Symptoms: Patient was sweaty, dizzy and nauseated 1 minute after the administration of the vaccine. Treatment: Patient laid down and symptoms improved . Outcome: Patient was discharged to POV/Home once the symptoms were improved.

Pain in stomach , constantly vomiting started 8:30am 06/14 went to er at hosp. 10:30 pm blood work, ultra sound, mri completed . Transfer to another medical center. 900 am 06/16 was admitted inpatient and currently still in hospital They have done blood work and put her on a liquid diet . Is scheduled for a MRCP at 6 pm 06/18

Nausea and vomiting starting when waking up day after vaccine; seen in EMD, better w/Zofran, discharged home

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: face was pale---consiousness was on and off-Severe, Systemic: Nausea-Severe, Additional Details: after recieving 1 st dose of pfizer vaccine--patient was in the observation area for 15 minutes,during that time frame patient started feeling nauseous and then she felt dizzy..her skin was turning pale.. her consiousness was on and off.. she would respond one time and then another second she would freeze..at one point she lost consiousness. then we called 911 (EMS) right away...before even ems arrived patient regained consiousness. when EMS arrived patient was responsive & went to hospital.

Client received the 1st COVID vaccine (Pfizer, Lot # EW0187, EXP: 07/10/2021) at 14:38. EMT reported to PHN of patient reporting of dizziness and nausea. Client is alert and oriented to person, place, time and date. Guardian of patient was present and reported patient hasn?t eaten since breakfast and reports a history of dizziness and anxiety and no known allergies to medications or food. At 14:43 patients? vitals were taken; blood pressure 110/70, heart rate 75, oxygen saturation 99, patient was given a granola bar. At 14:47 patient stated, ?nausea is subsiding?, at 14:50; blood pressure 112/82, heart rate 84, oxygen saturation 99. Patient and guardian was encouraged to stay 30 minutes for observation. PHN advised client and guardian to follow up with primary care provider and gave ER precautions. Patient denies any further nausea or dizziness. At 15:01 client left facility with a steady gait, accompanied by guardian.

Patient reports feeling nauseated and lightheaded. Patient vs 106/87, 79, blood sugar 120, 97 oxygen. Water provides to patient. She states she feels better. Pt discharge home.

Patient is a 14 yo girl with PMH significant for migraines who presented with one day of chest pain and nausea that woke her from sleep in the setting of multiple days of malaise. She states that after receiving the COVID-19 vaccine three days prior to admission she has not been feeling well. She reports subjective fevers and chills the day after receiving the vaccine, and intermittent feelings of her heart racing. She also has been feeling hot and generally unwell. + shortness of breath. The night of admission, she awoke from sleep with burning central anterior chest pain and nausea. She tried to stand up and felt generally weak, and then had tunnel vision and felt she was going to faint. Per mom, she was pale and diaphoretic at that time. The pre-syncopal symptoms resolved within about 10 minutes and the chest pain persisted for approx one hour. Parents called EMS and she was brought to the ED for evaluation. Of note, she reports a history of pre-syncopal sx however has never lost consciousness before. Also reports a history of intermittent palpitations. No hx chest pain prior to this episode. + fevers/chills as mentioned after receiving COVID vaccine three days PTA but no infectious sx prior to that. No cough/URI sx, no abdominal pain, no nausea. + diarrhea night of admission. No sick contacts. She is active in dance and has good exercise tolerance for that; does not spend much time outdoors. No known insect or tick bites. + FHx of sister with heart murmur as a baby that spontaneously resolved; unclear diagnosis. In the ED BP 94/62, T 97.4, P 84, R 16, SpO2 100% on RA EKG: sinus rhythm, no ST or PR changes CMP: unremarkable CBC: WBC 11.8, Hgb 11.5 Trop T 0.33 Bedside echo w/ reported good function UA wnl COVID neg CXR PA and lat unremarkable On arrival to the PCICU she reported feeling at her baseline and denied chest pain and shortness of breath.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Additional Details: Patient did not have complaints during her 15 minute waiting period each time technician checked in on her. When the techinician told her her 15 minutes have elapsed, she complained of dizziness and fainted soon after. She regained consciousness after a few seconds and then complained of nausea. Paramedics were immediately called when she fainted. They arrived in about 5 minutes and transported her to ER.

Pleuritic chest pain, emesis, shortness of breath, palpitations, epigastric pain - albuterol with improved shortness of breath f/u 6/23 all symptoms resolved except epigastric pain

1 day after 2nd shot had fever, abdominal pain, chest pain, shortness of breath, tachycardia.. Was seen in ER. Fever. abdominal pain resolved in 2-3 days. Chest pain still present, and shortness of breath 5 days after

6/19/21 patient awoke with non-bloody, bright green emesis and abdominal pain. She endorses several episodes of nonbloody diarrhea with continued abdominal pain. She endorses starting her menstrual period 3 days ago. Mom endorses fever at this time, T-max 102.9. Presented to an urgent care for further evaluation where they obtained a rapid strep test and COVID-19 swab that were both negative. 6/21/21 she presented to an ED for continued and worsening symptoms. She received a dose of antibiotics and saline boluses during transfer to another hospital. In route, she became hypotensive with minimal response to fluid resuscitation. She required vasopressors to maintain blood pressure. A CT of the abdomen showed nonspecific findings for enterocolitis. A urinalysis had 5-15 RBCs and 51-100 WBCs. She was started on antibiotics. She required ICU admission initially, but improved and became hemodynamically stable after about 16 hours in the PICU. Her urine culture grew 3 different organisms with low colony counts so antibiotics were discontinued on 6/22/21. An ECHO demonstrated normal biventricular size and systolic function (LFEF 62%), mild tricuspid regurgitation estimating mildly elevated RV pressure (30-40% systemic), mild flow accelration across normal appearing trileaflet aortic valve and borderline small aortic root and sinotubular junction, normal ascending aorta, no pericardial effusion, normal right, left main, and LAD coronary artery diameter z-score, and mild outpouching in the left main coronary artery that may represent an early appearance of an aneurysm. A repeat ECHO the following day revealed normal biventricular size and systolic function, mild tricuspid regurgitation estimating RV systolic pressure of 30mmHg, left main coronary artery appears slightly prominent but measures within normal limits. LMCA measurement is similar to previous, normal measurement of the proximal RCA and LAD, and trivial pericardial effusion. The patient also had an elevated CRP of 18.8 mg/dL, fibrinogen of 408 mg/dL, d-dimer of 0.98, and nt-pro BNP of 309. SARS CoV2 IgG was positive and IgM was negative. She received IVIG 100 gm on 6/23/21 and was started on rivaroxaban. CRP decreased to 8.2 mg/dL on 6/23/21.

Patient was nervous and teary eyed in the vaccination booth, prior to administrating. She is a minor so her Father accompanied her. We were in the booth for a few minutes where I was trying to get her to relax and breathe. Her father was there the entire time. I gave the Pfizer vaccine and she stated "that was it?" She seemed ok upon leaving the booth. Her and her Father sat in the observation area directly in front of the pharmacy. About 5 minutes passed when her Father tapped on the window. Went out to check on the patient and she was pale and little disoriented. She ended up throwing up as well. We gave her a bag so she wouldn't have to stand up and could stay near her father, to prevent a fall. ?We gave her a cold compress and a water and had her stay for 30 minutes. By the time she left, she had her color back and was able to say that she was feeling much better. Her father was not surprised that she had a reaction like this and stated that she usually has form of reaction like to vaccines. She was ok by the time she left and they both stated they'd be back for the second vaccine.

Within 2 hours of the vaccine, patient was experiencing nausea and general feeling of unwellness. Within 3 hours, patient had a fever of 99.9. At 11 pm, patient had a fever of 100. Mother administered Tylenol and patient went to bed. Patient woke up around 4:30 am with her whole body shaking uncontrollably. Mother heard her stirring and went to check on her. Her temperature was 100. Mother sat and talked with her and offered a snack, drink, and more Tylenol. Mother checked her pulse, which was normal. Patient was coherent and able to communicate. Mother left the room to get snack and drink and heard something fall over in patient's room and Mother called out and waited a few seconds for a response. Patient did not respond. Mother went back in the room, as it was unusual for patient not to respond, and found patient sitting back up and placing her head in her hands, stating in a panicked voice that she felt she was going to throw up and that she was very hot and that her head hurt really bad. Patient stated that her ears felt weird and everything went black and she somehow fell over from a sitting position on her bed to laying on her bed and had landed on the dog. Patient was unaware that she had knocked over her water bottle and had no recollection of the loud sound it made as it fell over (unusual because loud sounds are very startling for her). The shaking subsided to a tremor a few minutes after the black out. Patient then reported feeling very cold and her temperature had risen to 101. Patient complained of an extreme headache and continued nausea. Mother took patient to Urgent Care, who performed bloodwork and an EKG, and then referred patient to the Emergency Room for an EEG. ER repeated EKG and declined to do EEG and told patient to follow up with her doctor in 5 - 7 days.

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

vomited; She developed a fever that night through morning of 12Jun2021; She was lethargic; slept for 2 days; This is a spontaneous report received from a contactable consumer. A 14-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation; solution for injection, Lot number: unknown), via an unspecified route of administration on 10Jun2021 at 12:00 (at the age of 14-years old) as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received first dose of bnt162b2 (lot number: unknown) via an unspecified route of administration on an unspecified date (at the age of 14-years) as single dose for covid-19 immunisation and had no reaction on previous exposure to vaccine. On 10Jun2021 at 12:00, the patient received second shot and developed a fever that night through morning of 12Jun2021. On an unspecified date in Jun2021, the patient was lethargic and slept for 2 days. On 11Jun2021, the patient vomited. Event took place after use of product. The outcome of the events was unknown. Information about lot/batch number has been requested.

Heart pain and stomach cramping. Stomach cramping started first a day after the 2nd shot. Then immediately followed by chest pain and heart abnormally strong beating.

Became pale, diaphoretic, nauseous and had an emesis. B/P and pulse were stable. She was given water and a granola bar. She was also leaned back and feet were put up in the chair to raise them above her heart.

Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Medium, Systemic: Shakiness-Medium, Systemic: Tachycardia-Medium, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Medium

Pt had a witnessed fall post vaccination. Per mother, pt complained of being dizzy and fell. Staff witnessed patient falling from standing to ground, and hit her head. Pt was awake and alert upon RN reaching at side. Pt was following commands. Pt stated she was dizzy and nauseated prior to syncopal episode. Maintaining C-spine precautions d/t posterior head and midline neck pain and tenderness. Team alert was called. To ED via stretcher with medics

She is a soccer player and runner with high exercise tolerance. Today she went to track practice. She experienced chest pain, dizziness, severe headache, nausea, and fatigue. She was not able to complete the workout. Heat was not a factor. She continues to have episodic chest pain, headache, and nausea the rest of the day.

Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe.

Generalized rash, weakness, swollen lymph nodes, general malaise, fever, chills, one episode of diarrhea and vomiting and headache.

Shortly after the vaccine, she lost color in her face, she said her vision went blurry, then she vomited. Just a few minutes after vomiting, she said she felt fine. She waited around with her grandmother for another 20 minutes, then left, feeling well.

Administered vaccine at 1:48 pm. Prior to administration patient's mother stated she had previously fainted after vaccine administration. Advised patient to wait in vaccine area for 30 minutes. Approx. 10 minutes after receiving the vaccination, the patient's mother called for help from the waiting area I went outside to waiting area. Had patient sit back and grabbed patient water and returned to waiting area. Patient began to faint and upon awakening she started to vomit continuously. Patient's mother and I decided to call EMS. EMS arrived and assessed patient. It was determined that her vitals were okay and since she was feeling better she would not go to the hospital and would follow up with her pediatrician about the incident.

Patient had her first dose of Pfizer and after she sat down she became nauseous, head pounded, very hot and sweaty, coughing, her lips, face and arms got tingly. She said her heartbeat was fast and she felt like she could faint. EMT was called but they did not take her to the hospital just suggested her parent get her checked out.

After one week, loss of apetite. Then on 6/16/2021 in evening symptoms of nausea, fatigue, and sever abdominal pain (pain described as an 8 in a scale of 1-10. CT scan of abdomen was negative foe appendicitis.

