Pfizer

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

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

1618 vaccine given 1625 nausea onset followed by "feels like I'm on laughing gas", then started seeing sillhouettes but unable to see faces. b/p 118/82, hr-107, 0s sat 92% ra. 1636 starting to feel better b/p 118/82, hr-103, 02 sat 96% ra. 1646 all issues have resolved. Instructed to f/u with MD as needed. Discharged with grandpa to home.

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

After vaccine pt showed signs of severe nausea, dry heaving, and dizziness. Pt laid down for 30min. Patient revealed of symptoms, vitals are stable. Patient escorted by dad home.

Patient vomited after receiving first dose of Pfizer COVID vaccine Lot EP6955 on 3/29/21. Monitored for 30 minutes. Patient felt better after bottled water. Pt went home with mother.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Medium, Systemic: Weakness-Medium, Additional Details: Patient felt like he was going to pass out, said he has never had a reaction to needles or shots. EMS evaluated the patient and determined he could go home.

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

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

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

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

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

Post vaccine, patient vomited, felt dizzy & was pale. Empress EMS checked out. PT transported to Medical Center.

Patient had syncopal episode. Continued lightheadedness, abdominal discomfort, nausea. Patient with hypotension and bradycardia. Transferred via EMS to hospital.

complained of chest pain similar to heartburn he had in the past. Also complained of pain in teeth and jaw.. Pain was mostly constant for 16 hrs. Took tums, pepcid, then pepto-bismuth. Also took Tylenol. BP was WNL. HR WNL.

Patient felt dizzy, hot and light headed immediately following vaccination. He lied on the floor for about 5 minutes and had some water. He sat up since he was feeling better. He then became nauseated and lied back down. After another 5 minutes he was feeling better. He slowly went from lying to standing to walking. He sat outside for another 5 minutes and felt back to normal.

has needle phobia per report, received vaccine, moments later felt nausea and "seeing stars", assisted to floor to place feet on chair. assisted to stretcher and brought to obs, vss throughout episode and through transition to standing. 1045 in Trendelenburg bp 124/74 hr 69 rr 18 sats 100%, to standing bp 123/75 hr 65 rr 18 sats 97% on ra. water and crackers given, feeling back to baseline per patient report, escorted with father to appropriate location with no issues.

Patient fainted in chair and regained consciousness and transferred to med bay. Patient states vision and hearing went fuzzy, nausea, lightheadedness. Pt given juice, decreased ____, A&Ox4. Mild HypoTN and Brady at baseline. BP 103/58, HR 50, RR 16 -- > 114/66,52, 16 Pt able to stand and walk. Released from vaccination site.

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

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

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

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

Patient received vaccine around 745 am on 4/22/21. He did not have any side effects or concerns until 4/23/21 at approximately 9:30 am when he had what Mom describes as a grand mal seizure while at school. Patient was reportedly sitting in his chair at school. He stretched his arms above his head then fell onto the floor with full body convulsions for just under 1 minute. Patient vomited about 20 minutes later. Our office was informed by mother around 10:30 am. Patient at home and sleeping. Advised Mom to take patient to local ED for further evaluation and monitoring.

Pt was seated in the waiting area after receiving his first dose of covid 19. His parents who also received the vaccine were waiting with him. I was preparing another dose for patients waiting for their covid vaccination. I heard pounding on the clinic room and ran to check. The mom had knocked on the door because her son had fallen out of his chair.. when I arrived he was on the floor and his parents said he was regaining consciousness and moved him in to a seated position. At this point another customer was calling 911. I had my technician call management. I observed the patient and asked if he was doing ok. His parents asked him if he was hurt and he responded in the negative. The patient was feeling cold and his hands were "cold and clamy" according to his mom so I held off on the cold compress. He wanted water but was also nauseous so I told the parents that I do not want to risk aspiration. We gave him a bag to throw up. I recommended that they take him to get seen when the paramedics arrived as I was concerned about him shaking before fainting. At this point the paramedics arrived and he was taken to the hospital as he was not feeling well. I followed up with the patient's mom and she said all his tests came back normal (EKG, et) and that the doctors may think it could have been due to anxiety from getting the vaccine. She was really appreciative of the call.

16 yo M h/o anxiety with prior panic attacks, syncopized after vaccine, vomited and had a second near syncopal episode. He was evaluated by EMS. He was discharged home. Mother was with patient and was in agreement with discharge. Appointment with therapist scheduled for later that day.

Myopericarditis 48 hours after 2nd dose of Pfizer vaccine with chest pain, shortness of breath, and nausea.

5 minutes after dose while standing and watching sister receive dose of vaccine, patient experienced presyncope. Patient started to sway and lost muscle control. I helped to the floor and laid him out. Patient conscious whole time and never stopped breathing. Did not lose cognizance. Had momentary feeling of nausea that immediately passed. Did not believe necessary to call 9-1-1 as patient did not exhibit any allergy symptoms of any distress during the whole episode. Allowed to lay on floor for about 5-10 min. Supplied patient with bottle of water to help with dry mouth and he drank and felt better. After another 10 minutes patient was up on feet and feltmuch better. Mother called an hour and a half later (about 5 min ago as I prepare this form) to inform me that he was back to 100%.

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

Immediately after the injection, patient was lightheaded, had tremors, felt like he was gonna pass out, had a hard time breathing and couldnt swallow.

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

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

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

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

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

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

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

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

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

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

Syncope, dizziness, pallor, hungry, no breakfast. Stable and released with mother after significant improvement.

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

Itching, hives and pain around injection site. Pain in injected muscle. Pain in shoulder joint. Heat and redness around injection area. Finally, nausea and arm pain. Nausea may be unrelated to vaccination.

Shortly after receiving his COVID shot, patient began to feel nauseated and lightheaded. He was standing up near the bleachers and an assistant initially brought a trash can over to him. He was extremely pale and started to nod off as if he was going to pass out. Chair placed so could sit down and instructed to breathe slowly and VSS obtained. BP=122/70-98% spot oximeter-78 pulse. He was able to drink some water and part of a cookie. He fully recovered and was able to return to class after 25 minutes.

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

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

Anal leakage - started on 4/17, still have as of 5/10 Lack of smell - started around 4/20, still have as of 5/10 Nausea when standing up- started around 4/17, ended around 5/5 Random feeling to puke (2-3 times daily)- started 4/20, still have as of 5/10

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

Mom contacted our clinic today reporting that patient received the COVID vaccine at the Pharmacy. Mom reports about 2-3 minutes after the vaccine was given, patient 'had a seizure'. Mom reports loss of consciousness, twitching/jerking, pale skin, nausea. These s/s lasted less than 1 minute. They were at the pharmacy when the episode occurred. When he was alert and awake after the episode, he was acting normal and continues to act normal.

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

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

Pt came to ER with nausea, vomiting, difficulty breathing. Pt was coughing up blood O2 sat 90 room air initially then down to low 80's. Put on high flow 10 L nasal cannula. Diagnosis hypoxia, dyspnea at rest, pericarditis, elevated troponin 35. Transferred to second hospital. Update from them : likely myopericarditis with cardiogenic shock, respiratory failure, diffuse ST elevation on EKG, on Inotropes

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

presented to outside ED with complaints of new onset chest pain that radiated to the back and down his arms with concurrent nausea. Patient was sitting in the living room around 2030-2045 when he developed midsternal and epigastric region pain. Pain radiated to his upper middle back and down both left and right arms. There were no notable exacerbating or relieving factors. Pain was a 4-7 in severity. He was also nauseated. He was given tums by his mother without significant change in symptoms. After 45 minutes they decided to go to the ER. At ER labs were notable for elevated troponin (2-- >15-- >9). EKG with J-point elevation. Non-contrast CT chest/abd/pelvis was unremarkable. He was given ASA 325 and famotidine in the ED. Pain eventually subsided around 2345. He was transferred to another hospital for further evaluation of troponinemia.

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

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

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

Constant stomach pain , and vomiting - symptoms occurred 24 hours after injection of 1st vaccine shot.

reports "throat feels a little tight " and "hard to swallowing". Brought to observation area. Vss ( baseline HTN per his report). reports seasonal allergies. Oropharynx red upon inspection and drainage noted at back of throat. Able to drink fluids with difficulty. Reports immediate improvement of symptoms after PO fluids. Discussed symptoms of anaphylaxis with him. Released him to home after discussion of serious symptoms and what to contact ems for

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

faint, pale color, cold sweat, vomiting, nausea, tingling in fingers. EMS was called to the pharmacy lobby. After patient drank some water and juice, he felt better. EMS treated on the scene for suspected panic attack. (Patient saw blood running down arm post injection). Patient and parent left the pharmacy after about 45 minutes from time of injection feeling and looking much better.

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

Patient started feeling dizzy about 5 minutes after injection. Was seated and lost consciousness for a couple seconds and popped back awake. Patient complained of nausea, dizziness and vision disturbance. No SOB or wheezing and no hives. Paramedics were called and patient was starting to feel better upon arrival of paramedics. Patients blood pressure was low 90/50, and vision still not normal. Paramedics recommended taking patient to hospital. Patient mom, consented and patient was taken to the hospital.

Within minutes of receiving the vaccine, he, vomited and then fainted twice. His blood pressure plummeted (60/40) and required the on site EMT medics to intervene with a 800 cc saline IV and Zophran medication. He responded well to the treatment and was able to be release 45 minutes after the IV started.

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

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

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

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

Two minutes after receiving Pfizer vaccine, member complained of lightheadedness and nausea. Member was given juice and graham crackers and V/S were taken: 1004: 104/60, 77, 98% (room air), 1006: 114/71, 79, 100%, 1009: 127/46, 78, 99%, 1012: 93/52, 85, 99%, 1014: 105/37, 83, 99%. Member stated symptoms resolved after drinking juice and crackers. He stated he did not eat anything today prior to receiving vaccine. Member's mother was at his side. Clinic manager was also called to member's side. Member was transferred to observation via wheelchair for further observation in stable condition, alert and oriented x4, no signs of respiratory distress, denied all complaints. In observation room nurse noted: After episode of nausea and lightheadedness, pt continued to improve in observation area. He remained 30 minutes as VS continued to improved (final check was BP=111/71, HR=60, O2=99%, RR=20). He stated feeling better and facial color much improved. He left the clinic via wheelchair with his mother and brothers.

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

My son had a mild seizure that lasted 1 - 2 minutes. He has never had a seizure before. He then vomited a few minutes after the seizure.

Difficulty breathing Difficulty swallowing Drove POV to hospital - denied ambulance transport -mother denied ambulance

Reports did not eat today, usually eats. Reported lightheadedness that resolved within about 2 minutes, followed by nausea for about 2 minutes resolved - was followed by hunger, and muffled hearing for about 3 minutes resolved. Denies chest pain, change in vision, and other s/sx. 03:57pm LUE 112/62 P62 R20. Reports lightheadedness, nausea, and muffled hearing, all s/sx resolved, stated "I feel normal", drank a cola and ate a protein bar. Observed for 30 minutes. Ambulated with steady gait off floor with his parent.

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

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Mild, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Weakness-Severe, Additional Details: After confirming that the patient did not have allergies or any previous adverse reactions to any vaccines in general, immediately after the vaccine, the patient's eyes had rolled to the back of their head and he began to go limp. His body shook for a few seconds. He quickly regained consciousness but was very weak and confused. His sister stated that he has a fear of needles. He felt nauseous (did not vomit) and felt like his heart was racing but his pulse was normal.

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

Reflux and gastritis; 2 days later after his 2nd dose, he woke up in the middle of the night; 2 days later after his 2nd dose, he woke up in the middle of the night with stomach discomfort to the point that he is unable to eat solid foods./bad discomfort in his abdomen, upper abdomen area and you know it was actually worsening; bad discomfort in his abdomen, upper abdomen area and you know it was actually worsening; he is unable to eat solid foods/he can't eat; significant inflammation on the esophagus to stomach area that would be further confirmed by endoscopy by next week.; Mentioned that nausea and vomiting has been reported; Mentioned that nausea and vomiting has been reported; upper abdominal pain; Started to get abdominal pain; ends up with extreme pain; This is a spontaneous report from a contactable consumer (parent). A 16-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number: EW0176), via intramuscularly in left arm, on 09May2021 as a single dose for COVID-19 immunisation. The patient medical history included positive for Covid-19 in Feb2021. Concomitant medications were not reported. No other vaccinations within four weeks prior to the first administration. Previously the patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number: EW0170), via intramuscularly in left arm, on 18Apr2021 (at age 16-year-old) at 5:30 PM as a single dose for COVID-19 immunisation and experienced stomach upset, nausea, reflux and gastritis. It was reported that patient had experienced lasting side effect post-vaccination that even lead to 2 incidents of visiting the Emergency Room (ER). patient was positive for COVID way back February 2021. Also, it has been reported that 2 days later after his 2nd dose, he woke up in the middle of the night with stomach discomfort to the point that he was unable to eat solid foods all in May2021. This event led to the ER and his physician found out that the side effect reported was localized from the esophagus up to the lower abdomen. Their initial hunch was it could be a reflux or gastritis in May2021. Test results showed that EKG was fine and no inflammation on the heart but there was a significant inflammation on the esophagus to stomach area in May2021 that would be further confirmed by endoscopy by next week. Mentioned that nausea and vomiting has been reported in 2021. Caller also reiterated that nothing triggered the side effect except for the shots that was given prior. patient could be having intestinal reaction through the shot. He received his second shot on May 9th and a few days after he started to get abdominal pain, upper abdominal pain in 2021 and it has since now to a point where he can't eat, having very bad discomfort in his abdomen, upper abdomen area and you know it was actually worsening in May2021 and we don't know why and it hits him on after the shot. After 3 weeks later had his second shot and within like few days he started to have symptoms, waking up in the middle of night with discomfort. Since then you know he was been declining and now he was unable to get all his food down, if he does he ends up with extreme pain in 2021. We have been taking him to the hospital, they treating him for reflux and gastritis and they checked they did an EKG on him to make sure if there was any inflammation around heart. Treatment: Reporter stated, "He went to the ER twice, the emergency room twice and they are treating him with Prevacid medication and also treating him with medication called Carafate, they are waiting to do an endoscopy. Event reflux or gastritis was reported with seriousness of hospitalization. The outcome of the events abdominal discomfort, condition worsened, pain, reflux gastritis was not recovered, while for remaining events was unknown. Follow up attempts are needed; additional information has been requested.

PT felt nausea, dizziness, and light headed after injection. Transported to med obs 1 via wc with mother. PT reports working out earlier today. Vitals taken and monitored. Per on-site physician - pt experienced vasovagal reaction - resolved. released at 1:55 with mother 1340 LYING - BP: 98/63, HR: 50, Sp02: 99 1343 LYING - BP: 104/68, HR: 71, Sp02: 98 1345 LYING - BP 112/74, HR: 76, Sp02: 99 1354 Standing - BP: 138/81, HR: 78, Sp02: 99

Patient is 16 yo male who came to the pharmacy with his mother and his sister. Per patient's mother, patient does not have any issue with vaccine before. Patient got Pfizer at 2:10 pm and at 2:24 pm, he told his mother he is not feeling good. At 2:29 pm, he started to turn pale and 5 minutes later, he vomited. 10 minutes later, he back to normal. Asked patient to stay for another 15 minutes before leaving the pharmacy. At 3pm , patient left and feeling okay.

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

ON 06/06/2021 AND 06/07/2021 PATIENT PRESENTED NAUSEA, VOMITING, AND DIARRHEA. AFTERWARDS, ON 06/08/2021 THE PATIENT ARRIVED TO THE EMERGENCY ROOM COMPLAINING WITH SHORTNESS OF BREATH AND ACUTE LEFT SIDED PAIN.

We are not sure whether this is related to vaccine or not. After 6 days of taking the vaccine, he started having a tummy ache every time after he eats. The stomach ache lasts for 2-3 hours after eating and then it subsides down until next meal. During this 2-3 hours of pain, initially he was feeling nausea, but never vomited. We have taken him to ER and PCP regarding this pain as the pain was severe and they could not conclude anything. They did do sonogram but could not find anything. Doctors suggested him to take Nexium and he is on it right now. Pain is subsiding a little but it is still there.

Pt rec'd first dose of Pfizer vaccine at approximately 0950 and immediately after reported feeling nauseous and dizzy. MA retrieved a water bottle for pt and called for the RN. The RN, also responded, pt was pale, moist, coherent. At 0954, pt had seizure activity while sitting in chair, dad held pt, hands, arms, and legs stiffened and pt's head rolled back. Pt was secured by dad and activity lasted approximately 7-10 seconds. Immediately after this activity, pt was oriented to self, place, date, and situation, then reported increased nausea. At approximately 0958 pt started vomiting. 911 was called by the RN, at 0955 and provider, was retrieved immediately from COVID testing tent. During this time, pt started to report seeing purple lights at approximately 0957. Vitals were attempted at 0954 but pt started seizing. At 1001 pt reported total vision loss. At this time, EMT's arrived on site and began to obtain vitals. Pt's BP was 50/30, EMT's started an IV and prepared pt for transport to gurney. At 1008 pt reported sight returning. 8L of 02 were applied to pt via non-rebreather at approximately 1000 at which pt's 02 sats registered at 72%. EMT's placed pt on gurney at 1008 and started en route to Hospital. Prior to seizure activity, pt's medical hx, medication list, and allergies were confirmed with pt's father. Father reported pt has no medical hx, does not take any medications, and does not have any known allergies. Father denies pt having any seizure before, any hx of brain tumors, hx of epilepsy, hx of diabetes. Father remained with pt during duration of incident and accompanied pt and EMT's in ambulance to the hospital.

PT EXPERIENCED FAINTING, DIZZINESS, NAUSEA/VOMITTING AFTER COVID VACCINE. PARAMEDICS ARRIVED AND TOOK PT TO ER. VITALS: BP 105/68, RR: 22, HR 71, O2 99%

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

-Appendicitis June 8th started with an upset stomach, loss of appetite and nausea. On june 11th at 11:30am severe stomach pain.

Patient had a vasovagal reaction. Was sitting in a chair in our waiting area and fell off his chair and "passed out" for no more than a few seconds. After that he reported he felt weak and dizzy and nauseous

Central chest pain (started two days after vaccine, admitted to the Hospital on day three after vaccine), nausea, vomiting, shortness of breath.

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

Per report, patient parked beside tent to wait 15 minutes after receiving vaccine. Driver blew horn to alert nurses. Upon visual assessment of patient, the nurse patient regaining and losing consciousness. The nurse reports that patient maintained consciousness and stated he felt nauseous and dizzy. EMS called to further evaluate. Patient and guardian declined transport to hospital.

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

4 HOURS POST IMMUNIZATION PATIENT EXPERIENCED SHORTNESS OF BREATH AND CHEST PAIN. WENT TO ER DEPARTMENT. CHEST X-RAY, EKG AND BLOOD WORK PERFORMED. NEXT DAY VISIT TO PEDIATRICIAN FOR UNRESOLVED CHEST PAIN, GIVEN ANTI-INFLAMMARY RX AND PPI FOR GERD.

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

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

stomach upset; nausea; vomiting; This is a spontaneous report from a contactable consumer (patient's mother) via medical information team. A 16-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Lot Number: EW0170) via intramuscular route administered in left arm on 18Apr2021 at 17:30 as single dose for COVID-19 immunization. There were no other vaccinations within 4 weeks prior to the first dose of BNT162B2. Medical history included COVID-19 from Feb2021 to an unknown date. The patient's concomitant medications were not reported. The patient experienced stomach upset, nausea, and vomiting; all non-serious in Apr2021 after the first dose. Outcome of the events was unknown. Information on Lot/Batch number was available. Additional information has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021626225 same reporter/patient/drug (second dose), different events

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

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

appendicitis; This is a spontaneous report from a contactable consumer (patient). A 16-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 04May2021 15:30 (Batch/Lot Number: ER8736) at the age of 16-years-old as SINGLE DOSE for covid-19 immunisation. The COVID-19 vaccine was administered at Clinic. Medical history included allergy to peanuts, tree nuts. Concomitant medications included cetirizine hydrochloride (ZYRTEC) taken for an unspecified indication, start and stop date were not reported; dexmethylphenidate, taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously received the first dose of BNT162B2 (Lot number: W0158) on 13Apr2021 15:30 (at the age of 16-years-old) in Left arm for covid-19 immunisation. The patient experienced appendicitis (hospitalization, disability) on 30May2021 08:00. The patient was hospitalized for appendicitis for 2 days. Event resulted in Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. Therapeutic measures were taken as a result of appendicitis included Appendectomy. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient was not been tested for COVID-19. The outcome of the event was recovering.

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

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

Pt felt nauseated and dizzy after receiving vaccine, one emesis , nausea and dizziness resolved, no further issues noted.

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

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

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

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

Patient received his 2nd dose of the Pfizer vaccine and fainted approximately minute after the dose was given. The patient's eyes rolled back as he fell to the floor where it appears that he had a mini seizure. We called for a code white and immediately began emergency procedures. I held the patient while he was sitting upright and kept speaking to him until he regain consciousness approximately 1 minute after he had syncope. The patient seemed very confused because he had asked the question "where am I," as he opened his eyes. He slowly became more alert as time passed by and was aware of his surroundings within the next 2 minutes. He then stated that he was hot and hungry and was given water (from me) and Gatorade from his mother at his request. It was not long after that that the patient fully recovered and was back to normal. I had them stay and observed him for at least 40 minutes just to make sure that he was ok. Statements were taken from a salaried member of management during this time. There was no medication needed and none given during this incident. Plans were made with patient's mother for a follow up and our contact information was given incase they needed to contact us for anything at all. I will reach out to them in the next 1-2 days to see how the patient is progressing.

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

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

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

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

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

Site: Pain at Injection Site-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Mild

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

Afyer 15 imuutes of administration patient refers nausea, dizziness and confusion After 45 minutes symptoms still present

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

Patient got the Pfizer vaccine and fainted upon standing up. He was caught by his mother who was with him. He quickly became alert and we sat him in a chair, elevated the feet, and got a fan. Patient stated he felt as if he was going to vomit which began quickly after his statement. Patient BP and breathing was normal. Patient did want to go to the hospital to be checked which he did.

First dose: Henoch-Schonlein Purpura; First dose: red blotches under his skin/blotches on his legs; on legs it looked like vasculitis/vasculitis on his bowel; First dose: severe stomach pain; This is a spontaneous report from a contactable consumer (father of the patient). A 16-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EW0176) via an unspecified route of administration, administered in left arm on 30Apr2021 as dose 1, single (age at vaccination: 16 years) for COVID-19 immunization. Medical history included ongoing crohn's disease. As far as family medical history, it was reported as none and father stated that his son is the only one in the family with Crohn's disease. Concomitant medication included ongoing infliximab (REMICADE) taken for crohn's disease and somatropin (NUTROPIN) taken as growth hormone, both started on unknown dates. The father stated that, after receiving the first dose of COVID vaccine, his son started developing symptoms Henoch-Schonlein Purpura (HSP) which consists of the inflammation of small blood vessels. The symptoms began on or around 07May2021. On his son's legs it looked like a vasculitis. His son had these red blotches under his skin. It did not hurt and he also got vasculitis on his bowel. The symptoms first showed up as blotches on his legs and severe stomach pain. The pain is what alerted him. He was seen at the doctor on 04Jun2021, with a colonoscopy on 09Jun2021. He had a colonoscopy to diagnose the vasculitis on his bowel. It was stated that, the patient also had blood work that showed no abnormalities and a urine sample that did show blood which also indicates HSP. His son was being treated with steroids (treated right now with Prednisone 20mg daily). HSP is a chronic condition and his son has been dealing with it for the last month. The symptoms subsided and the doctor gave the ok to receive the second Covid 19 vaccine. Father reported that his son never had a positive Covid 19 virus test, the PCR test or the Rapid test. Also the patient did not receive any other vaccinations within four weeks prior to the first administration date. About one week after the second Covid 19 vaccine the symptoms flared up again. Now he still had symptoms. He did have photographs of his son's legs he could share. He really did believe the HSP came from the Covid 19 vaccine, but that could be one in a million. The outcome of the events: First dose: Henoch-Schonlein Purpura and red blotches under his skin/blotches on his legs was not recovered and the outcome was unknown for rest of the events. Follow-up attempts are completed. No further information is expected.

Loss of feeling in left leg and foot; Foot drags when walking.; Nausea; shortness of breath; This is a spontaneous report from a contactable consumer, the patient. A 16-years-old male patient received bnt162b2 (BNT162B2, Formulation: Solution for injection: Batch/Lot number: unknown), via an unspecified route of administration, administered in Arm Right on 18Jun2021 09:15 as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunization. The patient's medical history was not reported. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other medications within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Since the vaccination, the patient had not been tested for COVID-19. On 27Jun2021 13:00 Hour, the patient experienced loss of feeling in left leg and foot. Foot dragged when walking. Leg shook when still. Nausea and shortness of breath. The adverse event result in doctor or other healthcare professional office/clinic visit. The patient received treatment for the events. The outcome of the events was not recovered. Additional information has been requested and will be provided as it becomes available. ; Sender's Comments: Based on current information available, the events mostly represented intercurrent condition in this patient with young age, unrelated to Bnt162b2. Relevant medical history, concurrent disease, trauma history are missing for a medically meaningful assessment. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate

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

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

Immediately following 1st dose Pfizer COVID vaccine client turned pale and had a syncopal episode. Client was assisted to a supine position on the floor. Client regained consciousness within 20 seconds of syncopal episode. Client skins were pale for ethnicity, clammy and cool. Vital signs were taken in supine position: BP 121/71, HR: 69, RR 12. Client's mother denied any medication use, stated client was positive for Asperger's syndrome, denied any NKDA or allergies to foods/ environment. Client was assisted to seated position in wheelchair vitals: BP 105/46, HR 60, RR 10, skins returning to normal color for ethnicity, dry and warm. Client was assisted to zero gravity chair without incidence. Client complained of nausea, dizziness and tingling of Left arm and hand. Denied SOB, CP or HA. EMS called. Client care transferred to EMS. EMS BP: 98/50, 12 lead EKG revealed NSR. Client's mother signed client AMA from EMS care. Client stayed at observation site an additional 30 minutes. Last set of vitals BP 117/69, HR 76 RR: 10. Client stated he felt much better and all symptoms were resolved. Client's mother instructed on ED protocols and advised to follow up with PCP. Client left observation site with his mother on his own accord and with a steady gait.

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

Patient became very faint and nauseous 5-10 minutes after receiving the Pfizer COVID vaccine. When supplied with a bucket, paper towels, and a cold compress pack, patient began to vomit and complained that he couldn't see. Patient may have also passed out during this time period. The store manager was contacted and emergency medical services were also contacted due to severity of the reaction. the patient was taken to a local medical facility as of the writing of this report.

Pt c/o nausea and vomited 3 minutes after vaccine was administered. Pt has history of nausea and vomiting after all vaccines . Pt was given cold compress to neck and transferred to stretcher placed in recumbent position. Was accompanied by father and observed for 15 minutes. Pt stable and ambulatory. Was discharged from unit in no acute distress accompanied by father.

Pt c/o lightheadness and nausea. vs 98.4, BP 102/74, HR 82, Bld sugar 115 evaluated by Physician and Nurse Practitioner; sent to the Clinic for further evaluation; given fluids. Pt emphasized some change in mental status and sent to the Hospital for evaluation; evaluated treated with fluids and released back to the clinic. 7/15 vital signs stable, c/o slight pain at injection site; no other c/o any issues Later on 7/15 pt c/o sl chest pain and discomfort-examined. vital signs stables dx with controchondritis-treated. No further c/o any problems after COVID injection 7/8 left the clinic and reunified with family

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

Reaction to second vaccine (7/10/2021) -Vomiting -Fever for 24 hours -Pain; on vaccine site, entire right arm and right side of back Took 4 doses of Tylenol (every 6 hours)

10 days after receiving the first shot my son noticed blurred, wavy vision in his Right eye. We took him to the eye doctor the next day where his vision was 20/60 in that eye and they found a spot on the back of his retina. We were referred to a Retina Specialist. We saw Dr. two times where they determined he had had inflammation in the back of his eye and scar tissue was now in the place where the inflammation had been. We were told surgery would be needed to remove scar tissue and hopefully correct his vision a few lines. We decided to get a second opinion since we still didn't have any answers regarding what caused this to happen, if it was going to get worse and if he could possibly get it in his other eye. We just saw another Dr. where he confirmed that surgery was necessary to try to repair damage. His vision at this appointment was 20/100. They do believe it is stable but has fluctuated between 20/60 and 20/100. Dr. mentioned that he has another patient about the same age who had the same thing happen at about the same time as our son's eye condition began. I have since also found several cases around the world with similar experiences.

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

2 minutes after vaccination patient felt "warm, dizzy, lightheaded, nausea "and c/o tingling in hands and feet. Provided cooling measures and food and drink. Resolved within 15 minutes.

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

During monitoring, patient c/o nausea, dizziness and became pale. Vitals: systolic BP 52; pulse ox 88%. Patient lost vision and pupils slow to react. Called EMS and gave 2L supplemental 02 via rebreezer. Patient moved to hospital bed and had legs elevated. Upon recheck blood pressure improved and patient responsive to questions (suspected vasovagal response). After EMS arrived, patient's family declined to send patient to hospital via EMS, and ultimately left the clinic with his family.

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

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

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

Systemic: Dizziness / Lightheadness-Mild, Systemic: Vomiting-Mild, Additional Details: Received dose. Felt a little lightheaded, then vomited. Provided cold pack for forehead, and cold bottle of water. Patient waited until better, with parent/guardian. Related sometimes has problems with shots. Then when feeling better, left under own power, with accompanying adult supervision.

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

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

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

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

Patient was seen in the observation area together with his Mother who drove for him for his first dose of Covid-19 vaccine.Patient stated that all of a sudden he felt heat all over his body, tingling sensation, felt nauseous then threw up. Applied cold compress on the back of the neck, lowered down the seat of the car and elevated his feet, encouraged to do pursed lip breathing, had him sip small amount of water. Extended their stay for to 30 minutes for further observation. Symptoms was resolve, left without any difficulties, Educated to call 911 if symptoms comeback and becomes worse. ER precaution initiated. Pt acknowledge understanding. Patient was seen in the observation area together with his Mother who drove for him for his first dose of Covid-19 vaccine.Patient stated that all of a sudden he felt heat all over his body, tingling sensation, felt nauseous then threw up. Applied cold compress on the back of the neck, lowered down the seat of the car and elevated his feet, encouraged to do pursed lip breathing, had him sip small amount of water. Extended their stay for to 30 minutes for further observation. Symptoms was resolve, left without any difficulties, Educated to call 911 if symptoms comeback and becomes worse. ER precaution initiated. Pt acknowledge understanding. Patient was seen in the observation area together with his Mother who drove for him for his first dose of Covid-19 vaccine.Patient stated that all of a sudden he felt heat all over his body, tingling sensation, felt nauseous then threw up. Applied cold compress on the back of the neck, lowered down the seat of the car and elevated his feet, encouraged to do pursed lip breathing, had him sip small amount of water. Extended their stay for to 30 minutes for further observation. Symptoms was resolve, left without any difficulties, Educated to call 911 if symptoms comeback and becomes worse. ER precaution initiated. Pt acknowledge understanding. Patient was seen in the observation area together with his Mother who drove for him for his first dose of Covid-19 vaccine.Patient stated that all of a sudden he felt heat all over his body, tingling sensation, felt nauseous then threw up. Applied cold compress on the back of the neck, lowered down the seat of the car and elevated his feet, encouraged to do pursed lip breathing, had him sip small amount of water. Extended their stay for to 30 minutes for further observation. Symptoms was resolve, left without any difficulties, Educated to call 911 if symptoms comeback and becomes worse. ER precaution initiated. Pt acknowledge understanding.n/a

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

Approximately 5 minutes after vaccination was administered patient has numbness and tingling in both hands in addition to nausea and dizziness. We gave him 50 mg of diphenhydramine with his mother's permission. By 10-15 minutes after the vaccination he was feeling much better and the numbness had gone away.

A few minutes after patient received dose this morning around 9:20am, he became pale, developed hot flashes, shaking, nausea, dizziness, and hands feeling numb/tingling. Provided the patient with a cold pack for the back of his neck and water to drink, and encouraged him to sit with his head lowered. The patient's father pointed out that he had not had anything to eat that morning, which could have contributed to his response. After a few minutes, most of the symptoms abated, and patient was feeling much better. His father left the store with him at that time. Called the father later that day, and he said patient was feeling better. Had taken nap and was only feeling a little tired. I explained possible side effects from vaccine and father thanked me for our time and concern.

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

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

Two days following vaccine, patient experienced N/V and right lymphadenopathy (on same side as injection) which continued for two additional days. On Day 5, patient experienced neck and facial swelling, rash, itchy mouth, throat tightening, and difficulty breathing following lunch (chicken with cashews, no prior food nor medication allergies nor prior symptoms with any tree nuts nor peanuts nor soy). Symptoms improved with 50 mg diphenhydramine, but swelling continued, administered corticosteroids at urgent care facility and continued Medrol dose pack. Food allergy testing scheduled for mid-May.

within seconds of the vaccine he felt light headed and started gagging. he drank water, and had a chocolate brownie. Regained color within 15 minutes and felt much better. has history of lightheadedness with vaccine injections

Started Saturday, April 17 around 9am with nausea, abdominal pain and vomiting bile (this started 23-24 hours after the vaccine; no other side effects). The focus of the pain was on the lower right side of his abdomen, and when he tried to stand up straight the pain increased in intensity and he felt like it was "pulling". With all the vomiting the pain spread to most of the abdomen, but after getting Zofran and resting that additional area subsided. He was evaluated at Medical Center and ultimately transferred to hospital for appendectomy on April 17 around 5pm. Appendectomy was done early morning Sunday, April 17 and he was discharged home that afternoon

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

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

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

Patient became very nervous five minutes after having vaccination, fainted to the floor with body tremors, BP 81/38 P45, Resp. 18, EMT at side with nursing staff, was put on stretcher, and complained of dizziness, nausea and lightheadedness, Later BP 114/55, P67 Resp.17. Patient transferred to ER. Recovered, no medications administered.