At approximately 1039, lead nurse saw patient with her hands around her throat. Patient immediately ran out the room with mother. Lead nurse followed patient outside. Patient vomited outside. Patient's mother reported that her daughter has been coughing for the past week and had a similar vomiting episode last week. Patient's mother reported they did not report this to the patient's vaccinator. Patient's mother reported seeing a doctor for her daughter last week. Their doctor prescribed Mucovibrol C and patient reported taking the medication in the morning. Patient denied difficulty swallowing, difficulty breathing, itchiness, rashes, and hives. At approximately 1045, EMT offered to take patient's vital signs. Patient refused vital signs. Patient and mother given water and sat outside for further observation, accompanied by EMT . At 1104, EMT offered to take patient's vital signs. Patient refused vital signs. At 1107, patient reported she felt good. Lead nurse educated patient and mother on signs/symptoms of when to seek emergency care, to sign up on v-safe, and to follow up with primary care provider. At approximately 1108, patient left facility with unlabored respirations and steady gait.

Client received second dose of COVID19 vaccine at 2:28pm. While sitting in observation room with her mom, she became dizzy, light headed and nauseous. Nursing staff evaluated client. She stated she had only had a muffin for breakfast. Staff provided juice, water and nutri-grain bar. Due to nausea, only able to drink a small amount of juice. Moved client to cot. EMS was called. Provided cold compress for forehead. She continued to drink the juice. Pulse ox was taken and was 98 continuously while she was on the cot. Nursing staff evaluated her for symptoms and improvement. She state she was still dizzy, lightheaded, and nauseous. She also stated her throat hurt/felt tight. EMS arrived. Interpreter used during event.

14 year-old experienced an adverse reaction after receiving her 2nd Pfizer vaccination. She had complaints of dizziness and was observed to vomit.

Systemic: Abdominal Pain-Mild, Systemic: Buring of the ear-Medium, Systemic: Nausea-Severe, Systemic: Vomiting-Mild, Additional Details: Patient's original BP was 139/84 pulse 94 and second reading was 101/65 pulse 76.

Site: Pain at Injection Site-Mild, Systemic: Abdominal Pain-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: passed out for 3-5 seconds-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild, Additional Details: she passed out for 3-5 seconds, came to. Was very pale, maybe 5 minutes later threw up. Then she regained some color and was less confused. She was very anxious about getting the shot prior to getting the injection.

She experienced nausea and vomiting throughout the night. Roughly 6 hours later she feels much better.

Pt. called me crying in pain saying her stomach hurts and she's having trouble walking. She said she has her menstrual cycle and it has never been this bad. She said she didn't get it last month at all. Prior to this, she said her cycles were normal. She also had pain in her thighs and trouble breathing which resulted in her needing her rescue inhaler. At this time she has been given ibuprofen and is resting with a heating pad. I as pts. mom am concerned that this may be related to vaccine.

Shortly after vaccination (~15-20 minutes) patient became very faint and nauseous. Was pale in the face and vomited. Patient was seen by several firefighters that happened to be in the store at the time. She mentioned to them having fuzzy hearing, heavy arms, and sweating. They checked vitals and gave oxygen supply. Patient was then taken via ambulance to hospital but was feeling much better.

Mother called to report that her child had been running a fever of 99.3 since having the 2nd COVID vaccine. Today she was feeling bad and she was called by school to come and get her because she had vomitted. This according to the mother is unusual for her in that she does not vomit and generally has no problems with vaccines.

Monday night was up all night with severe cramps & began vomiting; Monday night was up all night with severe cramps & began vomiting; This is spontaneous report from a contactable consumer. A 14-years-old (Adolescent 12-17 Years) non pregnant female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for Injection, Batch/Lot number: EW0173) intramuscularly, administered in right arm, on 13May2021 (Thursday) at 16:00 (at the age of 14-year-old), as single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not receive any other medications within 2 weeks of vaccination. The patient had no known allergies. It was reported that, patient started period on 15May2021, Friday night on schedule. On 17May2021, at 10:00 AM, the patient had started experiencing severe cramps on Monday at school. It was reported that patient never had cramps before and has been having periods for 14 months. It was reported that Monday night was up all night with severe cramps and began vomiting. And still experienced cramping on Tuesday morning with vomiting. No treatment was received. The outcome of the menstrual cramps severe was resolved on 18May2021. The outcome of the event vomiting was not recovered. Follow-up attempts are completed. No further information is expected.

Tonic-Clonic seizures; Nausea; Vomiting; Severe body aches; Headache; Moderate - severe neurological events; Tics; Tremors; Confusion; Inability to speak or walk or use restroom on own; Inability to speak or walk or use restroom on own; Fine motor skills deficit; This is a spontaneous report from a contactable consumer (patient). A 14-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number: EW0876, Expiration Date: not reported), via an unspecified route of administration in left arm on 15May2021 at 15:00(Age at the of 14-years old)as dose 1, single for COVID-19 immunization at Pharmacy or Drug Store. The patient was not pregnant at time of Vaccination. Medical history was none. Known allergies was Nka. The patient received unspecified medications within 2 weeks of vaccination. The patient did not received any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19.On 17May2021,the patient experienced nausea, vomiting, severe body aches, headache, moderate - severe neurological events, tics, tremors, confusion, inability to speak or walk or use restroom on own, fine motor skills deficit and tonic-clonic seizures. Adverse events resulted in Emergency room/department or urgent care. The patient was hospitalized for 4 days. Hospitalization was not prolonged. The patient received treatment and stopped suspected interacting medicine. The patient also received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number: EW0191, Expiration Date: not reported), via an unspecified route of administration in left arm on 06Jun202114:00 as dose 2, single for COVID-19 immunization. The outcome of the events was recovering. ~~ No follow-up attempts are possible. No further information is expected.

Within seconds of getting vaccine, felt nauseous and headache. Within a minute, dizzy, extremely pale, nauseated and felt like she needed to vomit. She was excited to get this vaccine and has never had a reaction to any vaccine to include her allergy

Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Abdominal Pain-Medium, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Chills-Severe, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fever-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Severe, Systemic: Shakiness-Severe, Systemic: Tachycardia-Medium, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Mild, Additional Details: PATIENT IS STILL FEELING CHEST PAIN AND STILL HAS RASH.

Ten minutes post immunization, the patient became pale and was complaining of dizziness, nausea, and feeling lightheaded. Nursing staff evaluating patient when witnessed, syncopal episode occurred. Episode lasted for less than 15 seconds with no injury to patient. Patient was in a seated position at time of event and was then placed supine with legs elevated. No incontinence and patient remembers everything up to and following the brief episode of syncope. (Patient has a previous history of syncope following HPV9 immunization.) Once supine, patient's pallor improved as well as other symptoms. At 10:20 am, repeat vital signs taken in the seated position: HR 80 (regular and strong), RR 20 (non-labored), BP 100/54 (left arm). Patient denied any complaints at this time. Patient stated that she had a small amount of chocolate pudding for breakfast. Denied any issues with blood sugar. Patient was given and consumed peanut butter crackers, Munchkin donuts, and water without difficulty. She did not drink the protein shake, but chose to take it home with her. Dr. was notified of the event and followed up with patient and father. Patient was monitored for another 30 minutes. Vital signs at 10:35 am: HR 84 (strong and regular), RR 20 (non-labored), BP 110/62 (Right arm). Skin color back to normal. No complaints. No dizziness, lightheadedness, or feeling faint when standing. Gait normal. Patient instructed to always notify health care staff of history of syncope after injections and to always wait at least 30 minutes for delayed symptoms. Patient discharged to home with father. No complaints or concerns. Follow up call placed at 5:45 pm and patient out and about with mother, no complaints. Family notified to call back with any questions or concerns.

about 1 minute after receiving covid vaccine pt had a syncopal episode falling forward out of the chair. Dry heaves following incident and felt weak after.

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Tachycardia-Medium, Systemic: Vomiting-Medium, Additional Details: after 15mins pt vomited while walking out of store. she came back and stated she felt dizzy she was very pale. b/p was 88/86 pulse 107. had pt sit for 5 more mins. went out again and bp was 89/79 pulse 95. contacted ambulance as pt still felt faint. ambulance came 15 mins later. by that time pt had drank a whole bottle of water. pts vitals were within range. emts recommended she seek a physicians help at urgent care.

Patient stated she felt nauseous about 5 minutes after shot was administered. She stated that she got tunnel vision, could not feel her hands. A few minutes later she stated that she felt vibrations in her hands, felt like she could not move her hands. She was visibly pale and clammy. Patient was given an ice pack and 25 mg dose of oral Benadryl liquid. Her symptoms resolved within 25 minutes of onset and she was able to leave the pharmacy feeling back to normal

Myocarditis Presented to ED with 2 days of chest pain, back pain, and nausea and vomiting 1 day after receiving Pfizer vaccine. Patient initially had back pain starting the night of 7/24, sudden onset. The next day she began to complain of stabbing chest pain that radiated into her left arm. Outside ED found elevated troponin of 2.93 and transferred to the hospital. Patient was COVID negative on admission and remained afebrile throughout her hospital stay. Patient was given IVIG on 7/27 which was well-tolerated, did not require steroid treatment. Cardiac markers downtrended over course of admission and was discharged 7/29 after normal Echo with Cardiology follow up.

Patient felt dizzy and nauseated few minutes after getting her 1st Pfizer dose. Mother stated her daughter didn?t eat anything since morning. 3 ice packs were used, 2 on her neck and 1 on her head. Two crackers and bottle water was offered. Blood pressure at 10:45am 107/66 Hg/mm. Blood pressure at 10:55 am 126/75 Hg/mm. She states I feel much better and no longer feel dizzy or nauseous.

Patient began to have a vasovagal response around 7:18 pm about 15 minutes after her vaccination. Began feeling nauseous, got pale, and stated that she felt very tired. B/P was 90/60 HR 84. Did not pass out or feel like she was going to. Mom was present with child the entire time. Gave patient water to drink during event. Patient began to feel better after 5 minutes with complete resolution of symptoms at 7:35 pm. Patient walked out with mom from the clinic.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: Pt recovered after a few minutes of sweating and feeling nauseous.

Vaso-vagal response. Nausea, dizzines, flushing/sweating, no loss of consciousness. Pt stabilized, VS stable (95/57; HR 65; RR 16; O2 sat 100%), ambulates appropriately

In 2-3 minutes after injection patent fainted, she was conscious but dizzy, she was sweating a lot, her skin was pale and clamy, she felt nauseated and threw up

Systemic: Allergic: Itch Generalized-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Additional Details: 5 Minutes after the vaccine, pt lost consciousness for a few seoncds. pt showed some jerking motion. Pt was given water and benadryl. About 30 minutes after the shot, pt fully regained consciousness and back to normal

When come in the counseling room for vaccinate, patient was scare and nervous. Dad had to hold her hand to calm her a little. About ten or fifteen minutes after the shot, she complaint that her vision was blurry and that she cannot see. She also complaint of nausea and about to pass out. Patient seem to get anxiety attack in a moment. I stay to monitor patient for about 10 minutes. Dad believed she got anxiety over the shot that's why she experience all this symptoms. Patient sat another 5-10 minutes and was resumed to normal

Patient went to sit 15 minutes for recovery post-vaccine with her mom. All of a sudden she said "My arm feels funny," then laid her head on her mom. Her mom said her eyes rolled back and she passed out and slid down the chair onto the floor. 911 was called, pharmacist ran to scene. Patient remained on floor, started puking. Told her to breath deep, offered water. She slowly started feeling better. Paramedics arrived and examined her. After about 30 minutes, patient left with mom. No ER needed.

Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Shakiness-Medium

Patient received injection and sat down in the waiting area with her Mom. Less than 5 minutes after the injection she fainted and appeared to have a small seizure , her mother shouted at her and shook her and she became conscious and vomited. 911 was called , they evaluated the patient and she went to the hospital.