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

patient had vasovagal episode immediatly after receiving the vaccination, there was vomiting associated with the episode. Patient vitals remained stable, he was observed for 30 minutes, given juice, water and crackers and able to ambulate without difficulty. Vitals remained stable.

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

Systemic rash with hives and itching, chest pain and shortness of breath, neck and facial edema, edema to extremities, nausea and vomiting Benadryl 50mg PO every 4-6 hours for 4 days and then PRN for itching/rash. Medrol Dose pack as directed, Daily Pepcid PO, Zofran PO PRN

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

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

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

6 days of abdominal pain, nausea, found to have acute pancreatitis with elevated amylase/lipase without any other identifiable etiology

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

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

Approximately 25 minutes post vaccine, attendee began to complain of dizziness, clammy, nausea and arm numbness. Patient's vitals were taken. 50Mg of Benadryl was given. The attendee was monitored for 45 minutes and released from site. He was accompanied by his older sister. No loss of consciousness was observed. The attendee remained alert and oriented the entire time.

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

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

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

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

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

Dizziness, pallor, hungry-small breakfast. Stable and released with mother after significant improvement.

ABOUT 10 MINUTES AFTER RECEIVING 1ST PFIZER COVID19 VACCINE, PT COMPLAINED OF EXTREME NAUSEA AND DIZZINESS, AND APPEARED ANXIOUS. PT WAS MONITORED CAREFULLY AND ENCOURAGED TO BREATHE AS COMFORTABLY AS POSSIBLE. AFTER 5 MINUTES, PT STATED HE WAS FEELING MUCH BETTER AND SAID THAT HE WAS FINE. AMBULANCE SERVICES WERE CALLED, AND PT LEFT WITH AMBULANCE PERSONNEL UNDER HIS OWN AMBULATION AND WITHOUT RECEIVING MEDICATION. PT WAS TRANSPORTED TO HOSPITAL, WAS APPARENTLY CHECKED-OVER, AND RELEASED IN ABOUT AN HOUR. PER TELEPHONIC FOLLOW-UP LATER IN THE DAY, PT CONFIRMED TO PHARMACY MANAGER THAT HE FELT FINE, AND THANKED PHARMACY MANAGER FOR FOLLOW-UP.

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

Pt received vaccine to R arm and within 3mins collapsed and hit back of hit head. Pt had seizure like activity for 1-2mins. Afterwards, pt was weak and confused. Pt taken to ER where he was given IVF and medication for nausea. Pt had neg head CT and CXR. Pt was discharged about 4hours later.

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

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

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

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

Seizure; Felt dizzy; Eye sight was blurry; Shake and jerk; Shake and jerk; Skin turned pale; Heart rate was high; Nauseous; This is a spontaneous report from a contactable consumer. A 17-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in left arm on 28Apr2021 16:00 as unknown, single for covid-19 immunisation. The patient medical history was not reported. Concomitant medications included fish oil; magnesium [magnesium citrate]; vitamin d [vitamin d nos]; probiotic [bifidobacterium lactis]; vitamin b complex (VITAMIN B). The consumer stated, approximately 20 minutes after receiving the vaccine (28Apr2021 16:15) the patient felt dizzy, eyesight was blurry, and he began to shake and jerk. It resembled a seizure. His skin turned pale, heart rate was high, and he felt nauseous. It took him approximately 5-10 minutes to feel "normal" again. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The adverse event result in emergency room/department or urgent care. There is no treatment for AE. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was resolving. Information about Batch/Lot no. has been requested.

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

After 1st shot; Patient developed multiple blood clots (lungs and legs) about 10-11 days afterwards. All tests for cause of clots were inconclusive. Patient received his second dose and with in 48 hours was hospitalized for appendicitis. If it was a reaction after just one shot, I would normally think it was a coincidence. With him have severe reactions after both shots, it seems very suspicious!

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

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

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

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

PT HS NIXETY OF NEEDEL AND BLOOD, HE HAD FAINTED AFTER LAST VACCINE HE HAD. TODAY HE FELT NAUSEUS AND VOMITED. AFTER VOMITING HE FLET BETTER. HE WAITED 30 MINUTES IN WAITING AREA AND FELT NORMAL. PARENTA WERE WITH HIM THE WHOLE TIME.

Patient received the Covid-19 vaccine (Pfizer). He reports symptoms of "something in my throat", was not present prior to vaccine. "Hard to swallow my spit". Patient calm, not in distress. 1540 - Given water, able to drink. BP 130/90, 96% RA, HR 89 RR 20. 1550 - benadryl x 1 BP 130/84, 96% RA, HR 90, 20 RR 1555 - throat feeling better 128/82, 96% RA, HR 100, 20 RR 1600 - "a lot better" 128/82, 96%, HR 80, 16 RR. Treatment/intervention: water, 25 mg IM benadryl

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

Pt experienced an unwitnessed syncopal episode after first dose of Pfizer vaccine. After regaining consciousness pt produced small amount of emesis. Vitals were all within normal limits. Pt refused transport AMA.

VOMITING (unsure if due to chronic condition though he hasn't vomited in at least 3 weeks) and 'TINGLY' LEGS- not quite pins and needles, no numbness, no pain, just aggravating tingling sensation

Patient fainted approximately 5 minutes after receiving his second Pfizer vaccine. He was observed to have tonic-clonic jerking but this was not seizure nor does the patient have a history of seizures. His mother reported fainting previously during stressful situations. Ice pack was given and BP was taken at 11:20 and was 100/65 and pulse was 101. When EMS arrived, patient's BP was 134/80 and pulse was 83. Patient reported stomach pains post-fainting. EMS cleared patient to leave and he signed off that he did not want to go to the hospital.

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

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

Patient fainted (loss consciousness) a couple of minutes after receiving injection. Mom caught him and called for help and reported his eyeballs rolled up and he started down when she caught him. by time Pharmacist and store staff got there (less than a minute) he had regained consciousness but very lightheaded. No breathing difficulty. So got a chair and had him sit with head down and store staff observing. After another 10min he still reported lightheaded and nausea, so ambulance was called. When they arrived and checked him out everything checked out normal and he was feeling better so they released him to his parents care. Called on 5/24/21 at 10:10am and spoke to mom who reported he was doing fine and no apparent after effects.

After vaccination, the patient fell onto his buttocks, then hit his head. He did have a small abrasion on the back of his head and small abrasion on his elbow. There was no LOC observed. The patient did seem slightly confused. He vomited once. Was alert and fully oriented.

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

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

Within about 5-6 hours of receiving the vaccine, the patient began to develop nausea, vomiting and diarrhea. He took OTC pepto bismol for relief of symptoms which lasted about 6-8 hours. The next day patient was weak and stayed home from work. Fully recovered by day 2.

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

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

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

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

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

Patient's mother states her son experienced hives on his right side of his forearm. She states the hives were huge in size also that he also had diarrhea 24 hours after his vaccine. He was taken to the ER to get checked out. At the ER they told her that maybe a bee sting him or it was because of the vaccine. His right hand and forearm were swollen. The hives lasted a few hours then it went away. He was given Benadryl for 5 days straight at the ER which helped to decrease his symptoms. His mother states he is no longer having the hives or diarrhea.

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

Critical thrombocythemia, causing anemia due to nose bleeding, GI bleeding and metrorrhagia. Elevated WBC. Acute kidney failure. Pancreatitis. Admitted with Dx of Tumor lysis syndrome required blood and platelets transfusion

Patient began with substernal chest pain 8 out of 10. Patient was taken to emergency room. At the outside hospital patient was given Motrin with improvement of pain. Patient's troponin at outside was 34.5. CK-MB was 41.6. CK was 523. CBC was unremarkable. Sed rate was 15. CRP 1.46. Patient had chest x-ray that showed no acute process. EKG at outside hospital shows sinus rhythm with occasional PVC. Mild diffuse settle ST elevation and no PR depression. Upon arrival to the floor patient had no significant pain. On telemetry patient was found to have an episode of nonsustained ventricular tachycardia. Patient denies recent cough, congestion or fevers. Patient does have 2 parents and a dog at home. Of note patient got first dose of pfizer Sars-Covid-19 vaccine on April 14. Second dose of Pfizer vaccine was given on May 14. Initial troponin i-STAT presentation was 11.03. Patient also experiencing nausea and vomiting on 5/20.

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

Accidently administered an undiluted dose of the Pfizer BioNTech Covid 19 vaccine; He has experienced is a sore arm; He also had some diarrhea; Accidently administered an undiluted dose of the Pfizer BioNTech Covid 19 vaccine; This is a spontaneous report from a contactable pharmacist. A 17-year-old male patient (age at vaccination 17-year) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection; Batch/Lot Number: Unknown, Expiration date: Unknown) via an unspecified route of administration on 20May2021 as unknown, single dose for COVID-19 immunization. Medical history included autism and bowel issues from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. On an unspecified date the patient experienced he has experienced is a sore arm and he also had some diarrhea. Pharmacist accidently administered an undiluted dose of the Pfizer BioNTech Covid 19 vaccine on 20May2021. Mother reports that all that he has experienced is a sore arm. He also had some diarrhea a few days later but he has a history of bowel issues. The clinical outcome of the events was unknown. Information on the lot/batch number has been requested. Amendment (PSSR): This follow-up report is being submitted to amend the previously reported information which includes: Deleted the event "Vaccination site pain" since there was no indication the pain in injection site and removed the classification "At Risk".

6-4-2021 15:30. Subjective: This 17 y/o male pt presented to the vaccine administration site and was administered his first dose of the Pfizer Covid-19 vaccine. Prior to receiving the vaccine the patient had made a comment in regards to not liking needles. Following vaccine administration the pt stated that he began to feel dizzy and ?then things went dark.? The patient was seated vertically in a chair and had fallen forward onto the ground. Patient care was immediately administered and the patient was moved supine with his lower extremities elevated. The patient regained consciousness immediately and asked if he had ?fainted?? The patient then stated that he was very warm and had not eaten or drank very much today. The patient attempted to then sit up rapidly from a supine position causing him to have a second vasovagal syncopal episode. The patient was placed in a supine position following this and cold packs were administered as well as vitals were taken. The patient remained A&O X4 with a GCS of 15 for the remainder of patient contact. EMS was called and the patient was then transported with consent of his legal guardian to the nearest E.D. Objective: Pt was noted to have two consecutive vasovagal syncopal episodes following his first dose of the Pfizer Covid-19 vaccine. The patient stated he had not eaten or drank very much today. Assessment, PE,VS: The patient was noted to have a small abrasion to the right side of his face secondary to his glasses striking him after he had fallen. The patient's BP was noted to be 100/60 mmhg with a pulse of 64. The patient was A&O X4 with a GCS of 15 following his two separate syncopal episodes. HEENT: All findings normal, pt?s pupils PERRLA at 4mm. Cardiac: Normal Pulmonary: Normal, however verbal respiratory rate control was advised to the pt. Abdomen: Normal, cold compress applied. Extremities: Normal, Cold compress applied. Plan: Pt was continuously monitored and transferred to EMS care for transport to the nearest

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

Patient presented with myopericarditis. Woke up at 230 am with vomiting and then developed chest pain. Came to ED immediately. ECG showed widespread ST elevations. Troponin at 25, peaked at 44, now downtrending. Admitted to cardiology, had run of Vtach and then admitted to PICU on Day 2.

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

2 days after 2nd Pfizer dose sudden severe chest pain with SOB, nausea, palpations. Unrelieved by OTC IB or rest.

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

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

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

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

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

He had sharp chest pains that would come and go in left side near ribs beginning around noon on 6/17/2021. They seemed to worsen throughout day & with laying down. Then, increasing pain along left side of body into hip and leg around 5:30pm. He experienced very "bad, cramp-like" pain in left calf area around 6:30pm. Sharp Chest pains intermittent at "10 pain level" & lower left leg at "8 pain level". Some nausea and vomited once at this point. We called the urgent care line for our doctor's office and spoke with nurse who instructed us to go to the ER. They performed ECG and Chest XR. Labs were BMP, CBC, CK, D-dimer (quantitative), & Triponon-I. They gave 800mg Motrin, IV fluids and keterolac in IV. They said they "did not identify a specific problem" but to rest, take ibuprofen, and follow-up with doctor and cardiologist. They said it was most likely related to the Covid-19 vaccination but could not give causation. Patient seems fine so far today, but still has medication in system.

My son got both his 2nd dose of the Pfizer COVID-19 shot as well as a booster for Tdap. (Unsure of which Tdap or lot#) at 11:30 pm 6/18/2021 he was fine. About 30 mins later he was hit hard with side effects. Said he was very shaky and felt hot and cold at the same time. He did not let me know about this until this morning around 7:50 am 06/19/2021 about how he was feeling and he was still feeling very bad, advised him to take tylenol and he took that and went back to sleep. Around 12:00 PM 06/19/2021 I was finally able to check his temperature and other vitals. His temperature was normal, but his heart rate was 138 bpm. I made him sit down and relax for a bit and heart rate leveled out to normal. He also reported he is afraid to eat that he feels nauseous. As of this afternoon 06/19/2021 he seems to be feeling better.

17 y/o 1st dose pfizer vaccine received at 10:08am. stated he was nauseous and said he ate nothing this morning - his mom was present - she said nausea is normal for him - he drank water and took his vs at 10:25am, bp 110/80 54p 98.1 temp 98%pox - pfizer given in right arm, lot number er8729 first dose.

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

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

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

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

6/22/21 Awoke with chest pain and stomach pain. Chest pain persisted. Went to Urgent care on 6/23 then seen by cardiology and referred to emergency department and admitted to PICU 6/24 after having positive troponin test. Chest pain improved on ibuprofen. Discharged on 6/25/21 on motrin and following with cardiology.

Patient received his 1st dose COVID vaccine at 6:56 PM and immediately said he felt lightheaded and nauseated. Patient had an emesis x1 which was clear. Vitals taken: BP 92/60, HR 55, SpO2 100%, Temp: 99.0, RR, 20. Patient is present with his father who both decline that the patient have any past medical hx, patient denies taking any medications, denies any known allergies to food or medicine. Per the patient's father, "my son always gets like this after shots". Patient's father verbalized that his son always gets extremely anxious prior to getting any vaccine. Patient rested in a clinic room for 15 min with his father, was provided water, and said he felt much better post 15 min. Patient requested anti-nausea prescription. Zofran e-prescribed to patient's pharmacy. Patient stable prior to leaving clinic. Strong ER precautions provided. Both patient and his father verbalized understanding.

Had acute onset severe abdominal pain. Found to have significant elevation of liver enzymes (AST, ALT in the 900s) and INR (1.40), also had elevated high-sensitivity troponin with normal cardiac echo and EKG. Liver enzyme elevation resolved and patient did not experience any symptoms of liver failure.

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

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

Chest pain, vomiting after 4 days after vaccine with resultant labs consistent with myocarditis (elevated troponin, ESR, and CRP). Being followed by cardiology.

Patient is a 17 year old male with only past medical history of anemia at 1 year of age (resolved with iron and vit C supplementation), who presented to an Hospital on 7/7/21 with 2 days of chest pain radiating to his L arm, generalized upper extremity weakness, SOB, vomiting, found to have an an elevated troponin level of 0.626 with ST segment elevation on EKG, echo reportedly normal. Patient reportedly tested positive for COVID-19 on 6/6 and subsequently went into quarantine, was re-tested on 6/21 and tested negative. He arrived on 6/28 and received his 1st dose of Pfizer COVID-19 vaccine on 07/03/21. Of note, he was told he might feel dizziness and arm achiness after the vaccine but denies he was informed about possible inflammation of or around the heart after the vaccine. On 7/5 he was awakened in the morning by chest pain 6/10 and shortness of breath that started in the right lower sternal border and progressively moved to the left lower sternal border and then to his L shoulder and arm which he describes as feeling like he had been "punched" or a constant achy feeling. He took Tylenol x1 on Monday with minimal improvement. He initially thought it was reflux pain and took tums but it did not improve. He had one hour of relief but then the pain returned. He reportedly felt dizzy Monday evening as well. The pain was absent on Tuesday, but he woke up this morning again with the same chest pain and shortness of breath, prompting him to seek medical attention. In the outside ED, he had one NBNB emesis that was not preceded by nausea. En route from Hospital to Hospital he complained of chest pain 7/10 for which he was placed on 2L O2 which reduced the pain to 4/10. During his admission his troponin levels initially up trended and peaked at 5.67 before beginning to downtrend. He was diagnosed with myopericarditis and started on ibuprofen three times a day around the clock. He was discharged home on 7/8 with specific return precautions, follow-up appointment with cardiology, and strict instructions to avoid exercising and strenuous exercising until cleared by cardiology.

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

On April 23, 2021, we flew from one location to another for a visit. Patient became dizzy with vertigo and nausea, which worsened as the day progressed. We had to visit the ER that evening. His heart rate was @ 103 bpm and the ER evaluated him for several hours. The ER prescribed Meclizine. When we returned home patient saw a vestibular specialist @ Hospital and was diagnosed with vestibular neuronitis.

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

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

On April 22nd he said it felt like a switch turned off in his head . His depression and anxiety got worse. He didn't eat for a week and was always nauseated. He is going through therapy. Has gone to the ER twice for trying to attempt suicide. Mother said he has not been the same since he got the shot.

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

Intense left arm pain; Intense left arm pain resulting in aninability to move it; Body aches; Upset stomach; This is a spontaneous report received from a contactable consumer, the patient. A 17-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: ER8732), via an unspecified route of administration in the left arm on 24Mar2021 at 15:45 (at the age of 17-years-old), as a single dose for COVID-19 immunisation. Medical history included COVID-19, which was diagnosed prior to the vaccination. The patient was only allergic to Hazelnuts. Concomitant medication included sarecycline hydrochloride (SEYSARA) for unknown indication from unknown date. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 25Mar2021 at 08:00, the patient experienced intense left arm pain resulting in an inability to move it or else there was excruciating pain. The patient also experienced full body aches and upset stomach. The patient did not receive any treatment for the events. The events did not result in a visit to the doctors or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of the intense left arm pain, intense left arm pain resulting in an inability to move it, body aches and upset stomach were not recovered at the time of this report. No follow-up attempts are needed. No further information is expected.

He actually woke up with vomiting/ he threw up; Couldn't walk for a week; The room was spinning and he threw up; Rash over the body and it's on one side of the body right now the inside they're little balls, bubbles with some kind of puss inside, water or puss; Rash over the body and it's on one side of the body right now the inside they're little balls, bubbles with some kind of puss inside, water or puss; Not sure, we look at pictures they look like shingles; He has side effects on his left eye; This is a spontaneous report from a contactable consumer (parent). A 17-year-old male patient (reporter's son) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) via an unspecified route of administration on 03Jul2021 at around 10 at night (at the age of 17-year-old) (Batch/Lot number was not reported) as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Historical vaccine included received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) via an unspecified route of administration on an unknown date (Batch/Lot number was not reported) as single dose for covid-19 immunization and did not experience any adverse event. Reporter stated, "my son had the Pfizer and he in the states right now and he went to play hockey, he took the second COVID on the next Saturday, he got it around 10 o clock in the night on 03Jul2021 and on 04Jul2021 he actually woke up with vomiting, could not walk for a week, the room was spinning and he threw up, I don't know if I said that and barely made a back to the bedroom, woke up had a rash over the body and it was on one side of the body right now the inside they were little balls, bubbles with some kind of puss inside, water or puss". The reporter also stated "not sure, we look at pictures they look like shingles, I see on the internet that in some rare cases it can be activate shingles in your body and I want to know how rare these side effects are and what to do about it". When confirmed that the vaccine son took was Pfizer COVID-19 Vaccine, reporter stated, yes, he was 17 and he had to take it. When probed anatomical site where vaccine was administered, reporter stated, I don't know that. I know that he has side effects on his left eye (on an unknown date in Jul2021). I don't know what side he got the injection. I would assume you got it in his left hand because he uses his right hand for lot of things". The outcome of the events was unknown. Information regarding the lot/batch number has been requested.

So right after getting the shot, within an hour, he complained of a pain in his back and I thought it was left over from the arm pain from the shot. But then he complained of stomach ache as well. We went to the hospital in June and they have done so many tests on him though and he was referred to a GI DR as well. He gets a stomach ache after having full meals, like anything normal size he used to eat, he gets nausea. He passes stool that is yellow in color. The DRs are still working on him currently though. He has some sort of bug or something. We have tried Pepto bismol and other over the counter medications but they have not helped.

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

Patient tolerated vaccine well and waited in the room for a phlebotomist to draw blood. As soon as the phlebotomist drew his blood, pt. started retching with very minimal vomitus. No facial swelling or hives noted. Not tachypneic, SPo2 97% RA. Pulse 77, Temp 98.6 Oral, Lungs clear. Patient stated he had felt hot and then nauseated. Patient reports he had not eaten that day. MD felt he had a vasovagal episode brought on by not eating. Vitals retaken at 3:40 pm and all were WNL. Left office at 1548 in NAD.

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

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

About 8 - 9 hours after first vaccine dose, started to develop sores on his mouth, primarily on his tongue. Sore continued to increase each day. Saw Dr. on 7/26/21 and she encouraged us to report on this site. As of today, 7/29/21, sores contine to increase. Most on tongue plus a couple on inside of lower lip. Also gums are sore, slightly swollen and red.

09:05 moved from his seat to lay on the floor stating he felt lightheaded and some nausea. At 09:07AM vitals were BP 118/62, SO2 98%, HR 53. He states he did not eat breakfast and he was very nervous to get the vaccine. At 09:08 water given and states he is starting to feel better. 09:11AM requested to sit up and states he is 100% better denying any symptoms. Nurse continued to monitor and discharged at 9:31AM. Nurse advised him to contact his PCP to inform them of today's event. Was present and they both verbalized understanding.

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

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

pt. experiencing lightheadedness/ dizziness, dry mouth & nausea. pt. denies any other s/s. Resolved with calming comfort measures. pt able to drink water & eat a snack.

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

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

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

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

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

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

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

Complains of nausea, near faint when walking. Brought to Triage 1 via wheel chair. 15:21: 109/32, HR 66, 97% RA 15:22 gave Orange juice 15:24: Pt took water Pt states feeling better 15:35: Pt feels fine. Walked out of triage and met his mom.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Medium, Additional Details: Pt mother stated pt was nauseous and then that he was passing out. RN ran over to check on pt as pt eye rolled back and pt limbs fell limp. Pt moved to the floor by RN, rolled to the side by RN. Pt regained consciousness almost immediately and was laid on his back with feet elevated. Pt stated he felt fine, did not recall exactly what happened. Pt helped up into chair, given water and crackers. Pt stated he felt fine, observed by medical personnel for 30 min and pt was able to ambulate off site.

Pfizer-COVID 19-EUA: The patient began complaining of nausea and being lightheaded about 5 minutes after receiving vaccine. Pt was sitting down and had a syncopal episode while in observation area. Pt was assisted to the ground. Pt was hypotensive and treated by staff with and IV and fluids. Pt improved with treatment and was transported to Hospital. Incident #. PCR was completed by staff.

Recurrence of pancreatitis requiring hospitalization, with abdominal pain, lipase to 6740, D-dimer to 4516, without flare of primary symptoms of MCTD (no arthritis, myositis, dyspnea, worsening of Raynauds, photosensitive or vasculitic rashes). Still hospitalized on d4 after admission, anticipate d/c in next 24-48 hours

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

Site: Pain at Injection Site-Mild, Systemic: Abdominal Pain-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: patients pulse and heart rate decreased -Severe, Systemic: Hypotension-Severe

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

Patient fainted after waiting for 10 minutes. He did not lose consciousness. He responded to RPH commands. He did not have shortness of breath, rash, inflammation. He urinated himself after falling. He remained laying on the ground for 20 minutes, after which he stood up and had recovered from the dizziness/nausea. Patient and parents did not wish for 911 to be called or to go the hospital. They agreed to call 911 if patient has any further symptoms.

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

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

Patient received vaccine and stood up to go to observation when patient appeared pale and experienced an episode of syncope. Patient stated he felt the need to vomit. Patient's mom at side. She stated that in the past he has been known to have these episodes after venipuncture. Patient redirected back to seat. Staff directed to call 911. Emergency kit at side and vital signs and pulse ox taken. Assessment of patient, alert and oriented x4 and vitals within normal limits. EMS came to site and patient refused further evaluation after clearance.

Within 15-minutes of vaccination, the patient experienced a syncopal episode. EMS evaluated the patient on-site. The patient reported taking a marijuana edible prior to vaccination and stated he was anxious about the vaccine. The patient was normotensive (121/68). EMS administered 0.5L normal saline and 4mg IV Zofran. EMS transported the patient to Emergency Department. In the ED, the patient reported taking a marijuana edible at 1200 and that after their vaccination they experienced feeling flushed, nausea, vomiting, and near-syncope. After several hours waiting in the ED, the patient noted feeling improvement. The patient's labs and tests were unremarkable. Patient was discharged with vasovagal reaction and cannabis abuse.

% minutes after the patient was vaccinated he c/o abdominal discomfort, he told his mother that he felt like he was falling. Patient the fell to the floor and had a seizure the lasted approximately 5-10 seconds. Pt awoke postictal.

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

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

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

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

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

After receiving the vaccine, pt felt lightheaded, dizzy, and slightly nauseaous. He did not have an irregular H/R or breaths and did not eat today.

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

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

Prior to vaccine, patient stated has fear of needles. After vaccine patient c/o feeling nauseated; patient?s face became pale in color. Cold compress applied to posterior neck. On-site EMS assumed care. Patient transferred to EMS observation area.

Patient was given the vaccine and then about 2 minutes later he started to vomit and was light headed. Gave the patient some saltine crackers and water. I checked with the patient to see if the water and crackers were helping and he said yes. The vomiting stopped after having some water and saltine crackers. Took vitals at 10:02 am heart rate 82, o2 100%, and BP 116/61. I checked to see how the patient was doing and he stated that he was doing better. We released the patient with parents who were here to get there second vaccines. Patient was released at 10:14 am.

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

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

Patient presented as a transfer to our facility for Myopericarditis. He had received 2nd covid vaccine on Friday (5/7/21), subsequently had mild body aches the next day that improved with otc Tylenol. On sunday night he started to develop mild chest pain. Monday morning his pain acutely worsened with 8/10 chest pain, shortnes of breath, and emesis x1. He was ultimately found to have myopericaridits after being transferred to our facility for cardiac MRI. His troponin peaked at 5.71, had no pericardial effuison, and normal EF. Pain well controlled with colchicine and ibuprofen. After 2 days of observation he was discharged home. He did not have any viral prodrome or illness recently, no hx of family hx of rheumatological conditions.

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

Site: Pain at Injection Site-Medium, Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Weakness-Severe, Additional Details: Patient lost conciousness a few minutes after dose was given. Patient was unresponsive for approximately 2 minutes. Neck felt tight, difficulty breathing, was not alert/oriented when finally awoken. Patient was given 1 shot of epi 0.3 due to a temporary interuption in breathing that lasted seconds. By the time paramedics arrived, he was becoming more alert. Was taken to the ER and discharged.

Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Systemic: Vomiting-Medium, Additional Details: Patient was administered first dose of Pfizer vaccine approximately 9:40am (MSD). Upon reviewing intake sheet there were no discrepancies to continue with the vaccination. Upon successful administration, patient was instructed to sit near Pharmacy in waiting area. Patient was standing next to wellness room where patient had fainted. Dr. and N.P. rushed to the scene to take control of the situation. Patient was assessed and asked a series of questions. He hadn't eaten in the morning.

Systemic: Abdominal Pain-Medium, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: Pt was looking pale 10 minutes after the injection. He looks to be in pain holding his stomach while hyperventilating. After another 5 minutes, he began to vomit and slowly recovered. He stated that his stomach was hurting. His heart rate is 90bpm.

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

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

he puke blood; blood in his stool but this afternoon was just whole blood; This is a spontaneous report from a contactable consumer (parent). This consumer reported for an 18-year-old male patient who received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported), via an unspecified route of administration, administered in arm left on 11May2021 at 11:30 (at the age of 18-years-old) as unknown, single for COVID-19 immunisation. Medical history was not reported. There were no concomitant medications. The reporter's son had the vaccine yesterday around 11:30 in the morning and this morning (12May2021), he puke blood and then this afternoon he just puke blood, this morning was blood in his stool but this afternoon was just whole blood. The reporter doesn't know if that was related or because of the vaccine. The outcome of the events was unknown. Information about lot/batch has been requested.

Patient presented to urgent care with 3 days of pleuritic chest pain. He had abnormal EKG with T wave inversions in V1 to V3, elevated D-dimer and elevated troponin. Sent to ED. Patient received Pfizer Covid vaccine, first dose, approximately 2 weeks ago. About 3 days ago he developed chest pain with breathing, located at the anterior chest and radiating to the left shoulder. No associated cough, dyspnea, sputum production, hemoptysis. Chest pain is not associated with activity. He does not describe chest pain with the positional change or laying down. no fever or chills. He had 3 episodes of emesis this morning. No abdominal pain, no diarrhea.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Nausea-Mild, Additional Details: patient was scared of needles. WE checked temp and vitals. All normal. Gave him water and asked him if he wanted us to call 911. He refused for us to call 911. He left the pharmacy good.

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

Patient vomited at the observation station after receiving the Pfizer vaccine. EMS was called and treated individual on-scene, transport was not needed. Patient was given longer observation time.

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

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

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

A few days after receiving the second dose of the vaccine on the 20th of May. I began to have random chest/heart pressure when breathing out/ swallowing food or drinks. I began to rest and took ibuprofen (Motrin) to relive my side effects. I soon began to feel more or less the same symptoms on the 26th and 27th of May. On the 28th I woke up to the sides of my stomach hurting, but went away once I ate breakfast. Days go by and I felt my symptoms going down. Around May 30th to June 1st, sometime in between I felt that my symptoms had been relived, As of June 6th, the day I am reporting this event I have not felt what I felt during those days.

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

Pt received his 1st dose of the Covid19 (Pfizer-Biontech) vaccine in his left arm by myself on June 11, 2021 around 9am at local pharmacy. About 5 minutes later while still being seated in the same seat, Pt started to look like he was going to pass out. His mother tried to keep him engaged and alert by talking to him. I raised his legs to see if it would help. Then, relatively soon after Pt's upper body and face began to shake and he started to foam from the mouth. We lowered him to the ground and placed him on his side. The "seizure" lasted less than 30 seconds. When Pt became alert and aware he stated he just had a "4 hour dream". When the paramedics arrived 5 minutes later we had Pt seated in a chair again and he had drank some water. About 5-10 minutes later he began to feel nauseated and vomited. The paramedics transported Pt to the hospital.

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

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

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

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

Five days post vaccination the patient was participating in a cross country meet. While running, the patient lost consciousness and needed to be rushed via ambulance to the emergency department. Patient stated he had no abnormal feelings leading up the the syncopal event. Patient's mother stated he was unconscious for 20 minutes, but she was unable to confirm. Also, stated patient vomited multiple times en route to the hospital. Treatment was performed in the emergency department, so I am unaware of exact therapies.

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

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

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

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

Attendee received first dose Pfizer vaccine at 13:10 in the left arm. Lot# FA3780. Attendee was directed to observation area. At 13:15 voiced complaints of nausea and feeling hot. Chest discomfort 1/10. Attendee's skin was warm and dry. Attendee assisted to the wheelchair and was taken to the cot to lie down. Icepack applied to face and neck. 13:21 - Attendee still with nausea and feeling hot. No chest discomfort, at this time. HR: 63 BP: 100/60 RR: 20 O2Sat%: 99 Temp: 97.4 13:35 - No voiced complaints- skin warm and dry. HR: 82 BP: 102/60 RR: 18 O2Sat%: 99 13:45 -Denied complaints - skin warm and dry. 13:50 - Care Practitioner educated on home discharge/adverse reaction instructions and attendee was discharged to home with his partner. Attendee did not have any reported escalation of symptoms and was able to walk out of clinic independently.

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

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

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

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

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

After receiving first dose and in the observation room, patient was feeling light headed and nauseated. Patient passed out briefly for 2-3 seconds and slumped in his chair. EMT was with the patient at all times. After syncopy episode, patient was alert and oriented. Patient was brought to tent in the supine position and was stable. Patient was still alert and oriented and given juice. Dr. looked patient over and determined to be vasovagal episode. Patient fine 20 minutes post episode. Patient was monitored until sister came to pick him up. Dr. recommended for patient get vaccine recumbrant in 3 wks for second dose.

10:28 am - Client reported dizziness and light headiness. Client vomited after receiving vaccination.

The patient had a seizure and vomited several times post-vaccine. 911 was called and EMS took him to the hospital for further evaluation.

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

Patient developed nausea and low-volume emesis within 5 minutes. Rapidly improved and returned to baseline following emesis.

A few seconds after vaccine was administered the vaccinator turned around to notice patient was unconscious. Vaccinator describes 20-30 seconds of full body shaking. Patient then awoke and was Alert and oriented to people, place and time within 2 minutes. He was nauseas and anxious initially. Onsite EMS was alerted immediately and came to access the patient. 911 was also called quickly under the assumption it may have been a seizure. Patient denied any seizure history. Father arrived a few hours later to pick up patients vehicle and dog. Father informed me that patient was doing better at this point and was being prepared for departure.

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

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

Became dizzy/lightheaded, overhead & nauseated. Had him lay down with feet up, offered water and paramedics did vitals which were ok except low b/p 74/42. Drank some more water and b/p up to 105/65. BLS sugar 105. Felt better after about 1/2 hour. Wheelchairs to car.

45 minuted involuntary spasms rocking body, patient cons ious but immobilized making grunting chittering sounds, followed by several hours of heart palpitations and unsteadiness, nausea

Patient received Pfizer COVID-19 Vaccination on 04/07/21. Presented in clinic at 0745 PM on 04/08/21. States he's had vertigo and nausea today, and has been at work all day. States vertigo and nausea are relatively mild, but worrisome. Alert and oriented and in no apparent distress, grossly normal gait and balance at time of presentation to clinic. Advised to go to ER for further evaluation, given potential relationship of symptoms to Pfizer COVID-19 vaccine.

patient started to feel hot and wheezing. wheezing appeared to worsen and he started reporting acid reflux. patient had his asthmatic inhaler and took it with no resolution of symptoms. patient was given a cold compress for his head and neck to help cool him down. EMS came in and checked his vitals. He was cleared after patients symptoms resolved.

19 Y/O MALE C/O NAUSEA FOLLOWING COVID VACCINE ADMINISTRATION. PT MONITORED FOR 30 MINUTES AND SYMPTOMS SUBSIDED. NO TREATMENT REQUIRED. VS WNLS.

Systemic: Dizziness / Lightheadness-Mild, Additional Details: Pt feeling dizzy and fainted after 3 mins of adminitration. Pt was sitting with his legs elevated on chair. BP 100/52 HR 54, Pt was pale in color and neasous. EMS was called but parents refused to leave pt w EMS. After 30 mins of resting, pt feel better and left with his parents. I called him to follow up, no one pick up left msg.

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

After receiving vaccine, pt c/o being nauseous, pt asked for water, water given, pt then said, " I think I want to lay down", pt assisted to the floor to lay supine with legs elevated. Paramedics and onsite doctor notified to come to the area, V/S 118/70, 60, 100%, pt then was assisted to a sitting position while on the floor, given fruit snack and additional water, pt then was assisted to sit in a chair, followed by standing position. Pt was able to tolerate the change in postions well. Pt was then taken to the 30 minute observation via wheelchair for monitoring. He left in a personal vehicle with his father at 2:00p in stable condition.

19 year old male with cognitive delay presents with both parents for vaccination. Vaccination received in left deltoid and client had subsequent event with momentary loss of consciousness and muscular rigidity, followed by wakefulness and stated lack of discomfort or dizziness. Vital signs stable; HR 75, BP 117/75, Respirations even and unlabored. Client experienced nausea with emesis of approximately 30 cc after a sip of water. Client declined ER visit. Client monitored for an additional observation period and returned home.

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

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

Pt received the vaccine and walked towards the observation area but felt nauseous, dizzy, lightheaded, states he was seeing spots. Went to the bathroom to sit down. Called his girlfriend who was in the waiting area to notify someone. Paramedic and nurses entered bathroom and found pt next to the toilet, alert, stating he was feeling dizzy and nauseous. Vitals at 1317 was BP 90/40, HR 52. Waited and rechecked vials at 1320 (BP 112/60, HR 66). Pt was able to get up and sit on a wheelchair and lay down on a cot. BP at 1326 was 110/60, HR 75. Gave him juice and time to rest. Pt reports improvement in symptoms. Pt able to walk to chair but reports some lightheadedness and feeling off. Pt sat in chair. Rechecked in 10 mins and reports he felt normal

Received first dose Pfizer/BioNTech vaccine 4/14. One day after vaccination began feeling abdominal pain, associated with nausea. Described as starting near the umbilicus, then to bilateral sides. Presented to medical attention on 4/16 (2 days after vaccination.) Initial concern was for appendicitis. Stat CT was ordered, which demonstrated jejunal-jejunal intussuception without evidence of obstruction. Pt advised to adhere to clear liquid diet. Pt re-evaluated 4/19. Upper GI series that day demonstrated unrelated gastroesophageal reflux but was otherwise unremarkable. Further follow-up scheduled for 4/26.

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

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

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

severe stomach pain; This is a spontaneous report from a contactable consumer (the patient's mother). A 19-years-old male patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in Arm Right on 01Apr2021 (Batch/Lot Number: ER8737) as single dose for covid-19 immunisation . The patient medical history and concomitant medications were not reported. The patient experienced severe stomach pain on 06Apr2021 with outcome of not recovered. The reported event was considered an Important Medical Event. The patient underwent lab tests and procedures which included blood test: on 10Apr2021 and computerised tomogram: on 10Apr2021 . Course of the event. The reporter stated that her 19 year old son had his first vaccine on 01Apr2021, they didn't know anything and on 07Apr2021 he got severe stomach pain in the middle of the night. The reporter said they tried to self medicate, that maybe he was just dehydrated because he had been outside. The reporter says they went to the ER on 10APR2021 with the same pains but they couldn't find anything on the CAT scan. The reporter says they gave him something to relax his stomach, she can't remember what, and that it appeared to work but now he is off work with severe stomach pains. She says they changed what he ate, they are not sure what happened. No follow-up attempts are needed. No further information is expected.

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

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

WHILE WAITING HERE AT PHARMACY FOR 15 MINUTES AFTER VACCINATION, HE STARTED FEELING NAUSEOUS AND DIZZY. PATIENT TRIED TO SIT DOWN ON THE CHAIR BUT BEFORE HE COULD REACHCHAIR HE JUST PASSED OUT AND FELL DOWN ON FLOOR, DID NOT LOOSE COMPLETE CONSCIOUSNESS, WOKE UP HIS OWN IN 30-45 SECONDS AND SAT DOWN ON CHAIR BY HIS OWN. EMS WAS CALLED, BY THE TIME HE DRANK SOME WATER AND ESM ARRIVED THEY EXAMINED HIM AND ASKED IF HE WOULD LIKE TO GO TO HOSPITAL BUT PATIENT DENIED AND WAS GETTING BETTER.

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

patient passed out roughly five minutes after receiving covid dose 1, he was sitting in his chair, did not hit his head. After this, he immediately regained consciousness, vomited, and then immediately "felt a lot better" Patient stayed for 15 minutes and then left under supervision of his father

Approximately 10 minutes after receiving Pfizer COVID vaccine pt c/o "foggy vision" and nausea. Taken to stretcher, BP: 126/74, HR: 61, RR: 16 nonlabored, SaO2: 98% on RA. H/o tree nut allergy - mouth swelling. To ED via w/c. 1310: report to nurse. 1315: c/o HA at this time, no change in vision sx, with nurse. ED Note: A 19 y.o. male with a history of multiple prior RUE surgeries and tree nut allergy who presents with blurred vision. In the ED, he is very well appearing and in NAD. VS WNL. On physical exam, he is neurovascularly intact. On ophthalmalgic exam, his pupils at 5 mm bilaterally briskly reactive (does have some light sensitivity), painless full EOM, normal visual fields. On my testing of visual acuity, mildly decreased in the left; however on Doctor it is was mildly decreased in the right. Overall no significant deficit in visual acuity. Patient denies ocular trauma. No ocular pain. Sclera/conjunctiva is not injected. I feel presentation is most likely an adverse reaction to the vaccination. Not consistent with allergic reaction. Overall his examination is reassuring against an acute ocular emergency. Patient does also state that his symptoms are improving. Received Benadryl in triage. Will report and call Pfizer, poison control, and ophtho.

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

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

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

Already reported in reference to patient was episodes of troubled breathing for 1st night and day after getting vaccinated. Pt called today to update that he had not been able to sleep at all up until last night on 5/9. He had been throwing up as well since 2 days after vaccination and 3-4 times daily.

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

seizure like movements; passed out; dizzy; nausea; This is a spontaneous report from a non-contactable healthcare professional (HCP). A 19-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on an unspecified date (age at vaccination: 19 years old) (Batch/Lot Number: ew0167) as single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. 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 experienced dizzy, nausea, passed out, seizure like movements on an unspecified date. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

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

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

Patient received vaccine. Patient fainted into mother's arms about 3-5 minutes later. Patient reported feeling light headed after getting up too fast. EMS responded. Patient vomited 5-10 minutes later while speaking with paramedics.

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

The following morning after I got my second COVID shot, I experienced extreme nausea, sweating, high-fever, weakness in my legs, lack on night vision (everything was unusually dark), light headedness, trouble hearing, extreme ringing in both of my ears, and trouble balancing. I felt like I was blacking out. I was treated by laying back in bed and I felt much better after about 20 minutes. 4 days later on May 26th at about 3:00 am, I experienced severe diarrhea (15-20) bouts for an entire day, I vomited 3 times by 9:00 am, severe dehydration, sweating, nausea, and stomach cramps. I was treated with 2 full bags of Iv's and nausea medication.

19 year old with no significant past medical history presented to the ED with c/o chest pain. He was noted to have chest pain starting on 4/30. Patient stated that he had 2nd COVID vaccine on 4/29. He was noted to have one episode of vomiting and developed coughing. He has been c/o of sharp chest pain for the past two days. He was noted to have arm pain. He had chest pain when he breaths. He took advil and noted to have slight improvement in his pain. He was noted to have an elevated troponin and CK. Cardiology was consulted. His initial troponin came back 4.49 with a CPK of 294. Serial troponins were obtained. Troponin peaked to 44.8 and CPK to 1345, Echo showed newly reduced LVEF of 55%. Diagnosed with myopericarditis possibly related to the Covid vaccine and pt was transferred to the Hospital for cardiac MRI and further work-up. Upon transfer to the hospital, cardiac MRI was performed and showed acute myocarditis with no evidence of pericardial thickening or pericarditis. It also showed left ventricular function was at the lower limits of normal with a calculated left ventricular ejection fraction of 50% and no focal wall motion abnormality. He was treated with colchicine 0.6mg, pepcid 20 mg, and ibuprofen 600mg for the myocarditis and oral morphine 15mg and tylenol 1,000mg for chest pain. He was counseled on avoiding strenuous activity for the next 3 months and following up with cardiology upon discharge.

pt received pfizer covid shot, after about 5 minutes he passed out while sitting in the waiting area.........laid pt down and took blood pressure which was normal 120/73.......put an ice pack back of his neck.......pt then wanted to try to leave with his father but his stomach hurt and proceeded to throw up. ...pt then left the store with his father.

chest pain; Caller stated the patient had an EKG showing irregular heartbeat.; diarrhea; Myocarditis; fever; didn't feel well; warm; This is a spontaneous report from a contactable consumer (Patient's Parent). A 19-year-old male patient received bnt162b2 (BNT162B2, Formulation: Solution for injection, Lot number: EW0187, NDC number and Expiration date are Unknown), via an unspecified route of administration, administered in Left arm on 22May2021 11:30 (at the age of 19-years-old) as 2ND DOSE, SINGLE for covid-19 immunisation. The Patient's medical history (including any illness at time of vaccination) was none and concomitant medications were not reported. The patient previously took first dose of historical vaccine, bnt162b2 (BNT162B2, Formulation: Solution for injection, Lot number: EW0176, NDC number and Expiration date are Unknown) via an unspecified route of administration, administered in Left arm on 01May2021 10:30 (at the age of 19-years-old) as single dose for covid-19 immunisation. Additional vaccines administered on same date of the pfizer suspect were none. The patient did not receive any other vaccinations within four weeks prior to the first administration date of the suspect vaccine. Adverse events following prior vaccinations were none. Family medical history relevant to adverse events was none. Relevant tests were unknown. It was reported that her 19-year-old son got the 2nd dose of the vaccine on 22May2021 and 2 days later on 24May2021, he wound up with chest pain and the caller took him to emergency room and the patient was diagnosed with myocarditis and admitted to the hospital. The Reporter clarified the patient's chest pain started when he woke up around 08:30-09:00. On an unspecified date in May2021 at 23:30, the patient had a fever starting about 12 hours from receiving the second dose and it lasted for 24 hours, and the patient didn't feel well on an unspecified date in May2021. At one point he didn't want to wake his parents up around 11:30 p.m. but he was warm on an unspecified date in May2021. At 0600am the next day, the caller took the patient's temperature, and his fever was 100.9 Fahrenheit. The caller carried the patient to the emergency room on 24May2021 due to his chest pain. It was reported that patient's EKG was extremely irregular and caller stated that if it was her or her husband's EKG, they would have been having an MI, but since the patient was only 19, the doctors didn't think MI was possible. The patient was then diagnosed with myocarditis. It was reported that the patient experienced diarrhea on 24May2021. Chest Pain required a visit to Emergency Room on 24May2021 and the patient was hospitalized from 24May2021 to 26May2021. It was reported that, the patient received treatment with Colchicine 0.6 mg (NDC number and Lot number: unknown, Expiration Date: 26may2022) one tablet by mouth twice a day. The patient came home from the hospital with this prescription on 26May2021 and he is still taking this medication. Prescribed to take it twice daily for a month. Famotidine, it is like a Pepcid. 20 mg (NDC number and Lot number: unknown, Expiration Date: 26Mayy2021) one tablet by mouth twice a day for 6 days, because of the heavy dose of ibuprofen and diarrhea. The patient had completed this medication. Ibuprofen 600 mg (NDC number, Lot number: unknown and Expiration Date: unknown) 1 tablet by mouth three times a day for six days and this has script had ended. Caller stated that her son was recovered but that he was still taking the treatment medications at this time. Caller stated that her son's symptoms are improved, he was not complaining of chest pain anymore, she assumes his myocarditis was improved because he was not complaining of the chest pain. The patient underwent lab tests and procedures which included body temperature: 100.9 Fahrenheit on an unspecified date in May2021, EKG (electrocardiogram): extremely irregular on 24May2021, PCR COVID test (sars-cov-2 test): negative on an unspecified date in May2021 while in the hospital. Caller stated the patient had an EKG showing irregular heartbeat.It was reported that the patient had tests but she didn't have results available and the patient had a PCR COVID test in the ER. Caller stated that all of this was related to the vaccine. Caller also stated that she is wondering if her son would have reacted differently if he had gotten the Moderna, but caller and her husband had gotten Pfizer and didn't have any problems. Reporter seriousness for Myocarditis, diarrhea and fever was unspecified. The outcome of the events, Myocarditis, chest pain, diarrhea and irregular heartbeat was recovering and for fever was recovered on an unspecified date in May2021 and for other events was recovered on an unspecified date in 2021. Additional information requested.

Pt. received vaccine at 10.02 am. Pt. arrived to observation area with mother at 10.04 am. Pt. was alert. At 10.17am Pt. stated that his stomach hurt. The mother stated it might be due to his current medical condtions. Th patient wanted to vomit so I provided privacy and gave him a trash can and he vomitted a small amount. I took his vital signs at 10.20 am BP 137/93, oxygen 100%, Pulse 92, Temp was not taken because the patient vommited a small amount. Mother stated that his BP is usually high. At 10.28 am I took another set of vital signs BP 123/88, Oxygen 100%, Pulse 75, Temp 97.2 F. I asked Pt. how he felt and he stated "better". I advised for the mother andp atient to stay a little longer to take another set of vital signs.. I took the third set at 10.41 am BP 135/95, Temp 97.6 F, Pulse 77, Oxygen 99%. The patient looked fatigued so I called code assist at 10.44 am. The code team arrived and took over.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild, Additional Details: made grunting sounds before passing out

Patient experienced nausea, dizziness, blurred vision, and loss of balance X3 days post dose. Patient seen at ER X2 for Sx. Will follow up with PCM for dizziness and loss of balance. Will follow up with ophthalmology for vision issues.

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Medium, Additional Details: 3 minutes after admin patient was weak, light headed and confused, then became unresponsive. called 911. he sat forward and began vomiting on the floor. then slowly became more coherent - he said he felt like his blood pressure was very low. EMTs came, checked him out, and he refused treatment. after about 30 minutes he walked out on his own.

Pt received Pfizer dose 1, in waiting area pt reported feeling unwell. Pt was diaphoretic, pale, reported feeling light headed, dizziness, nausea, and saw stars. Pt reported feeling as if he "couldn't see or hear", tingling in extremities. Pt denied any SOB/difficulty breathing, pt reported no PMH or medication/substance use. Pt did not faint or vomit. Measured BP with SBP in 80s with nadir at 60/57 at 10 minutes post injection. Pt given water and monitored closely. EMS contacted, when EMS arrived and assessed pt, at which point SBP returned to normal and pt went home with mother.

Patient is a 19 y.o. male with PMH significant for anxiety and ADHD who presents with chest pain and palpitations. He was woken up this morning by chest pain described as sharp, midsternal, 7/10, radiating down right arm, with no exacerbating or alleviating factors. He also reports chest pressure. During episode of chest pain he felt his heart was beating fast. He felt nauseous and vomited once. He received his 2nd Pfizer COVID vaccine 4 days ago. He states that he felt fatigue and aching for a day following the vaccine.

Stabbing pain in abdomen, as if someone was stabbing my abdomen and moving it up and down; This is a spontaneous report from a contactable consumer. A 19-year-old adult male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EW0178), via unspecified route of administration in the left arm, on 13Jun2021, as dose 2, single for COVID-19 Immunisation. Medical history was not reported. Concomitant medications included Spironolactone and Estradiol. The patient had no known allergies. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EW0173), via unspecified route of administration in the left arm, on 23May2021, as 1st dose, single for COVID-19 Immunisation. On 14Jun2021 at 13:00, the patient experienced stabbing pain in abdomen, (Reported as: as if someone was stabbing his abdomen and moving it up and down). 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 had not been tested for COVID-19. The outcome of the event was unknown.

Mild Chest pain. Sore pectoral muscle also Plus Heartburn Have had on and off twinge of chest pain started next day in pectoral muscle area

6:45 Pt fainted face forward down while walking to 15 minute waiting area. Diaphoretic, pale, incoherent x1-2 minutes. Vomited x1 6:59PM Alert, pink. No sign of swelling or redness on face from falling. 7:15PM Released w/o assistance.

FLARE UP OF ULCERITIS COLITIS AFTER 7 MONTHS FREE. BLEEDING IN STOOL, PAIN ON LEFT SIDE OF ABDOMEN, HEART PALPITATIONS, INTENSE TINGLING IN LEGS ESPECIALLY IN LEFT LEG, INTENSE PAIN THROUGHOUT ENTIRE BODY, BACK PAINS, DIZZINESS, LOSS OF FOCUS, FATIQUE, NAUSEAU, SENSITIVITY TO LIGHT AND SOUNDS, DIFFICULTY BREATHING WHEN INTENSE FLARE UP OF NERVE SYSTEM, LOSS OF BALANCE, TREMOURS THROUGHT BODY DURING FLARE UPS. INABILITY TO CONTROL MUSCLES, MUSCLE TWICHES/SPAMS, INTERMITTENT HEADACHES, SWEATY PALMS WITH INTENSE PAINS, "CHARLIE HORSE" CRAMPS IN MUSCLES AFTER MUSCLE SPASMS, WEIGHT LOSS. BEGAN FEELING EFFECTS APPROXIMATELY 26-27TH JUNE 2021, ADMITTED 7/9 & IS CURRENTLY AT HOSPITAL AS AT 7/17/2021.

General weakness, intermittent numbness (especially bil hands), muscle twitching, dizziness, headaches( general), diarrhea, back pain.

19 year old male reports feeling dizzy, excessive sweating, nauseous and looks pale. Patient is placed on stretcher with legs elevated. Vital signs BP 85/60, SAT 97% P59, R24. Dxt 120 mg. Patient was evaluated by health personnel and Doctor. He was observed for 30 minutes. After 15 minutes patient was feeling better. He was observed for any changes. Patient was evaluated by medical emergency personnel. BP 120/80, 2:15 pm. Patient reports feeling better.

Pfizer-BioNTech COVID-19 Vaccine EUA The vaccine was administered to the writer at 0800 on 1/5/2021. No immediate reactions were noticed for the 30 minutes observation period immediately after. The writer's muscle that received the vaccine began to become increasingly sore throughout the day; however, that was similar to the first dose of the same vaccine a few weeks prior. The pain was described as constant (2/10) but aggravated with motion. The pain did interfere with the writer's normal range of motion (specifically raising the writer's arm above shoulder height). From 0800-2200 on 1/5/2021 no noticeable symptoms except for the injection site pain occurred. At 2200, the writer rapidly developed chills, body aches, a headache, fatigue, and a fever of 100.8. These symptoms were left untreated and continued through the night (the symptoms did not interfere with sleep). The writer woke up at 1300 on 1/6/2021; all previous symptoms had resolved by this time except for the injection site pain. By 1400 on 1/6/2021, the writer noticed pain near the right axillary lymph nodes. The pain can be described as moderate (1/10) and generally occurred only with motion. The writer was unable to palpate any swelling in the area. Around 1800 on 1/6/2021, the writer noticed it felt weird to swallow. Specifically, it felt as if there was a slight internal swelling 1-inch subhyoidally and 1-2 inches laterally within the right side of his neck when he swallowed. The swelling was not palpable from the skin's surface. The writer did not seek medical attention as breathing/eating/drinking were not made more difficult but monitored this closely. The swelling in the neck resolved by 2000 on 1/6/2021. The lymph node pain in the right arm resolved over the course of a few days and was no longer present by 1/9/2021 at 1300.

Extreme nausea, vomiting and petechiae under eyes. Continued nausea/vomting for four (4) days. Nausea is received by ondansetron

injection site pain; nausea; diarrhea; feeling unwell; This is a spontaneous report from a non-contactable other healthcare professional, the patient. A 20-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), lot number: EL3247, via an unspecified route of administration on 19Jan2021 at 12:30 (at the age of 20 years old) as a single dose in the left arm for COVID-19 vaccination. Medical history was not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. The vaccine was given at a hospital. On 20Jan2021 at 08:00AM, the patient experienced injection site pain, nausea, diarrhea, feeling unwell. The patient did not receive treatment for the events. The clinical outcome of injection site pain, nausea, diarrhea, feeling unwell was not recovered. It was also reported that since the vaccination, the patient had not been tested for COVID-19. No follow-up attempts are possible. No further information is expected.

Nausea; Stomach discomfort/bowel discomfort; This is a spontaneous report from a contactable consumer reporting for himself. This 20-year-old male patient received the first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unknown route, on unknown date at a single dose on the left arm for COVID-19 immunisation. No other vaccine was received in four weeks. Relevant medical history included postural orthostatic tachycardia syndrome. No relevant concomitant medications were provided. On unknown date, after vaccination, the patient developed nausea and stomach discomfort/bowel discomfort. The patient was not treated for the events. Pre-vaccination and post-vaccination COVID tests were not performed. The patient was recovering from the events. Information on the lot/batch number has been requested.

After waiting in the monitoring bay for 15 minutes, patient approached the checkout desk. Upon screening, patient endorsing mild nausea. Denies having nausea prior to vaccine. Denies any other symptoms, and asking if it's alright to workout tonight. Encouraged patient to rest, hydrate, and to contact PCP or EMS if symptoms worsen.

patient c/o feeling nausea and hot. patient then asked for water. patient then became unresponsive for approximately 30 seconds. seizure like active noted, patient began to have involuntary movement of upper and lower extremities that lasted approximately 10 seconds. Patient accessed for gag reflex and then offered water upon becoming responsive.Patient tolerated water well. Patient offered wet paper towels. Skin noted to be cool and clammy.Vital signs assessed noted to be BP 105/74 and HR 69. Patient alert and oriented x 3,placed in wheelchair for continued observation. Mother stated that syncope activity is normal for patient upon receiving injections or blood draws,seizure like activity is not normal per mother. Patient taken to observation area by paramedic.

at approximately 5:35pm, the patient states that he felt hot and nauseous. He vomited and was able to take Banophen 50mg. A few minutes later, the patient stated he felt fine.

10 minutes after vaccination, client's transport observed increased coughing. client given water. a few minutes later client vomited twice, coughing increased.

fainting spells; Metallic taste in the mouth; weakness; nausea; vomiting; This is a spontaneous report from a contactable consumer. A 20-year-old male patient received the 1st dose of bnt162b2 (BNT162B2), via an unspecified route of administration, as single dose in in left arm on 08Mar2021 12:30 AM for COVID-19 immunisation, administered at drive thru site. Medical history included hypertension, COVID-19 prior vaccination, no known allergies. Concomitant medications in two weeks included lisinopril (manufacturer unknown); methylphenidate (manufacturer unknown), both taken for an unspecified indication, start and stop date were not reported. No other vaccine in four weeks. On 08Mar2021 13:00 the patient experienced fainting spells, metallic taste in the mouth, weakness, nausea, vomiting. No treatment received. COVID-19 was not tested post vaccination. The outcome of events was unknown. Information about lot/batch number has been requested.

Extreme morning sickness and vomiting. Started on 08Mar, has continued persistently since; Extreme morning sickness and vomiting. Started on 08Mar, has continued persistently since; This is a spontaneous report from a contactable consumer, the patient. A 20-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot EN6206, first dose) solution for injection intramuscular in the right arm on 03Mar2021 at 15:45 (at the age of 20-years-old) as a single dose for COVID-19 vaccination. Medical history was not reported. Concomitant medication included bupropion. The patient did not receive any other vaccine within 4 weeks prior to the vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 08Mar2021 at 10:00, the patient experienced extreme morning sickness and vomiting. Started on 08Mar2021, has continued persistently since. The events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care, and hospitalization in Mar2021 for 1 day. Lab test on 08Mar2021 included Nasal Swab SARS-COV-2 PCR was negative. Treatment for the events morning sickness and vomiting included IV fluids, prochlorperazine, diphenhydramine. The outcome of the events morning sickness and vomiting was not recovered.

Dose given 1804, band aide placed, patient states feels a little light headed 1806, as laying flat LOC for 2 seconds, BP 90/50, pale, patient states small amount of nausea, left flat, talking throughout, A/Ox4, 1815 BP 90/56, patient states feels fine, skin color pink/dry, sat up slowly, sat for another 5 minutes then ambulated to chair, states feels well, waited another 15 minutes for observation, patient states after, previous blood draw, passed out

Pt reports mild dizziness about 8-9 minutes following his first COVID Pfizer mRNA vaccine then later complained of throat swelling, dizziness, fatigue, light headedness, and nausea. Patient was kept in urgent care and stayed in observation for over 2 hours.

Patient reported dizziness / lightheadedness, nauseated, and tingling in both hands about 5 minutes post injection. After sitting and having water patient reported feeling back to normal after approximately 15 minutes

No symptoms from first dose. Immediately after second dose, injected arm felt numb/tingly. When seated at observation area, began to feel nauseous, dizzy, and began sweating. Rose to ask site staff for help, felt very uneven. Taken to back observation room and laid down on a cot. Blood pressure observed at 85/30, significantly lower than normal. Rested for approximately 15 minutes, then sat up. Nausea and blurry vision returned. No change in blood pressure. Blood was drawn, sugar and other indicators normal. Sat up again, feelings returned. Drank two water bottles and began to feel better, blood pressure returned to low end of normal after around 15 minutes. General weakness persisted throughout day, along with mild pain at injection site and in neck.

Dizziness upon standing and walking, nausea, clamy and warm skin, sweaty, pale, tunnel vision, loss of acute memory, vision, and hearing. Patient was watched from 3pm (right after dose) to 3:30pm. He was feeling these symptoms from 3pm to about 3:15pm. He was given water after 5 minutes and cold wash rags to put on his forehead and neck. He was also told to breath deep breaths slowly. He said his throat felt sore and was provided with a throat lozenge. Color in his face returned after roughly 10 to 15 minutes and he verbally said he was feeling much better. Pharmacy associates watched him for another 15 minutes to make sure he was okay.

Patient was given first Pfizer vaccine. Approximately 5 minutes after injection patient came to the nurses station complaining of some tightness in the throat. He states that it felt difficult to swallow. No complaints of SOB, difficulty breathing, no redness or swelling around the mouth. Nurse alerted the doctor of the day who performed an exam.

Fever, chills, light headed, dizzy, vomit, severe drowsiness. Started at 2AM about 12 hours after receiving vaccine. Still ongoing today at 2 PM

Extreme sweating and discomfort, muscle pain. Nausea and headache day after vaccination. Arm sore during day of vaccination, adverse effects worsened overnight causing loss of sleep

Patient felt nauseous, cold and chills. When asked to sit or stand legs gave out (had no control over leg movement). EMS was called on site and patient was taken to the hospital.

The patient was hot, pale, near syncope, weak and nauseated. HR was 54, RA 94%, 94/80. Patient felt better when lying down. The patient didn't want a drink or a snack.

Tiredness, headache, muscle pain, chills, joint pain, fever, nausea, feeling unwell, swollen lymph nodes, difficulty breathing, swollen throat, dizziness and weakness.

Client report receiving second COVID vaccine on 04/12/2021 at 5:00 pm, adverse reaction began 1 to 2 days after of increased diarrhea, vomiting, coughing, wheezing, slight SOB, nose bleed, and migraine headache. Client has not contact his PCP as of yet, plan to if no improvement in symptoms.

1710 - pt had an immediate syncopal episode recovering in approx 40 seconds whereby pt had a gcs 15 and was communicating with this rn appropriately. denies any other s/s. pt was visiting with staff about what happened and became presyncopal and had vomiting episodes at 1725. pt fully recovered with a GCS of 15 with 1 minute, ems was was phoned and vitals were taken. pt signed against medical transport and was discharged to home with adult capable girlfriend at 1740.

It feels like I have the flu. I have a fever of 100.3. I have a headache, nausea, chills, and every joint and muscle in my body hurts to articulate. This started at around midnight in my bed while I was asleep the same day I got my shot. I'm autistic, and I?m in a therapy program with other autistic 20 year olds and those who also got the shot were likewise experiencing the same symptoms as me. I have yet to recover.

After 10 minutes in observation (2:10), patient felt dizzy, sweating, hot, fuzzy eyesight, nauseous, ears ringing; BP 88/68, pulse 65, O2 99%. 2:20 tingling throughout body, BP 105/62, P81, O2 99%. EMS arrived 2:30 BP128/82, P76, O2 100%. Symptoms resolved 2:39 and patient left with roommat

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Hypotension-Severe, Systemic: Nausea-Medium, Systemic: Weakness-Medium, Additional Details: Patient's face turned very pale/yellow. His blood pressure and pulse were very low.

presented to the ER with complaints of abdominal pain. Found to have a ruptured appendix with intra-abdominal abscess, UTI, acute hypoxic respiratory failure related to bilateral aspiration pneumonia, and sepsis. Principal Problem: Perforated appendix POA: Unknown Active Problems: Sepsis (CMS/HCC) (HCC) POA: Yes

Patient experienced syncope/fainting episode approx 15 mins after vaccination. Patient stood from chair and complained of nausea, asked for water. Legs buckled, patient fell to knees. Did not fall all the way to floor or experience head/body trauma. Patient was attended to by supervising pharmacist, and subsequently moved into chair with assistance. Pulse and respirations were normal, but patient was pale, diaphoretic, and complained of nausea and dizziness for another 15-20 minutes. No epinephrine or diphenhydramine was indicated or administered. Patient was observed until approximately 8:30pm, at which time he had made a full recovery. Patient left under his own power, and safely travelled to his home. Pharmacist called to check on patient and spoke with him twice (4/29, 9:50pm...4/30, 4:30pm). Patient reports feeling fine, no residual effects. Is eager to receive his second dose on 5/20/21.

Initial presentation Patient was in his usual state of good health until 4/19 when he received his first dose of the Pfizer COVID-19 vaccine. Two hours after the injection he became nauseous and vomited multiple times. Overnight he experienced diffuse myalgia and suprapubic pain. He awoke the next day to a pustular rash on his chin, forehead, chest and back. The patient describes similar previous rashes that have resolved spontaneously. The next day he began to experience gross hematuria and presented to the ED with a temperature of 98.9, blood pressure of 100/69mmHg, heart rate of 110bpm, respiratory rate of 18 breaths per minute and an O2 saturation of 97% on room air. On examination, patient was ill-appearing with diffuse pustules on his face, chest and back, periorbital edema, and leukoplakia of the tongue and buccal mucosa. His abdomen was soft and tender to palpation in the suprapubic area and at both costovertebral angles. Hospital course In the ED the patient was found to have a metabolic acidosis of pH 7.33 with an anion gap of 16, lactate 2.6, neutrophilic leukocytosis (22k), acute renal insufficiency with a BUN of 45 and creatinine 3.81 (baseline is 0.76). The patient?s urine demonstrated packed RBCs and 5-10 WBCs. He was admitted to the medicine service for further management. On the medicine floor he was initially found to have rhabdomyolysis (CK 584), worsening renal failure (Creatinine 8), follicular conjunctivitis by skin biopsy, a low CD3/CD4 count (CD4 91, CD3 47, CD8 258) with normal complement, and bilateral tinnitus. CT A/P without contrast showed increased attenuation of renal pelves and ureters consistent with hemorrhage, but no renal stones or hydronephrosis was seen. The patient was treated with pulse dose 500mg IV Methylprednisilone for 3 days and then transitioned to 60mg Prednisone. The patient?s pustular rash and oral leukoplakia greatly improved while on pulse dose steroids, but his kidney function continued to decline (Creatinine rising from 8 to 11), and the patient?s bilateral tinnitus progressed to bilateral sensorineural deafness over 2 days. Bilateral hearing loss prompted an MRI of the brain which identified several punctate infarcts across multiple vascular territories in bilateral cortices and left cerebellum. The patient?s kidney function has continued to decline, with progressive hyperkalemia and hemodialysis was begun.