Pt became nauseated about 5 minutes after receiving her first dose of the Pfizer vaccine. She dry-heaved about 3 times but did not vomit. She stated that she also felt hot so was given two ice packs. She had only eaten a handful of snacks that morning. Denied dizziness or lightheadedness. BP 110/72, pulse 64 bpm. After 5 minutes she stated that she was feeling better. Pt left after 15-minute observation period with symptoms resolved

2:35 reported nausea -vomited undigested food. b/p 98/60 2:40 oriented b/p90/60 2:52 SPO2 100% pulse 86 2:55 b/p 90/70 denies discomfort 3:00pm pulse 104 PSo2 100% Released. Mother informed to seek medical attention for any further problems. Call 911 for any breathing problems and notifiiy her MD of events.

client felt lightheaded after receiving 1st Pfizer Covid Vaccine. Client received vaccine at 1717 and RN kept client in chair a few mins as client stated feeling nervous. PHN brought client water. Per client had only ate snack prior to appointment. Client able to transfer by herself to anti gravity chair. 1722 vitals: blood pressure 122/68, oxygen 98%, pulse 81. Per client feeling nausea, RN gave emesis bag. Client appeared diaphoretic and pale. Per Mother only medical history is seasonal allergies and client takes Zyrtec as needed. No history of fainting with vaccines in the past or allergies. Vitals at 1728: blood pressure 118/72, pulse 82, oxygen 97%. Per client symptoms still there, but improving. Vitals at 1733: blood pressure 120/70, pulse 83, oxygen 100%. Client stated lightheaded resolved, nausea still same. Client denied blurry vision, headache, warmth feeling. Vitals at 1738: blood pressure 118/72, pulse 80, oxygen 99%. Per client all symptoms resolved. Last vitals at 1743: blood pressure 114/80, pulse 76, oxygen 99%. Mother driving client home. Advised to follow up with provider and ER precautions given. After completing 30 min observation client left facility with steady gait at 1750.

Flushing/sweating, dizziness, generalized weakness, nausea. BP 94/51; HR 60; RR 19. 17 min post vaccination pt noted feeling much better. Denies pain/discomfort, no n/v. Fluid offered, seen by NP. Pt feeling better & released

She got her vaccine, she was sitting in the chair and 4-5 minutes after the shot she started telling her grandfather that she felt nauseated. She then started feeling dizzy and looked like she was going to pass out and he caught her and he laid on her on the floor on a pillow. There was a off-duty paramedic to assist her and they suggested to call 9-1-1 and they showed up 5-6 minutes later. She was then taken to Hospital. They ran a lot of laboratory tests, urinalysis and everything was negative. Her white blood cell count was high and her URC's and UBC's were high. Her albumin was also high. She was then released from the ER and was told to FU with PCP within 2 days. She is still having the symptoms of headache, sore throat, and achy bones, the typical flu-like side effects. She is taking Tylenol for the symptoms, as well as cough drops for her throat.

After administration of vaccine the patient stood up quickly and passed out. The patient fell down and came to rather quickly. After she came to we helped her to a chair and sat her down, advised her to put her head between her knees, and got her some water that she requested. After a few minutes she appeared rather pale and went to ask her if she was ok and she asked for a trash can because she felt like she was going to be sick. We gave her a garbage bag and she did get sick in the garbage bag. We kept an eye on her for another 15-20 minutes and she stated that she felt better and that she thought she was ok to leave. We offered her help to her car but she denied it saying she would be ok with she walked slowly. Her father was with her the entire time. While talking with them the father did state that she had incidents like that in the past where she stood up too fast and got light headed and passed out.

1120 pt reports dizziness after vaccine. pt cool, clammy, nauseated, bp 72/35, team called. pt transferred to observation area, lying down on gurney. ER staff present. Mother reports pt did not eat breakfast this am. Apple juice given. 1135 pt reports improvement in symptoms, bp 106/56, dc home in stable condition.

Patient exhibited signs of paleness, dizziness and nausea during the 15 minute post-vaccination observation.

Patient started feeling dizzy/faint right after administration, she was sweating and felt hot to the touch, then she convulsed and shot up out of her chair for a few seconds before sitting back down. As she sat back down she vomited and then seemed to get better after. 911 was called and she was better by the time they arrived and blood pressure and vitals where all good.

First symptom was dizziness and nausea. Then, immediately began sweating profusely . Then began seeing spots that distorted her vision. Immediate pain in the ears, which felt as is the ears were very swollen and inflamed. It was difficult to talk because talking caused pain in the ears. Severe headache. Obviously her anxiety level escalated. We immediately found wet paper towels to place on her forehead and back of the neck to cool her. I found a hair tie and tied her hair up off her neck to keep her as cool as possible. She was sweating so much she soaked her t-shirt and was pouring sweat down her face, neck and body. We also moved patient from the chair, and placed her on the floor of the pharmacy, leaning against the wall with her legs stretched out. As a type 1 diabetic, the obvious concern was blood sugar during this reaction. Patient wears an insulin pump and Dexcom continuous glucose monitor. I was able to read her blood sugar levels during all the reaction time. Her blood sugar level spiked up. It then began to drop after a few minutes. I had an apple juice, and gave her the 15 carb apple juice.

Vasovagal reaction of c/o dizziness with nausea. bradycardia, hypotension. color pallor. Vital signs- 126/66 P-51 R-20 Temp 98.3 reaction subsided within 30 minutes. intervention required observation of s/s

Weakness, Nausea. Seen by onsite EMS. 16:23 HR 84 regular Spo2=96% BP=79/55 16:31 Reported symptoms resolved. left with parent. HR 83 regular Spo2=97% BP=105/84 Discharged with mother at 16:35. Recorded by RN.

Nausea post vaccination History of vaso/vagal response after a shot was given (blood was drawn) Patient was given crackers, juice, water Improved symptom of nausea Patient was sent home

Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: tingling in fingers

Patient developed significant nausea immediately after receiving vaccine. Cold compress, fluids and food were not effective so ondansetron (4 mg PO) was administered.

Pt received vaccine...came out of vaccination room...sat down and started talking to mother...started to feel nauseous ? sat back and started to look limp...paramedics immediately contacted...pt never loss consciousness...looked pale... not feeling well...was responsive and breathing...respirations were being monitored...EMTs arrived and took over...did take pt to hospital...

severe syncope and fainting, vomiting, lowered BP and lowered heart rate. First signs about 10 min post injection. Paramedics attending within 25-30 min of injection

Per Dr. 1.Did the patient have an immediate allergic reaction of any severity such as urticaria, angioedema, respiratory distress, or anaphylaxis (<4 hours following administration of the COVID vaccine)? Yes. 2, Did the patient previously have an immediate allergic reaction of any severity to polysorbate or polyethylene glycol? No. 3, Has the patient had prior anaphylactic reactions from another vaccine, medication or any other cause? Yes. 4, Did the patient have an allergic reaction >4 hours after administration? OR have an expected side effect of the COVID vaccine? No. Pt received COVID vaccine, Pfizer 1st dose. Approximate 5 minutes in the observation area pt complained of headache, throat discomfort, and stomach upset. She has a history of food additive allergy (dough additive), has an epi pen but has never needed to use it per mother at bedside. Initial VS: T 98.2 P 84 BP 119/70 RR 20 SpO2 99% on room air. She was monitored in the adverse reactions area. She was given Benadryl 25 mg oral x 2, and cetirizine 10 mg oral x 1. During observation period she had observed worsening oropharynx swelling, and stridor/inspiratory wheezing. VS prior to transfer was P 78 BP 102/69 RR 18 SpO2 100% on room air. EMS was called and pt transferred to ER for further monitoring, Tryptase level, and epinephrine if needed. Pt was recommended to see her pediatrician or allergist to discuss 2nd dose options prior to scheduling appointment. Signed: DO, 5/21/2021 2:59 PM".

3 days of severe abdominal and pelvic pain that was debilitating. Patient was hardly able to walk - she had extreme pain with urination and defecation. She also had headache, fatigue, arm pain, fever and rash - hives, with pruritus of scalp.

15 Y/O F syncopal event following vaccine. PT had LOC. Woke within 30-40 seconds, vomited x1. Was oriented x3. Treated w/ rest (supine, then sitting) and PO fluids. PT released to home w/in 45 mins. Dx: Vaso Vagal Syncope

Patient fainted within a minute of receiving vaccine. Pale, diaphoretic, nauseated. No treatment. Recovered without incident.

Site: Redness at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Additional Details: pt's tongue felt funny, then her throat felt tingly, progressed to throat beginning to close. given 50mg benedryl and 20mg pepcid at pharmacy and she went by ambulance to ER. she will undergo further testing this week at allergist to see if she is allergic to polysorbate and peg.

Received her first dose of the Pfizer COVID-19 vaccine on Sunday May 16,2021 at around 2:50 pm. At around 7:20 pm on May 16,2021 she stood up to walk to the bathroom. She began feeling nauseous when she stood up. While she was washing her hands, after going to the bathroom, she began to have difficulty with her vision. She describes white and blue dots obstructing her vision in both eyes. She also began to experience loud tinnitus. She described hearing multiple frequencies. The problem with her vision and the tinnitus continued as she walked through our house to a couch where she laid down. The vision problem and tinnitus continued while she laid on the couch. Her breathing was rapid but she thinks this may have been due to the stress caused by her other symptoms. This episode lasted for several minutes and then the vision problem resolved. The tinnitus continued for several minutes after the vision problem resolved. The intensity of the tinnitus slowly decreased until it finally stopped. The following evening, she experienced tinnitus for a few minutes but it was less intense than it was the previous evening. She very rarely has experienced tinnitus in the past. She has very infrequently experienced brief episodes of orthostatic hypotension when she was dehydrated. When this event occurred, she felt like she was well hydrated. This event lasted much longer and she has never experienced this problem with her vision in the past.

Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Abdominal Pain-Mild, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Shakiness-Medium

One of the physician observers wrote: From what I understand she had her shot and switched places with her sister and was standing and then just went down. I don?t believe she hit her head we didn?t see a lump. She came too right away and got nauseated and light-headed again sitting up so we took her to lay down on the stretcher. She was doing ok but laying down when I left. The nurse that administered the immunization wrote: She got vaccinated, tolerated it well. Told her sister she barely felt it and expressed relief. Sat for a minute while in handed her mom paperwork ( vaccination card). Then got up, stood with mom and brother. Was standing one minute and went down without warning, standing next to brother and mom. I had just finished vaccinating the sister, I was putting a bandaid on her when it happened so couldn't have been more than a couple of minutes. Dr. observed this patient after they passed out at the vaccination clinic and subsequently released her home with the family.

1/2 hour after having the Pfizer vaccine, she had nausea that is lasting until today and it doesn?t go away

1:28 108/57 - 90 - O2Sat 99%, Presented self with complaint of nausea, vomited digested food, color pale, no resp. distress. 1:40am Stated felt better after vomiting. Color pink. 1:57pm left obs. area. Inc to call 911 if symptom reappear.

Nausea, Dizziness, Vomiting. Bp 107/59, HR 73, RR 16. Pt stable and released from the vaccination site.

- Typical sore arm and fatigue in Day 1 & 2 - 4 days of severe headache from Day 1 through Day 4 - Day 4 severe diarrhea - Day 4 & 5 foggy "brain" - Muscle aches and weakness Day 2 - 4 - Potential menstrual period interruption

Site: Pain at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Turning very pale, passed out and unresponsive, sweating-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Weakness-Medium, Additional Details: After 5 minutes of vaccination, mom called for help in the waiting area. The patient passed out for a few minutes and responded after we both called her several times. We called 911. She was feeling nauseous. She sipped a little water and was looking very pale and was starting to become unconscious again. Mother thought it was an allergic reaction and asked for Epipen. Epinephrine was administered, and patient became alert and less pale. EMS came and took her away due to low blood pressure

Pt reported feeling woozy, dizzy, and nauseous after walking out to waiting room after receiving shot. Approximately 3 minutes after shot was given I was called out to the waiting room as the patient had passed out. I helped her mother lower her to the floor and by the time we lowered her down she was regaining consciousness. After about 5 minutes she was feeling better and we moved her into the immunization room to wait for EMS. EMS came and evaluated her and determined she was ok to go home

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hyperventilation-Mild, Systemic: Hypotension-Mild, Systemic: Nausea-Mild, Systemic: Visual Changes/Disturbances-Medium, Systemic: Vomiting-Mild, Additional Details: Patient felt dizzy and blackout/ fainted for less than 10 seconds. Vommiting and blood pressure on the low 96/64

Vaccine was given 5/23, on 5/24 she felt a heaviness in her chest, this persisted to 5/25 when she felt like she could not eat. When she told her mother that's when mom noted the facial droop and took her to ER for evaluation. There she was given steroids and a prescription for eye drops and oral steroids. She has not taken the oral steroids at this time but nearly all of her symptoms have resolved.

Sudden onset severe excruciating upper body pain including back, abdomen, chest, throat, neck causing difficulty moving, difficulty breathing, difficulty speaking, nausea. Severe pain lasted 20-25 minutes then slowly diminishing over next hour. After severe pain diminished, ongoing symptoms included severe fatigue, lack of fine motor coordination, brain fog, weaknesses.

This 15 year and 11 month old female developed fevers, abdominal pain, diarrhea and constant wrenching. She was seen in the ED and noted to be hypotensive and meeting SIRS criteria so was admitted to the PICU and started on norepinephrine pressor support. She had fevers to 39 degrees C and about a day into hospitalization developed acute mental status changes.

Patient got nauseous and dizzy approx 10 minutes after administration. BP dropped to approx 75/50. Patient laid down. Benadryl given @ 50mg oral liquid dose, patient requested water bottle which was provided and consumed. EMS arrived and patients BP went to to approx 95/55. Patient became ambulatory and went home.

Developed anaphylaxis with abdominal pain, nausea, vomiting, shortness of breath, chest pressure, hypotension and urticaria. Required IM epinephrine -> epinephrine drip as well as steroids and antihistamines.

While patient was sitting after the vaccination about couple hours, pt fell on the ground with her face down. pt was quickly laid on the ground with legs up on the chair. pt resumed alert and oriented after falling on the floor. After 15 minutes, pt felt better and started sitting on the chair and had some juice and coke. Then, pt still felt dizzy and nausea and decided to lay down again. After another 15 minutes, pt felt better and mom took her home. She was told to follow up if needed and watch for concussion.

Received vaccine 5/22/21 - had some local arm swelling & pain which resolved that night. 5/23 had fever, chills, nausea, diarrhea x2 days with complete resolution. On 5/29, developed urticarial rash on legs & arms - no improvement with OTC Benadryl. No new foods/obvious exposure to other allergens other than family had tried a new scent of their brand of fabric softener. 5/31, developed nausea, vomiting, hand/feet swelling, & had a pre-syncopal episode. Presented to ER; tachycardic with symptomatic orthostatics though vitals otherwise normal. Received IV fluids, Pepcid, Decadron with improvement in HR/symptoms. Continued to be orthostatic with some extremity swelling so received IM Epinephrine - subsequent improvement in rash, nausea. Hospitalized for monitoring. Orthostatis/nausea resolved, vitals remained stable. Some intermittent itchiness/hives present that came & went still present at the time of discharge from hospital.

Immediately after the patient received the vaccine, the patient turned pale and said, "I feel a little dizzy and my vision is blurry." The patient fainted and ended up having a seizure. Once the patient regained consciousness, the patient was nauseated and vomited. Minutes later she had another seizure but immediately came out of it. We asked the patient if this happen to her during the first dose and she said it did not. The patient does not have a history of epilepsy. The patient's mother did say she had the exact same reaction when she had braces put on. The patient sat in the waiting room for 30 minutes while drinking water. Before the patient left, we had check up on her and she said she felt completely fine. I (the pharmacist) called the mother a couple of hours later to check up on the patient. The mother said she felt fine as if nothing ever happened. I did recommend to her that her daughter gets checked up at urgent care today just to be on the safe side. The mother said she has an appointment with her primary care next week.

On 5/30/21, patient woke up around 10.30 am and complained of severe headache in back of head (pain level 8-9/10). She was nauseous, unable to sit and even stand. She was getting rainbow circles in her vision. Rushed her to emergency to UCSF, drs ran various blood tests and brain MRI but everything was normal. It was also found that Bipasha had high BP 149/61. The drs could not make out what happened and they discharged her later on after giving some IV fluids and some pain medicine. On 5/31 and 6/1, at home, patient was seemingly okay. On 6/2, Wednesday, patient developed headache again, same symptoms like on 5/30. We rushed her to Urgent care in Fremont and saw her pediatrician dr and a pediatric neurologist. Her BP was high then also 144/87. No cause could be found why. The pediatric neurologist was suggesting it is possible that some Inflammation could be causing the blood fluctuations. Orthostatic testing resulted in major fluctuations of BP. Both neurologist and neurosurgeon have ruled out hydrocephalus. They are saying heart inflammation could be a cause.

"Pt w/ hx of lactose intolerance. Pt w/ medical hx for anxiety and depression. 12:20 - 15yo Female reported feeling nausea 10 min after vaccination. Pt was taken to observation room. Vitals BP 129/85, HR 86, RR 20. Pt vomited for a few mins. 12:30 - pt reported relief after vomiting. no signs of resp distress, dizziness, flushing was observed. Pt is communicating w/ Physician and is stable. Pt given water 8oz. 12:36pm - BP 101/70, HR 87, RR 16. 12:50pm - Pt stable and released from the vaccination site with mother."

She got the second shot of COVID-19 shot around 3 PM on 6/3. She had a sore arm, lower fever, and headache on the second day (6/4), which was expected. On 6/5, she complained about chest congestion in the morning. She described that it felt like running after a mile. I asked her to drink more water and get some rest. The discomfort didn't get away, so I consulted her pediatrician over the phone. Her pulse and blood pressure were normal (86/103/75). She didn't feel short of breath. And her finger oximeter result was 99. In the afternoon, she described the discomfort as after some strenuous exercise and kept putting her hand over her heart. She felt tired and didn't have a good appetite for lunch or dinner, and only ate half meals. After dinner, around 9:30, she throws up and felt a little better. Then she took a capsule of Motrin liquid gel of 200 mg ibuprofen and went to bed. She slept well and felt OK this morning.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Additional Details: we called 911, 3 EMT's arrived and they took her vitals and stayed with her and her father for roughly 20 minutes and she left with her father.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Additional Details: we called 911 3 emt arrived they took her vitals and stayed with her and her father for roughly 20 minutes and she left with her father

Patient felt nauseous after vaccine and her mother tried to take her to the restroom. When she stood up she got lightheaded. Her mother caught her. She did not hit anything. The paramedics were called. She remained reclined on the floor until they arrived. She said she felt fine. They monitored her for a short while. She required no further treatment. On follow-up several hours later she states she feels fine.

Patient fainted/passed out a few minutes after receiving the vaccine. Mom stated patient had a little seizure. Patient retain consciousness after 1-2 minutes and did not recall what happened. She felt hot/sweaty and had minor vomiting. 911 was called. They arrived and left without any major concerns.

Fever the following morning. Then, 38 hours after shot: abdominal cramping, rapid heart beat, dizziness while laying in bed. Then, upon standing, passing out with loss of bowels and bladder and a tonic response.

Patient had started her period prior to the vaccine on Sunday. On Monday, she described having the worst cramps and nausea she'd ever had and bled through a tampon in a short period of time. She had to go home from school and hates to miss school. This was very unusual for her.

Feeling nausea, HOH after injection she stated. Same s/s after 1st injection she stated. @16:34 BP=71/38 Pulse=67 O2=97% @16:38 BP=76/47 Pulse=64 O2=97% @16:43 BP=90/61 Pulse=67 O2=98 Pt.presented with dizziness and hypotension. Mother refused IV fluid therapy stating "she's ok, she's just being dramatic." Mother signed refusal and released.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Nausea-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Around 5 minutes after vaccine pt reported dizziness, nausea and double vision. Within 10 mins, pt said double vision went away but she was still dizzy. EMS was called and pt was taken for follow up at hospital.

Aproximately 5 minutes after receipt of 2nd dose, patient began feeling hot, and dizzy. Symptoms progressed to gagging, loss of vision and hearing. Patient was placed in the modified tredelenburg postion, vital signs obtained and monitored for roughly 40 minutes. Vital signs were initially low, RN assessed patient had not even prior to vaccine adminsitration. Offered water and energy bar, placed bag of ice on back of neck. Patient did not experience and respiratory distress throughout event. Mother was educated on signs and symptosm to monitor for post vaccine and if any new or worsending symptoms presented to seek care at the emergency room.

large rash on neck area initially; rash spread to back and legs; hives on arm of injection in the middle of the night Took Benadryl which seemed to clear it up but rash came back in morning. Threw up in morning. Went to urgent care. No respiratory issues and rashes cleared up. Instructed to monitor and continue Benadryl as needed. If hives come back and Benadryl does not clear it up then go to urgent care or ER. Benadryl did seem to work but rashes continued for several days.

fever; nausea; vomiting; diarrhea; mild arm soreness; mild swelling at injection site; mild to moderate chills; mild to moderate muscle aches; This is a spontaneous report from a Pfizer Colleague from a contactable pharmacist (patient parent). A 15-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTEC COVID-19 VACCINE, Solution for injection, Lot Number and expiry date were not reported via an unspecified route of administration on 04Jun2021 (at the age of 15-years-old) as single dose for COVID-19 immunization. Patient did not have known drug allergies. Patient did not have any chronic medical conditions. Patient's medical history included the first dose of bnt162b2 vaccine. The patients concomitant medications were not reported. In Jun2021, patient experienced mild arm soreness, mild swelling at injection site, mild to moderate chills, mild to moderate muscle aches, and having a slight temp the day after her vaccine. On 07Jun2021, the patient started experiencing fever, nausea, vomiting, and diarrhea. The clinical outcome of all events was unknown. Information about batch/lot number has been requested

Post 15min observation, pt was feeling dizziness and nausea. Pt assisted to medical bay via wheelchair. Pt notes no PMH. Pt is currently on her menstrual cycle and on birth control medications. Pt given water and juice. 20mins post vaccination BP 88/44, HR 51, RR 20 -- > 7mins later 101/60, 63, 20. Pt stable and released from the vaccination site after symptoms resolved.

Called to where 16 yr old pt sat in observation area with her father. Pt was alert but pale. According to Pt father Pt lost consciousness for a second in chair. PT states she's afraid of needles but she did not faint from first dose of COVID-19 vaccine. PT states she felt lightheaded but did not mention any other symptom. PT father states PT does not have any medical history.Pt states she only had a very small breakfast and no lunch. Assisted PT lay on yoga mat with legs elevated. First set of vital signs were taken at 1:40: BP 109/74; P 72; Res 18; O2 Sat 100%. Second set of VS taken at 1:50 with BP 104/65, P67; Res 18 and O2 Sat 100%. PT states she felt better; her skin color turned normal. Assisted PT sitting up on the yoga mat for a few minutes then back to her chair. Water and snack provided to PT. However, around 2PM PT felt lightheaded again while in chair, she lay herself down on the ground. At this time she felt periodic nausea. Her VS at 2PM BP 108/64; P67;resp 18. Her skin color was normal. Cold towel was placed on forehead with some comfort. 7-UP given to relieve nausea. PT rested on the ground until 2:30 then went back to her chair. Her symptom finally subsided and she left observation area with her father around 2:45PM.

Henoch-Schonlien Purpura. Abdominal pain, rash covering legs and torso, abdominal pain, joint pain leg pain

About an hour after receiving the 2nd vaccine, she developed a pain in the upper-mid sternal area. She's not had any pain like this in the past. The pain remained constant ever since it started, and there don't appear to be any alleviating factors such as position changes. Deep inspiration makes it worse. The pain radiates at times across the upper chest and down the back. She's had some accompanying nausea. She's also noticed feeling a little short of breath as the day progressed, which is not necessarily related to the pain. She denies any palpitations or dizziness. No near syncope or syncope. The pain remained a maximum intensity of 10/10. She therefore presented to the ER. Diagnostic studies including labs, EKG and a CT pulmonary angiogram were performed. Troponin returned as elevated, but without EKG changes. She was transferred at the time to the Medical Center for admission. Echocardiogram was completed and normal. Vital signs remained normal. Troponin trended down. Pain improved and she was discharged home.

Pt reports she had her first dose of Pfizer Covid vaccine on 5/17/21. The following week she had a very heavy period that lasted longer than usual with severe cramps and occasional lightheaded/dizzy spells. After her cycle ended, she continued having brief episodes of dizziness, usually when going from sitting to standing, usually resolved quickly (after a few minutes) with rest. Over the past two weeks, the episodes have become more frequent and intense, and over the past few days episodes also include s/s of seeing spots and having blurred vision with nausea, SOB, and palpitations/tachycardia. Tonight while at lacrosse practice, pt suddenly became dizzy and felt like she might pass out, became diaphoretic and pale.

PT LOST CONSCIOUSNESS 5 MINUTES AFTER VACCINE, SLOW HEART RATE, CLAMMY SKIN, NAUSEA, UNCONTROLLED BLADDER RELEASE. PT REGAINED CONSCIOUSNESS AFTER 30 SECONDS AND AMBULANCE WAS CALLED. BP NORMAL AND PT RECOVERED AFTER ABOUT 20MINUTES AND WAS ABLE TO WALK ON HER OWN.