Client received the 1st dose of Pfizer COVID vaccine lot # EW0179 and expiration date 5/10/21 at 2:39pm. Client reports to EMT that he feels nauseous and sat down at 2:30pm. Client reports having a history of sinus problems. Client denied getting vitals taken and any interventions offered, ie. crackers & water. Client left facility unassisted with a steady gait at 3pm.

Within 1 hour of the vaccination, patient developed headache (lasted 2-3 days), and 1 week of nausea, intermittent vomiting, extreme fatigue, generalized weakness. He had decreased oral intake for solids and liquids, up to 5-6 total episodes of emesis over the last week. He was seen in urgent care 5/5 and treated with Zofran. He had decreased urine output the next two days (~15 hours without voiding). And was seen in ED 5/7 and transferred to ICU for management of severe hyponatremia, though never developed seizures or neurologic abnormalities.

worsening renal failure/kidney function continued to decline; gross hematuria; follicular conjunctivitis; a low CD3/CD4 count (CD4 91, CD347, CD8 258); a low CD3/CD4 count (CD4 91, CD347, CD8 258); The patient's unilateral tinnitus progressed to bilateral sensorineural deafness over 2 days; The patient's unilateral tinnitus progressed to bilateral sensorineural deafness over 2 days; pustular rash on his chin forehead, chest and back; nauseous; diffuse myalgia; vomited; suprapubic pain; This is a spontaneous report from a contactable other healthcare professional. A 20-year-old male patient first dose of received bnt162b2 (BNT162B2), intramuscular, administered in left arm on 19Apr2021, at the age of 20-years old, (Lot Number: EW0151) as SINGLE DOSE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Prior to vaccination, the patient has not been diagnosed with COVID-19. It was reported that the patient was in his usual state of good health until 19Apr2021, when he received his first dose of the Pfizer COVID-19 vaccine. Two hours after the injection he became nauseous and vomited multiple times. Overnight he experienced diffuse myalgia and suprapubic pain. On 20Apr2021, he woke up the next day to a pustular rash on his chin, forehead, chest and back. The patient describes similar previous rashes that have resolved spontaneously. On21Apr2021, he began to experience gross hematuria and presented to the Emergency department. On the medicine floor he was initially found to have worsening renal failure, follicular conjunctivitis by skin biopsy, a low CD3/CD4 count (CD4 91, CD3 47, CD8 258) with normal complement, and bilateral tinnitus. The patient's unilateral tinnitus progressed to bilateral sensorineural deafness over 2 days. His kidney function continued to decline and hemodialysis was begun on 27Apr2021. His kidney function continued to decline on hemodialysis, becoming so he was transferred to the MICU for CRRT. The patient was hospitalized for 12 days due to the events, the events were also assessed as life-threathening. The patient been tested for COVID-19 post vaccination with unknown result. The outcome of the events was unknown. Therapeutic measures were taken as a result of the events. Information on Lot/Batch number was available. Additional information has been requested.

Pt reports feeling dizzy and "hot" immediately after injection. Monitoring RN applied ice pack to patient's neck when he reported feeling "like I am going to be sick". Pt produced significant amount of clear vomit as Fire/EMT arrived. EMTs assumed care of patient, obtained vitals, and provided ongoing assessment. Pt. reported feeling better shortly after vomiting. Color returned & pt. reported "feeling much better" within a few minutes. Pt was reassessed and released from care of Fire/EMS @ 10:15AM. Pt. stayed in monitoring until 10:23 at which time he was free to go, reporting no future symptoms. Pt left POD self ambulating & stating that he left fine.

I experienced a great head ache followed by weakness and then I experienced a great stomach ache and dizziness.

Immediately after vaccine patient blacked out, broke out into profuse sweat and threw up. Patient's blood pressure was 142/87 a few minutes after vaccine. He reported feeling lightheaded, dizzy, nauseous, and cold. Ambulance came.

Lightheadedness and Nausea on waking following morning Severe Headache persisting approximately 12 hours

Client felt nausea and dizziness within minutes of receiving vaccine. client was on his way to observation unit, client sat down at an empty station and proceeded to vomit. Evaluated by MD and EMt. Vitals obtained BP 133/87, HR 85 and oxygenation 100% . Client reported feeling better after a few minutes and was then walked over to observation area. Report given to nurse to monitor client. Clients mother at his side.

20 YO patient with no significant PMH who presents with headache, back pain, and chest pain. He received 2nd Pfizer COVID19 vaccine dose 5/8/21. Later that day he felt very tired. On 5/9/21, he developed a headache that worsened throughout the day, was felt over whole head, but more painful in temporal areas, and he became nauseous. On 5/11/21, he developed back and chest pain and had 2 episodes of NBNB emesis. The chest pain is sharp, located over the whole chest and extends to axillae. The back pain is worse in the right shoulder. The back and chest pain are worse with inspiration, movement, and supination. CMR confirmed myopericarditis. Patient treated with colchicine and NSAIDs and IVF, has cardiology f/u on

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Medium, Systemic: Visual Changes/Disturbances-Severe, Additional Details: Pt repoted symptoms about 10 minutes after receiving vaccine. Pt was very pale, had cold sweats and felt like he was going to faint. Pt reported that he could not see. Pt reported feeling nauseated. Pt seemed to improve after he layed down and feet were elevated. Pt was taken to the hospital via ambulance. I cannot get ahold of pt to see if his conditon improved/worsened.

At approximately 12:30 PM on May 26, 2021, Pt. began vomiting while he was at school. Prior to vomiting, school staff reported that he seemed unwell (pt. is severely disabled and has very limited speech). The first episode of vomiting was followed by multiple (4-5) episodes of vomiting blood. School staff including the school nurse report observing clots in the blood, bright red blood, and brown coffee ground type blood in the vomit. The school staff called 911 and pt. was transported to Hospital. In the ambulance pt. vomited again and the paramedic reported observing blood in the vomit. Pt. was observed in the ER and given Zofran and liquids. Blood tests and a CT scan with and without contrast were performed. Neither tests explained the bloody vomiting. Pt has since stopped vomiting and is resting quietly at home and eating normally. The hospital referred Noah to a Gastroenterologist for follow up.

Sore vaccine site first 2 days, had sore joints next day, woke up the third morning and vomited every 20-30mins. Was too dizzy to walk or move , lost sense of taste and smell, headache, cough, tiredness, high fever of 104, and chills. Had redness and pain at injection site the whole time and other symptoms lasted 3 days.

Nauseous (lasted about 5-8 minutes) Purplish/bluish blinding light where vision was blocked (30 sec-1min approximately)

symptoms got worse and are just kind of staying the same now; throwing up; Vertigo; Dizziness; Nausea; This is a spontaneous report from a contactable consumer. A 20-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EW0175), via intramuscular, administered in arm left (shoulder) on 24May2021 at 16:00 (at the age of 20-years-old) as 2nd dose, single dose for COVID-19 immunisation. Medical history included seasonal allergy. Family medical history included "his mom has Meniere's disease, it comes in rare spurts". Concomitant medication included fluticasone propionate (FLONASE [FLUTICASONE PROPIONATE]) 2 sprays per nostril daily in the morning and cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) 1 tablet by mouth every morning, both started on an unspecified date (been using them since he was like 12 years old), ongoing, taken for seasonal allergy. The patient previously received first dose of bnt162b2 (Lot Number: EW0176, Expiry date: unknown), administered in left shoulder on 03May2021 at about 16:00 for COVID-19 immunization and experienced soreness. The patient did not receive any additional vaccines on same date of the Pfizer suspect. The patient reported that he was having really bad side effects. He clarified that he had bad vertigo such that he could not do anything, but lay in the bed without getting dizzy. The dizziness was so bad that if he ate sitting up, he got nauseous and threw it all up. He reported that his symptoms all came on together. On 25May2021, after he ate, he felt like he could throw up but did not. On 26May2021, the patient ended up throwing up his dinner. He took Tylenol because it was recommended on 25May2021 and 26May2021. On 27May2021, his symptoms got worse and were just kind of staying the same. The nausea was if he moved his head around for a while like when walking, sitting up straight, or moving around for a while. Laying down was the only thing that did not make him feel sick. On the same day, he went to the emergency room and they diagnosed him with vertigo, but they did not know what was wrong. They prescribed him Meclizine for the dizziness. He was taking 1 tablet 3 times a day by mouth. The events dizziness and vertigo resulted in emergency room but not visited physician office. The patient did not undergo any relevant tests. The outcome of all the events was not recovered.

Nausea; headache; dizzy; warm hand; This is a spontaneous report from a contactable Nurse. This Nurse reported for a 20-year-old male patient. A 20-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot number: EN6201 and expiration dates were not reported), via intramuscular route of administration on 11Feb2021as first dose, single for COVID-19 immunisation. The patient medical history included known allergies from risperidone. Concomitant medication included citalopram. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. It was unknown if the patient was diagnosed with COVID-19 prior to vaccination. It was unknown if the patient was tested for covid post vaccination. On 11Feb2021 the patient experienced nausea, headache, dizzy and warm hand. Adverse Event treatment included juice and observation. Therapeutic measures were taken as a result of nausea, headache, dizzy and warm hand. The outcome of the events was resolved. No follow-up attempts are possible. No further information is expected.

Migraine headache, nausea, vomiting, diarrhea, muscle aches, fever of over 101 but under 102 - all happened the day after the 2nd dose. He felt a little better for a few days but still struggled with nausea, some vomiting and diarrhea (and weight loss). It's been a month and at this point the nausea is limited to the morning.

pain; heart attack; couldn't talk, the pain was so hard; pain in his left arm; Indigestion; chest pain; small temperature that was one degree higher than before; wiped out tired-extremely exhausted and tired; This is a spontaneous report from a contactable consumer (patient's mother). A 20-year-old male patient received the second dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, lot number and expiry date unknown), via an unspecified route of administration, administered in right arm on 13May2021 at 11:00 as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient is very strict on his health. The patient is a vegetarian, he is very health conscious. The patient did not receive any other vaccinations within four weeks prior to the first administration of the COVID vaccine. The patient previously received the first dose of bnt162b2 on Apr2021 for COVID-19 immunization and experienced tenderness at the shot site and was very tired. On the morning of 14May2021, the patient had a small temperature that was one degree higher than before and the patient was wiped out tired-extremely exhausted and tired. Then the patient started experiencing chest pain within days of the second dose. The patient woke up on 15May2021 with chest pain that was persistent through 18May2021. On 19May2021, the chest pain got worse. The reporter thought the patient had indigestion so she gave the patient Tylenol, Pepcid, and clear soda and the patient felt a little better. On 20May2021, the patient was clutching his chest and had pain in his left arm. The patient couldn't talk, the pain was so hard. The patient went to the emergency room at 12:00 and the healthcare team said that the patient was experiencing a heart attack (reported time of heart attack was 10:00). The patient was not admitted to the hospital. They said the chemical that the large muscle in the heart makes, it was elevated which was how they determined it was a heart attack. These lab numbers were drawn every three hours and they came down but never went away. The patient had two Troponin draws and they were both elevated. They also did an EKG on the patient which showed a heart attack. The patient was told to see a cardiologist and was sent home. The reporter is watching the patient and the patient is still in a little bit of pain but not as much. The patient went to his primary care provider on the day of the report and the doctor doesn't see this as a displaced issue. The doctor does not know what would cause this in the heart. The patient is to see the cardiologist on Tuesday, 25May2021. The reporter is unsure if this is related to the vaccine but it was almost a week after the patient's second dose. The outcome of the event small temperature that was one degree higher than before was recovering and the outcome of the event wiped out tired-extremely exhausted and tired was not recovered. The outcome of the other events was unknown. Information on the lot/batch number has been requested

Systemic: Confusion-Mild, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe

Pt felt queasy head ache rapid breathing dizzy. He did not improve had him lay down and elevate feet. Tried to calm him and slow breathing ... pt then complained of chest pain and pointed to his sternum. I call 911 and reassured him as we waited . Pt was examined by EMS and refused transport. They told him to stay here until no longer dizzy. He left soon after

Fevers of over 102 and vomiting (twice). Aches and extreme fatigue starting about 8 hours after injection and lasting over 24 hours.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Abdominal Pain-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild

Please see housestaff note for full details. In brief, 20-year-old neurologically normal man with history of asthma now presenting with new onset fever, headache and then status epilepticus. On 5/25 the patient received his second dose of COVID vaccine and then started to have intermittent fevers up to 102.5. This was associated with malaise, nausea, fever, headache, myalgias. He came to ED on 5/30 and had IVF, analgesics and a cardiac workup that was unremarkable and was discharged with diagnosis of possible pericarditis/myocarditis. He then had ongoing worsening headaches and increasing fevers and was unable to get out of his bed, and so his wife called 911 and he came to ED on 6/3. There he had vomiting and transaminitis and was diagnosed with gastroenteritis treated with flagyl. Headaches progressed and were associated with dizziness; he had HCT read as unremarkable but then while awaiting MRI had convulsion. He was returned to his room and had two more and thus was intubated, placed on propofol/versed, Keppra, dilantin, and broad-spectrum antibiotics and acyclovir before transfer to UCSF. on 6/5/2021 found to have reduced urine output, and serum creatinine found to be 1.72 and climbed >7 in days later normalized spontaneously with fluid support to 4.26 with continued improvement. LFTs were also found to be elevated. Was acutely encephalopathic. Seizures resolved on Keppra treatment though had acute agitation for several days. Slowly returning to neurologic baseline. with AKI and LFTs slowly normalizing.

neurological symptoms such as anxiety and depression; neurological symptoms such as anxiety and depression; flu like symptoms; fevers; chills; diarrhea; chest pain; shakiness; This is a spontaneous report received from a contactable The reporter. This The reporter reported for a 20-year-old male patient (Reporter's son) via medical information team. A 20-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: Unknown), via an unspecified route of administration on 14May2021 (20-year-old at the time of vaccination) as 1st dose, single dose for COVID-19 immunisation. Medical history included illness from an unknown date and unknown if ongoing. He has been to the doctor for sick visits 20 times in 20 years. The reporter also stated that there are no mental health issues noted in their family history. The reporter also stated that the patient was overall healthy with no significant medical history in the past. The patient's concomitant medications were not reported. The reporter reported that patient received the first dose of the Pfizer COVID 19 vaccine on Saturday and by Monday was having flu like symptoms, fevers, chills, diarrhoea, chest pain, shakiness, as well as other neurological symptoms such as anxiety and depression. He has been to the doctor for sick visits 20 times in 20 years. After receiving the COVID 19 vaccines, the patient has been seen by the doctor 3 times in one week. The patient's side effects have lasted 3-4 weeks. The reporter would like to know commonly reported side effects of the vaccine and their duration. The reporter would like to know the efficacy of only one dose of the Pfizer COVID 19 vaccine as the patient was hesitant to get the 2nd dose due to the side effects noted from the 1st vaccine. The reporter was advised per "attached" dose for efficacy after one dose. The reporter was not satisfied with this data and wanted to know more about what she had been read about online. The reporter was advised caller agent as could do some more research and contact her back with possible additional data which caller agreed to doing. Upon call back on 14Jun2021, advised caller per (website "PRIVACY") from 10Dec2020. The cumulative incidence of COVID-19 cases over time among placebo and vaccine recipients began to diverge by 12 days after the first dose, and 52.4% vaccine efficacy (95% confidence interval: 29.5, 68.4) was observed between dose 1 and dose 2, indicating the early onset of a partially protective effect of immunization. Two doses of vaccine provide the maximum protection observed. Ten cases of severe COVID-19 were observed with onset after the first dose. Nine cases occurred among placebo recipients and one among BNT162b2 recipients. The reporter would like to know dosing interval between shot one and two. Patient had their 1st dose on 14May2021 and has not received the 2nd dose yet due to side effects from what they felt was caused by the 1st dose of Pfizer COVID 19 vaccine. The reporter received response as "you should not get the Pfizer-BioNTech COVID-19 vaccine if you had a severe allergic reaction after a previous dose of the vaccine or if you had a severe allergic reaction to any ingredient of the vaccine. The decision to receive the second dose for any other reason cannot be made by Pfizer. We refer you to speak to your healthcare provider about the risks of the vaccine compared to the risks of potentially not being fully protected against COVID-19 infection. Your healthcare provider knows your health situation and has access to information that can better help inform this decision". The reporter wanted to know should the patient get the 2nd dose of the Pfizer COVID 19 vaccine after the reported side effects of flu like symptoms, fevers, chills, diarrhoea, chest pain, shakiness, as well as other neurological symptoms such as anxiety and depression. The reporter received response as do not administer Pfizer-BioNTech COVID-19 vaccine to individuals with known history of a severe allergic reaction (e.g., anaphylaxis) to any component of the Pfizer-BioNTech COVID-19 vaccine. The outcome of the events was resolved in 2021 Follow-up attempts are needed. Information about lot/batch number has been requested

Covid toes. Severe sores on toes and getting infected!!!Lips feel like deep deep cuts. Severe bleeding in lips. Nausea. You should take this off the market and read the medical insert and warn people of these bad side effects.

After 5 mins of receiving 1 st Pfizer covid vaccine at 10:55am, pt felt nauseous and dizzy. Pharmacist on duty instructed the patient to lay down facing up and started taking his blood pressure every 3 mins while giving the patient the electrolyte Vitamin drink( similar to Gatorade). His blood pressure and pulse readings were 100/60 (60), 93/51 (54), 104/62(68); 101/68(62), 108/79(67),109/79(67). So his blood pressure and pusle went down for 1 reading then it went back to his normal reading of 109/79 within 10 mins. After laying down for 15 mins and drinking vitamin drink, pt felt better as his nausea/dizziness went away. He felt okay and left the pharmacy at 11:30am. Pt reported no reactions to any vaccines before. His girlfriend called the dad to report the incident and the dad told her that his twin brother experienced the same reaction earlier today when receiving his covid vaccine at another site. His brother felt fine after 30 mins monitoring

admitted to the hospital 4.5 weeks after second vaccine dose with hypotension, fever, diarrhea, pancytopenia. Ultimately diagnosed with hemophagocytic lymphohistocytosis (HLH).

had COVID tested post vaccination by nasal swab and revealed positive result; had COVID tested post vaccination by nasal swab and revealed positive result; Had headaches; no appetite on eating; This is a spontaneous report from a contactable consumer (patient) who reported that a 20-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration, administered in Arm Right on 16May2021 (Batch/Lot number was not reported) at the age of 20 years as dose 1, single for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Patient was not diagnosed COVID prior to vaccination. Patient had COVID tested by nasal swab post vaccination and revealed positive result in May2021. The patient experienced headaches, no appetite on eating in May2021. Lasted for at least two weeks. Outcome of the events was unknown. No follow-up attempts are needed. Information on batch/lot number cannot be obtained.

He became dizzy and nauseous after about 10 minutes of sitting following the shot. Blood pressure and pulse were stable he was given water and a granola bar and his feet were put up. He was fine after 10 minutes and went home with his mother.

Feeling sick; Feeling dizzy; Seizure; vomiting; bad Headache; This is a spontaneous report from a contactable consumer. A 20-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via intramuscular, administered in arm right on 12Jun2021 (Lot Number: EN6198) as dose 2, single (at the age of 20 years old) for COVID-19 immunization. Medical history included asthma, attention deficit hyperactivity disorder (ADHD), Blood pressure high; all from an unknown date. Concomitant medication included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) taken for an unspecified indication, start and stop date were not reported and inhaler medication for asthma. No prior vaccinations (within 4 weeks). The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, LOT#EW0170), via intramuscular administered in right arm on 17May2021 (also reported as 07May2021) as dose 1, single for COVID-19 immunization and experienced no adverse effect. It was stated that it was just when he got the second dose of the COVID-19 Pfizer on 12Jun2021, it was supposed to be on 07Jun2021, but patient didnt go back in. Further stated that patient just started feeling sick just while ago (on unspecified date), but he started feeling dizzy on 13Jun2021. It was reported that patient got his second dose and on 13Jun2021, his vomiting could not stop and having bad headache, he could not stop vomiting. Consumer stated that he was trying to have like seizure or something on 13Jun2021. Reporter stated no treatment for the event. The patient had lab test at a hospital. They were checking out the Vitamin levels. The patient underwent lab tests and procedures which included checking out the vitamin levels: unknown results on 11May2021. The outcome of the events seizure, vomiting, bad headache was not recovered and outcome of feeling sick and feeling dizzy was unknown.

Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Hyperventilation-Medium, Systemic: Nausea-Medium

pt reported dizziness and nausea after 15 mins at 12:20pm getting his 2nd dose of pfizer covid vaccine. Pt had similar episode of nausea/dizziness when getting his 1st shot 3 weeks ago. Pt was instructed to lay down and drink some Gatorade. Pharmacist on duty started measuring his BP every 5 mins with reading as below 99/60, HR:63 (12;20pm), 100/63, HR 59 (12:25pm), 101/62 Hr 71(12:30am). Pt 's nausea and dizziness was gone after 10 mins laying down at 12:20pm. Pt recovered completely without other complication and left the pharmacy at 12:40pm

Dizziness, fatigue, nausea, numbness and tingling in all extremities. This has been occurring roughly a week after the initial vaccination.

I had a large amount of pain in my stomach.; This is a spontaneous report from a contactable consumer. A 20-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration on 18Apr2021 (Batch/Lot Number: EW0162) as dose 2, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously took BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration on 28Mar2021 (Batch/Lot Number: ER8730) as dose 1, single for COVID-19 immunisation. The patient stated on 18Apr2021, "I had a large amount of pain in my stomach. The pain was almost to the point where I was considering going to the hospital and it took multiple ibuprofen to even be able to sleep. This pain lasted for about two days before subsiding. The symptom I had did not seem to be one of the listed symptoms of the vaccine so I was a little worried for a day about what the pain could be". The patient was diagnosed with COVID-19 and not been tested for COVID-19. The event was reported to have led to hospitalization. The outcome of the event was recovered on an unspecified date. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Patient fainted while sitting in his chair briefly. Patient was with his grandmother and she alerted pharmacy personnel. Patient reported feeling nauseated and tingling in his arms and hands. The pharmacy called 911 and patient was assessed and allowed to go home about 45 minutes later.

Incident occurred at 6:45 pm after administering the Pfizer vaccine. Thee patient complained of dizziness and nausea. Checked blood pressure which was 110/80. Gave patient water and he vomited right after. Patient said he felt better after vomiting. He was able to walk without assistance and said he was fine to go home. Time course was approximately 15 minutes.

Diarrhea; Fever of roughly 38.5C; Mild tiredness; Loss of appetite; Mild injections site tenderness; This is a spontaneous report received from a contactable consumer, the patient. A 20-year-old male patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number: ER8732) via an unspecified route of administrated on 26Mar2021 at 17:45 (at the age of 20-years-old) as a DOSE 1, SINGLE for COVID-19 immunisation. Medical history included COVID-19 from Dec2020 to unknown date. Concomitant medications were not reported. The patient had no known allergies to medications, food or other products. The patient did not received any other vaccines within 4 weeks prior to the vaccine. Prior to vaccination the patient was diagnosed with COVID-19. Since the vaccination the patient was not tested for COVID-19. On 27March2021 at 15:00 the patient experienced Fever of roughly 38.5C, mild tiredness, loss of appetite and mild injections site tenderness and at 15:45 after 22 hours of the first dose of vaccine, the patient experienced diarrhea. All foods consumed within the timeframe were unassociated with incidents of diarrhea in the past, though not frequently consumed. These included rye and mushroom soup, neither of which are associated with allergies or intolerances. The patient stated that this was not to say that there was a definitive connection with the first dose of the vaccine, but a correlation was present. The patient did not received any treatment for the reported events. The patient underwent lab tests or procedure, which include body temperature on 27Mar2021 and tested with a temperature of 38.5C. The clinical outcome of the events diarrhea, fever, mild tiredness, loss of appetite and mild injections site tenderness were recovering. No follow-up attempts are needed. No further information expected. Amendment: This follow-up report is being submitted to amend previously reported information: The date for Lab data captured as: 27Mar2021, Narrative 'The patient underwent lab tests or procedure, which include body temperature on an unknown date and tested with a temperature of 38.5C' update as 'The patient underwent lab tests or procedure, which include body temperature on 27Mar2021 and tested with a temperature of 38.5C' and Dose description was updated in narrative.

NauseaVomiting chest tightness, throat tightness Narrative: This is a 20 year old who had a sensation of throat tightness immediately after his covid vaccine. He was transported to the ED. Treated with epi pen, solumedrol, benadryl, and pepcid. Also reports nausea which was treated with ondansetron 4m IV. Symptoms have not reoccurred. Prescription also given for epi pen. Discharged to home.

Fatigue - Presented 12 hours after and persistent for 2 days. Diarrhea- Presented 12 hours after and resolved after 24 hours. Severe muscle aches- Presented 4 hours after and persisted for 2 days. Numbness in face- Presented 12 hours after and resolved 32 hours after. Numbness in injection arm- Presented 2 hours after and resolved after 24 hours. Swollen lymph nodes- Presented day after and still unresolved. Headache -Presented 12 hours after and persisted for 24 hours. Chills- Presented 4 hours after and persisted for 24 hours. No medical treatment by provider. At home treatment with NSAID?s and rest.

mild diarrhea post shot; This is a spontaneous report from a contactable consumer (patient). A 21-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE lot number: EL3302) via an unspecified route of administration on the left arm on 14Jan2021 13:00 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On 20Jan2021 05:00 AM, the patient experienced mild diarrhea post shot. No treatment was received for the event. Event resulted to a doctor or other healthcare professional office/clinic visit. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The facility where the vaccine was administered was in a hospital in a Military Base. Post vaccination, the patient has not been tested for COVID-19. Outcome of the event was recovering. No follow-up attempts are possible. No further information is expected.

Pt became lightheaded, nauseous and sweaty with 2-3 minutes of receiving the vaccine. He stood up to alert us he was feeling lightheaded and then fainted. We applied an ice pack because the patient was hot. No sign of reaction at the injection site, nor did the patient state he had trouble breathing. Over a period of 30 minutes, the patient recovered and did not lose consciousness again. Patient left under their own power.

Pt was seen in the ED for tongue swelling, chest and stomach pains, diaphoresis, acid reflux. These sx started 2 minutes after getting the vaccine. Pt was given benadryl on site, he was stable by the time he got to the ED for triage and was not given epinephrine. BP was stable, did not drop below 112/84. He was triaged but not admitted. Had f/u appt w me today. Pt was vaccinated at Events Center

Muscular pain at site, day of shot and day after. Runny nose, 2 days after shot, ongoing. Extensive sneezing, 2 days after shot, ongoing. Nausea, 3 days after shot, ongoing. No medical visits scheduled currently. Patient began taking DayQuil 60 hours after shot, and has taken a dose approximately every 6 hours subsequently.

Low-grade fever, headache, loss of appetite, fatigue, dizziness, moderate pain at the site of injection. Symptoms began approximately 12h after inoculation.

Patient received vaccine at approximately 3:00. Patient c/o feeling light headed, nauseated and showed signs of being disoriented. Patient was evaluated by EMS which were onsite to monitor individuals after being vaccinated. EMS stated that the patients vitals were WNL but was going to transport patient to ER for further evaluation. Patients status is unknow at present time.

Patient described difficulty swallowing. Post shot, first pfizer patient flagged down medical staff with difficulty swallowing. Evaluated by EMT. Dr advised 50 mg PO Benadryl for reaction. Walked to friends vehicle after fiven 50 mg Benadryl per Dr

First dose: Dec 16 Symptoms spanning 36 hours after injection as well as occasional joint pain in left elbow, wrist and knuckles. 36hr symptoms included: Fever, fatigue, muscle and joint pain in legs and arms, chills. 2nd dose, jan 6: Symptoms spanning ~60 hours (two days following vaccination + day of vaccination)Symptoms included: headache, low grade fever, muscle and joint pain in legs and both arms, chills. Symptoms almost completely resolved after that period, occasionally had some very mild joint pain still.*Note after both doses, pain in left arm was more severe than right arm* Starting the night of Jan 22 (fri) started having light leg pain, which carried into the 22nd. Dismissed it as too much walking the next day.Jan 24: leg pain a bit more severe, from a 1-2 to a 2-3. Included joint pain in left knee and ankle. Jan 25: pain in both legs at a 3-4, also mild pain in left arm (1-2) as well as joint pain. Jan 26: pain in left arm more severe, leg pain similar in severe. Very mild pain in right arm starting that evening, though only in upper arm. No joint pain in right arm Jan 27: pain in left arm similar in severity, slight increase in right arm pain, would rate 2-3 in right arm, 3-4 in left arm, 3-4 in legs. Muscle weakness in legs (legs shaking when walking down stairs for example) Jan 28 (Thurs):Symptoms started fading. Arm pain lowered in severity in both arms, as did leg pain. By Saturday all that remained was mild leg pain (1-2 in severity)Since then, leg pain has persisted. Week of Feb 14, leg pain increased in severity back to a 3-4. Visited the doctor on the 17th and had blood-work done on the 23rd after severity didn't decrease. Blood-work was normal other than slightly elevated lymphocyte % (50.8%)Visited a specialty medicine doctor on 2/25 and had x-rays done of legs. Results normal. Thought to have developed Achilles tendinitis. Possibly attributed to inflammation in legs, doctor wasn't sure. Rough quote "could it be from the vaccine, possibly, we just don't know." Have been doing stretches since which has helped the leg pain. Starting on March 12, I began to have pain in my left arm again, and ended up getting vertigo that evening. The arm pain persisted on and off from then on out, as well as occasional dizziness, which I treated with Dramamine. I did get an appointment scheduled with a neurologist in May that I still have. On March 25, I began to feel unwell, with a fever, dizziness, and a headache. That worsened into the evening, and I woke up at around 3 am with a high fever, that ended up going to about 103 F, and began vomiting around 4:30am on Friday, which persisted into the evening. On Saturday evening I began to feel better. With that recovery, the constant leg pain and frequent arm pain seemed to be gone, and has yet to return to the degree that it had been prior to that bout of sickness. I do still occasionally get arm or leg pain, but it's minor and only lasts about 20-30 minutes at a time.

Body aches, chills headaches, nausea , diarrhea, fatigue fever of 102-103 degrees F. From 12-20 hours after vaccination to current (2 days)

Patient received second Pfizer COVID-19 vaccine at 1:55pm. Patient was told to stay in store for 15 minutes. Patient then reported feeling nausous and headed to the bathroom around 2:00pm. Patient reports passing out in the bathroom stall around 2:02pm. Pharmacist was notified by the patient of the incident at 2:04pm. Patient reports hitting his head. EMS was called via pharmacy clerk. Pharmacist took patient's blood pressure (148/62) and pulse (68) at 2:07pm. Patient reports to pharmacist that he had not eaten anything yet for the day and does have a fear of needles as well as history of passing out when getting blood drawn. Pharmacist provided a bottle of water and a plain chocolate bar for the patient to consume while waiting for EMS to arrive. EMS checked over patient since he complained of pain at the base of skull as a result from fall in the bathroom. EMS checked blood pressure (138/74) and blood sugar (78) at 2:18pm. EMS cleared the patient but did education the patient to report any signs or symptoms of concussion. Patient was then escorted home via his girl friend.

Systemic: Allergic: Itch Generalized-Mild, Systemic: Abdominal Pain-Mild, Systemic: Headache-Severe, Additional Details: After being vaccinated, patient experienced some ear pain likely associated with a migraine as well as some itching but not enough for antihistamines. Patient was monitored at for 30 min with no issues. When patient arrived home, he went to sleep. When he woke up, mother states patient was having feelings of wanting to hurt himself so he was taken to the ER. All reactions have subsided.

On 4/5/2021 Patient had swelling of left side of his chest area. No pain noted. He went to urgent care and was evaluated. He was advised to take Ibuprofen and apply ice to area x 1 week, , which he did. On 4/9/2021 left side became swollen in abdominal area no pain. He went to Hospital ER and was diagnosed with Soft Tissue Swelling. He was advised to apply ice to area but he should not take any more Ibuprofen. He was advised to check with Health Department to see if he needed to take the 2nd dose. At this time patient stated he did not have a doctor/physician. Side effects of the vaccine was explained to him.

Pt told administrator before shot that shots made him anxious. When administering the shot, he started having a little bit of clamminess. Immediately after the shot, he vomited several times into a bag he had brought. No syncope. Pt left before proper discharge. He was called and reported he was feeling fine and denied further symptoms. Precautions given.

VS: HR 78, RR 18, BO 134/72, Pulse ox 98 No PMH, PSH or NKDA. Only allergic to pollen When in observation area synopsized and hit L occipital with small lump. Positive for HA, neurologic exam (-), emesis x1. Concern for concussion. EMS called

Patient stated that he felt "faint", a "head rush", nauseous, and dizzy immediately after his vaccination. No shortness of breath, itching, or swelling of throat or face. Vitals signs stable. Symptoms consistent with vasovagal response. Symptoms resolved after about an hour.