My daughter received her second Pfizer vaccinations at 2:15 pm. At 1230 at night she work up with stabbing chest pain in the center of her chest that lasted three hours. She initially said her felt faint and couldn?t catch her breath as well as initial nausea. Being an advanced healthcare professional, I spent five minutes of asking her questions: did she eat something bad, did she feel like she needed and inhaler, did she need to use the restroom, checked her pulse (100bpm with palpitations), no resolve. We live 5 minutes from hospital where we prefer to go, but my daughter didn?t think she could make the five minute ride there. We went to ER that is around the block from us and it was total chaos. 40 + people in the waiting room to be seen. My daughter was visibly in distress, crying and couldn?t keep still because of the intense chest pain she rated a 10 out of 10. Finally they did a 12 lead EKG. The rolled us to the back of the waiting room. After 15 minutes, I rolled back out to the front desk and no attention to her and her severe chest pain. Finally I announced we were going to hospital. The called back to us? ?Good Luck!? Got pt to hospital and the immediately did EKG, lab work, chest x ray, urinalysis. The chest pain became intermittent then final subsided. The doctors ruled out pneumonia, No PE, EKG WNL, lab work fine. The Doctor stated it was chest wall pain and gave us a NSAID prescription. I talked to my sister who is an nurse works in the vaccination clinics. She said she has had patients who have had bouts of pericarditis and pleurisy after the second shot. That motivated me to google second dose Pfizer reaction in teens. There is a rare side effect of myocarditis in the teen population after the second dose. The publication date was June 4 the day before my daughters reaction. I didn?t thinsk the ER physician was aware of the the possible rare side effect of myocarditis in teens. I was happy with the care we did receive.

Fever, vomiting, diarrhea, fatigue, sore muscles developed within 12 hours of vaccine administration and were improving at approximately 24 hours later.

1548- Pfizer covid vaccine given in left deltoid, tolerated administration without issues. Patient left exam room to sit in waiting room with mother. 1555- Patient's brother came to get myself "I think my sister may pass out" Observed patient become very pale and vomit in garbage can. She was given a cold paper towel and bottle of water. She had a near syncopal episode. Mother present during event. 1632- Patient left ambulatory with mother and brother in no distress. Patient stated "I am feeling much better maybe it was my anxiety about getting a shot"

This patient received her 2nd Pfizer vaccine on 6/10/21 @1300. Upon waiting 15 minutes, patient was cleared of s/sx and reported feeling well to go home. The following day, mother called and reported her daughter was feeling nauseous, tired, and suffered a headache. She then proceeded to faint in the bathroom around 6am on 6/11/21. The reaction occurred approximately 12 hours after the vaccination. After the incident, patient slept until 14:30, and visited her primary care doctor, who then characterized her symptoms as a concussion.

Headache starting that evening, chills, fatigue, nausea, muscle soreness/weakness, sore throat, muscle aches

Pt presents for Covid 19 vaccination. Pfizer vaccine given per mothers consent. Pt tolerated well. Pt observed in recovery area for 30 min due to history of allergy to Peanuts. Pt did well in recovery and was discharged home with mom. After approx 10 min, pt mother brought pt back into recovery area stating pt had abd pain, shaking and did not feel well. Pt placed in lying position. Sat up to vomit. Vomited small amount. Mother states pt has history of significant anxiety. Pt denies any sob or tingling. Resp easy and unlabored. Pt able to answer questions. A & O x 3. VSS Pulse ox 99 sat. bp 130 /80 hr 60-70. Mother requests EMS to be called. EMS called. Attempt to reassure pt and calm down. No progressive symptoms noted. Pt VSS remain stable. EMS arrives. Pt transported to hospital per EMS per moms request. Dr medical lead called per myself. No medications given. Pt was discharged that day from ED and refered to follow up at hospital

Headache, vomiting, confusion, lost ability to speak, hypokalemia, tingling in arm all in evening of 6/12

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Hypotension-Mild, Additional Details: After administration of her first COVID vaccination from Pfizer, patient was instructed to take a seat for 15 minutes for monitoring. Patient fell forward on her chair and hit her head on the shelf. Patient was immediately being cared for by the pharmacist who administered the vaccine. Patient was kept laid down on her side to prevent further complications, was given water. She was responsive, but felt nauseous and stomach ache. Blood pressure was taken 92/62 and 86/64 and was okay after 30 mins

Patient began feeling nauseous and light-headed post-vacccination. EMS evaluated her and determined that her blood pressure was low. Patient was given water, snacks, and a cold compress. 6/1/21: 11:47am - TC to parent. No answer. left message to call back. 6/4/21: 2:23pm - TC to parent. No answer. Left message to call back 6/7/21: No call back from parent. Record closed.

5/18 - received Pfizer COVID Vaccine dose 1. 5/19-5/20 - very tired 5/20-5/21 - overall did okay 5/24 - woke up extremely nauseous, vomiting, fever to 100.6F -> increased to 102.5F, chills, near syncope in shower so ambulance called and went to Emergency Department 5/25 - similar symptoms as the day prior but also had headache, continued extreme fatigue. Fever continued. 5/26 - diarrhea started, vomiting resolved, continued headache and fatigue. Fever continued. 5/27 - last day of fever. Headache resolved 5/28 - diarrhea resolved.

Felt faint and started vomiting immediately after receiving vaccine, vomited several times, felt better after approximately 10-15 minutes.

The first shot threw her out of remission and into an IBD (Crohns) flare with liquid stool about one week after the shot and visible blood in her stool for a week. The second shot caused a fever of 102.5 for about 12 hours and tiredness the next day as well as throwing her into a worse flare where she had liquid stools at least 4 days with visible blood two days after the vaccination. We are still dealing with the flare, so I do not know how long it will last or if she will need steroids to get her back into remission.

Felt tightness in chest and said it was harder to breath. Around two weeks after the shots started to have reflux like symptoms and started vomiting up food. She is having difficulty eating and has been gagging on her food. We are setting up a visit with a physician but she has not yet seen a doctor.

acute pancreatitis ; Pt awoke at 4 AM day after her COVID vaccine with abdominal pain. Pain abided some and she was able to fall back asleep. When she woke up in the morning she had crampy pain in the epigastric abdominal area. Pain is constant, worsened some with laying down and improved with sitting up. She feels like she has some mild difficulty breathing when she is lying flat. She has not been able to eat much because eating makes her feel like her stomach is going to explode. She is barely keeping down much water due to pain. She denies any nausea or vomiting.

Client received her first dose of the Pfizer Covid-19 vaccine (Lot # EW0187 Exp. 08/2021) at 12:38 PM on Wednesday 6/16/21. EMTs and Lead RN responded to the incident. Lead nurse signaled over EMT at approximately 12:44 that she needed the gravity bed for a client. The client was found lethargic when EMTs arrived with a gravity bed. The client was a 15-year-old female with a chief complaint of dizziness. Client?s older brother was present during incident. Interpreter translated information between EMTs/RN and client/client?s brother. The client was alert and tracking to voice. Per the lead nurse, the client was complaining of dizziness after the administration of her first Pfizer vaccination. The client had no known allergies or medical history. The client also did not take any medication. The client's brother stated that ?she had chicken nuggets and a smoothie? to eat at approximately 10:00. The client's brother also stated that ?they had been standing at the border crossing under the sun? for an extended period of time. The client's airway, breathing, and circulation were intact. The client was negative for hives, swelling, shortness of breath, or other signs of anaphylaxis. The client was nauseous, dizzy and complained of numbness on both arms. The client was unable to bear weight and not following simple commands before she was assisted to gravity bed by EMT and RN. The client then briefly lost consciousness for less than a minute before becoming alert to person, place, date, and event. EMTs assessed vital signs every 5 minutes for a total duration of a 45-minute observation. Vital signs were taken by EMT with client lying supine immediately after losing consciousness (12:45) and were reported as follows: Blood Pressure (BP) 92/64, Pulse (P) 66, Oxygen Saturation (O2) 99%, Temperature (T) 98. Skin was intact, pale, and cool to touch immediately following patient regaining consciousness. Patient remained lying flat on gravity bed for approximately 10 minutes before she was assisted to a seated position. Patient was in a high-fowlers position when she was given a juice and granola bar. Client then stated that she was ?feeling better?. After an additional 10 minutes sitting on the gravity bed in high-fowlers position, the patient was assisted by RN and EMT from vaccination station to EMT/observation station. The client remained seated in the EMT/observation station for an additional 15 minutes. Vital signs were taken every 5 minutes during this time by EMT. They were reported as follows: 12:51- BP 112/78, P 69, O2 97%, T 98. 12:55- BP 108/78, P 77, O2 99%, T 97.9. 13:00- BP 104/78, P 66, O2 98%, T 98.1. 13:05- BP 96/62, P 83, O2 95%, T 98.1. 13:10- BP 92/68, P 76, O2 98%, T 98.1. 13:20- BP 90/70, P 92, O2 99%, T 97.6. 13:28- BP 92/72, P 93, O2 99%, T 97.9. After a 45-minute observation, client stated her condition was improving and was observed walking normally. Client?s skin color returned to a pale pink and became warm to the touch. Client denied dizziness or any other symptoms. Lead RN educated the client about what to do if symptoms returned. The client was provided with the V-Safe form and EUA form with highlighted portions pertaining to symptoms to be mindful of. The client was also instructed to call 9-1-1 if symptoms of anaphylaxis, also known as a severe allergic reaction, presented. These symptoms include difficulty breathing, shortness of breath, hives covering body, facial swelling and more. Client and client?s brother acknowledged understanding of information. The client?s brother stated that he would ?drive her straight home?. The client then left facility at approximately 13:33 with her older brother in positive disposition with steady gait.

Adverse event: Patient felt dizzy, nauseated, blurry vision 5 minutes after vaccine administration. Treatment: Patient was suggested to lay down and it helped resolve the symptoms. Juice and crackers were offered to the patient as well. Patient was feeling better a few minutes after food and rest. Patient was discharged to POV/Home at 1:25pm.

Dizziness/lightheadedness; Nausea; Blurred vision; Terrible headache; a little palpitation; Clogged throat; this heaviness (not clarified); This is a spontaneous report from a contactable consumer (parent). A 15-years-old non pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 1 via an unspecified route of administration, administered in Arm Right on 15May2021 16:00 (Batch/Lot Number: EW0182) as single dose for COVID-19 immunisation. Medical history included no other illness. There were no concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and any other medications within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient previously received Amoxicillin, Azithromicin, Cefdinir, Gardasil(Pf) and had allergy. The patient had Nausea that does not go away with Gardasil. She also received HPV vaccine previously and experienced nausea and the dizziness for a month. Reporter stated, "she did not have any allergic 'condition' (not clear) but she was allergic, she had always had a rash when she had this Amoxicillin this antibiotic. She was allergic to Penicillin." The patient had the COVID Pfizer Vaccine on 15May2021 and as soon as she had her first dose she started to feel nausea and dizziness and from there 5 days later she had, she felt a terrible headache, 'this heaviness' (not clarified), headache, dizziness, palpitation. The reporter took her to the emergency room, they did all the test and they didn't really see anything in the results. From there she cannot stop to have nausea and dizziness and clogged throat so the reporter had to give allergy medication to her every day. She did have, she never had an allergic reaction to any vaccine but the HPV vaccine (captured as unspecified vaccine in tab) what was similar to what she is experiencing now. She had nausea and the dizziness for a month that she couldn't stay in school and she has this nausea and dizziness and clogged throat she has to run for this allergy medication what normally she never needed. So, she doesn't want to take this second dose and the reporter was wondering if it is Pfizer because she was just like (Height), a (Weight) pounds if because the reporter understand the vaccine is one for everybody, isn't this strong for a kid with that height that weight, that you do not needed the second dose. The patient could not she said she will not because she goes to school and she feel the nausea and dizziness and so. The reporter would like to report it because it maybe Pfizer's that she was thinking that 1 dose would be enough for kids. When asked about the start of experiencing adverse events, the reported stated that "Well the nausea and dizziness, she was a little bit not sure about like headache right after like her we stayed there like half hours because the doctor said to stay there because she has her reaction to which but then we just the reporter felt the nausea and everything was so bright you know, the reporter had the same effect but her went away and the patient after we received she was, the whole day but not too bad, 5 days after then she but she was already with this nausea, dizziness and 5 days after she got the palpitation, bad headache, nausea, dizziness and then I took her to the emergency room." Reporter stated, "No they have improved, the only thing now left is every day she has this nausea, dizziness and then she said about dizziness and then nausea and then clogged throat and then the reporter gave her the 'allergic pill I gave that, to this allergy' (not clarified further) really she gave only 1 tablet a day." Reporter stated, "On 20May2021, they did a blood test, they did urine test, they did a ECG, so the hospital did all and the doctor too, nothing new." The reporter had lab test result on chart, she stated they put on her chart but she also had the copy of the results. Okay, here they put the result is a line on the chart. Okay here they put like linear line lab test complete, she get all the line because here they didn't put results but screen for metabolic and kidney disorder they did, they did an 'urinary tract infection' (not clarified) they have marked in the ECG. Okay you going to ask for specific (incomplete sentence)." The patient had no other illness but reporter need to know what Gardasil and Covid 19 vaccine have in common because the symptoms were very similar. Nausea that does not go away. She asked if it is the preservative or what ingredients. Never had a reaction to any other vaccine. She just wanted to call the Medical Department if she should have the vaccine on Saturday or not. On 15May2021, 4:30 AM, the patient experienced dizziness, nausea, lightheadedness, blurred vision, headache, a little palpitation (as reported). The patient received treatment Children allergy medication. Adverse events resulted in Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. Outcome of the events clogged throat, heaviness was unknown and other events was not recovered.

At around 9:25 am on Thursday, June 17th, 2021, a fifteen-year-old patient walked into the vaccination site. She was accompanied by two guardians, along with 14 other minors. The minors came in for their 2nd shot of Pfizer Covid-19 vaccines. Patient signed all necessary consent forms and pre-vaccination checklist requirements with guardian and entered the vaccination section at approx. 9:38 am. The Pfizer vaccine was administered at 9:45 am. Patient was one of the first minor patients of the group that complained of a severe headache to observation nurse. Observation nurse gave Gatorade to the patient and she took a sip of Gatorade and was calm afterward. One of the patient?s guardians instructed her to head back to the van with the rest of the group. At approximately 10:33 am observation nurse notified charge nurse that another minor patient was having a reaction to the vaccine in the parking lot area. One of our site specialists was the first to attend to patient. Site specialist stated that she saw the patient walking with one of her guardians in the parking lot and looked like she was about to faint. Charge nurse hooked up patient to the pulse oximetry and called 911 at approx. 10:34 am. The patient?s O2 level was 83 with a pulse of 107. The charge nurse observed that the patient was under a lot of stress and was hyperventilating and unable to verbalize how she was feeling. Shortly after, the patient fainted due to hyperventilation. Observation nurse advised the patient to calm down and take deep breaths but the patient did not comply and continued rapid breathing. The patient started to vomit and made some gurgling sounds in her mouth and the charge nurse with the help of site specialist laid the patient on her left side. Shortly after, the patient stopped breathing. Observation nurse administered the epi-pen on the patient?s right thigh. Immediately after administering the epi-pen, patient started to breathe again with an O2 level of 98 with a pulse of 110; but the patient was still unconscious and unresponsive. At approx. 10:36 am first responder paramedics arrived at the scene and took the patient to hospital for further evaluation.

on 6/16/21 day after 2nd dose of vaccine, while at orthodontist appointment, was standing to get xrays done and fainted for a few seconds. prior to fainting felt nauseous and dizzy, after that happened, went home and then slept for 5 hours. When work up had headache and vomiting x2 , and headache continued, medicine taken, the next morning 6/17/21 all resolved. felt completely normal. came to doctor for regular scheduled appointment not for syncopal episode, no cough, no fever, no chest pain, no heart palpitations,

PATIENT SHOWED UP FOR THE APPOINTMENT FOR HER 2ND DOSE. WHILE GOING THROUGH THE , EVEN THOUGH PATIENT (PARENT) MARKED NO ALLERGIES, I ALWAYS STILL RECONFIRM WITH PATIENT THAT THERE IS NO ALLERGY. PATIENT WITH HER PARENT (MOM AND DAD) PRESENT INDICATED THAT SHE HAD LOST LIP COLOR (PALE), VOMITING, DIZZINESS, SHORTNESS OF BREATH. PATIENT WENT TO THE ER AND HER BLOOD PRESSURE WAS LOW AND HAD IV GIVEN TO HER. SHE WAS RELEASED THE SAME DAY. PATIENT DID NOT CALL THE PHARMACY AFTER THE REACTION. PATIENT IS ALSO NOT SURE IF THE ER HAD REPORTED IT. FOR THIS REASON WE ARE REPORTING THIS EVENT.

2nd Vaccine received at approx 10:38am. On arrival to observation area, mother reports patient stated she was not feeling well. Pt passed out for brief period of time and was taken to pt care area for further evaluation. Mom denies hx of seizures or syncopal episodes. Daughter reports beginning her menses, last night. Reports she ate breakfast this morning and felt fine, before the vaccine. Denies any reaction or issue with 1st dose. BP initially: 88/42, P: 92 O2 Sat: 98% on RA, fluids given orally. Denies n/v. BP up to 124/104, P: 78 O2 Sat: 97% Pt became pale again; BP 81/48 . Call to emergency made services. 1 episode of emesis noted- Pt states she feels better after vomiting; color came back to face; BP:103/62. Paramedics arrived: BP: 108/69 and EKG: NSR @ 90. Mother of pt denied need to take pt to hospital.

Fever; Headache; A lot of pain in throat; Couldn't swallow; arm was hurting; This is a spontaneous report received from a contactable consumer (mother). A 15-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EW0168), via an unspecified route of administration, administered in arm (Unknown if right or left, but thinks right) on 24May2021 (age at vaccination: 15 years) as 1ST DOSE, SINGLE DOSE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient did not receive any other vaccinations within four weeks prior to the first administration date of the suspect vaccine. On an unknown date in May2021 (was unsure of date, either 25May2021 or 26May2021), the patient experienced arm was hurting from the second day; on 13Jun2021 16:00, fever, headache, a lot of pain in throat and couldn't swallow. As the patient got sick and due to fever, she was sent to emergency room yesterday and they sent her home. The patient was due for second dose on an unknown date (reported as Monday, yesterday). She couldn't receive the second dose because she was sick, so she took her to the doctor yesterday because from Sunday she had a fever and Monday still having the fever so yesterday in the middle of the day, she took her to the doctor. She wasn't having symptoms from first dose, just arm was hurting, no fever or nothing else. She did not have fever after first dose until 13Jun2021 Sunday. The patient did not require a physicians' office visit. On 14Jun2021, the patient underwent test for throat infection which was negative and gave no antibiotics. The patient received the following treatment for the adverse events: Tylenol and Motrin, dose unknown, 2 pills for sore arm. For the Fever, pain in throat, headache, trouble swallowing received Tylenol every 6 hours and her daughter was getting better, no fever and headache. For swallowing: gargling with hot water, lemon, and salt, and was getting better. She no longer has the sore arm she is better now. The outcome of the event oropharyngeal pain and dysphagia was recovering, and all the other events were recovered on an unknown date in 2021. Information on Lot/Batch number was available. Additional information has been requested.

High fever 102.7 to 103,2; general full body malaise; Chills; extreme soreness at injection site; Nausea; Headache; body aches; This is a spontaneous report received from a contactable consumer (patient). A 15-year-old female patient (not pregnant) received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EW0217 and expiration date not provided), via an unspecified route of administration, in arm left, on 04Jun2021 15:45 (at the age of 15-year-old, not pregnant), at single dose, for COVID-19 immunization. Medical history and concomitant medications were reported as "none". Patient had no known allergies. No other medical history. Prior to vaccination, patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient did not receive any other medications within 2 weeks of vaccination. The patient previously took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL9264 and expiration date not provided), via an unspecified route of administration, in right arm, on 14May2021 15:45 (at the age of 15-year-old), at single dose, for COVID-19 immunization. On 05Jun2021 02:45, the patient experienced high fever 102.7 to 103.2, general full body malaise, chills, extreme soreness at injection site, nausea, headache, and body aches. The patient underwent lab tests and procedures which included body temperature: 102.7 to 103.2 on 05Jun2021 02:45. Since the vaccination, patient had not been tested for COVID-19. No treatment received for events. The outcome of evens was unknown.

At 1443 EMT observed client leaning forward in chair and approached for further assessment. Client mentioned feeling dizzy. PHN arrived at 1445 and observed client sitting upright in chair, alert and oriented x4. PHN asked EM to bring anti-gravity chair. Client able to transfer to anti-gravity on her own. First vitals by EMT at 1445: blood pressure 148/86, pulse 92, oxygen sat 100%. Grandmother present with client. Client reported feeling dizzy and nauseous. Client denied headache, blurry vision, shortness of breath. PHN observed hives on neck, bilateral arms, chest and upper left back. PHN offered Benadryl, Grandmother accepted and stated she would go get Father who was outside. Father denied client having allergies, no pertinent medical history or current medications. At 1448 PHN administered 1ml/50mg Benadryl IM on right deltoid after checking dosage table and verifying weight with client. PHN called 911 at 1449. At 1452 client reported new onset of tingling on both hands. Client appeared pale and diaphoretic. Vitals at 1452 by EMT: blood pressure 150/90, pulse 108, oxygen sat 100%. Hives on bilateral arms improving, hives on upper left back resolved. Flushing of face and ears. 1456 PHN and EMT observe edema of lower lip. PHN on phone with 911 operator asked client if she was having trouble swallowing. Client unable to fully describe, drowsy, but was speaking in full coherent sentences. At 1456 pulse 95, oxygen sat 100%. Paramedics arrived at 1458 and assumed care. Client transported to

Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Medium

Patient was anxious to get shot but seemed healthy otherwise. Shot was given at approximately at 1:40. By 1:45 she showed signs of being queasy and eventually passed out. Her father caught her, so no physical injuries were reported or seen. Blood pressure was taken roughly 3 minutes after collapse. In prone position on her back since loss of consciousness, her BP was 93/69 and pulse rate was 82. Although ashen at first contact, her coloring was improving as EMS showed up 15 minutes after my arrival. Total incidence time was roughly 20 min.

Patient had Pfizer COVID-19 vaccines on 5/27/2021 and 6/17/2021. On the evening of 06/18/2021 she started having headache with nausea and vomiting. Over that weekend she progressively got worse with slurred speech and then aphasia although she could still follow commands. She was then seen in the emergency department where she was then transferred to emergency department. There she was noted to have deterioration in her neurologic exam with inability to follow commands. She was then transferred to Hospital where she became more obtunded and encephalopathic and was transferred to the.

1st shot, no reaction. 2nd, fever, vomiting, headache, site redness and swelling . Took Tylenol for 48hrs and ibuprofen, alternating. Sips of water, but no food. By the 3rd day, she was if nothing happened.

loss of consciousness; nausea; vomiting; stopped breathing several times for multiple seconds and they described her to be gurgling when her pulse ox went down to 83%; Difficulty breathing; severe Headcahe; This is a spontaneous report received Support from a contactable nurse from Pfizer sponsored program via medical information team. This case pertains to patient 3 of 3. A 15-year-old female patient received bnt162b2 (PFIZER-BIONTEC COVID-19 VACCINE, Solution for injection, Lot Number: ER8727; Expiry Date: 31Jul2021), dose 2 via an unspecified route of administration on 17Jun2021 (at the age of 15-year-old) as a single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient historical vaccine included bnt162b2 (PFIZER-BIONTEC COVID-19 VACCINE), dose 1 via an unspecified route of administration on an unspecified date as a single for COVID-19 immunisation and had no reaction. On 17Jun2021, after 15 minutes of observation, the patient had a severe headache, difficulty breathing, loss of consciousness and stopped breathing several times for multiple seconds and they described her to be gurgling when her pulse ox went down to 83%. On an unspecified date, the patient also had nausea and vomiting. The patient pulse ox (documented as provided by caller) went down to 83%, she had severe headache, nausea, vomiting and she was unconscious. When she was unconscious was when her pulse ox was 83% and she stopped breathing intermittently for 10 to 12 seconds at a time. Then she started breathing again but was not responsive after she received the epinephrine then her pulse ox steadily rose again but was not responsive. She was like this until EMS took her away. The reporter stated that the most severe case was for this particular patient. She had already been vaccinated and had already gone through the 15 minute observation. All these kids came in a bus together, but this patient was sitting in the vehicle after the observation when the guardian brought her back to the nurses saying that she was complaining of a severe headache and at that point she had difficulty breathing and lost consciousness. The nurses reported that it appeared that she stopped breathing several times for multiple seconds and they described her to be gurgling when her pulse ox went down to 83%. At that time they administered epi (epinephrine) and called EMS. Her pulse ox and her breathing improved after the administration of epi, however she remained unresponsive when she was on the way to the hospital with EMS. The patient was taken to the hospital and she did improve. This was the 2nd dose, she had the 1st dose and did not have a reaction to it. The seriousness of the events severe headache, difficulty breathing, loss of consciousness, stopped breathing several times for multiple seconds and they described her to be gurgling when her pulse ox went down to 83% was reported as medically significant. The reporter stated that it was very serious. This patient reaction was a little more intense than just an anxiety induced reaction. She says with a pulse ox of 83% if they had not intervened then this would of been life threatening. It is medically significant but if they had not intervened then it would have been life threatening especially when you're talking about gurgling and a pulse ox of 83%. The reporter tends to think that with that severe of a reaction, with the pulse ox that low and her being unresponsive, she believes that this was probably a true adverse event. Outcome of the events was reported as unknown. The reported causality for the events severe headache, had difficulty breathing and lost consciousness, stopped breathing several times for multiple seconds and they described her to be gurgling when her pulse ox went down to 83% was reported as related. Information on Lot/Batch number was available. Additional information has been requested.; Sender's Comments: Based on known drug safety profile, there is reasonable possibility of causal association between the events respiratory arrest, loss of consciousness, dyspnea and headache and the suspect drug. 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.