Patient received vaccine in left arm (deltoid). Was in post vaccination observation area. About 5 minutes after the injection, while sitting in the observation chairs, the patient fainted and hit his head on the floor. Pharmacist and patient's father got him back up into the chair. Patient quickly regained consciousness, but felt nauseous and warm. Patient was given a little water. But could carry-on a conversation. Patient vomited a little into a trash can. About 10 additional minutes went by. Patient was able to get up out of the chair and walk out of the facility with the help of his family. Patient had a little bit of bump on head where he had struck the floor, no bleeding occurred. No additional medical assistance was contacted at that time by the facility, family, or the pharmacist. Pharmacist called the patient several hours to after to see how he was doing, but did not get a response. The pharmacist left a voicemail. It is unknown to the pharmacist whether or not the family decided it was necessary to get medical follow-up or not after the incident.

Patient had nausea & vomiting x1, weak, felt nervous. Instructed to go to ED if feeling worse (N/V), fainting, shortness of breath/chest pain. Patient stable, released from vaccination site.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Vomiting-Medium, Additional Details: Patient sat for 30 minutes and drank some fluids that went home with Mother

Fatigue, headache, chills, gastrointestinal discomfort/pain (particularly upper stomach area). Took Tylenol (2x 500 mg) and rested by lying down and sleeping for most of the day. Felt recovered about 22 hours after symptom onset.

patient was nauseated 10 minutes after dose, proceeded to have tingling in feet first, then legs and arms that moved into abdomen as well. Pain and extreme heaviness in arm shot was administered in. Ice packs were placed on arm and back of neck. Patient then stated after another 10-15 minutes that breathing was becoming labored and then both hands drew in and locked unable to move them. EMS was called at this time and EPIPEN was readied but not administered. Patient continued to communicate tingling was coming and going and after another 10 to 15 minutes breathing eased up and tingling in lip and body was fading along with able to move fingers but not thumbs. EMS arrived and took all vitals and cleared patient. About 15 minutes after patient was able to leave on own accord.

Patient experienced expected aches on 4/29 but ended up in emergency room with neck and shoulder spasms the evening of 4/30/21. That resolved with a muscle relaxant and injection of toradol, but then on Mon May 3 begin experiencing massive new onset of anxiety and overwhelming depression (has never had this before). Unresolved as of today May 5 requiring patient to call off from work and be supervised 24/7 for safety. + loss of appetite. Currently in care of safe, healthcare trained family awaiting outpatient appointment and therapy.

Friday 4/30/21 Experienced throbbing headaches, cold sweats, chills, nausea, low grade fever, and small red rash and dryness on my face. Saturday 5/1/21 Experienced throbbing headaches, weakness, cold sweats, chills, 102-103 fever, and small red rash and dryness on my face. Sunday 5/2/21 Experienced throbbing headaches, weakness, cold sweats, chills 102-103 fever, and red rash and dryness spreading to my chest. Monday 5/3/21 Experienced throbbing headaches, weakness, cold sweats, chills, 102-103 fever, and red rash and dryness on my face, chest, and neck. Tuesday 5/4/21 Experienced weakness, cold sweats, low grade fever, and red rash and dryness on my chest, neck, back, face, and groin. Wednesday 5/5/21 Experienced weakness, cold sweats, and red rash and dryness on my chest, neck. face, and groin.

21 year old previously healthy male had 2nd dose of COVID vaccine on 4/23. He had fever and chills over the next two days that resolved spontaneously. On 4/26, he began having palpitations with onset of substernal chest pain described as a piece of metal on top of his chest. He also had nausea and vomiting. After 1 hour, he took one ibuprofen which resolved symptoms. On 4/27, he again had chest pain but immediately took ibuprofen which resolved symptoms. He saw his PCP on 4/28 and had abnormal EKG with ST and T wave abnormalities, elevated troponin of 10, and he was sent to the ED for further evaluation. He was given 324mg aspirin and admitted for observation. He did not have any additional symptoms, and echo was normal. Troponins down trended to 2 by 4/29, and he was discharged on a 5 day course of indomethacin with follow up with his PCP, no cardiology follow up required.

POST VACCINE ADMIN, PATIENT REPORTED HE FELT LIGHTHEADED, QUEEZY, STARTED TO GET TUNNEL VISION. REPORTS HE ATTEMPTED TO GET UP AND LEAVE, AND STARTED TO PASS OUT, COULD NOT REMEMBER IF HE LOST CONSCIOUSNESS, HAD UNWITNESSED, UNASSISTED FALL TO FLOOR, REGAINED AWARENESS, AND GOT SELF BACK IN CHAIR, NOTEABLY DIAPHORETIC AND PALE. STAFF ASSISTED PATIENT BACK TO FLOOR AND RAISED LEGS IN AIR. ASSISTED TO STRETCHER AND PLACED IN TRENDELENBERG, TAKENE TO OBS. STATES RELIEF ONCE ON STRETCHER. ORTHOSTATIC HOTN NOTED ONCE STANDING WITH DIZZINESS REPORTED, ASSISTED BACK TO STRETCHER AND SNAKC/WATER/JUICE PROVIDED. R KNEE ABRASION/BRUSHBURN NOTED FROM FALL, CLEANSED BY ON SITE MD, NO OTHER INJURIES NOTED OR REPORTED BY PATIENT. ONCE S/S RESOLVED AND BP MAINTAINED IN STANDING POSITION, PATIENT ESCORTED TO EXIT WITH NO ISSUES AT 0955. PER ON SITE MD, CLASSIC VASOVAGAL REACTION, RESOLVED. 0936 LYING BP 106/73 HR 70 RR 18 SATS 100% RA 0940 SITTING BP 118/73 HR 65 RR 18 SATS 100% RA 0942 STANDING BP 110/66 HR 71 RR 18 SATS 100% RA; REPORTS SOME DIZZINESS RETURNED, SAT BACK ON STRETCHER 0948 STANDING BP 98/67 HR 74 RR 20 SATS 100% RA; ASSYMPTOMATIC 0950 STANDING BP 88/58 HR 70 RR 18 SATS 100% RA; REPORTS MILD DIZZINESS BUT IMPROVING 0954 STANDING BP 109/72 HR 75 RR 18 SATS 100% RA; REPORTS S/S RESOLVED, AMBULATING WITH STEADY GAIT AND REQUESTING TO LEAVE, NO FURTHER ISSUES.

Approx. 5 mins after vaccine, client c/o dizziness, anxiety, tingles in body, shaking, nausea and appeared diaphoretic and had facial pallor. V/S taken. 10:02am: BP 112/60, HR 66, O2 97. 10:20am: BP 122/64, HR 77, O2 97, RR 18. 10:40am BP 126/80, HR 68, O2 99, RR 18. Client remained in observation until 10:56am, denies dizziness, anxiety, nausea, tingles, itchiness. Left with steady gait, unassisted, was driven home by a friend.

A day after the first shot, I was incredibly weak and got a headache and lightheaded halfway through the day. For two days after the second shot, I was lightheaded and very nauseous.

Headache (ongoing), Muscle soreness (ongoing), Swollen lymph node in left armpit (started on 5/9), nausea (when I woke up on the 8th), chills, elevated resting heart rate (around 100 BPM)

Patient experienced right leg pain and numbness, to extent that he is having trouble walking; also has had some nausea and vomiting. Symptoms began 30 min after receiving the vaccine.

Patient felt light-headed and nauseous about 15min after receiving his first dose Pfizer vaccine. I had him lay down with legs elevated for 15 minutes. Took his BP while he was laying down, 139/79. Offered patient a bottle of juice. Patient was feeling back to normal after 15minutes. Seated BP at that time was 140/75. Patient lives with family, will let them know to keep an eye on him. He will pursue medical attention if symptoms return or if new symptoms occur.

Normal side-effects subsided after the first few days. Restarted on the 11th at night with difficulty breathing, which later escalated into nausea, pain across the chest, ribcage, abdomen, thighs, calves, toes and re-ememergance of initial vaccine symptoms.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Medium, Systemic: Seizure-Mild, Systemic: Shakiness-Medium, Additional Details: Patient was immediately nauseous after vaccination, but that resolved quickly. Minutes after sitting down for the observation period, patient seemed to jerk and looked like he was seizing. He did not have trouble breathing. He was lucid after going in and out of consciousness for a minute or so. He was hypotensive and pale, but after water and some candy, patient was feeling much better. After the 30min observation period, his blood pressure was up and he was able to walk without trouble.

Patient is a 21 y.o. male with no past medical history who got his second dose of COVID (Pfizer) vaccine on Saturday presented with chest pain since Sunday. Patient says that he was in his USOH until yesterday when he started having substernal chest pain which was getting worse with inspiration but also with specific movements. He does have pain even at rest sometimes but he thinks that it's exacerbating by breathing. Had some nausea/vomiting as well. Denies other symptoms. Not really sob or leg swelling. In the ER, his Trop I was 10.7 and his WBC was 12.2. His EKG was NSR with short PR and STE I, II, III, AVF, V4-V6 Patient is a 21 y.o. male with no past medical history who got his second dose of COVID (Pfizer) vaccine on Saturday presented with chest pain since Sunday with some pleuritic characteristics. He was found to have a very elevated trop I to 10.7, leukocytosis to 12.2 and STE in I, II, III, AVF, V4-V6. His POCUS in the ER was without significant pericardial effusion and probably normal EF. Differential at this point includes pericarditis vs myopericarditis (there are some myocarditis cases reported in Israel post Pfizer vaccination, predominantly in young male patients) vs less likely ACS. Will need admission and further work up and treatment -Admission to Cardiology -NPO in case team tomorrow decides to proceed to LHC -Full echo and cardiac MRI tomorrow -Telemetry monitoring -Repeat EKG q4h overnight -send CRP, ESR -trend Trop to peak -would not start heparin gtt at this point -Please start tonight ASA 650 TID + Colchicine 0.6 mg BID 21-year-old man admitted with signs and symptoms of acute myo-pericarditis or in the setting of recent COVID-19 vaccination. He apparently had the findings are vaccine 2 days ago and developed pleuritic chest pain. His ECG shows pathognomonic changes for pericarditis in the is a small troponin elevation. He has no past medical history or exertional symptoms to suggest CAD. Bedside echocardiogram showed preserved left ventricular systolic function. He was admitted and placed on aspirin and colchicine. A cardiac MRI today showed evidence of myopericarditis. He had 3 beats of nonsustained VT on tele.

Lightheaded, Near Syncope Nausea Dizziness at 09:45am BP 199/80 P80 Resp: 24 O2 96 at 10:05am BP 102/80 P82 Resp: 18 O2 97

after two minutes patient went to sit down after getting shot, he was feeling nausea and came to the pickup counter and looking for the bag for vomiting. He vomited about 5 minutes after the shot and now he is feeling fine after drinking Gatorade.

day after second vaccination I experienced fever, migraine, Chills, muscle soreness, chest pains , fatigue, loss of appetite.

my son was on a strenuous bicycle trip and reached his campground for the night. in the late evening he called me to report that he was suffering from nausea and rapid heartbeat (tachycardia). we assumed this was caused by heat exhaustion, but later I saw news reports about myocarditis being investigated as a possible side effect from the Covid-19 vaccine. my son fits the rough profile (young man) and experienced these symptoms three days after his second vaccination, so I thought this should be reported. He completed his bike trip (200 miles) and feels fine after taking one day to rest.

Patient became nauseous & vomited one time. He had the chills & sat in a chair. He sipped water & felt well enough to walk home within 30 minutes. He has had a bout of light headedness with vaccines in the past.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Nausea-Mild, Additional Details: 1320 Pt. S/P vac at approx 10 mins. c/o mild nausea and lightheadedness. Pt, responsive, no LOC. Mucus membranes pink. Lungs clear to auscultation, HR 70 reg, No SOB, no diaphoresis present. RN instructed pt. to lower head between legs. 1320 BP 162/78 p67. States occas has elevated BP Pt. states has family hx of HTN. 1326 BP 173/80 P72. Sym of lightheadedness and nausea resolved at this time. Inst. to inc. oral fluid intake to 8-10 glasses H20 per day. 1330 Left obs area in stable cond.

Nausea; Lightheadedness; Patient felt SOB after vaccine. No significant medical history, seen by EMS with no intervention needed. Released to self care.

Armpit lymph nodes swelled up for about a week and a half. Along with the usual nausea and sluggishness of the the vaccine.

Starting the day after the second dose of Pfizer mRNA, he developed prodrome with fever/chills, N/V/D, systemic macular rash, and fatigue that persisted until presenting to the ED 9 days later. He was noted to be tachycardic and hypotensive with a severe leukocytosis, elevated inflammatory markers and + troponin, and an LVEF 35-40%. He was referred to tertiary care center, had a cardiac MRI that showed little inflammation but LVEF now 12%. On 5/21/21 he was started on high dose steroids and placed on mechanical circulatory support with VA ECMO. Cardiac function quickly improved and he is ready to come off VA ECMO 5/29 with an LVEF improved to > 40% during weaning trials.

Patient lost consciousness 10-20 seconds following 1st dose Pfizer vaccine. Patient awoke after 5-10 seconds and experienced nausea and vomited. Patient was referred to urgent care as he refused EMS services.

Moderate to severe headache, minor but continuous nausea, minor swelling of lips/face, odd tingling sensation (primarily of the head/face), Resolved after administration of 24 hour dose of naproxen sodium, and Tylenol PM (acetaminophen + diphenhydramine). Patient still combated lethargy until 6:00-7:00 PM, though it could have been a side effect of the dose of diphenhydramine. Felt fine after.

Client reports when he received his first dose of Pfizer within one hour he was nauseated and it lasted 30 minutes and it resolved on its own. Provided client with water and a snack. Client was approved for Second dose and client did not have any reaction for second dose.

2nd Dose: - Pain in the injection arm roughly ~9 hours after. - Pain escalated from a 1-2 to a 4-5 throughout the night. - Pain on left arm, near first injection site returned. Unsure if correlation or just early signs of body fatigue/soreness starting. - Minor swelling on right arm & was warm to touch. Applied ice pack and went to sleep. - Pain escalated to a 5-6 the following morning (6/16) at ~8-10am. - Full body fatigue started around 10-11am on 6/16. (No mental fog present, fatigue incl. soreness & general pain) - Throughout the day, chills are present intermittently. - Throughout the day, nausea is present intermittently. - At time of writing (9:05pm 6/16) pain is at a 3-4 on right arm, pain throughout body is a 2-3 depending on location. OTC pain medication such as Tylenol has limited effect. 1st Dose: (not sure if you want this but I will add it anyway) Received 5/13/2021 @ 1:40pm @ Clinic (same location as above; lot # above as well) - Pain in the injection arm roughly ~3-4 hours after. - Pain remained a low level 2-3 on a general pain index throughout the day. - Following morning, at ~8am (5/14) pain was a 3-4. Responded to OTC Tylenol immediately. - Arm was tender for 3-4 days, until it resolved.

Nausea; body aches; headache; fatigue; This is a spontaneous report from a non-contactable other health care professional. A 21-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EN5318), via intramuscular route of administration, administered in Left Arm on 02Feb2021 at 14:15 (at the age of 21-years-old) as First Dose, Single Dose for COVID-19 immunization. The patient's medical history included none. The patient's concomitant medications were not reported. The patient did not get tested for COVID post vaccination. The patient did not suffer from COVID prior vaccination. 1hr after vaccination, on 02Feb2021 at 15:15 the patient experienced nausea, body ache, headache, fatigue. The patient did not receive any treatment for the AEs. The outcome for the events was recovering. No follow-up attempts are possible. No further information is expected.

Overnight after shot just typical symptoms, some slight chills and next day just a little tired Day 2 after shot, April 11th. Chest pain, squeezing in chest. Unusual but manageable and didn?t feel terrible otherwise,maybe slightly tired. Tried leaning forward to make feel better. Day 3 and 4 chest pain/heart squeezing continued and was bothersome and, went to Urgent Care this day April 13th. EKG was a little abnormal and told to follow up with a cardiologist and take Advil. The heart squeezing feeling continued. Early morning hours April 14th very sick, excessive shaking (no fever), extreme nausea, faint feeling, dry cough (laying on bathroom floor). Not much, if any chest pain at the time. Went to ER. Not much chest pain during ER visit but nauseous and shaking etc. Test were run. Told that the symptoms were a delayed reaction to the vaccine and to follow up with a cardiologist because possible abnormal EKG and to take Advil as needed. Overnight at home, no chest pain but an hour of the shaking and nausea returned but not as bad as before. Over next couple days the chest pain/squeezing, slightly shakes and light headedness would come and go and by 4-16 feeling pretty great. The heart feeling mildly at most in the background but not debilitating. Starting week of April 20th maybe 4-5 flare ups with chest pain and no pattern but not debilitating. Could happen at rest. April 27th bigger flare up more debilitating, had to lie down, heart squeezing pain and maybe some wheezing when breathed in but not tightness in throat. Lasted about 30 minutes. Was just doing schoolwork with friends at the time so not under any physical or emotional stress at the time. After this from April 20 to May 3rd feeling heart symptom mildly but not debilitating and could resume normal active life. Had cardiology appt. May 3rd with nurse practitioner. According to NP the 12 Lead EKG run that day correlated with abnormal EKG from ER. Normal sinus rhythm with sinus arrhythmia Rightward axis Pulmonary disease pattern. Incomplete right bundle branch block Abnormal ECG. Given 4 lead heart monitor to wear for a week. Also ordered a CV CT angiogram coronaries with calcium scoring. The test could not be scheduled through them until July. Also told could go on hiking trip out west and to stop and rest if felt pain. For parents reassurance about hiking trip, had a second opinion over teleconference call with Dr., myocarditis specialist to confirm would be safe on hiking trip. Dr. said he should be good to go. He said these heart symptoms related to the second vaccine could fade over time. Hiking trip May 20th to May 30th. Did fine with exertion and just a few small episodes of the chest pain, light headedness and maybe a little shaking but these were at rest. Also, 4 lead heart monitor report was good. Returned from trip May 30th and no chest pain or symptoms for approximately 3 weeks through June 17th. June 18th went to urgent care for sore throat and ear. Prescribed amoxycillin. Took the amoxycillin and one Advil sinus, that evening had a heart squeezing episode return. This was the first time in almost 3 weeks. Did not take any more Advil sinus in case that caused the episode. Had another slight episode that evening. Hiked next day June 19th and fine. Then felt it slightly again after eating that afternoon of the 19th, also chest did feel a little tight all day. Then felt it again that evening. Still taking Amoxycillin as of today.

Elevated heart rate (over 140 bpm), Significant chest pain, Jaw pain, Nausea All occurred from approximately 11:00 PM to around 5:00 AM. After taking ibuprofen, heart rate stabilized and symptoms were reduced.

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Hypertension-Medium, Systemic: Nausea-Severe, Additional Details: Patient was given the Pfizer Covid-19 Vaccine. About 2-5 minutes after receiving the patient stated he felt a "headache" and immediately lost consciousness. Patient was seated and slowly slid out of chair. When I got to the patient it looked as though patients eyes were fluttering and he was not responsive the first 5-10 seconds of me laying patient on back and elevating feet. Patiend suddenly came to after about 15 seconds total and was responsive to all questions. vitals were taken.

I have had severe shortness of breath and breathlessness, chest pain, heart racing, heart fluttering, heart pounding, chest tightness, nausea, extreme fatigue, coughing, headache. I have no stamina at all, just slight exertion causes my heart to start racing and pounding, I can't climb stairs and I haven't been able to work in weeks, now I'm probably going to lose my job I fear and then will have no health insurance. I have more tests this week to try and find out if I have endocarditis, so I am racking up all kinds of bills. So far no one believes me or will help me! ALL of this started within a few days of the second Pfizer dose of COVID vaccine. Biggest mistake of my life. I feel like I'm dying and no one will help. You are literally killing me.

Fast heartbeat; Anxiety; Nervousness; Stomach pain; Problems with his eyesight; Like stomach reactions like he is going to vomit but doesn't end up vomiting; Malaise; Headache; Fever; going to vomit but doesn't end up vomiting; This is a spontaneous report from a contactable consumer or other non-healthcare professional (patient's father). A 21-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in left arm on 07Jun2021 (21-year-old at the time of vaccination) as dose 2, single for covid-19 immunization. Medical history included not reported. The concomitant medications were none. The patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date on 2021 as dose 1, single for covid-19 immunization. On an unspecified date on 2021, the patient presented symptoms he had never had such as, fast heartbeat, malaise, anxiety, nervousness, headache, stomach pain, problems with his eyesight and fever. The patient had to be admitted into the emergency room, had several studies done and no abnormalities were diagnosed. The reporter stated that Pfizer covid vaccine on 07Jun2021. After the vaccine the patient had a fast heartbeat, general malaise, felt nervous, headache, a stomach-ache, and a fever. The patient had to go to the emergency room, and they performed tests and analysis on him and nothing came up. This event started about a week after the vaccine and his heart rate was speeding up. The heart rate and anxiety and headaches and like stomach reactions like he is going to vomit but doesn't end up vomiting. The symptoms are different on different days. The heart rate only happened once and everything has continued to happen. This happened after the second dose of the vaccine. They sent the patient from the emergency room to another place and admitted him for 2 days. The reporter is unsure of the dates of admission. They sent the patient to a hospital where there was a cardiologist and the patient stayed there for 2 days. As Per fact sheet, what are the risks of the Pfizer BioNTech covid-19 vaccine, revised: 25Jun2021, fast heartbeat is listed as one of the signs of a possible severe allergic reaction. Most of these side effects don´t have a mean duration documented, some of the side effects have a range of appearance from 1-36 days. The reporter asked for treatment recommendations for patient. The events were serious - hospitalization. The outcome for the event's fast heartbeat, visual impairment, abdominal discomfort, pyrexia, going to vomit but doesn't end up vomiting were unknown and other events were not resolved. Information about batch/lot number has been requested.

Dizziness; vomitting; Headache; Chills; This is a spontaneous report from a contactable consumer, the patient. A 21-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EN8734) via an unspecified route of administration in the left arm on 05Apr2021 at 13:45 (at the age of 21-years-old) as a single dose for COVID-19 immunisation. The patient did not receive any other medications within two weeks of vaccination. The patient had no known allergies to medications, food or other products. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EN6208) via an unspecified route of administration in the left arm on 14Mar2021 at 16:00 (at the age of 21-years-old) as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. On 05Apr2021, the patient experienced dizziness, vomiting, headache and chills. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care visit. The patient did not receive any treatment for the events. The clinical outcome of the events dizziness, vomiting, headache and chills was resolving at the time of this report. No follow-up attempts are needed. No further information is expected.

Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Vomiting-Mild, Additional Details: After shot told patient to sit by pharmacy for monitoring, patient refused and walked around store. Patient fell and hit his head, loss consciousness for 3 seconds, woke up and threw up. Insturcted patient to sit by pharmacy for 30 minutes, patient refused and walked to car. Walked patient to car and spoke to girlfriend. Spoke to mother on phone as well, she informed me he has a history of anxiety with shots and needles and ALWAYS faints after a vaccination (usual reaction).

Red rash on face, neck, chest and arm; difficulty swallowing; This is a spontaneous report from a contactable nurse (patient). A 22-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot ELO140) intramuscular on 26Dec2020 18:30 (06:30 PM) at a single dose on the right arm as COVID-19 vaccine. Medical history included previously diagnosed with COVID-19 prior to vaccination. The patient had no known allergies to medications, food, or other products. There were no concomitant medications. The patient had adverse events of red rash on face, neck, chest and arm; and difficulty swallowing, both on 26Dec2020 19:00 (07:00 PM) assessed as non-serious. It did not result in death, not life threatening, did not caused/prolonged hospitalization, not disabling/incapacitating, did not cause congenital anomaly/birth defect. There was no treatment for the events. The patient was vaccinated in a hospital (facility where the most recent COVID-19 vaccine was administered). He had no other vaccine within four weeks prior to the COVID vaccine, no other medications within two weeks of vaccination. He did not have Covid tested post vaccination. The outcome of the events was recovered on Dec2020.

Chills, upper arm ache, stomach ache, and fever (100.7) at about 11 am on Wednesday January 6, 2021. Called employee health and went to get a COVID test

At 2300 hours on 1/6/2021, I began to feel chills and was spiking a fever. At 0030 on 1/7/2021, I experienced nausea and vomiting. I subsequently experienced three additional episodes of nausea and vomiting throughout the night until 0500 on 1/7/2021. I had a fever until 1400 on 1/7/2021. I did not treat my fever until 1300 on 1/7/2021, at which time I took 15 mL of children's ibuprofen by mouth. As of 1500 on 1/7/2021, I feel weak and my nausea and vomiting has not returned.

Injection site pain - present Tiredness - 24hrs Headache - 24 hrs Muscle pain - 24 hrs Chills - 24 hrs Joint pain - 24 hrs Fever (101.2°f) - 24 hrs Nausea - 24 hrs Malaise - 24 hrs Swollen lymph node (left armpit only) - present

Headache and arm pain began at 11:30pm. Then I woke up at 2:30am with chills, fatigue, nausea, body aches, and congestion

I developed headache, low grade fever, and nausea at approximately 11:59 PM 1/11/2021. As of 05:42 AM 1/12/2021 these symptoms persist. Headache reduced via ibuprofen, fever and nausea did not respond.

2300- 11Jan 2021-Body Chills, he was feeling cold, sweating, and he threw-up-his words/with a headache 0800-12 Jan today-Headache & threw-up again-his words Advised to drink electrolyte fluids-when he feels like he can, Tylenol and/or motrin-when he feels he can-worse-go to ER Keep his leadership updated/aware of his condition

Four minutes after receiving Pfizer Covid 19 Vaccination (#1 of series), client lost consciousness. Client was diaphoretic, pale. Consciousness returned almost immediately. BP 100/70, Pulse 62, Oxygen Saturation 96%. Client reported feeling nausea as well. Client instructed to place head between legs and take deep breaths. No medication was provided. Ice applied to neck. 5-8 minutes later client was escorted to clinic exam room via wheelchair and placed in supine position. Client observed an additional 30 minutes while symptoms gradually improved. Client ambulated on own to his vehicle after observation period.

Fever; Headache; Joint pain; Chills; Vomiting; Fatigue; This is a spontaneous report from a contactable healthcare professional (patient). A 22-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number and Expiration Date were not reported), via an unspecified route of administration in right arm, on 23Jan2021 at 12:00 AM, at a single dose, for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously took the first dose of BNT162B2 on 02Jan2021 at 04:45 PM for COVID-19 immunization (right arm). The patient was not diagnosed with COVID-19 prior to vaccination. No other vaccine was administered in four weeks. On 23Jan2021, the patient experienced fever, headache, joint pain, chills, vomiting, and fatigue. No treatment was received for the adverse events. The patient has not been tested for COVID-19 post-vaccination. The patient was recovering from the events. Information about lot number and expiration date for the suspect product will be requested in follow-up attempts.

1540 Pt complaint of feeling nauseous, states feels this was when anxious. Pt at POD with girlfriend. Squad was called for girlfriend earlier after girlfriend fell to ground. States anxious watching all that happen. Denies any other symptoms. Drank juice. 1551 BP 118/60, RR 18, OSat 99%, HR 87. States feeling much better. States ready to go home. Advised pt to seek medical care if experiencing symptoms. Pt verbalized understanding. 1553 Pt left with girlfriend at his side.

Severe chills at night for over 2 to 3 hours. High fever. Woke up next morning and went to get a glass of water, felt dizzy and could not walk. Then vomited water out. Severe congestion.

25 minutes after receiving Pfizer Covid vaccine #1, we had to pull off the road on the way home because he started vomiting profusely. It was lasted a several minutes and he threw up a lot and was sweating. He was fine no issues until after he got the vaccine.

Around 10pm, I was suddenly very tired and could not stop yawning. I typically am up until 12-1 most nights so this was out of the ordinary. While getting ready for bed I became very nauseous and almost threw up. I had waves of nausea for around 20 minutes. When I stood up I had chills throughout my body and my skin was covered in goosebumps. A little later, my vision started to go black and I felt dizzy and light-headed. I went to bed shortly after in hopes of sleeping it off (probably 10:45-11). Around 2 am the following morning, I woke up and had a hot flash (could have been a fever but I did not check my temperature). I was able to fall back asleep and felt normal when I woke up at 7:30 am.

Symptoms: High fever (~102 F), chills, loss of appetite, tiredness, body aches, head aches, dizziness, slight difficulty breathing. Time course: 11:30pm 03/24/2021 to present (9:27am 03/25/2021). Treatment: Advil, emergency inhaler

near loss of consciousness; Sudden, intense nausea; vomiting; soreness across entire body; very sensitive skin; This is a spontaneous report from a contactable consumer. A 22-year-old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) lot number and expiration date not provided, via an unspecified route of administration, administered in left arm on 12Mar2021 13:30 as single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. On 12Mar2021, roughly 4 hours after receiving shot, the patient experienced sudden, intense nausea, vomiting, near loss of consciousness, soreness across entire body and very sensitive skin. No treatment was received. The outcome of the event was recovering. Information on lot/batch number has been requested.

swollen lymph nodes around my neck; diarrhea; severe headache; chills; fever near 102; muscle aches; profuse sweating; felt freezing cold; inability to sleep; This is a spontaneous report from a contactable other hcp, the patient. A 22-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration, administered in the left arm on 25Feb2021 at 10:00 (at the age of 22-years-old) as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient has no allergies to medications, food, or other products. 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 the first dose of BNT162b2 on 04Feb2021 at 10:00 (Lot Number: UNKNOWN; at age of 22-years-old) via an unspecified route of administration in the left arm for COVID-19 immunisation. The patient had not received any other vaccines within 4 weeks prior to the COVID-19 vaccine. On 25Feb2021 at 16:30, the patient experienced in order, diarrhea, severe headache, chills, fever near 102, muscle aches, profuse sweating although felt freezing cold, inability to sleep. The headache has lasted 3 days now as well as swollen lymph nodes around his neck. The patient did not receive any treatment for the events. The patient was recovering from the events, swollen lymph nodes around his neck, diarrhea, severe headache, chills, fever near 102, muscle aches, profuse sweating, felt freezing cold, and inability to sleep. No follow-up attempts are possible; information about lot/batch number cannot be obtained

Per EMS, patient with history of T2 diabetes reporting nausea and blurred vision post second vaccine. He stated he had "swelling" of his hand (vaccine arm) and "felt funny" with the first vaccine but he did not declare that on his screening form today. BP 190/110, HR 95,blood glucose 292, RR 15 PSO2 99%. He did not take his blood sugar this AM, did not take metformin, and did not eat today. He was oriented to time and place, responses were one to two syllable words. Transport at patient's request.

Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Additional Details: Pt was sitting for observation and suddenly fell to lateral side. Staff RN and technician responded immediately.

Abdominal pain; nausea; vomiting; metallic taste in mouth; This is a spontaneous report from a contactable consumer (patient). A 22-years-old male patient received BNT162B2, dose 2 via an unspecified route of administration, administered in left arm on 06Mar2021 (Lot Number: EN6205) as single dose for COVID-19 immunisation. Medical history included microscopic colitis. No known allergies. No Covid prior vaccination. The patient previously received first dose (lot number: 8982) of BNT162B2 at the age of 21-year-old, in right arm on 13Feb2021 at 12:00 AM for COVID-19 immunisation. Concomitant medications included valproate semisodium (DEPAKOTE), mesalazine (LIALDA), budesonide, bupropion hydrochloride (WELLBUTRIN), dicycloverine hydrochloride (BENTYL). The patient experienced abdominal pain, nausea, vomiting and metallic taste in mouth on 07Mar2021 12:00 AM. Required hospitalization. The patient was hospitalized for the events for 3 days. The events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care and hospitalization. Treatment was received for the events which included IV fluids, anti nausea medicine pain medication. The patient underwent lab tests and procedures which included Nasal Swab: negative on 12Mar2021. The outcome of the events was recovering.

Approx. 30 minutes after vaccination the joints in my left shoulder froze up and felt like a lump of concrete for 20-30 minutes total. Approx 3 hours after vaccination intense waves of nausea set in and have been coming and going since and currently is still active. Very shortly after the nausea began my left arm began experiencing, excruciating muscle spasms and cramps those are also still active and come and go. Approx. 4 and a half hours after vaccination I began feeling extremely fatigued and started experiencing chills and the sensation of being cold despite my apartment being at the typical temperature I keep it at.

Patient was in waiting area after vaccine. He started feeling faint and nausea. He sat down on floor and motioned for help. Ran to help. he was hot and clammy. applied cold hand to back of neck till able to get cold cloth, gave him bag in case of vomit, gave him a water. started feeling better , gave him several Hershey kisses. He sat for 10 minutes then felt normal and left

Hx of presyncope with needles who had recurrence of presyncope. Also had nausea and one episode of emesis.

nausea, shortness of breath light headedness loss of vision loss of hearing tingly fingers to right hand.

Patient received dose 1 of the COVID vaccine (lot EW0150, exp 7/2021) at 1420. At 1425, patient approached EMT reporting he felt dizzy, nauseous, sweaty, and anxious. The patient reported having a similar reaction when getting previous injections due to a fear of needles and blood. PHN approached to assist. Vital signs: blood pressure 90/48, O2 97%, pulse 56, respirations 18. Patient denied allergies, medical conditions, or current medications. Patient reported not eating breakfast. At 1427, EMT offered patient water. PHN offered patient Benadryl but patient declined, also advised to contact provider and when to call 911. Patient reported he did not have a medical provider, PHN advised patient to contact 211 for assistance. At 1430, vital signs: blood pressure 102/58, pulse 74, O2 94%, respirations 18. Patient reported symptoms had resolved and he felt back to baseline. At 1445, vital signs: blood pressure 104/52, O2 94%, pulse 71, respirations 18. Patient denied anxiety at this point. At 1455, vital signs: blood pressure 98/58, pulse 74, O2 94%, respirations 16. Patient left walking with steady gait.