First dose 5/28/21, second dose 06/17/21, "normal" second dose symptoms, fever, chills, headache, stomach pain, after 3 days still feeling pain, worse vommiting, pain above spleen, change in cheek coloring. Mom took patient to ER and they did a CT and blood work, found nothing wrong and ruled out thrombocytopenia. Today she is feeling better still a headache and a bit nauseous. Mom called to make sure this incident was reported,

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Additional Details: This was second dose. Patient's temperature was 98 degrees. I asked her if she had any type of reaction to the first vaccine and she said no. I asked if she knew what to expect for the second one and she discussed how everyone in her family had fever and headache the day after. I gave her the vaccine and 5 min later she told me she was a little light headed and wanted to throw up. I told her it was okay to go ahead and go to the restroom to vomit. She passed out at the bathroom door. called ED

Patient began to slouch upon sitting in the waiting seat approximately 1-2 minutes after receiving their second dose of the COVID19 (Pfizer\BioNTech) vaccination. Pharmacist immediately assisted patient and instructed for technician to call 9-1-1 immediately. We were able to catch the patient as they were falling out of the seat. Patient then began to seize for 5 seconds. Post seizure the patient was pale but cognizant and able to answer questions correctly (i.e. Name, DOB). Patient then began vomiting profusely. Patient reported no history of seizures, however reported previous an episode of fainting 3 years ago due to heat. Patient was monitored, given bag for emesis, water for rehydration, and ice pack until EMS came.

Vomiting; Had 103 Fever; Headache; Nausea; Body aches; This is a spontaneous report from a contactable consumer (Patient's parent). A 15-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot number: EW0179; expiration date: 31Aug2021) via an unspecified route of administration in right arm on 12Jun2021 (at the age of 15-year-old) for COVID-19 immunization. Patient had no medical history and concomitant medications. Patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot number: EW0183) in unspecified route of administration in left arm on 22May2021 (at the age of 15-year-old) for COVID-19 immunization and had no reaction. On 13Jun2021, one day after vaccination, the patient had 103 fever, headache, nausea, body aches and on 14Jun2021, two days after vaccination, the patient experienced vomiting. As per the reporter, patient was getting the side effect for 5 days now. She had 103 fever for day and half. She was experiencing severe headache. Now, she was experiencing headache, nausea, vomiting and body aches. Reportedly, It was started when she had the second vaccination, started on Sunday and Monday she had a fever and had experience headache and body aches and then on Tuesday fever went away and she started experiencing headache, nausea and vomiting still going on. Reporter's daughter received the vaccine shot, the second one, last Saturday, she was still experiencing side effects. She was having nausea, headache, body ache, and she had 103 fever for three days. Reporter mentioned that they were trying to find out what treatment should they give her. Outcome of the event 103 fever was resolved on 16Jun2021 and for the event headache, nausea, pain and vomiting were not resolved. No follow-up attempts are needed. No further information is expected.

Symptoms: low fever, back and chest pain, mild nausea - started 6/4/21 and get worse over 4 days. Urgent care seeked on 6/8/21, EKG shown normal, no treatment received. Symptoms abruptly disappeared on 6/10/21

Client received dose 1 of the COVID19 Pfizer vaccine (Lot# EW0187 Exp 08/31/21) at 13:32 from RN1. RN1 reported that within 5 seconds of receiving the vaccine, the client reported she felt dizzy and experienced a syncopal episode for 2-3 seconds. As the syncopal episode was occurring, ancillary staff, requested RN2 radio for a Lead Nurse & EMT. At 13:34 Lead RN arrived at station 6, radioed for an EMT, and observed client sitting up in the vaccination chair being held by her mother and RN1. Lead RN noted client?s head was down with her eyes open, exhibiting pallor and was diaphoretic. Lead RN asked client her name and how she was feeling. Client did not respond. Co-Lead RN entered the room at 13:35. RN1, Lead RN, Co-Lead RN, and client?s mother guided client to the floor, laid her in a supine position, lifting her legs and feet on a chair. Co-Lead RN removed client?s mask, continued to ask client her name. Within 2-3 seconds of repositioning client, she became responsive and alert & oriented to person, place, time, and event. Client also immediately stated, ?I?m fine.? EMT1, EMT2, and EMT3 came to the station at 13:36 with a zero-gravity chair. The EMTs assisted client into the zero-gravity chair. Client?s mother stated client has no underlying health conditions, no allergies, and that birth control is the only medication the client takes. The client confirmed this by nodding her head in agreeance. EMT2 gave client a bottle of water and the client immediately started drinking the water. Lead RN asked client if she had eaten or drank anything today. Client?s mother stated she did not realize her daughter had not eaten or drank anything prior to coming to get vaccinated. Client stated she was given a granola bar downstairs at check-in and ate it before receiving the vaccine. At 13:45 EMT1 took vitals. Both EMT1 & EMT2 were unable to obtain client?s blood pressure (HR:61, O2Sat: 97%). Lead RN asked client and her mother what the client?s normal blood pressure is. Client and her mother did not know, and client?s mother indicated that the client is an athlete in good shape. At 13:48, EMT3 took client?s blood pressure, which was 100/60. Client?s mother stated client was anxious about being vaccinated and has fainted when anxious in the past, but the last time was around 5 years ago. Client stated she was feeling better and no longer feeling dizzy. Client stated she just ?feels hot.? Lead RN brought client an ice pack to put behind her neck and damp paper towels to wipe her face with. At 13:59 EMT3 took client?s vitals (BP: 118/70, HR: 65, O2Sat 98%). Lead RN observed that client?s color was returning to her face and client was less diaphoretic. Client finished her bottled water and was given another by EMT2, which she started drinking. Lead RN asked client if she felt she could stand up. Client stood up and stated she was ?feeling fine.? At 14:05 all 3 EMTs escorted client and her mother to the observation room where she was monitored for an additional 30 minutes. At 14:30 Lead RN went to the observation room where EMT1was taking client?s vitals (BP: 110/70, HR: 60, SPO2 Sat 98%). Lead RN observed that client?s color had fully returned, and client was no longer diaphoretic. Client stated she ?felt fine? and was hungry. Client?s mother stated she would take client to get something to eat and EMT2 gave client an additional snack that client took with her when she left. Client and her mother left at 14:30. Client was walking with a steady gait when she exited the building.

12 hours s/p vaccine The patient developed fever to 102.5 taken orally. She had body aches, Headache, nausea and vomiting. By the second day the patient developed mild facial swelling bilaterally, this responded well to Zyrtec. There was no SOB, or dyspnea. There was no swelling of lips or oropharyngeal structures. Her symptoms persisted for 48 hours. Patient was treated at home by her mother, who is a pharmacist, with apap alternating with ibuprofen. She was also given Zyrtec as noted. The patient was seen by me this afternoon and was improved with no fever evident. However, Mom had given her 1 gram apap 1 hour prior to her visit.

post vaccine client started to vomit. history of anxiety. NP and EMT on site, evaluated client. Zofran sublingual given by EMT. Vomitted again imediately after. client in observation for 30 mins, felt better after and left with parent at her side

Severe menstrual cramping -doubled over, crying, in pain, vomiting, heat sensitive and light sensitive, dizziness.

Patient fainted within 2 minutes of receiving vaccination. Father was holding patient in her chair and she regained her conscience within 10 seconds. Patient felt nauseas and vomited about 5 minutes later. We provided patient some water and monitored her for 30 minutes. She was calm and felt fine when she was leaving the pharmacy.

Patient complained of nausea/vomiting, feeling hot and clammy. Vital signs were stable. Patient was observed by onsite provider for 30 minutes before discharge in stable condition.

Headache is really bother her; Head is hurting pretty bad; Nausea little bit; Fever; This is a spontaneous report from a contactable consumer (grandparent). A 15-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number:EW0169, and expiration date was not reported), via an unspecified route of administration on 23Jun2021, as DOSE 2, SINGLE for covid-19 immunization. The patient medical history and concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), DOSE 1, SINGLE for covid-19 immunization. On 23Jun2021, the patient started feeling some side effects, she had a headache, little bit of nausea, and fever. At the morning of report, the patient still had a headache and it really bother her and her head was hurting pretty bad. The reporter would like to know what patient can take for her headache. The outcome of the event Headache was not recovered and of Nausea and pyrexia was unknown at the time of report.

Patient started feeling nauseous a few minutes after receiving the shot. Her mother accompanied her to the restroom and called for help. I came to assist and saw the patient looked pale and disoriented. We had her sit down and then lie on the ground with her feet elevated. 911 was called. The patient began to recover and said she didn't remember the past few minutes. EMS arrived and took her blood pressure which was 110/80. Eventually the patient felt well enough to sit up and eat some chicken and drink cold water.

patient seemed to rapidly appear to begin to faint....sweating, nervous, lethargic, eyes remained open, mom held her face and had patient focus on the mother. Gave patient water which she drink, applied cool wet cloths to both forehead, neck and face, to a while for patient to fully come around to the point of saying she felt ok, was smiling and laughing at one point....before this she did exhibit her body shaking, she had the dry heaves, felt like vomiting but nothing really came up, after which she was cold and put back on her sweatshirt....improved from that point on.We offered to call 911, which the mother was in favor of, but left it up to patient, who did not want to go to the hospital, just wanted to go home....which they did approximatey 4:57pm...an rx technician helped mom walk patient to the car.

Patient developed fatigue 3 hrs post injection. The following day, developed fever to 103F, nausea and vomiting, dizziness and pleuritic chest pain, difficulty breathing. fever last for 2 days. Went to ED for evaluation on day 3 (7/1). Symptoms ultimately resolved, but then developed facial hives and facial swelling on day 5 post vaccine.

They said it was an ovarian cyst rupture; Around 8 pm she started screaming in pain; feeling nauseous; feeling nauseous and dizzy; This is a spontaneous report from a contactable consumer (patient). A 15-years-old female patient (not pregnant) received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration, administered in Arm Left on 20Jun2021 12:00 at age of 15 years old (Batch/Lot Number: EW0196) as Dose 2, SINGLE for covid-19 immunisation. Administered is Pharmacy or Drug Store. Medical history included asthma and no known allergies. Historical vaccine included bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in Arm Left on 30May2021 11:00 at age of 15 years old (Batch/Lot Number: EW0196) as Dose 1, SINGLE for covid-19 immunisation. After her 1st covid shot on 30May2021 and then had her period on 02Jun2021. It was 4 days early and was the worse period she has experienced in 3 years. She was bleeding excessively and extreme cramps. It maybe a coincidence. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medication(s) included paracetamol (TYLENOL) taken for an unspecified indication, start and stop date were not reported; salbutamol (ALBUTEROL HFA) taken for an unspecified indication, start and stop date were not reported. After her 2nd covid shot on 20Jun2021 around 12 noon. Around 8 pm she started screaming in pain, hunched over, feeling nauseous and dizzy. Patient had clinic visit, ended up taking to ER where they gave her morphine for pain. They started IV, did bloodwork, ultrasound and ct scan with contrast all on 20Jun2021. They said it was an ovarian cyst rupture. Patient was only 15 years old and has had her period for 3 years and has never experienced anything like what she has in the last month. She is due for her next period on 29Jun21 and pray it's not as bad as last month after the shot. They do believe in science, but also think should study menstrual cycles with this shot. They pray this was just a fluke, but patient has never experienced pain or severe periods like this until shot. Treatment received for all events. The outcome of events was not recovered. Information on Lot/Batch number was available. Additional information has been requested

On 7/07/21 received her second dose Pfizer COVID vaccine (LOT#: EW0191 EXP: 7/29/21) at 1502. Patient alerted EMT's at 1503. Patient stated that she felt dizzy and nauseous. EMT took patients vital signs at 1500. BP: 110/60, HR: 72, O2: 99%. EMT reassessed and retook patients vital signs at 1508. BP: 100/60, HR: 80, O2: 99%. Patient stated that she had a headache 4/10 on the pain scale and was trembling. EMT reassessed and retook patients vital signs at 1513. BP: 116/60, HR: 79, O2: 99%. Patient stated that she no longer still had a headache but no longer felt dizzy anymore. EMT reassessed and retook patients vital signs at 1522. BP: 116/70, HR: 75, O2: 99%. Patient stated that her headache had gone down to a 1/10 on the pain scale. EMT reassessed and retook patients vital signs at 1530. BP: 110/60, HR: 78, O2: 99%. Patient stated that she was feeling better. Patient was educated by PHN on worsening signs and symptoms of covid vaccine and when to go to the emergency room/urgent care. Patient verbalized understanding of education. Patient left with mom and brother from vaccination site unassisted and with a steady gait at 1614.