Patient experienced nausea without vomiting several minutes after receiving first dose of COVID-19 Pfizer vaccination. VS remained wnl during observation period. No associated weakness, paresthesias, abdominal pain, vision changes, SOB, wheezing, swelling, or hives. Patient reports not having eaten today. Suspect secondary to vagal response. Patient given Zofran ODT with improvement of symptoms. Tolerated Capri-Sun pouch. Patient cleared to discharge from clinic and provided SIQ for today.

My arm went completely numb immediately and then it started itching and then about an hour later my throat started to close and I could see my heart beating out of my chest and I ended up having to go to the emergency room and then over the next three weeks I have experienced every side effect that is listed With the worst being fatigue muscle ache and abdominal cramps

Two days after COVID vaccination I began feeling nauseous, with feelings of panic attacks and impending doom., brain fog and physical weakness. It is now 8 days after my shot and the symptoms have not eased. I have never experienced anything like this feeling.

Patient fainted and fell on the floor within 15 minutes of vaccination. Patient felt nauseous and was transported to the ER by EMS.

Patient lost consciousness and fell to the floor within 15 minutes of vaccination. Patient felt nauseous and was transported by EMS to ER.

Local Reaction o L arm tenderness, numb 24 hrs, which resolved Systemic Reaction o new headache described as mild, nausea, vomiting 3d, dizziness, fatigue: all sx on/off 1 d post vaccine

Patient fall unconcious on the chair for couple of second and felt nauseated. moved patient to the floor laying on the back and feet elevated. Called 911 for paramedics.

POST VACCINE, PATIENT DEVELOPED DIZZINESS, DIAPHORESIS, AND NAUSEA. BROUGHT BACK TO OBS VIA WC, PLACED IN TRENDELENBERG ON STRETCHER, VSS, HR RETURNED TO NORMAL AFTER A FEW MINUTES. ONCE S/S IMPROVED, SAT UP AND PROVIDED SNACK AND WATER, ONCE S/S RESOLVED, ESCORTED TO EXIT WITH NO ISSUES AT 1830. 1807 INITIAL BP 124/67 HR 45 SATS 98% RA 1812 BP 147/84 HR 72 SATS 100% RA 1825 STANDING BP 123/77 HR 68 SATS 100% RA

Chills the first night as well as drowsiness and a sore arm. The following two days, I had nosebleeds each morning. The third day after, I had a nosebleed in the evening accompanied with nausea and headache (pressure)

I have had severe diarrhea the past 4 days. Starting Friday morning around 2am, by the time it was 6 am, I have already gone 6 times. I have gone 25 times from Friday am-sat night. It calmed on Sunday and picked up Monday and this morning. I have been following the BRAT diet and have been drinking fluids. It doesn?t make sense why I?m still feeling this way. I also had a fever for three days, throwing up Friday/Saturday, and have had headaches since Friday.

Felt fine day of vaccine, Sunday, just minor arm pain. Woke up the next morning with pretty severe fatigue and more arm pain. Around 11am I had pretty bad chills that lasted about an hour, along with minor nausea. Additionally, throughout most of the day my heart rate was usually between 90-100 bpm, even while lying down and doing nothing. Going to sleep on Monday night I woke around 3 times during the night with cold sweats. Waking up on Tuesday morning, my heart rate is still elevated, arm is still sore, but the fatigue isn't as bad. However, at around 9am on Tuesday morning I started to develop itchy hives and a rash on the back of my legs. After the first dose I only had a sore arm, no symptoms like these, and I do not have any known allergies.

appendicitis; This is a spontaneous report from a contactable consumer (patient). A 22-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose via an unspecified route of administration, administered in left arm on 18Mar2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. There were no medical history and concomitant medications. Patient stated his first dose was 2.5 weeks ago, almost 3 weeks ago and he has his second dose tomorrow (unspecified). Stated he had a bad reaction after first dose. Stated he was "sick for the next day or two" with appendicitis that night on 18Mar2021. Patient stated that he has completely recovered but date was unknown because it was a process. He went to the emergency room and was hospitalized. Therapeutic measures were taken as a result of appendicitis. The event outcome for event was recovered on unspecified date.

at 10:35, 7 minutes after receiving the vaccine, pt stated feeling faint and heart pounding. Color pale, lips pale, forehead cold and clammy. 98%pulse Ox, 41-46 HR reg and clear. BP WNL 127/72 and no respiratory distress. pt C/o nausea and did vomit 60 cc yellow cloudy emesis. EMS notified and came at 10:50 , full assessment and HX done. no medications or pertinent medical HX. pt monitored until symptoms went away. no more N/V, pts skin color improved. not clammy . pt was discharged at 11:39 in stable condition. stated he felt much better and didnt need any further medical attention

Unrelated symptoms starting earlier in the week: and pain, sense of impending doom; Possibly related symptoms onset tonight: Chills, dizziness, denies fever, Likely unrelated symptoms onset tonight: Describes an intermittent chest/back discomfort, dry mouth/throat; BEFORE The shot had gone to PCP and saw a paramedic. No evaluation with medical professional since Thursday (well before the shot)Caller is worried about heart attack and says his provider assessed he is at high risk of this. I adv based on medical history and chest discomfort tonight, I adv be evaluated in person. Discussed which of the side effects are probably/possibly related to the vaccine and which may be more medically related. The more concerning side effects tonight are likely unrelated but still warrant eval. Don't drive to the ED, reasonable to call EMS and have them evaluate and transport as needed. PCC will call back tomorrow. 4/26-Patient continues with chills, sore throat and abdominal pain, saw PCP about these ongoing symptoms, no new orders were established. Pfizer lot number: EW0170.-JD

Pt fainted after receiving his second vaccine while he was in the observation lot and reported weakness, lightheadedness, and nausea. He was evaluated by EMTs onsite and found to be significantly bradycardic and hypotensive. He was transported to ER for evaluation. Pt was anxious about the vaccine and reported not eating prior to receiving it.

Pt reported reaction with #1 dose of mild SOB and itchy throat. Given PO Benadryl and brought to ED for his SOB, though no additional treatments administered. Both ED Physician and PCP advised pt should still receive #2 dose. Pt presented prior to dose with normal mentation, and no difficulty ambulating or verbalizing beyond baseline. Pt had no issues when receiving vaccine then called over staff 2-3 minutes after vaccination to report SOB. EMS notified and staff. EMT and staff. EMR came to assist patient. Clinical Lead notified of 1st dose reaction and current reaction after SOB onset began and EMS brought over. Pt provided PO Benadryl 5 minutes after vaccine administered and able to swallow with no issue. I, Clinical Lead, remained at patient side where patient was able to describe his pain but had dyspnea and only able to get out 2-3 words at a time. After a few minutes, pt SOB worsened to the point he was unable to speak but no color changes noted. Mentation declined with pt somnolence present. At this point, Clinical Lead called 911 for backup as Benadryl had no relief of symptoms and SOB worsened along with mentation. Also noted that EMS pulse ox was not working so unable to provide accurate O2 saturation to delineate whether reaction was anxiety or allergic. Pt also noted history of seizure disorder though declined feeling was a current seizure and denied history of respiratory or cardiac conditions. Paramedics felt pt needed transport to the hospital and report provided by Clinical lead.

Pinched nerve pain, dizziness, swelling of throat, numbness/tingling right arm, nausea, difficulty swallowing. Arrived nauseous and listed symptoms -- verbalized improvement. Stable, released from vaccination site.

Temporary loss of vision and loss of feeling in the arms and legs. Also experienced extreme sweating and chills over night and chest tightness, stomach upset, headache, numbness. Did not have to get medical care - Symptoms resolved after 72 hours

Nausea, dizziness, fainting. Pt was caught before hitting the floor, taken to a room for observation, and given water, Gatorade, and ice. He sat for 30 minutes under observation.

2nd Pfizer COVID-19 vaccine administered on April 29th around 8:15 am, around 10 pm that day patient developed abdominal cramping and nausea with vomiting. The vomiting continued through Monday May 3rd. Patient reports stools were a loose for a few days but are formed now. Nausea has resolved but patient continues to have per-umbilical abdominal cramping with decreased appetite. Patient doesn't think he's lost any weight. No body aches, no fever.

Diarrhea, blood in stool, grabbing at groin area (patient is nonverbal). Increased ulcerative colitis meds, had stool tested and the result was severe inflammation of the intestines. Patient is on steroid currently for this condition.

patient felt light headed and got sick. after throwing up, he felt better. patient have always had same reaction to all vaccines due to anxiety.

Abdominal pain (5 out of 10), nausea without vomiting. History of IBS and took medications this morning. Stable, released from vaccination site.

Occurred within 5 mintues of receiving the vaccine. Chills, sweating, light headed, pressure in head. hard to see and hear, nausea, tingly sensation in both arms. Over in about 10 minutes.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Severe, Systemic: Tachycardia-Severe, Systemic: Weakness-Mild, Additional Details: Patient had vaso-vagal reaction: syncope, low blood pressure. increased pulse, profuse sweating/ flushing, nausea

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Medium, Systemic: Nausea-Severe, Systemic: Tachycardia-Severe, Additional Details: Pt has vaso-vagal reaction: syncope, low blood pressure, increased pulse, profuse sweating

Acute onset exhaustion, Passing nausea. Vital Signs: BP 118/70 HR 80 Resp 18 O2Sat 96% Skin Signs: Diaphoretic Circulation: Cap refill <2sec Initial Treatment: Observation. Patient denies recent illness, exposure, or ill family members. Scanned in at 100.1 temp on arrival. 3:14 PM Vital Signs: BP 116/68 HR 78 Resp 16 O2Sat 98% Skin Signs: Warm and dry Circulation: Cap refill <2sec Follow up Treatment: Drinking water. Reports feeling better D/C home by self. Complete recovery.

NURSE GAVE PATIENT VACCINE. 5 MINUTES LATER PATIENT STARTED FEELING DIZZY AND FAINTED FOR A MINUTE. WHEN HE CAME TO FELT CHILLS AND NAUSEA. TRIED TO CHECK BP BUT BP WAS TOO LOW TO READ, AFTER 10 MINUTES NO LONGER FELT CHILLS NOT NAUSEA

Client received his vaccination successfully without incident. However, as he stood by to observe his friend receive his injection, client became dizzy and nauseous. Client walked over to trash can and threw up. Dr. present for assessment client. Client appeared pale and confirmed SOB, denied dizziness and nausea. VS: #1 BP: 83/45, P: 58, O2: 98%; #2 BP: 103/59; #3 BP: 122/86, P: 96. Dr. encouraged client to drink a bottle of water and a bottle of Gatorade. Client was compliant. After-which, client denied SOB, dizziness and nausea. Color returned to his face. Dr. released client to be observed for 15 more minutes under the observation tent. Client denied discomfort, dizziness and nausea at time of departure. Client was stable when he exited the premises.

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild

Approximately 2 minutes after receiving the vaccine, patient stated that he felt nauseous. Patient was seated in observation area. Patient stated that he had no other pain or complaints. Pt appeared diaphoretic. Vital signs taken at 2:23pm were as follows. Pulse 44 regular and strong, BP 82/41, respiratory rate 14 and unlabored, oxygen saturation 95%. EMS was called. Patient was asked to lie down and his legs were elevated. Patient stated that he felt better and no longer felt nauseous. Vital signs at 2:28pm in Trendelenburg position were pulse 50, BP 109/56, O2 sat 98%, RR 14. Lung sounds were clear and equal bilaterally. Pt reported no difficulty breathing, no tightness or pain in chest, and no swelling in face. Vital signs at 2:30pm in trendelenberg position were pulse 56, BP 115/70, RR 14, O2 sat 99%. Patient was asked to sit up. He stated that he felt fine and returned to chair. Vital signs at 2:33 in chair were pulse 58, BP 109/66, O2 Sat 98%. EMS arrived and assessed the patient. Patient stated that he did not want to go to hospital. EMS released patient.

I experienced headaches, fever, redness at the injection site, dizziness, weakness, chills, dehydration, low blood pressure, nausea and diarrhea. I went to the ER because of my symptoms, they did EKG, vital signs, lab work. I can say I am not having any of my these symptoms today. I do not have lot # at this moment.

appendicitis/diagnosis was acute appendicitis with prerenal azotemia; appendicitis/diagnosis was acute appendicitis with prerenal azotemia; This is a spontaneous report from a contactable consumer. A 22-years-old male patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration, administered in Arm Left on 11May2021 12:45 (Batch/Lot Number: EW0176) as SINGLE DOSE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient previously received the first dose of BNT162B2 on 20Apr2021 for covid-19 immunization (lot_number=ER8735,lot_unknown=False, administration_date=20Apr2021,administration_time=12:30 PM, dose_number=1,vaccine_location=Left arm]. He did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced appendicitis/diagnosis was acute appendicitis with prerenal azotemia on 14May2021 10:00 with outcome of recovering, lower abdominal pain on 14May2021 10:00 with outcome of recovering. The patient was hospitalized for appendicitis/diagnosis was acute appendicitis with prerenal azotemia for 2 days.The patient was hospitalized for lower abdominal pain for 2 days. The patient underwent lab tests and procedures which included computerised tomogram: acute appendicitis on 14May2021, sars-cov-1 test negative: negative on 14May2021 Nasal Swab. Three days after receiving his second dose, he noticed lower abdominal pain, which resulted in visit to his primary care physician, who suspected appendicitis. He was immediately sent to the hospital for a CT scan that Friday night, and had surgery to remove my appendix Saturday morning. Official diagnosis was acute appendicitis with prerenal azotemia. He was discharged Sunday afternoon. Therapeutic measures were taken as a result of all events. The all events were reported as seriousness criteria of life-threatening. Information on lot/batch number was available. Additional information has been requested.

Patients health slowly becoming worse due to side effects. Patient is experiencing fatigue, nausea, migraines, disorientation, chills, and a fever up to 4 days after injection.

Chest Pain, Myopericarditis; From EPIC: From cardiologist healthy man who comes to the ER with left anterior chest discomfort for the last 36 hours or so. Symptoms are made worse by deep inspiration. Were improved following self administration of 600 mg of ibuprofen earlier today. 2 days ago he received his second COVID-19 vaccine (Pfizer). Following day he experienced arm pain muscular aches and pains severe discomfort of the right arm (injection site) later in the day there was nausea and vomiting on one occasion (nonheme). By last night he was able to eat dinner but subsequently felt short of breath with worsening chest discomfort morning the left arm continued to ache with musculoskeletal pains. Developed more discomfort in the left anterior chest radiating to the throat made worse by deep inspiration. Does not describe typical sharp catching pain of pericarditis. No cough sputum bruising bleeding abdominal pain change in color or character of bowels. Sign in the emergency room he was hemodynamically stable, in sinus rhythm with a normal EKG.Torrey work-up notable for an initial troponin of 1.28 and a follow-up troponin of 2.14. Chest x-ray perfectly normal. Elevated d-dimer. CT angiography negative for pulmonary embolism vascular injury, cardiomegaly, pericardial effusion but the radiologist did note thickening of several right posterior and lateral axillary lymph nodes raising a question of recent right-sided vaccination or injury/infection to the right arm. Presently he is perfectly comfortable able to take a deep inspiration with mild chest discomfort, breathing easily. I met him in July 2018He came to the emergency room with a 3-day viral syndrome manifested as headache nausea vomiting diarrhea and abdominal discomfort and then developed chest discomfort. He was found with diffuse mild J-point elevation on EKG consistent with a viral type pericarditis with troponins which rose to a maximum of 10.4. Work-up for myocarditis was negative. Echocardiogram perfectly normal. Symptoms responded to a course of nonsteroidal anti-inflammatory agents and colchicine. Seen in follow-up of repeat echocardiogram was perfectly healthy. Our diagnosis was myopericarditis. There is no history of shortness of breath dyspnea on exertion decrement of exercise capacity peripheral edema orthopnea PND palpitations lightheadedness syncope or collapse. No ill contacts. He works in a high security position and therefore qualified for early administration of the Pfizer COVID-19 vaccine. Graph past medical history notable only for the episode of myopericarditis and a remote tonsillectomy. There is no significant family history of sudden cardiac death or unusual heart disease. He takes no medications. Patient was recommended to take 4 weeks of ibuprofen and colchicine if needed for worsening chest pain. Patient was recommended to follow-up closely with his primary care doctor and check ESR, C-reactive protein as well as renal function. Needs close follow-up with cardiology as an outpatient.

Vomiting; fever; dizziness; This is a spontaneous report from a contactable consumer reporting for himself. A 22-years-old male patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 26Feb2021 08:30 (Batch/Lot number was not reported) as single dose for covid-19 immunisation . Medical history included covid-19 before the vaccine. The patient's concomitant medications were not reported. The patient experienced vomiting , fever and dizziness all on 26Feb2021 21:00 with outcome of recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Reason for Admission Patient 22-year-old male with a history of seasonal allergic asthma who presented to ER with a chief complaint of chest pain. He said he started having multiple episodes of vomiting/fever on Saturday morning, went to urgent care and diagnosed with sinus infection, prescribed amoxicillin, then he started having chest pain on Sunday at 4 PM, mid sternum, constant, pressure type of pain, 5 out of 10 in severity, worse with cough and deep breathing/lying down flat a lateral position, better with sitting up/ leaning forward. No radiation. Denies lifting any heavy weight or any heavy exercise. Never had similar symptoms in the past. He had his second dose Pfizer COVID-19 vaccine on May 12. He denies leg pain or swelling. His vomiting and fever resolved. ED: He was found to have troponin of more than 12,000, EKG showed diffuse ST segment elevation with possible repolarization. Transferred for possible cardiac cath/cardiac MRI. CT angio chest no PE, normal aorta, no infiltration. Pending second set of troponin, stat echo, aspirin po given in the ER. In addition to the above HPI, he reports having 2 days of fevers, chills, nausea, vomiting, diarrhea. T-max 103F. His chest pain began around 4 PM yesterday and he felt like it was initially consistent with his asthma, however it did not improve so around 1:30 AM he states they went to the ER. He states that the chest pain gets better with exertion, and is worse with deep breaths and lying on his side, or leaning forward. He did take Nyquil decongestant which contains phenylephrine. Hospital Course 22 yo M w/PMH exercise induced asthma admitted for evaluation of CP, elevated troponin to 21,292 with negative LHC. UDS Negative. EKG w/diffuse ST changes so consistent with Myopericarditis I31.9 given Recent Viral Illness resulting in first time myopericarditis, will treat per pericarditis algorithm, ASA+Colchicine w/90% response rate by 1 week. -ASA 650 to 1000 mg TID, weekly tapers if CRP normalized and sx free; will start at 650 mg dose -Colchicine 0.6 mg BID for 3 months, no taper (lowers recurrence rate, NNT = 5) -Glucocorticoid generally not indicated in first-time acute myopericarditis as observational studies suggest increased recurrence rate, but can consider if he does not adequately respond to aspirin and colchicine -Trend troponin to ensure downtrend continues -No strenuous exercise during recovery period

1503 Patient received PFIZER COVID19 booster. 1510 Patient complained of feeling dizzy and lightheaded. BP 152/92 HR 97 1510 Provided crackers, water and juice, as patient denied having eaten at all today. Continued to monitor and encouraged to deep breath. 1528 Patient complained of feeling nauseous and had visible tremors and difficulty speaking. BP 155/89 HR 79 1530 EMS contacted 1535 Mother notified of patient condition and status, advised EMS contacted to transport patient to hospital for further evaluation and monitoring 1540 EMS arrived and transported patient via stretcher to hospital

Patient received first dose of COVID 19 vaccine at 1:30 pm on 5/4/21, at 11:00 pm on 5/4/21 patient was at home sitting on couch when his body went stiff, eyes rolled into the back of his head, legs began shaking for about 20 seconds, once patient came to he was extremely nauseous and vomited. Patient did not seek medical attention that evening, called his PCP next day and was advised to follow up. Two days later patient still experiencing some headaches and nausea, advised to go to local ED (hospital) patient had labs drawn and received a CT scan, reported all were unremarkable. Patient is in the process of following up with Neurology and undergoing and EEG for suspected seizure.

Patient received PFIZER COVID19 booster. Patient complained of feeling dizzy and lightheaded. BP 152/92 HR 97. Provided crackers, water and juice, as patient denied having eaten at all today. Continued to monitor and encouraged to deep breath. Patient complained of feeling nauseous and had visible tremors and difficulty speaking. BP 155/89 HR 79. Mother notified of patient condition and status, advised EMS contacted to transport patient to hospital for further evaluation and monitoring. Discharged from ED with albuterol inhaler PRN.

Patient felt dizzy, cool, nauseated and had ringing of the ears. We had him lay down with feet elevated and began to feel better within 5 mins.

On Friday, May 14, 2021 started to have aches and flu-like symptoms. Then on Saturday, May 15, 2021. developed a migraine-like headache and chest pain along with worsening flu-like symptoms. By midnight Sunday, May 16, 2021 awoke with 8-9 out of 10 chest pain, with copious amounts of vomiting, a 9 out of 10 headache, abdominal pain with a feeling of hot than freezing, shivering, unable to keep clear liquids down. No loose stools, reported having a normal bowel movement. reported that since the vomiting started overnight the chest pain got no better but felt worse like an elephant was sitting on his chest. was taken to Hospital emergency department where he was originally treated, Tests performed were bloodwork including Troponin levels, EKG, Chest X-Rays, and CT scan. Per the Physician Assistant who initially saw stated that his EKG was abnormal than his Troponin level was elevated. Due to concerns withs history of Marfan Syndrome and the possibility of a torn aorta, increased Troponin, abnormal EKG the ED doctor wanted him helicoptered to Hospital's Cardiac Cath Lab to rule out a torn aorta. was helicoptered to Hospital taken to the Cardiac Cath Lab ruling out a torn aorta. After IV fluid hydration and other treatment, was diagnosed with myocarditis. Upon discharge, was placed on medication and to follow up with his PCP and cardiologist on 6/25/21.

First week: Chills & headaches. Second week: Heartburn & chest pain. Third week until now: Rashes (pimple-like) & reddish and itchy face and chest.

AT TIME OF INJECTION, PATIENT FELT LIGHT HEADED, DIZZY, TUNNEL VISION, NAUSE (HAD SOME VOMITING), CLEARED UP WITHIN 5 MINUTES, FELT BETTER WHEN DRANK GATORADE

On Friday night, April 16,2021, after working all day for his job, Pt told his roomates that he wasn't feeling well, was throwing up, had the chills and was going to lay down. When the roomates didn't see him Monday morning, April 19, 2021, they went into his room and found him unresponsive. The medical examiner ruled death due to cancer which appears incorrect considering the evidence.

The side effects didn't all occur simultaneously. Friday evening I noticed severe arm soreness. Later Friday night (about 10 hours after getting the vaccine) I developed gradual onset chills, body aches, and fatigue. Saturday I woke up with a severe headache, body aches, fatigue, and fever. The headache became severe by mid-day, with fatigue also worsening throughout the day. Sunday was more of the same, though I believe the fever started inching down and the headache lessened. What developed Sunday afternoon/evening took me off guard though. I noticed a sudden drop in heart rate, a feeling of pressure and discomfort in the chest, nausea, and shortness of breath with exertion (consistently - not just once). (I'm a long-distance runner, so this is unusual for me.) At first I debated going to the emergency room, but since I'm so young and in otherwise good condition I thought nothing of it. I had similar symptoms the following day, but I avoided exerting myself until all of my symptoms from the vaccine had ended. I felt groggy and fatigued for several additional days, but by Saturday (8 days after getting the first dose of Pfizer) everything had resolved. I also developed swollen lymph nodes, which returned to normal size within about 3 weeks (before swelling again after the second vaccine). The second dose of the vaccine caused a more sudden and intense reaction, though I never developed chest pain/slow heart rate with it. Instead I developed sudden onset severe chills, fatigue, and body aches about 9 hours after getting the shot. A fast heart rate, shortness of breath, and sudden onset fever (temperature jumped nearly five degrees in about 90 minutes) quickly followed. My fever stabilized around 102.2 around 3 a.m. that morning, and slowly crept down throughout the afternoon/evening. Overall, with dizziness, body aches, extreme fatigue, etc., this was the sickest I've been since I had a severe case of the Flu in high school. The fatigue, shortness of breath, and fast heart rate continued for about a week - getting slightly better each day.

body aches; Dizziness; Nausea; loss of appetite; chills; fatigue; itching; This is a spontaneous report from a contactable consumer or other non hcp. A 22-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: unknown; Expiration Date: unknown), via an unspecified route of administration, administered in Arm Right on 28Jan2021 (22-year-old at the time of vaccination), as a single dose for covid-19 immunization. The patient's medical history included non-sustained ventricular tachycardia diagnosed at birth, pacemaker and defibrillator. The reporter stated that her son has a serious heart condition, pacemaker/defibrillator- first was in 6th grade, currently on his fourth and drug hypersensitivity states they monitored them both longer than the 15 minutes because they have a history of serious allergic reactions to ACE inhibitors. The patient's concomitant medications were not reported. The patient continues taking his low dose aspirin prior to the vaccine but did not take any Tylenol. On 28Jan2021, the patient experienced dizziness, nausea, loss of appetite, chills, body aches, fatigue, and itching. The outcome of all the events was recovered on 29Jan2021. Information about lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

On the morning of 04-16-2021 I had a syncope in my restroom at my home. When I awoke I had convulsions. On Friday night, I developed fever, shakiness of my legs. On Sunday I had blurred vision, had nausea and had trouble breathing. These symptoms lasted one month. I had vertigo, nausea and had trouble breathing. As of today, I still have difficulty breathing, the nausea and dizziness are not present today. I will not get my second vaccine due to my symptoms to my first vaccine.

Client received COVID vaccine Pfizer (Lot# EW0187 expiration 07/15/21) at 1316. Client was sitting in the vaccination chair at 1320 when RN noticed Client was pale and fatigued. RN asked for help by a neighboring Ancillary, but RN and Ancillary responded at 1322. RN, RN, and Ancillary aided Client to zero-gravity chair. Student Nurse notified PHN, PHN, and PHN at 1326. At 1327, vital signs are blood pressure 116/60, heart rate 60, oxygen saturation 96%. Client reports being nausea at the start of intervention, but reports nausea been resolved, vision is non-blurry, slight headache, and feels dizzy. Client was offered water and accepted. Client reports a history of fainting, deaf in the left ear, and allergies to sulfa. Client's mother is present at the time of adverse effect. At 1331, vital signs are blood pressure 122/62, heart rate 63, oxygen saturation 98%. Client reports headache has improved, no nausea, no blurred vision, and dizziness has improved. PHN gave Client and the client's mother education on common adverse effects of COVID vaccine and ED precautions. At 1336, vital signs are blood pressure 118/62, heart rate 73, oxygen saturation 96%. Client reports no new symptoms, skin tone has returned to appropriate coloration related to ethnicity. Client remains in the zero-gravity chair drinking water. At 1341, vital signs are blood pressure 112/64, heart rate 66, oxygen saturation 99%. Client reports all symptoms had resolved. At 1346, vital signs are blood pressure 110/60, heart rate 68, oxygen saturation 97%. Client reports no complaints. At 1356, vital signs are blood pressure 112/62, heart rate 65, oxygen saturation 96%. Client reports no complaints. Client stood up with no complaints and left facility at 1357 and was accompanied by his family.

15 to 30 seconds after immunization was administered, patient complained of lightheadedness, where he then lost consciousness and proceeded to have a seizure, where he was shaking uncontrollably for about 45 seconds. Upon regaining consciousness, the patient was able to recall what had occurred before the seizure, but said he did not remember what happened after the vaccine, and that he felt that he had defecated in his pants.

Patient felt dizzy after 10 minutes of vaccine administration, patient taken to examination room and remains in supine position, checked BP -101/62, HR-52, RR-18, O2 saturation - 98%, skin looked pale and diaphoretic but never had any loss consciousness. Was talking the whole time, reports some nausea , but denies any sob, chest tightness or wheezing. No rashes. Watched the patient for next 30 minutes and patient left home after all the symptoms completely resolved

Elevated heart rate within couple of minutes of receiving vaccine and extreme fatigue. Visited emergency room 4 times within two months after receiving vaccine and had abnormal EKGs. Followed up with a neurologist, cardiologist, gastrologist, and primary care physician to receive more follow-up tests but have not received any official diagnoses yet. As of July 7th, I still have rapid heart rate, low blood pressure, shortness of breath, bone cracking, and back & stomach & neck pains that all started since receiving the second dose of vaccine.

At approximately 1605, patient reported feeling nauseous in vaccination chair. Patient vomited in emesis bag. Patient reported feeling anxious before vaccination and a history of anxiety and panic attacks. Patient reported vomiting after receiving an unspecified vaccine in 2019. Patient offered anti-gravity chair. Patient refused anti-gravity chair. Patient denied difficulty breathing, difficulty swallowing, itchiness, rashes and hives. Patient advised to wait for further observation. Patient given water. At 1615, EMT assessed patient vital signs: blood pressure 136/88 mmHg and pulse 115 beats/minute. At 1621, EMT reassessed patient vital signs: blood pressure 130/80 mm Hg and pulse 78 beats/minute. At 1633, EMT reassessed patient vitals: blood pressure 112/76 mmHg and pulse 74 beats/minute. At 1635, lead nurse assessed patient. Patient denied feeling nauseous. Patient stated "I feel okay". Lead nurse educated patient on signs/symptom of when to seek emergency care, to sign up on v-safe, and to follow up with primary care provider. At approximately 1640, patient left facility with unlabored respirations and steady gait.

Patient received the Pfizer COVID vaccine (lot EW0191) at approximately 1625 in the Collaboration Room, to provide more privacy at patient's request. Pharmacist vaccinated patient and remained with the patient for observation period. At 1630, the patient vomited and PHN approached to assess. Patient reported feeling hot and sweaty before vomiting, and relief after emesis. At 1632, vital signs: blood pressure 134/88, pulse 70, O2 97%, respirations 18. Patient reported having a similar reaction after receiving the 1st Pfizer dose and after the meningococcal vaccine. PHN noted no swelling or work of breathing. Patient reported a fear of needles. Patient did not follow up with his provider after the 1st dose of Pfizer COVID vaccine. Patient reported eating a full meal and drinking water throughout the day. PHN encouraged patient to follow up with provider and symptoms in which to call 911. Patient reported no allergies, medical conditions, nor medications. PHN offered patient Benadryl but patient declined. AT 1650, vital signs: blood pressure 122/80, O2 98%, pulse 80, respirations 16. Patient reported symptoms had resolved. Patient drank water offered by Pharmacist. Patient left walking with steady gait at 1703.

Loss of appetite began at around 5:00 pm, followed by mild nausea. Symptoms progressed to a severe headache and a mild fever. by 10 pm that night. Headache was so severe that even moving my head caused severe pain. Headache lasted at least 12 hours and did fully subside until late the next day.

Patient reported having dizziness after the vaccination, he also mentioned he had a little feeling of nausea. He reported that this happened to him before after he getting any kind of injections. We called 911, the ambulance came, monitored and checked his vital signs. Patient refused to go to the hospital. He was feeling much better after sitting and drank some water. Patient accompanied by a friend who drive him home. Our corporate reporting line was contacted and reported the incident as well.

Received Pfizer vaccines on 5/18/21, 6/8/21. Began feeling ill on 7/21/21 w/ cough, sore throat, vomiting, nausea, myalgias, chills, H/A. Tested positive for COVID-19 by PCR on 7/23/21.

Approximately two weeks after receiving the second dose I began to notice abdominal pain that worsened when breathing or laying down. The pain became more severe over the course of the next few days that I admitted myself to the emergency room of the Hospital. A CT scan showed a pulmonary embolism located in my lower right-hand lung, which would have killed me if left untreated. I was admitted to the hospital and treated for pain and given intravenous blood thinners for 3-4 days. I was discharged with orders to follow up with a pulmonologist, cardiologist, and PCP. I was unable to schedule visits with the specialists due to financial constraints. After leaving the hospital my condition began to improve and has continued to improve since. As I understand it, the tissue in my lung may never heal and as a result i suffer diminished lung capacity.

At 2:00am 12/19/20 I woke up to an episode of diarrhea and was left feeling nauseous. I woke up again at 4:30am with another episode of diarrhea and severe nausea which led me to throw up. I feel better after throwing up and proceeded to get rest before going to work at 6:00am. By 8:00am I had developed a severe headache, severe nausea, muscle fatigue and overall felt bad. When I got home I had become extremely nauseous and developed severe muscle fatigue and severe arthralgia and my headache had increased and became sweaty and dizzy. I slept from 9:00am to 2:00pm where the symptoms had gotten no better and the headache had gotten worse. I slept from 3:00pm to around 6:00pm with the same symptoms but managed to eat some soup and kept it down. I slept from 10pm to 12pm the next day 12/10/20. My fatigue and joint pain had somewhat dissipated but I was still experiencing severe nausea and a severe headache. By the end of 12/10/20 around 8pm my joint pain and muscle fatigue had gotten better but the nausea and headache were still there. 12/11/20 I was well enough to drive and receive a covid test. My nausea and headache did not go away until the end of day 12/11/20

Starting ~10PM: fatigue, muscle soreness. Overnight, fever (99.8), chills, aches, Headache, sore throat, fatigue and mild diarrhea.

Nausea; This is a spontaneous report from a contactable other hcp, the patient. This 23-year-old male patient received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine) (Lot number: EK9231), intramuscularly in the left arm on 07Jan2021 at 10:00 (at the age of 23-years-old) as a single dose for COVID-19 vaccination. The patient's medical history was not reported. The patient did not have any allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medication included acetylsalicylic acid (BABY ASPIRIN) and cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]). On 07Jan2021 at 10:15, the patient experienced nausea. No therapeutic measures were taken as a result of the events. The clinical outcome of the nausea was resolving. It was also reported that since the vaccination, the patient had not been tested for COVID-19.

1249 at end of 15 minute monitoring RN (this writer) approached pt to ask about symptoms, pt was seated in chair calmly stated "I feel a little dizzy" this writer asked pt to please stay a little longer and offered water, this writer took vital signs, pt verified wit writer they did not have a reaction with 1st dose, vitals WNL exception RR 24, pt warm, pink and dry, got a second RN to stay with pt and requested site lead to come assist, 222 was dialed a CAT team was called to the clinic. as a second set of vitals were taken pt began to become pale and stated "hard to swallow"provider responded, directed Epi to be given from allergic reaction kit on site, dose verified and given by nurse recorded as approx. 1230. Other CAT team members arrived and the pt was put on O2 and transferred to a stretcher and taken to ED approx. 1249.

Event: Fever (100.4), chills, nausea, headache Treatment: Rest, Tylenol & Advil Outcomes: Better within 24 hours

No adverse affect after 1st dose. After second dose, no arm pain was felt, but joint aches and a fevers were prevalent around hour 8 after injection. Around hour 10, a fever of 100° F set in and quickly rose to 102° before hour 12. Fever reached 103° by hour 12.5 and broke by hour 13. After fever broke, vomiting/dry heaving occurred for roughly 2 hours. Lethargy/ LOC set in around hour 16 and the former remained until around hour 48. After the course, I began to feel fine, I just wanted to report how adverse my side effects were compared to those of my coworkers.

Patient presented with a no health hx except for hives to PCN as a child and "passed out" with a childhood vaccine x 7 years ago. Vaccine given without incident, doctor present to distract patient while I gave vaccine. 3-5 min post vaccine patient c/o of nausea and trash can provided. Patient became silent while talking, head fell forward and clonic tonic posturing noted in upper extremities. Called to doctor and patient lowered to floor and placed in recovery position, MSE lasted approximately 30 seconds, EMS called. Post seizure: Patient very pale and diaphoretic, oriented to person quickly, no signs of facial swelling, resp distress or symptoms of a severe allergic reaction. B/P 134/50 HR 80 and regular, patient at this time shares that he had a MSE 3 or 4 years ago with friends. States came around after eating and drinking. States he did not share this information with his health care provider. Patient was AA&O x3 but with dismissed LOC from pre-vaccine state. 1200-EMS arrived, B/P 110/7, glucose 88/EMS, attempted to sit patient up/EMS, became dizzy and pale. Lowered to recovery position and waited for second team. Attempted to sit patient up again when second team arrived and again he became pale and dizzy. 1212- patient consented to be transported to hospital at this time/EMS.

nausea aprox 10 min after injection and the following day, treated with Meclizine. Fatigue several hours after injection through 36 hours after.

Nauseous /Lightheaded/Fatigue /Headache/Dizziness at 3:00PM CST - took Ibuprofen 600mg and Metoclopromide 10mg

fatigue: started day after injection, lasted 2 days nausea: started day after injection, lasted 2 days chills: started day after injection, lasted 1 day arm soreness: started night after injection, resolved by the morning after

Headaches; Nausea; soreness at injection site; This is a spontaneous report from a contactable consumer (patient). A 23-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: solution for injection, Lot number: EL3248) via an unspecified route of administration in the left arm on 09Feb2021 at 07:00 (at the age of 23-year-old) as a single dose for COVID-19 immunisation. The patient relevant medical history and concomitant medication were not reported. The patient previously took historical vaccine, first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number: EL3248) in the left arm on 19Jan2021 at 07:00 for COVID-19 immunisation. The patient did not have any allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient experienced headaches, nausea, soreness at injection site on 09Feb2021 at 20:00. The patient did not receive any treatment for the events. The events were reported as non-serious by the reporter. The outcome of the events headaches, nausea, soreness at injection site was recovered on an unknown date in Feb2021.

Fatigue; dizziness; increased hunger; This is a spontaneous report received from a contactable consumer (patient). A 23-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3247, expiry date: unknown), via an unspecified route of administration, on 19Jan2021 10:00, at single dose, for COVID-19 immunization. There was no medical history. Concomitant medication included cetirizine hydrochloride (ZYRTEC). The patient was not diagnosed with COVID-19 prior to vaccination and was not tested for COVID-19 since the vaccination. The patient did not receive any other vaccines within 4 weeks prior to BNT162B2 vaccine. On 19Jan2021 at 23:00, the patient experienced fatigue, dizziness and increased hunger. No treatment was given for the events. The patient recovered from the events in Jan2021. The reporter assessed the events as non-serious.

At approximately 3:28 pm, Patient reported feelings of nausea, skin color was grey and clammy to touch within minutes of receiving dose 1 Pfizer. Moved to the adverse reaction area via wheelchair with girlfriend by his side. Patient denies any medical history. Girlfriend reported that he had a fear of needles. Initially vitals were taken, O2 sat was 90 and his heart was in the 40's. PA was present and felt patient needed to be sent to the ED for further evaluation. Within minutes the vitals stabilized and patients color returned to normal but continued to report mild nausea and dizziness, consulted Dr who suggested if symptoms persisted to send him to the ED. EMS called for transport at 3:45. Pt was transported to the ED at 4pm.

23 year old male with a history of 31 allergic reactions, Mast cell activation syndrome, Addisons disease, and POTS, developed anaphylactic reaction after receiving first Pfizer COVID-19 vaccine. Patient took 50 mg benadryl 30 minutes before arriving at vaccine clinic in anticipation of possible reaction per physician's recommendation. Per pt he asked multiple physicians regarding receiving the covid vaccine and was given the permission to proceed. Also took 20mg hydrocortisone in the morning, then 10mg this afternoon for Addison's disease. 1603 - Pt received 1st dose of Pzifer covid-19 vaccine and during the first 5 minutes of observation complained of feeling itchy and wheezing, light headed, nauseous. 1608 - 0.3mg epi given at - self administered right thigh. 1613 - 90 mg of hydrocortisone (solu-cortef), patient's own medication, given by RN through pt's PICC line RUE; line was flushed with NS before and after and cleaned with alcohol swab. 1615 - Self-administered 4 mg Zofran (patient's own medication) at 1615 into the RUE PICC; cleaned with alcohol swab. 1615- Second 0.3mg of epi given- self administered left thigh. 1617 - Fire department arrived. 1621- pt complains of itchiness still but wheezing is reduced. BP 118/83 at 4:25 PM, normal O2 sat and pulse, normal respiratory rate. 1626 - patient placed in gurney, escorted out by Fire Dept en route to Hospital Physician assistant and five other RN were with the patient and his mother.

Syncope episode, nausea and vomiting .Patient needed a minute to catch breath. Patient stated felt better after a minute.

After giving the patient his Covid Vaccine, he tensed up and said he was feeling like he may vomit. He then became very pale and fainted while in the vaccination chair. After a few seconds he regained consciousness. We then helped him to the floor and elevated his legs and placed a cold pack on his neck. He started feeling better instantly but we kept him there for about 5 minutes. We then had him move to a chair and the technician sat with him for an additional 40 minutes. He then said he was fine and that he has fainted before (which was not disclosed) and left.

Roughly 12 hours after dose, began feeling chills. (roughly 11 pm on day of second dose). By 2 am, Saturday, symptoms had reached their worse. For the next 12 hours, had hot and cold flashes, along with strong headaches. Nausea when standing or moving quickly. Likely fever. Nighttime acetaminophen taken at about 6 am. By 2 pm the next day, able to stand. Nausea gone, and hot and cold flashes not as bad (but still present). Appetite was poor. Regular acetaminophen taken at around 2 pm. By end of Saturday (10 pm), headache and chill/heat, but to a lesser degree. Nighttime acetaminophen taken at 10pm or so. Next day, Sunday, most symptoms were gone, except for join pains. Neck in particular was sore when head was tilted at all. Monday, all symptoms gone. Maybe some minor soreness.

Employee reports dizziness, headaches and nausea two days after second dose vaccine. This then went away for a month. Reports that she began again to have dizziness, nausea and headaches, "feels her eyes are constantly moving" March 15 Saw an urgent care provider and went to emergency Room on 3/22 for dizziness.

Became very pale, dizzy, had dry heaves, C/O extremities tingling brought to cot and lay down, VSS,O2 sat between 97-98%, was given water

Immediately following administration of Covid 19 vaccine (Pfizer), patient experienced profuse sweating , nausea and blurred vision (described as seeing stars). Medics were called and upon arrival vitals were obtained. Blood pressure was normal. Patient refused transport. Patient remained in pharmacy for about 1 hour for observation. Patient was able to walk out.

anxious, lightheaded , lost hearing, heard ringing that was not there, cold hands, numb legs, upset stomach, difficulty breathing started about 5-10 minutes post vaccination gave patient water, gave 1 dose of epipen due to trouble breathing EMT found patient to have low blood pressure and advised to be checked up at hospital. Patient refused ambulance services but said he would go to ER to be checked out. Upon follow up several hours later patient said he felt better after getting outside and just went home

Waves of nausea since I woke up this morning at about 7:00am. Also feel a mild fatigue and tiredness. I drank lots of water and ate a full meal at 12:00 and feel slightly less nauseous now at 3:30pm. This is after 2 days with no side effects except a little bit of a sore arm.

Patient states he had 2nd dose of covid-19 vaccine on 4/7 morning, he states he had expected side effects such as fever (101), body aches, chills, and headache in 24 hours after the 2nd dose, then he felt back to normal on 4/8 morning. When he woke up on 4/9 morning, he experience really bad headache (6/10), and he has a tension feeling from his neck to the back of his head, and he felt off balance when he walks. He said the off balance symptom is getting worse this morning. He felt he is going to fall when he walks. He experience nausea without vomiting when he ate breakfast this morning. He also states when he breath deeply, he felt chest tightness, which is not usually there. Patient states he remembered that he had mild off-balance feeling about one month ago, prior to have the covid vaccine, but would recovery quickly after walking around a little bit. The off-balance feeling won't go away this time.

Vasovagal syncope in the 15 minute waiting period. Response by staff was great: laid me down, brought a cot, regularly checked my heart rate, blood oxygen, and blood pressure until it returned to normal and waited to make sure the symptoms did not return. Later that night, I started experiencing some of the typical COVID vaccine side effects: sore arm, chills, nausea, and fever-like symptoms; in addition to the symptoms I was warned was possible, I also experienced periods of dizziness and an uncomfortable sense of balance. Three days later, the dizziness and other common symptoms have gone away, but my sense of balance still feels off, although I do not know if related to the vaccine. It?s not so bad that I?m at risk of falling over, but I have a semi-regular feeling of unsteadiness which I cannot explain.

Patient complained of nausea, headache, dizziness. Patient was diaphoretic. No complaints of shortness of breath or throat swelling. Vital signs stable.

patient was post pfizer covid vaccination about 5 minutes seated in chair. fainted and appeared to have a seizure of around 1 min. his mother and I were trying to revive/wake pt during this time. called 911. pt was disoriented upon awakening and vomited about 5 times. emt arrived in about 7 mins. pt left in ambulance.

On call to car, pt fainted. Quickly aroused but diaphoretic and pale. Laid back in seat. Given cool air and compress. Color improved. Responded appropriately to questions. Briefly nauseated. Vss throughout. After about 20 minutes patient reported well enough to leave. Driven by girlfriend.

Post vaccine pt experienced multiple sneezes and became lightheaded. Pt assisted to floor by staff. Transported to med obs at 1300 via stretcher. Vitals obtained and monitored. While in med obs pt became nauseated and had several episodes of emesis. Water and saltine crackers given. All symptoms resolved. Pt released to home by self at 1405. After pt was released, med obs staff was informed by vaccinator that pt appeared to have seizure like activity after vaccine was given. Pt was then in and out of consciousness and was assisted to the floor at that time. Vitals as followed: 1303 LYING BP 115/64 HR 61 RR 12 SPO2 94% 1310 LYING BP 123/59 HR 63 RR 12 SPO2 96% 1314 LYING BP 102/45 HR 86 RR 14 SPO2 95% 1322 LYING BP 113/59 HR 65 RR 14 SPO2 95% 1337 SITTING BP 93/66 HR 67 RR 14 SPO2 97% 1339 SITTING BP 115/67 HR 74 RR 14 SPO2 96% 1343 STANDING BP 108/66 HR 69 RR 14 SPO2 96% 1354 STANDING BP 132/65 HR 64 RR 14 SPO2 97%

Patient reports symptoms starting about 30 minutes after 2nd dose of vaccine. Started with headache, then progressed to severe chills, and fever. On 4/11 patient had severe weakness and was unable to walk or sit, altered mental status, high fever 104, nausea, diffuse, red bumpy rash on face, neck, torso. Orbital and facial swelling. Mother took to urgent care and patient was transported to ER and was admitted.

Symptoms - Severe fatigue, headaches, body aches, feeling feverish, nausea, brain fog Treatment - Acetaminophen 1,000 mg every 8 hours Outcomes - Ongoing

reports light-headedness and nausea. VSS. continuous monitoring and approximately 10 minutes later reported that he had difficulty breathing at that time Benadryl 50 mg po was given at 1500. he was then taken to the occupational nurse clinic and laid supine with his legs elevated blood pressure was 140/93 heart rate 97 oxygen concentration 100%. He then reported chills blanket provided for comfort and emotional support given. continuous monitoring and emotional support given. 1515 vital signs were 126 / 82 heart rate 80 oxygen concentration 99% he reports that he is feeling better. He was monitored for an additional 30 minutes in the Med clinic his brother did arrive at 1540 at which time DC instructions were given including calling 911 if symptoms worsen- he gave verbal understanding, all questions answered.

Patient was given vaccine and then was seated in the waiting room when he started to feel faint and nauseated within 5 minutes of administration. Pharmacists were alerted by the patient's mother immediately. Patient was sitting upright when initially approached with his head down but since his mother stated he was feeling dizzy and nauseous, we laid flat in the waiting room and called 911. Patient had no rash upon inspection or breathing problems. Patient never lost consciousness and was responsive to questions. Paramedics arrived and sent him to hospital for further observation.

Member experienced shortness of breath, migraines, dizziness, nausea and fatigue for 1 week after 2nd dose. Had to take off a week of work.

Approx 5 minutes post injection, the pt had a near syncopal episode, felt clammy, dizzy and nauseated. He was dry heaving upon arrival to med obs area. BP 120/74, HR 62, O2 100%. Pt laid down on stretcher for several minutes until his symptoms started to subside. He was able to tolerate water and sit on side of stretcher while chatting with clinician. At 11:54 his BP was 120/74, HR 77 and O2 100%. He denied all symptoms and was discharged via wheelchair to father at 12:09

As the night went on I started to feel more and more fatigued at work(more than would be normal). I left early and felt a little nauseated by the time I got home. I went to sleep within 2 hours(around 12am). I woke up about 5 hours later with extreme fever symptoms(chills, nausea, fatigue, soreness) and a very intense headache. I contracted Covid-19 in October 2020 and this was much like how I felt when I was sick with the virus, minus the cough. Everything was mostly cleared up by the evening however.

not feeling well; he felt really terrible yesterday; Fatigue; on the left side of his throat, it hurt to swallow/throat pain; on the left side of his throat, it hurt to swallow/throat pain; last night (07Apr2021), he had a really bad headache; Sensation of pressure in ear; Sensation of pressure in eye; Dizzy on standing; at one point, he had a little bit of nausea with the dizziness; he was really weak; he didn't eat yesterday because he had no appetite; Chills/Teeth chattering; Shaking; Hot feeling generalized; Sweating; Feeling hot and cold; on Tuesday night (06Apr2021) he didn't sleep well, and he could barely sleep last night (07Apr2021); his head felt heavy on Tuesday night (06Apr2021), and his head felt super heavy last night (07Apr2021); This is a spontaneous report from a contactable consumer (patient) via a Pfizer-sponsored Program COVAX US Support. A 23-year-old male patient received the second dose of bnt162b2 via an unspecified route of administration, administered in Left arm on 27Mar2021 (between 11:55AM and 12:00PM) (Lot Number: ER8732; Expiration Date: Jul2021) as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received the first dose of bnt162b2 via Intramuscular, at the age of 23-year-old, administered in right arm on 06Mar2021 (Lot Number: EN6206, Expiry: 30Jun2021) as single dose for covid-19 immunisation. He felt really terrible yesterday (07Apr2021). On Tuesday night (06Apr2021) he didn't sleep well, and he could barely sleep last night (07Apr2021). His head felt heavy on Tuesday night (06Apr2021), and his head felt super heavy last night (07Apr2021). On 07Apr2021, the patient experienced fatigue, on the left side of his throat, it hurt to swallow/throat pain, really bad headache, sensation of pressure in ear, sensation of pressure in eye, dizzy on standing, a little bit of nausea with the dizziness, really weak, he didn't eat yesterday because he had no appetite, chills/teeth chattering, shaking, hot feeling generalized, sweating, feeling hot and cold. The patient experienced not feeling well on an unspecified date. Patient started developing symptoms that were very bad, he thought he had COVID. Patient had a PCR test that was negative. Patient would like to know if a delayed response after second dose is normal. Reported he had received his second COVID-19 Vaccine dose about 2 weeks ago (27Mar2021). He said he felt really terrible yesterday. He said he felt so bad that he thought he had the COVID-19 Virus, and went to get tested. He clarified he had a real time COVID-19 Virus PCR test yesterday (07Apr2021), and received a negative result today (08Apr2021), less than 24 hours after having the test performed. He said it could be something else that was making him feel terrible. He said he had a (telehealth) appointment with a doctor tomorrow (09Apr2021). Caller asked if Pfizer had any data with the second COVID-19 Vaccine for people that had a really delayed immune response with their immune system. He said he had no symptoms after his second COVID-19 Vaccine, and was wondering if what he was experiencing now was a delayed immune response. Reported last night was the worst for his symptoms, saying it was awful. He said he felt better this morning. He clarified that on Tuesday night (06Apr2021) he didn't sleep well. He said his head felt heavy, but when he woke up, he did not feel too bad. He said he had fatigue, and on the left side of his throat, it hurt to swallow. He said last night (07Apr2021), he had a really bad headache, and his head felt super heavy. He said he had ear and eye pressure. He said he got dizzy on standing, and at one point, had a little bit of nausea with the dizziness. He said he wasn't sure if the nausea was caused by the dizziness. He said he was really weak, and didn't eat yesterday because he had no appetite. He said he took his temperature at around 8:00PM-9:00PM last night, and had no fever. He said he still had his sense of taste and smell. He said he had chills, he was shaking, and his teeth were chattering. He said he was also hot and sweating at times, like he was alternating between hot and cold. He said he tried to drink water yesterday, and would take a few sips of water when he turned over in bed. He said he could barely sleep. Treatment: Reported he took Ibuprofen 200mg tablets, off and on, to treat his headache because his headache was preventing him from sleeping. He said he would take 2 Ibuprofen 200mg tablets at a time. He said he took his first Ibuprofen dose in the middle of the night on Tuesday, and then took 2 more doses of 2 Ibuprofen 200mg tablets last night. He said he did not have the Ibuprofen 200mg tablet NDC, Lot, and Expiration Date because he had taken Ibuprofen from a different Ibuprofen 200mg bottle and put it in the Ibuprofen 200mg he was taking from. Reported he felt he had gained strength back today (08Apr2021) because he had showered this morning, and didn't fall over. He said he was so weak yesterday, even trying to text for his work was bad. He said his headache was a little worse today, and his left-sided throat pain was persisting, but everything else had subsided for now. Caller said he was wondering if what he had experienced was a delayed immune response, or a false negative COVID-19 Virus test, or something else, like Mono. Patient was not feeling well. Did test negative covid. The outcome of the event headache, Swallowing painful and Throat pain was not recovered, other events was recovering. No follow-up attempts are needed. No further information is expected.

Pt was leaving ballroom after 15 min observation. Pt fainted, went down onto knees, then fell forward. Onsite EMTs helped pt into chair after he regained consciousness (15 sec). Pt was helped into w/c, brought to observation area outside ballroom. Pt was awake and able to answer questions, appeared pale and sweaty, stated he felt like he was going to vomit. Denied SOB, stated he felt less lightheaded. Pt then vomited sm amt x 1. Patient denied ever having vasovagal response to injections. Pt stated he had been hungover this morning and had not eaten or drank much today. VS were taken (BP 90/40, HR 80, RR 14). Pt was given water. Pt was observed for an additional 20 min, color visibly improved, pt stated he was feeling better. Pt refused transport to ED for further assessment. EMT suggested calling home for a ride, pt called sister and she agreed to pick him up. VS retaken before pt left, WNL (BP 105/70, BMP 59, SpO2 95). Pt left w/ family after 30 min.

Vasovagal response after receiving first dose of Pfizer COVID-19 vaccine. Emesis x3. Per patient, possibly blood glucose related, orange juice was given and symptoms resolved. Able to receive second vaccine with no difficulty.

IMMEDIATELY AFTER INJECTION PATIENT BECAME DIZZY, EYES STARTED ROLLING BACK AND FORTH, PATIENT'S BODY BECAME HOT, PATIENT'S BODY BECAME TENSE AND STIFF, AND PATIENT VOMITTED. 911 WAS IMMEDIATELY CALLED AND PATIENT WAS TAKEN BY PARAMEDICS.

nausea; Fever; chills; body aches; This is a spontaneous report from a contactable consumer (patient's parent). A 23-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EP6955) via an unspecified route of administration, administered in arm left on 10Apr2021 11:00 as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient has no known allergies. 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. Patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EP6955) via an unspecified route of administration, administered in arm left on 20Mar2021 11:00 as single dose for covid-19 immunisation. The patient experienced fever, chills, body aches, nausea on 10Apr2021 10:45. No treatment received for the adverse events. The patient was not diagnosed with COVID-19 prior to vaccination. The patient has not been tested for COVID-19 since the vaccination. The outcome of the events was recovered. No follow-up attempts are possible. No further information is expected.

I started having Diarrhea and have to pee a lot more. It started yesterday evening and I noticed all day today that I had to pee more often than normal. I had diarrhea 3 times. (My wife got the same vaccine at the same time and has similar symptoms)

pt given shot at 14:10. at 2:16, pt was observed mid-faint (vasovagal syncope). pt was given bottle of water & ice pack for back of the neck (it was only slightly warm in the room, but he was clammy). pt reported the "curtain coming down" with hearing loss and tingly and was aware of faint, as he spilled the contents of his 1st bottle of water. pt's bp taken 118/78. pt reported his norm usually 125/85. pt was observed for an additional 35-40 minutes. syx resolved spontaneously, and pt released but cautioned about operating machinery & what further syx to look for. pt returned to clinic 3 days later to say hello and mentioned persistent nausea & extreme fatigue ("like deep in my bones"), for which he had visited PCP in the interim.

Received first dose of Pfizer on 3/1. Felt tired for few days and was fine. Started having neck and back pain and then extreme heart burn, pain down left arm, trouble breathing etc. Admitted into hospital on 3/20/21 with Triponin Level at 1.8 and Blood Platelets level at 20,000. Fever and resting heart rate of 135 BPM. Extreme heart burn and pain down left arm. Triponin level rose to 4.5. Platelet levels did not increase. After multiple blood tests to make sure they were correct Cardiologist and Hematoligist diagnosed as Myopericarditis and ITP blood disorder. Spent 4 days in hospital on heavy Decadron dose for ITP and levels improved. Myopericarditis being treated with Colchicine and Metoprolol. Was discharged from hospital on 3/24 and monitored at home. ITP levels still fluctuating and Myocarditis and Pericarditis are still being treated. No previous history of any heart or blood problems and no family history. 23 year old healthy male with no previous health conditions.

7 days and after Vaccination #2 Pfizer previously healthy patient had sudden onset of severe vertigo that woke him up from his sleep at 2 am. No associated fever, chills, diarrhea, cough. Associated with nausea and emesis x1 and inability walk. This was not associated with head movement. This lasted 2 -3 hours and he went to sleep and woke with minimal residual. No other associated sick contacts, no Past Medical History, no medications, no allergies, no surgeries,. He hydrates well and is in excellent shape. He cross-trains with multiple circuit conditioning.

Patient relates onset of oral symptoms to include itching and throat tightness approximately 30 minutes after vaccine administration, progressive over course of day, evolving into dyspnea and single episode of nbnb emesis and loose stools. Eventually presented to ED that evening at approximately 2135. Treated with IV solumedrol, epinephrine, diphenhydramine, Pepcid, and albuterol inhaler with resolution of symptoms.

Pt feeling dizzy, nauseated, and tingling sensation to left arm and bilateral feet. Pt also reported slight SOB. Vitals: HR63, O2 SAT 98%, NO tachypneic noted. Pt also noted to be pale and diaphoretic. Pt was advised to seat back and given a bag to vomit in if needed. Patient encouraged to stay hydrated. After a few minute, patient felt better . observed extra minutes till patient felt better and could drive

Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: Patient reported feeling sweaty and nausea. Given benadryl and water. Only lasted a few minutes and then went away. Observed for 30 minutes before patient felt okay to leave.

Client verbalized feeling lightheaded followed by vomiting. Client was evaluated by Broward Fire Rescue and treated. Per Fire Rescue client is stable, no further evaluations needed, symptoms resolved after 20 min. Client exit the facility at 1:35pm accompanied by relative.

This is a spontaneous report from a contactable consumer. A 23-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot Number: EP7534), via an intramuscularly in the left arm, on 22Apr2021 at 14:00 (at the age of 23-years-old) as a single dose for COVID-19 immunisation. Medical history included gluten intolerant. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient's concomitant medications were not reported. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot Number: EP7534), intramuscularly in the left arm, on 01Apr2021 at 14:00 (at the age of 23-years-old) for COVID-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient experienced appendicitis on 25Apr2021 at 04:00, which required hospitalization for one day from an unspecified date to an unspecified date. The patient underwent lab tests and procedures which included COVID-19 nasal swab: negative on 25Apr2021. Therapeutic measures were taken as a result of the appendicitis, which included an appendectomy. The clinical outcome of appendicitis was recovered in Apr2021.

Adverse Event: 1305: PT c/o feeling lightheaded, slightly nauseated. RNs on site responded, assessed, obtained vital signs (1309: BP 100/60, HR 69, SPO2 96% on RA). PT presented with diaphoresis and pallor. Aid was called at 1305, EMTs responded at 1315 after completing another call. RNs mentioned above provided care to PT until their arrival; PT remained stable with no LOC during encounter. EMTs obtained VS at 1315: (BP 118/P, HR 80, SPO298% RA). Treatment: Provided juice and water, assessed PT, obtained vital signs. Outcome: PT reported "I feel fine now. I can walk fine." PT appeared to be at baseline and was medically cleared by EMS.

Sore joints; his butt is still a little sore from falling; dizziness/ light headed; fainting; pain in upper abdomen area; Sweating; Nausea; falling; This is spontaneous report from a contactable consumer (patient). A 23-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 29Apr2021 at 1 pm (around 12:20ish as reported) (Lot Number: FN6206) (at 23-year-old) at single dose in arm right for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. No history of all previous immunization with the Pfizer vaccine considered as suspect, no additional vaccines administered on same date of the Pfizer suspect, no prior vaccinations within 4 weeks, no family medical history relevant to AEs. The patient stated he is a pretty healthy guy. All day after getting the vaccine he was fine. He got the shot at like 1 came home took a nap, ate some dinner, and was playing XBOX with the boys when this happened. At around 10:30 pm on 29Apr2021 he went to rub, his stomach just above his belly button and it hurt. He said that he read on line that that area is called the pancreas or liver, it has a lot of names for that area when looking online. He stated it's the left upper abdomen area he felt pain when he pressed on it. It radiated really fast across his abdomen while he was on the phone with mother. The more he pressed the more the pain got sharper, and it radiated right across the abdomen, mainly above belly button not too much in lower abdomen, not much in upper abdomen. It was very sensitive. He didn't have to press hard to trigger the pain. It was almost like the area was inflamed. It happened really fast and that it was his upper stomach not so much the lower part of his abdomen. He felt dizziness and nauseous and like a silly boy he tried to run to the bathroom. He stated that he fell and fainted. His butt was still a little sore from falling. He said when he woke up, he was sweating like he had been out side all day. He did not recall sweating any time he fainted in the past. The side effects were gone after about ten minutes. He was really light headed and had the crazy sharp pain in abdomen for about ten minutes and then it was gone. He had never had that kind of pain. He was laying on the floor for a couple minutes. He went to get his phone, and then sat back down and was sweating. He still had pain at that time but it only lasted about 10 minutes at most. He was still a little bit sore in some joints which was not unexpected. He confirmed that he had a little bit of sweating, and he fainted a little bit. Since the episode he hasn't felt any symptoms like that before, he has not had any pain like gastritis but he has had some random gastrointestinal things before. It's also reported nausea on 29Apr2021. No required to emergency room and physician office. He was on the verge of going to the ER while the pain was there. He was going to go until it stopped and to get checked out. No relevant test. The outcome of the events sore joints, dizziness and butt sore was unknown; for other events was resolved on 29Apr2021. No follow-up attempts are needed. No further information is expected.

1415Called to car. Relative reports pt is weak & dizzy & head lowered to chest. Remained oriented X4, follows commands. Pt and relative state he was nervous before vaccine. 1421- BP:104/61 HR:60 RR:16 Sats:99% pale, cool, clammy diaphoretic skin. Nauseated after 4 sips of water. Denied CP, SOB, Difficulty breathing. Airway patent. 1425- BP:105/71 HR:70 RR: 16 Sats:99% OX4. 1430-sitting up in car. BP:120/78 HR: 66. States "feels better" Denies need for call to EMS. Denies dizziness with standing. 1432- BP: 140/75 HR:64 RR: 18. Assisted to passenger seat. Relative to drive home. Educated pt and family on s/s of allergic reaction, return of symptoms, SOB/CP to call 911 or go to ER. All verbalized understanding.

After the second dose my injection site was painful and around 8 pm I started getting a headache then came the chills which I then went to bed my sleep was awful I woke up every 5 minutes with a terrible headache. At about 4:40 am I ended up vomiting. Since then I have just been lethargic and the headache is consistent

Client reported feeling nauseous at first and then feeling a rush to huis head and shoulders. He felt cold, clammy, sweaty Client reported he had not ate anything for breakfast. Denies any health problems, daily needs or allergies. Client reported these symptoms happened 1 year ago with an antibiotic injection and did not know the name of antibiotics. Symptoms lasted 5 minutes he stayed total 3 minutes and felt better before he left ,

As per patient, he got the second dose of Pfizer COVID vaccine on the 05/13/2021, and the following day, 05/14/2021, he had fever with chills and muscle aches; however, those subsided. Then, on following day, 05/15/2021, he woke up with chest pain/pressure like and burning pain throughout the day, and then the patient's pain became more severe; however, it became less around the night, at 11 p.m. and then he went to sleep, and he woke in the morning with the pain, around 3:30 am. The pain was 6-7/10, pressure-like, burning sensation, no radiation, associated with mild nausea.

Patient presented @ 1356 hrs in observation area. Patient was sitting in chair. Observed patients' head tilt backwards. Care initiated with head/neck support. Patient began seizure like activity lasting approx. 1 minute. Patient transferred to floor for protection. Upon exam Patient was AAO x 2, skin: cool/clamy. Patient began c/o headache and denied any past medical history. Transferred patient to cot for evaluation. VS: HR:92,RR:20,BP:106/64. Patient began vomiting during evaluation. Post vomiting patient said he felt fine. EMS on scene and care transferred to ED.

Patient passed out while sitting in a chair during an observation period after the shot. His body started to slightly shake, and he urinated himself. The pt. woke up right after that. He claimed he felt very light headed and like he wanted to vomit. The patient was given water and was observed for 15 more minutes. He claimed he felt better, just slightly light headed. A friend came to pick him up.

After Pt. got the second dose pt. vomited clear emesis. Pt. was diaphoretic and pale when brought to medical treatment room. Pt. started to improve after laying down. Pt. was observed for ten minutes. Pt. vitals remained stable throughout treatment. Pt. walked out after fifteen minutes without other incident.

Severe headaches, nausea, body aches and pains, tiredness, and diarrhea for 5 days after 2nd dose of vaccine. An hour after receiving the 2nd dose my leg was numb for about an hour.

Patient complained of lightheadedness and vomited x1 5 minutes after his first dose of Pfizer. Denies shortness of breath, denies throat swelling. Vital signs stable. Apple juice given. Transferred to gurney via wheelchair. After 6 minutes, patient stated he feels "better" and "normal" and said he was ready to go home. He had not had breakfast or lunch.