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

Abnormal menstrual cycle started on June 25, the day after dose 2; she already had a period June 10-16. This involved increasingly heavy bleeding, with large blood clots. My daughter became very pale, weak on the morning of Mon, June 28, she fainted, then vomited. Made dr appt and got bloodwork. Started her on iron supplements. Dr said the hemoglobin was at 10.6, but had us get blood checked 3 more times, lowest hemoglobin was at 7.3.

Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Severe, Systemic: Weakness-Severe, Additional Details: Reported yesterday with the details above for a different patient, but the incident was with this patient. I went back to the drug usage report to verify and called patient this morning but call went to voicemail. The COVID vacc was appropriately recon, dosed, timed and administered by my immunization certified technician. The paperwork errror is that I put the name on the "EVENT REPORTING SYSTEM" as this patient not other patient. Please make the correction accordingly.

Abdominal pain the evening of July 10th. Vaginal bleeding during the night of July 10th, 2021. Menstruation not expected for 5 days (not until July 15th). It (vaccine) may be coincidental and not the cause. Abdominal pain subsided the night of July 10th (lasted a few hours). Two nurse lines were consulted the morning of July 11th. Both recommended reporting to VAERS. Bleeding continues.

Patient threw up 8 minutes after the vaccine was administered. Felt a little dizzy after the shot she said. No other side effect. Heart rate was normal. Sat down for 30 min in our waiting room. After 20 min mark, patient was given Gatorade. Felt better, dizziness went away. Left after 30 min. Offered to call 911 patient refused. Possibly related to nerves

Beginning on the day after thee 2nd shot:severe stomach pain, fever, fatigue, bloody loose stool, fever went away after several days but digestive problems persisted. Elevated heart rate gradually beginning to be noticeable and bothersome with a feeling of being "winded". This also was totally out of character for my daughter who is a runner. She has never had any symptoms like this before.

PATIENT GOT VACCINE AND STARTED FEELING DIZZINESS AND VOMITING. PATIENT WAS HAVING DIFFICULTY BREATHING. CALLED 911 AND IN LESS THEN 5 MINUTES THEY ARRIVED. PATIENTS BP WAS 80/50 AND TOOK HER TO THE HOSPITAL

Started with chest pain the evening of 6/11/21. Also reported tachycardia the night of 6/11/21 with a heart rate of 120 BPM. Tachycardia resolved by the morning of 6/12/21 and chest pain resolved on 6/13/21. Started with diarrhea, fever(101), and nausea 24 hours after receiving the vaccine and that lasted 2 days. No treatments were done due to patient not being seen by doctor for side effects.

Patient felt dizzy and stomach upset in 8 to 10 minutes after vaccination. Patient's mother helped her to lie down on back on floor safely as she was vomiting. EMS summoned right away. Patient was conscious. EMS came on 11 minutes , checked patient vitals. Patient was feeling well and family decided to go home and follow up with PCP.

At first had symptoms that are common including mild fever, chills, headache , etc.. then experienced extreme vomiting which required a prescription from her pediatrician to control so she could keep liquids down. Vomited about 10 times in a few hours then managed to stop after the medication was administered. She is a petite person and it took a long time after the vomiting stopped to get her fully hydrated and able to urinate properly

Less than 5 minutes after receiving the vaccine the patient began vomiting and sweating. After vomiting, sitting down with a cold compress on the forehead and a few sips of water the patient felt perfectly fine. Patient's mother stated that this has happened with previous vaccinations and even doctors appointments. She believes it was more nerves than an actual reaction to the vaccine.

lost her hearing briefly for few minute this morning; Blurry vision; Fever; Nauseous/ she was sick to her stomach and she was afraid she would throw up; This is a spontaneous report from a contactable consumer. This consumer reported for a 15-year-old female patient (reporter's daughter) And This is the first case of 2 split cases. A 15-year-old female adolescent patient received a dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: ER8729, Expiration date: 31July2021), via unspecified route, administered in right arm on 26Jun2021 09:30 am(at the age of 15-year-old) as DOSE NUMBER UNKNOWN, SINGLE for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On 26Jun2021, after the vaccination in the night, the patient experienced Fever, Nauseous, she was sick to her stomach and she was afraid she would throw up. And on 27Jun2021 the patient experienced Blurry vision, lost her hearing briefly for few minutes this morning, no treatment options were used. Reported said that this is kind of a different side effect, she did read that someone had blurred vision, but she said she also lost her hearing. The event deafness assessed the as serious. The outcome of the events blurred vision was unknown, pyrexia and nausea are not recovered and deafness is recovered in 2021. No follow-up attempts possible. No further information expected.

severe aches and pains in muscles and joints; severe aches and pains in muscles and joints; it hurt to pee; in tears from the pain; throwing up; This is a spontaneous report from a contactable consumer (patient). A 15-year-old non pregnant female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0168, Expiration date: Unknown), via an unspecified route of administration, administered in right arm on 25Jun2021 at 10:00 (at the age of 15-year-old) as a single dose for covid-19 immunisation at Center. The patient had no medical history and no known allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. Concomitant medications included Colecalciferol (VITAMIN D), birth control and anti-depressant medications received within 2 weeks of vaccination. The patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: ER8736, Expiration date: Unknown), via an unspecified route of administration, administered in right arm on 04Jun2021 at 10:00 (at the age of 15-year-old) as a single dose for covid-19 immunisation. The patient was fine at first from the day of vaccination, on 30Jun2021 at 07:00, (after 5 days of vaccination) she started having severe aches and pains in muscles and joints. No one could touch her. She thought it was the vaccine and then she mentioned that it hurt to pee. Patient was taken to urgent care to rule out UTI infections, which they did and then referred her to the E.R (emergency room) because no one could touch her. She was in tears from the pain, and she was also throwing up. Patient received pain medications through an IV (intravenous) and anti-nausea medication as a treatment. The events resulted in emergency room/department or urgent care. The reporter assessed the events as non serious. The outcome of the events was not recovered. Follow up needed, further information has been requested.

15 without Preexisting Conditions, conveys feeling Nausea, hot, shakiness. Noted to be pale. Laid down to cot, cold pack to forehead. VS taken within acceptable limits but for temperature starting at 91.5F from the neck. Monitored without ALOC, self resolved symptoms. Temp improved to 93.5F. Able to ambulate out without assistance with mother.

Patient started a heavy menstrual period the day after her 2nd dose of pfizer vaccine (she had already had her regular period 6/10/21-6/16/21). The bleeding was very heavy (changing overnight pads every 1.5 hours) and caused patient to become pale, dizzy,- fatigue, nausea, and hard to concentrate. Sent for CBCs which showed drop in hemoglobin. Bleeding stopped 6/29 and restarted briefly on 7/3. Patient started on iron supplementation and recovered otherwise once bleeding stopped by 7/7.

At 4 hours ? headache, weakness, malaise, nausea She received 1st CoVid vaccine 7/9. She was ill within 4 hours, peaked with 102.5 fever at 12 hours and was bedridden through Day 3 post vaccination. She has gained back some of her strength, but the nausea has remained and so severe that she is barely able to function or sleep at night. Three nights now she has not slept until 2 or 3 in the morning because nausea is at level 9 along with migraine and many hot flashes. She is vomiting 1x day. Through Day 8 post vaccine. Days 9 -12 no vomiting but continues to be bed ridden with severe debilitating nausea, migraine, weakness and multiple hot flashes.

Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Medium

Pt complained of burning in the middle of her chest, pt was seen by Dr. on site. Pt complained of acid reflux and hadn't eaten all. Was given juice and symptoms resolved and pt was released and advised of ED precautions.

Patient fainted shortly after administration while still seated in vaccination chair. Immunizing technician and mother supported patient while I administered an ammonia inhalant to which patient immediately responded. The patient vomited once and began to improve. She was given water, OJ and one glucose tablet to support her recovery. She remained in the vaccination booth the entire time and was completely recovered in 10 mins.

Patient to vaccine area, seated. Reported feeling "like I'm about to faint". Patient became pale, was assisted to sitting position on floor. Patient began to vomit. EMS activated. V/S - B/P 102/64, HR 95, O2 96%, Resp 16. Patient remained A&O x 4 ( person, place, time, situation). Patient monitored until EMS arrival, skin color returned to normal for ethnicity. Patient assessed by EMS, Report obtained by EMS - 89. Patient mother refused transportation to ED. Education provided on normal side affects, adverse reactions, and when to seek medial treatment, patient and guardian express understanding.

PT RECEIVED VACCINE AT OUR PHARMACY TODAY. SHE WAS FINE A FEW MINUTES LATER WHEN I CHECKED ON HER. HER FATHER REPORTED AT APPROXIMATELY 4:41PM THAT SHE FELT DIZZY AND NAUSEUS. SHE WAS SITTING ON THE FLOOR, BUT SAID SHE DID NOT FALL. WE GAVE HER AN ICE PACK. BP CHECKED AT 4:47PM (112/89). PT STATED SHE WAS FEELING BETTER, JUST A LITTLE NAUSOUS. SHE WAS STILL A LITTLE NAUSEUS AT 4:55PM, BUT WAS SITTING IN A CHAIR. SHE FELT WELL ENOUGH TO LEAVE WITH HER FATHER AT APPROXIMATELY 5:07PM.

The symptoms happened after a few days my throat started to hurt a lot & I still have the throat pain as I keep continuing typing this & my throat pains gets worse at night, it?s hard to pass down saliva, eat, drinking or even talking. I feel like there?s a rock inside my throat.

Attendee received first dose Pfizer vaccine at 15:08 in the left arm. Lot# FA6780. Attendee was directed to observation area. At 15:10 fainted in her chair x 20 seconds, her parents were by her side and she did not fall out of the chair. When she aroused she reported feeling lightheaded, dizzy, mild nausea and ring in the ears. Attendee's skin was cool, clammy, and pale. Cot brought to the patient area. Attendee assisted to the cot to lie down, legs elevated. Icepack applied to her neck. 15:13 HR: 88 BP: 108/58 RR: 14 O2Sat%: 97 Temp: 97.0

7-19-2021, five hours after receiving the vaccine, her mother states she developed a "severe headache" and vomited. 7-20-2021, in the afternoon, mother states patient became dizzy, passed out, hitting chin on concrete floor and became unconscious. Mother drove patient to ER, mother states that it took 20-30 mins before she regained consciousness. Patient was released from ER and followed up with PCP the next day.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Systemic: Tinnitus-Mild, Systemic: Vomiting-Mild

Headaches and nausea 30 minutes after injection. Next day numbness sensation on hands and anxiety. Patient evaluated in the ER department. Ondansetron given for nausea. Patient recovered without complication afterwards.

Within 5 minutes of receiving vaccination, the patient began to feel like she was dreaming and passed out while she was seated. We moved the patient to the floor where she regained consciousness . The patient had further complaints of numbness in the arms, light- headedness and was nauseated and vomited. 911 was called and responded, and the patient said she was ok and did not want to go to hospital.

pt waited full observation period then left with parent. after about 15 minutes mom brought pt back, complained of headache, nausea, and dizziness. escorted patient to er for treatment.