Headache; Nausea; Malaise; Chills; Fever; Fatigue; Myalgia; This is a spontaneous report from a non-contactable consumer (patient). A 23-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 10Apr2021 (at the age of 23-year-old) (Lot Number: 204A21A) as single dose (unknown if first or second dose) for COVID-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient experienced myalgia on 10Apr2021 with outcome of not recovered, headache on 11Apr2021 with outcome of not recovered, nausea on 11Apr2021 with outcome of recovered on 11Apr2021 (duration 15 hours), malaise on 11Apr2021 with outcome of recovering, chills on 11Apr2021 with outcome of recovered on 11Apr2021 (duration 2 hours), fever on 11Apr2021 with outcome of recovering and fatigue on 11Apr2021 with outcome of not recovered. The events were considered as non-serious. The patient underwent lab tests and procedures which included body temperature: fever, temperature not measured on an unspecified date. No follow-up attempts are needed. No further information is expected.

headache; nausea; tiredness; muscle pain; feeling unwell; This is a spontaneous report received from a contactable consumer (patient) via medical information team. A 23-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: EL9264) via an unspecified route of administration in the left arm on 09Feb2021 at 01:45 PM as FIRST DOSE, SINGLE for COVID-19 immunization. Medical history and concomitant medications were not reported. It was reported that 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. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not tested for COVID-19. On 10Feb2021 at 09:15 AM, the patient experienced feeling unwell with headache, nausea, tiredness, and muscle pain. The patient did not receive any treatment. The outcome of the events was not recovered. Follow-up attempts are completed. No further information is expected.

Fever, body aches starting 1 day after vaccination. Progressed by day 3 after vaccination to chest pain and vomiting. Patient presented to ER and diagnosed with perimyocarditis; transferred to tertiary hospital. Required hospitalization with troponin level of >6000. Patient required cardiac catheterization but no stenting. Required ibuprofen, colchicine, steroids.

Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Medium, Systemic: Nausea-Mild, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Medium, Additional Details: pt. appeared to have an episode of syncope. Could not see vision went blurry, was sweaty and clammy to touch, skin went pale, felt a little nauesous, blood pressure was 84/46. I had him sit down and put his head between his legs. I spoke to Nurse at Dr. office. She advised he go the ER. I retook his blood pressure and it went up to 122/83. Vision came back and was not clammy. He still felt weak and skin color started to become normal. His mother came and took him to the ER.

Patient vomited x1 approximately 10 minutes after vaccine. Reported once vomited felt somewhat better. Instructed patient to remain 30 minutes for monitoring. O2 Sat- 98% on room air, Heart rate-78 Blood pressure 107/78. Patient vomited once again 20 minutes later, Zofan 4mg ODT given. Patient became pale, diaphoretic, and complained of chest heaviness/burning. Patient agreed to seek Emergency department treatment. ED advised patient would be arriving per car. ED is located across the street. Less than a minute away. Transported to ED per father private car. Awake, oriented, and answering questions without difficulty upon leaving vaccination site.

He developed achiness on both sides under his arm pit extending primarily to pectoral muscles and deltoid; He developed achiness on both sides under his arm pit extending primarily to pectoral muscles and deltoid; He couldnt sleep because of the pain; Also reports stomach discomfort; Experienced fatigue; Feeling under the weather and restless; Restlessness; This is a spontaneous report from a contactable consumer (patient's mother).Follow-up (06Jun2021) and Follow up (07Jun2021) received from previously reported consumer were processed together along with initial information. A 23-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EW0187; Expiration Date: 31Aug2021), via an unspecified route of administration on 03Jun2021 (at an age of 23-year-old during vaccination) as a 2nd dose, single dose for COVID-19 immunisation. The patient's medical history included multiple allergic reactions (including drug allergies) after having his wisdom teeth out and had chest muscle pain. The patient's concomitant medications were not reported. The reporter stated that, the patient was not related to any study or programme. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: Not reported), via an unspecified route of administration on unspecified date as a 1st dose, single dose for COVID-19 immunisation. On 03Jun2021, the reporter stated that the patient experienced fatigue, feeling under the weather and restlessness. On Sunday early morning, the patient developed achiness on both sides under his arm pit extending primarily to pectoral muscles and deltoid, he could not sleep because of the pain and stomach discomfort. The reporter stated that as of last evening that it was kind of the same. No investigational assessment was reported. The reported wanted to know if her son chest muscles pain was normal or not. The reporter worried if her son needed medical care right away. The reporter concerned about lot number whether there was any issue involved with lot number. The reported stated that, the pharmacist did not follow proper procedure while with the administration of the vaccine however she was unable to identify a specific concern. The reporter was informed to provide information about side effects and to refer to doctor about side effects if there continue. The outcome of the events was unknown. Information on Lot/Batch number was available. Additional information has been requested.

A few days after my first dose my left arm went completely numb and there is a shooting pain all the way down to my fingertips and up my neck. The pain is so bad it makes me nauseous. This has been going on for a few weeks now and I havent been told anything that will help me get better

Had a night fever at 3am on June 19. Felt hot, dehydrated, and weak. Took 200mg ibuprofen pill with water and slept again but was uncomfortable. Also felt dizzy and fatigue at night. My heart was also beating fast. When I woke up at 10am the symptoms seem to be less intense and better. I didn't feel hot. However, I still felt weak in my body. At 1pm when I started earing lunch I felt hot, tired and dizzy again, I was really sleepy, didn't feel like eating, and felt like vomiting. I drank coke soda instead and slept until 4pm and I took another 200mg ibuprofen pill with water, after which I felt better.

PATIENT COMPLAINED OF FEELING DIZZY AND WARM. TINGLING IN RIGHT HAND AND BACK OF THROAT. RED AND BLOTCHY AROUND NECK. FEELING NAUSEA. BENADRYL 50MG IM GIVEN RT DELTOID.

Fever; his confusion started at 4:00AM today; he had bad diarrhea from 4:00AM-5:30AM.; his dry eyes started around 12:00PM yesterday; his stomach started to hurt between 8:30-9:00PM last night; He had muscle spams last night; not feeling well; his first Pfizer BioNTech COVID-19 Vaccine shot was in his left deltoid, and his left upper arm hurt; he couldn't sleep last night; about 4:00PM yesterday (4-7 hours after getting his Pfizer BioNTech COVID-19 Vaccine), he was feeling weird, and it had gotten worse; his heart beat was fast and his heart rate was up to 120bpm last night; his blood pressure was 160/98; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 23-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), via an unspecified route of administration, administered in Deltoid Left on 16Mar2021 09:30 (Batch/Lot Number: EU6204; Expiration Date: 30Jun2021) as dose 1, single (age at vaccination 23-year-old) for covid-19 immunisation. Medical history included ongoing attention deficit hyperactivity disorder Verbatim: ADHD , ongoing Blood pressure high ,anxiety, insomnia, muscle spasms, Panic attacks ,DUI accident , septorhinoplasty from 2020 to an unknown date. Reported he was prescribed Lyrica due to a DUI accident , rhinoplasty from 2020 to an unknown date He said he had a septorhinoplasty a year ago. Concomitant medications included gabapentin, carisoprodol ,bisoprolol fumarate (ZEBETA), amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) taken for an unspecified indication, start and stop date were not reported. The patient previously took trintellix for antidepressant therapy and experienced drug ineffective, trintellix for antidepressant therapy and experienced constipation, trintellix for antidepressant therapy and experienced nausea, clonazepam and experienced heart rate decreased. On16Mar2021, the patient experienced about 4:00pm yesterday (4-7 hours after getting his pfizer biontech covid-19 vaccine), he was feeling weird, and it had gotten worse, his heart beat was fast and his heart rate was up to 120bpm last night, his blood pressure was 160/98, his blood pressure was 160/98, his first Pfizer BioNTech COVID-19 Vaccine shot was in his left deltoid, and his left upper arm hurt, he couldn't sleep last night, his dry eyes started around 12:00PM yesterday, his stomach started to hurt between 8:30-9:00PM last night, Fever, He had muscle spasm last night and on 17Mar2021, patient experienced that his confusion started at 4:00AM today, he had bad diarrhea from 4:00AM-5:30AM. It was reported, He was diagnosed with ADHD between 2012-2014. He said he took a generic Adderall 20mg Immediate Release tablet, twice a day (20mg in the morning & 20mg at 2:00PM). He said he had been on Adderall for about 8 years. His muscles spasms were from a prior accident he had. He said he was hit by a car going 48mph while he was riding his bicycle. He got the Pfizer BioNTech COVID-19 Vaccine shot yesterday (16Mar2021). He said he was not feeling well. He said about 4:00PM yesterday (4-7 hours after getting his Pfizer BioNTech COVID-19 Vaccine), he was feeling weird, and it had gotten worse. He said his heart beat was fast, he had high blood pressure, his stomach hurt, he had muscle spasms, he could not sleep, he had diarrhea, a fever, dry eyes, and left upper arm pain. He said he was normally healthy, and did not have the COVID-19 Virus before. He said he wanted to report his symptoms to Pfizer. He had ADHD and high blood pressure. He clarified he took his blood pressure last night and his blood pressure was 160/98. He said he took his blood pressure medication, Zebeta, and his anxiety medicine, Clonazepam, at the same time last night. He said he takes Zebeta (Bisoprolol Fumarate) for his high blood pressure. He said he takes 1/2 of a Zebeta 5mg tablet (2.5mg) once a day, as needed, a few times a week when his blood pressure was high. He said the Zebeta was not like Propranolol. He said his blood pressure was fine. He said the Zebeta also lowered his heart rate. He clarified he takes Zebeta and all his other medications at the same time, and that his heart rate may have been lowered by the Clonazepam he took. He said he takes a Clonazepam 0.5mg tablet twice a day. He said he normally takes 1mg Clonazepam, but can take a Clonazepam 0.5mg tablet, as needed. He stated he had been taking the Clonazepam for as long as Adderall. He said he started taking Adderall first. He clarified he started taking Clonazepam for bad nightmares. He said he had tried all other types of medications for his nightmares. He said he started the Clonazepam in 2014 for his bad nightmares, and now the Clonazepam was prescribed for anxiety and panic attacks. He said he sees a therapist once a week. He said he checked his "pulse ox" last night, and his pulse ox was good. He said his heart rate was up to 120bpm last night. He said he kept a watch on his heart rate, and his heart rate was around 100-110, which was higher than normal. He said his heart rate was still elevated while he was laying down, stating his current heart rate was 113bpm. He said when he exercised his heart rate normally goes up to between 140-160bpm. Clarified he woke up at 4:00AM this morning (17Mar2021) with diarrhea. He said he had bad diarrhea from 4:00AM-5:30AM. He said he ate something for breakfast and took a fiber gummie. He said the fiber gummie would help harden his stool, and he did not want to take anything to cause constipation. He said he had not had diarrhea since about 5:30AM. He provided the fiber gummie product information as: Fiber Well Fit Supplement 5grams fiber. He had a fever. He stated he was going to check his temperature while he was speaking with the Pfizer agent, but did not provide his body temperature. He clarified a weird symptom he experienced after getting the Pfizer BioNTech COVID-19 Vaccine was dry eyes. He said his dry eyes started around 12:00PM yesterday (16Mar2021). He said he bought Liquid Tears eye drops that were either (Company name) brand or (Company name) brand. He said the Liquid Tears was a saline eye drop with no medication in it. His stomach started to hurt between 8:30-9:00PM last night. He said he had a normal dinner and had taken his daily medications at 6:00PM yesterday. He was confused, too. He clarified his confusion started at 4:00AM today (17Mar2021). He said he did not charge his phone overnight, which was not normal, and a lot of other weird things. He said he knows it was not his medications causing his confusion because he had not started any new medications. He said he had been taking the same medications for quite some time. He got everyone (his mother and father) signed up for the COVID-19 Vaccine, and he was the only one experiencing issues. He was prescribed Lyrica due to a DUI accident, saying he knows Lyrica was a Pfizer medication. He clarified he was on Gabapentin first. He said he was on the maximum dose of Gabapentin (either 2000mg or 6000mg) in 2016. He said he was then was put on Lyrica. He said the Lyrica did not work as well as the Gabapentin. He clarified the Lyrica 75mg was stronger than the Gabapentin, and he didnot like how tired he was while taking the Lyrica 75mg. He said he took the Lyrica 75mg for a month or 2, and then was put back on Gabapentin. He said he was no longer taking either the Gabapentin or Lyrica. He said it was 6-7 years ago that he had taken Lyrica 75mg. He said he knew beforehand what the COVID-19 Vaccine side effects were, like chills, but diarrhea was not on the list of COVID-19 Vaccine side effects. He was not immunosuppressed. He said he had a septorhinoplasty a year ago. He could not sleep last night. He said he had diarrhea. He said his arm (left) hurts, but he does not care about that. He clarified he had his first Pfizer BioNTech COVID-19 Vaccine shot in his left deltoid, and his left upper arm hurt. He said his left upper arm felt worse than getting a tetanus shot. He said he had really sensitive skin, and was white as a ghost. He said he did not have any swelling on his left upper arm and had put ice on his left upper arm earlier. He said he know, and intramuscular shot takes a few hours to get into the blood stream, and he did not know if the Pfizer BioNTech COVID-19 Vaccine passed through the blood brain barrier. He had muscle spams last night. He clarified he had the muscle spasms prior to the Pfizer BioNTech COVID-19 Vaccine. He said the muscles spasms were from a prior accident he had. He said he took one SOMA (Carisoprodol) last night (16Mar2021), clarifying the Carisoprodol was prescribed for his muscle spasms. He said he was prescribed a low dose of Carisoprodol for his muscle spasms. He said he usually takes Carisoprodol 250mg tablet up to twice a day (250mg at midday & 250mg at night). He said he had been taking Carisoprodol for 3 years. He said he took the 1 Carisoprodol 250mg tablet with the Zebeta (beta blocker) last night and he had no crazy muscle spasms. He said the Carisoprodol was dispensed in a pharmacy bottle and didn't have the NDC, Lot and Expiration Date listed. He had a complete blood panel a few months ago, and everything was fine. He had anxiety, ADHD and insomnia, saying that was why the takes his medications. He stated he did not take his Adderall this morning. He said he takes a generic Adderall 20mg Immediate Release tablet, twice a day (20mg in the morning & 20mg at 2:00PM). He said he had been on Adderall for about 8 years. He said the generic Adderall 20mg Immediate Release tablet was dispensed in a pharmacy bottle and had no NDC, Lot & Expiration Date listed. He does not drink coffee, and wanted to make sure that was noted on the report. He takes an Amitriptyline 50mg tablet at night. He stated he has been taking Amitriptyline 50mg for about 3-4 years. He said the Amitriptyline 50mg was dispensed in a pharmacy bottle, and he does not have the NDC, Lot, and Expiration Date. He said before the Amitriptyline, he used to take a Trintellix 20mg tablet once a day. He said the Trintellix 20mg was made by Takeda and was a terrible anti-depressant. He said he took Trintellix for about a year and a half, and the Trintellix did not do too much, he said the Trintellix was not working. He said the Trintellix gave him terrible constipation and nausea. He said he still had 4 Trintellix manufacturers bottles at his father house. He said the Trintellix 20mg was probably expired, and he had kept the Trintellix 20mg because it cost about $500 a bottle. He could not take SSRIs, like Paxil, Sertraline, and Lexapro. He said the SSRIs caused problems like sexual dysfunction. He said he does not have the NDC Number, Lot Numbers, and Expiration Dates for the SSRIs he used in the past. He said he was still with his pediatrician at the time he was taking SSRIs, and had since thrown out all his SSRI prescription bottles. He had some questions about the ingredients in the Pfizer BioNTech COVID-19 Vaccine. The patient underwent lab tests and procedures which included blood pressure measurement: 160/98 on 16Mar2021 , heart rate:100-110, heart rate:113, heart rate: 140 on an unknown date, heart rate: 120 on 16Mar2021 bpm , complete blood panel: everything was fine on an unknown date, oxygen saturation: good on 16Mar2021. Therapeutic measures were taken as a result of events includes Gabapentin, Carisoprodol, Clonazepam, Zebeta, Adderall. The clinical outcome for events his heart beat was fast and his heart rate was up to 120bpm last night, he had bad diarrhea from 4:00AM-5:30AM, his dry eyes started around 12:00PM yesterday was recovering and outcome for events hypertension, his stomach started to hurt between 8:30-9:00PM last night, Fever ,feeling unwell was unknown while rest of events was not recovered. Description of Product Complaint: He was on Gabapentin, and then was put on Lyrica. He said the Lyrica did not work as well as the Gabapentin. He clarified the Lyrica 75mg was stronger than the Gabapentin, and he did not like how tired he was while taking the Lyrica 75mg. He said he took the Lyrica 75mg for a month or 2, and then was put back on Gabapentin. He said he was no longer taking either the Gabapentin or Lyrica. He said he had taken the Lyrica 75mg 6-7 years ago, and he no longer had the prescription to provide the Lyrica NDC, Lot, and Expiration Dates. He said in 2016 he was on the maximum dose of Gabapentin, and no longer had the Gabapentin NDC, Lot, and Expiration Date. He used to take a Trintellix 20mg tablet before he started taking Amitriptyline 50mg. He stated the Trintellix was a terrible anti-depressant. He said he took Trintellix for about a year and a half, and the Trintellix did not do too much. He said the Trintellix was not working. He said the Trintellix gave him terrible constipation and nausea. He said the Trintellix was dispensed in a manufacturer bottle, and he did not have the NDC, Lot, and Expiration Date to provide. He said he still had 4 Trintellix manufacturer bottles at his fathers house. He said the Trintellix was probably expired, and he had kept the Trintellix because it cost about $500 a bottle. No follow-up attempts are possible. No further information is expected.

This is a spontaneous report received from a contactable consumer, the patient. A 23-year-old male patient received his first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EP6955) via an unspecified route of administration in the left arm on 19Mar2021 at 08:45 (at the age of 23-years-old), as a single dose for COVID-19 immunisation. Medical history was not reported. The patient did not had any allergies to food, medications, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Since the vaccination, the patient had not been tested positive for COVID-19. The patient did not receive any other medications within 2 weeks of vaccination. On 19Mar2021 at 13:00, the patient experienced fast heartbeat, slight shortness of breath and nausea. The patient did not receive any treatment for the reported events. The adverse event did not result in a visit to the doctors or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of the events fast heartbeat, slight shortness of breath and nausea was not recovered at the time of this report. No follow-up attempts are needed. No further information is expected.

Nausea, loss of sight, extreme dizziness 5 minutes after receiving shot Extreme fatigue, dizziness, depression, psychosis, heat flashes, insomnia, irregular and rapid heart rate

severe vomitting; This is a spontaneous report from a contactable consumer, the patient. A 23-year-old male patient received unknown dose of BNT162b2 (PFIZER-BIONTECH COVID-19 MRNA vaccine; Lot number: unknown), via an unspecified route of administration on 27Mar2021 at 10:30 (at the age of 23-years-old) as a single dose for COVID-19 immunisation. Patient had no relevant medical history. The patient did not receive any other medications within two weeks. The patient had no known allergies to food, medications or other products. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient was not tested for COVID-19. On 27Mar2021 at 12:15, the patient experienced severe vomiting. It was unknown if the patient received treatment for the event. The clinical outcome of severe vomiting was not resolved. No follow-up attempts are possible; information about lot number cannot be obtained.

Increased heartbeat, heart palpitations, significant increase in blood pressure at 150/90, for a healthy young 23 year old who would usually receive a blood pressure test of 120/70 during normal circumstances. Inability to sleep or stay asleep since the vaccination, every time I attempt to fall asleep, heart rate increases, convulsion occurs followed loss of feeling in extremities. Cognitive decline, inability to remember certain events, and communication skills have greatly diminished. Reduced Appetite. Neurological Symptoms (Numbness throughout body, Entire body is numb). Anxiety Attacks.

He said he felt light headed at first then like he was going to throw up. Then he started to black out and did blackout eyes went to the back of his head lips turned blue. Then when he came to throat started hurting lungs were tight started sweating. Then his back started hurting and had the cold chills. This was terrifying!!

Patient received second dose of Pfizer vaccine and patient was nervous about needles. Patient felt nauseas after the vaccine and had to be brought down on floor. Patient felt little numb in hands but was breathing fine. Had to call 911. Patient's vitals were good however his blood sugar was low.

Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Weakness-Severe, Additional Details: within 5 minutes of vaccination patient fainted and began to shake for less than a minute, patient was unresponsive for about a minute following shaking, pulse was faint. paramedics arrived. patient bp and sugars were low. patient and mother refused to be transported to hospital but patient recovered (mostly) and was able to walk out of the store unassisted

24 hrs after vaccination patient developed nausea, vomiting and fatigue. After 1 week went to ER dx with Aki, Since in followup after ER. Diclofenac stopped d/t aki. Had significant weight gain and was admitted over the weekend. Further testing at the hospital with biopsy of kidney revealed minimal change nephropathy

Abdominal pain; Diarrhea; Nose bleeds that took a long time to stop and that were quite heavy; Intense nausea; This is a spontaneous report from a contactable consumer, the patient. A 23-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via unspecified route of administration in the left arm on 04Apr2021 at 13:00 (at the age of 23-years-old) as a single dose for COVID-19 immunisation. Medical history included asthma, functional dyspepsia, anxiety, depression, obsessive-compulsive disorder (OCD) and emetophobia. The patient was allergic to tree nuts. Concomitant medications included amitriptyline (MANUFACTURER UNKNOWN) on an unknown date and for an unspecified indication. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. Since the vaccination, the patient had not been tested for COVID-19. On 05Apr2021 at 11:30, 24 hours after the vaccination, patient had diarrhea and further experienced multiple nose bleeds that took a long time to stop and were quite heavy, intense nausea and abdominal pain. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The patient did not receive any treatment for the events. The clinical outcome of events multiple nose bleeds, intense nausea, abdominal pain and diarrhea were resolving at the time of this report. No follow-up attempts are needed; information about lot number cannot be obtained.

Injection Site Pain - 20:30 on 11/11 Fevers, chills, myalgias (specifically lower back), headache, nausea, vomiting

Approximately one hour after vaccination, patient arrived to the ED with complaints of throat itchiness, nausea, and a headache. No stridor/wheezing, no rash, lungs clear. Reports the same symptoms occurred after the first dose. Reports history of having COVID twice and was hospitalized the first time. Patient offered IV meds which he refused. Patient prescribed and given zofran 4mg disintergrating tablet, maalox plus 30ml, lidocaine viscous 2% solution 15ml, pepcid 40mg and benadryl capsule 50 mg. Upon reevaluation, states feels much better, throat no longer itching and GI cocktail helped. Discharged with EPIpen, prednisone 50 mg for 5 days, benedryl 25 mg every 6 hours as needed for itching and Zofran as needed. Patient to follow-up with PCP this week.

Pt. states that he started having body/muscle aches, chills, fever of 100 degrees Fahrenheit, headache, nausea at 2100 pm on 1/11/21. Pt. states that symptoms are resolving, body aches on and off, and headache is worse. Denies taking ibuprofen or tylenol.

COVID19 vaccine #1 given 1/13/21 on 1/15/21 woke with c/o significant nausea, dizziness and nystagmus. Tele appointment with healthcare provider. Symptoms began to resolve a few hours later (10:00am).

Mild nausea started around 6pm, 10 hours after initial dose. Chills started around 10:30pm and progressed to a 103 degree fever by 12:00am. Fever and chills persisted for the next 12-14 hours preventing me from going in to work. Nausea became noticeable again as the chills subsided. Fever broke around 6:00pm the next day, 01/20/2021. Significant soreness at the injection site was present almost immediately and through 01/20/2021

Fever of over 101. Severe body aches (painful to touch skin). Headache. Nausea. All sx started 8 hours after receiving vaccine and lasted for 24 hours.

severe weakness to point of not being able to walk, nausea, chest pain, dizziness immediately after vaccine given; rapid response team was called and then taken to ED; had shortness of breath and chest tightness, severe weakness, severe body aches. Fever up to 100.7 about 19 hours post vaccine; at 28 hours post vaccine continues to have severe weakness, chest tightness with SOB at times, slight cough with wheezing, diarrhea X3

Patient complained of pain in left shoulder radiating to left chest 4/10 and nausea immediately following injection. Response Team called. Chest pain at the side 5/10. Taken to the ED via wheelchair at 1700. No rash, no swelling of lips/tongue or throat.

Patient was working as a nurse following the administration of the shot and began to feel dizzy, nauseated and short of breath. Hands were visibly shaking. He could not stand or walk on his own. Patient's temperature was taken and presented with a low grade fever.

I got my second pfizer vaccine 0n 1/27/21 at 10 am. I had no reactions at all after the injection was given. I waited for 30 minutes and was perfectly fine. Around 5 pm I started to feel symptoms. I got the worst aches in my entire body i've ever felt before, along with chills. I felt extremely hot, I took my temperature and had a fever of 102.3. I felt dizzy, lightheaded, and nauseas . My head was throbbing. I ended up taking 1000mg of tylenol to help reduce the fever, which seemed to really help. I fell asleep and woke up the next morning drenched in sweat. My fever was gone, but I still had a horrible headache and threw up from the nausea I was having. It felt like I had a horrible hangover.

unable to bear weight on legs/could not walk or bear weight; shortness of breath; fever; nausea/nauseous; pain in left shoulder radiating to left chest 4/10; Chest pain at the side 5/10; tried to get up to walk but was very shaky and could not get up to walk/unable to walk/could not walk or bear weight; dizzy/light headed; almost instantly was sharp stinging in injection site; tried to get up to walk but was very shaky and could not get up to walk; WBC 14000, no unit of measurement, normal was 11000; This is a spontaneous report received from a contactable pharmacist and consumer (patient). A 24-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number: EL3302 and expiry date: May2021), via intramuscular route on deltoid left on 25Jan2021 15:57 at 0.3 ml single for COVID-19 immunization at hospital. Patient did not receive other vaccine in four weeks and in last two weeks. Patient's medical history, family medical history and concomitant medications were reported as none. Patient had no known allergies. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number; EL1284; expiry date: Apr2021) via intramuscular route on left deltoid on 04Jan2021 at 10:45 AM for COVID-19 immunization; Hep B Adult Energix-BPFS (HEPATITIS B VACCINE, lot number; 2793Z) on left deltoid on 12Jan2021. Patient received 3 previous doses of HEPATITIS B VACCINE. It was reported that, the patient complained of pain in left shoulder radiating to left chest 4/10 and nausea immediately following injection, Chest pain at the side 5/10 (on 25Jan2021 at 14;00, after second dose of COVID vaccine). Taken to the ED (emergency department) via wheelchair at 1700. No rash, no swelling of lips/tongue or throat. No treatment was given for the events nausea and pain in left shoulder. No COVID was presented prior vaccination and post vaccination. Patient stated almost instantly was sharp stinging in injection site, he felt nauseous, dizzy, light headed, and had chest pains, he tried to get up to walk but was very shaky and could not get up to walk on25Jan2021 at 14:00. Stated that he was wheeled to the emergency room, he was admitted to the emergency room for almost 8 hours. Clarified he was not admitted to the hospital that he did leave that night. He was able to stumble out of the emergency room to go home. Clarified he got the vaccine on 25Jan2021 (his second dose). Stated he woke up next morning on 26Jan2021, unable to bear weight on legs, chest pain, and shortness of breath, fever. HCP prescribed Arnuity for the chest pain. WBC 14000, no unit of measurement, normal was 11000. Patient was unable to walk, nausea, dizzy, lightheaded and having some chest pain and patient was not hospitalized, spent 8 hours in Emergency Room. Outcome of the event fever was recovered on 27Jan2021; nausea, dizziness, was recovered on 31Jan2021; Unable to walk, lower extremities weakness of, shortness of breath was recovering; the event chest pain was not recovered; and for remaining events it was unknown.

Numbness, tingling and pain in arm from shoulder to fingers. Stomach pain. On March 1, early a.m., a mental breakdown occurred and was admitted to hospital. Poor to no communication ability, totally confused, doing bizarre things like turning on water and leaving room, stacking furniture, not knowing where he was.

10 Minutes following the vaccine I experience G.I (Gastro intestinal) issues, upset stomach. The following day my neck felt as if there was a lump in it, probably from swollen lymph nodes. As days pass I had several sinus attacks, Acid reflux, and being weak in general. Which I dont regularly have. I am still experiencing a lump like feeling in my throat.

6:25 pm report: pt rec'd vaccine immediately c/o of not feeling well and had syncopal episode was given smelling salts then brought to recovery vaccinator and Dr accompanied. Pt laid on cot supine, feet elevated. Assess: AAO, + nausea - dizzy, no complaints of pain of any kind. VS 146/94, heart rate 74 regular, resps 16 reg non labored, SPO2 97% RA Mnitor 30 min. provided reassurance. Pt stated he felt better sat him at edge of cot 6:50 pm VS 152/92, heart rate 71 reg. resp 16 reg non labored, SpO2 98%. Encouraged fluids ok to exit. Encouraged him to follow up with primary MD. V-safe. 3/7/21 Followed up with phone call - pt stated he felt much better today.

Pt. became pale & diaphoretic post vaccination. Also c/o nausea. VS @ 08:44AM BP: 80/40, HR 59, OxSat. 99%. VS @ 08:46AM BP 131/87, HR 66. VS @ 08:51AM BP 134/84. VS @ 09:02AM BP 134/68, HR 67. VS @ 0904AM BP 159/86. Pt recover from the adverse event.

Nausea and Headaches occurred about 5 hours after the injection, since then they have come and gone periodically, usually lasting about 30 minutes, then going away for a few hours. I have been experiencing tightness in my chest and dyspnea upon exertion since about noon, Tuesday, March 23. NSAIDs have helped relieve some discomfort. Last night, I woke up with racing heart palpitations and tingling in my extremities. Today, I have experienced a sore neck and cramps in my legs, tingling in my extremities, and chest tightness with tachycardia. I have spent the week studying for an exam on Friday, so I plan on going to urgent care afterward.

Excessive ear wax production; acne; immense pain at injection site and in shoulder of that arm; nausea; excessive hunger; feeling/acting inebriated

Patient experienced 1 episode of vomiting 10 minutes after vaccination. Patient was experiencing a migraine HA prior to vaccination, suspect that to be the reason for his vomiting.

Patient complained of dizziness and nausea. Cold washcloth applied to neck. Cold water offered. Patient feeling better after 30 minutes, and left the facility.

He said while sitting in a chair waiting during the 15minutes post vaccination he started feeling queasy and wanted some water to drink. After standing up he felt dizziness that persisted While walking towards the pharmacy he fell forward flat on the floor . He said his hearing had gone out and it was muffled. He was assisted up into a chair . He was given water and crackers. After drinking water and eating the crackers he felt okay enough to leave after 30 minutes. He was walked to the foot where his ride was waiting in the parking lot. He had dinner but had not had his breakfast as at the vaccination time.

24 yo with history of atrial tachycardia and anxiety, noncompliant with medication (diltiazem, klonopin) presented with tachycardia, chest pain, nausea, dizziness 1 min after vaccine administration. Vitals improved over time but pt had sustained chest pain and dizziness throughout response.

Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Nausea-Mild, Systemic: Weakness-Mild

102.7 degree fever at its peak, vomiting, & loss of appetite, accompanied by minor chest pains (could be due to the vomiting). Started on April 10th & is still currently ongoing.

PT OBSERVED IN CLINIC. 20 MINUTES POST VACCINE PT REQUESTED TO LAY DOWN.PT HAD SYNCOPAL EPISODE. TO STRETCHER.CAT CALLED. PT DIAPHORETIC. VITALS #1 BP 81/51 HR 39 SPO2 99% 9:19 PT C/O NAUSEA #2 BP 90/60 HR 67 SPO2 99% 9:20#3 100/65 HR 61 SPO2 99% 9:25 #4 103/64 HR 65 SPO2 100% 9:32#5 106/60 HR 69 SPO2 99% 9:35 PT STATES NAUSEA, VOMITTING AND DIZZINESS HAS RESOLVED.PT NEEDED TO USE RESTROOM, ACCOMPANIED TO RESTROOM. PT NO LONGER COMPLAINED OF ANY SYMPTOMS. LAST VITALS SIGNSAFTER AMBULATING TO THE RESTROOM 109/72 HR 56 SPO2-99%

Pain at site of injection, high fever, shivering/chills, nausea, fatigue, slight congestion and heavy breathing, wet cough for a day and dry cough two days later after all other symptoms disappeared.

Began experiencing headache the day after receiving the vaccine, did not take medication. Woke up today at 5 am feeling nauseous, had night sweats, and continues with headache. Has not taken medication

Patient here for 1st dose of Pfizer. Has concerns of lightheadedness, nausea and anxiety after getting vaccinated. Juice provided. EMS called. Medics took over care for the patient, vital signs were reported to be stable. Patient was escorted to the post-vaccination observation area after reporting that he felt better and was okay to walk. Was able to discharge independently with family member following the adverse event.

About 12 hours after I got the second dose I stated to have a fever which progressed into one of the worst migraines I ever had. I was in so much pain and was vomiting and couldn?t keep any fluids down. I had to go to the ER to get an IV with drugs to rehydrate and get rid if the headache and nausea. One of the most painful nights of my life.

First few days had chills, extreme sweating, nausea, and then ended up in hospital with irritation and inflammation of heart lining and walls.

12:30pm presented self in observation w/ c/o abd. discomfort. Stated took vaccination w/o eating today. B/P 184/47, HR 62, O2Sat 97%. Provided w/ bottled water and allowed to wait in observation. 12:50pm verbalized feeling better. left observation.

Felt ok had slight headache throughout parts of the day and was sore but worked nothing too bad. Compelled by an act of stupidity to eat a muffin at 10:30pm went to bed around midnight. Woke up around 1am feeling queasy and began projectile vomiting. Evacuated all of that and then had a dry heave and it was over. In all only lasted about 6-7 minutes. I got the sheet I was handed when I was given my vaccine and saw this website. I looked at the chart and saw this did occur with the second dose and saw that this was relatively common in getting the second shot of the vaccine and just wanted to report it since I?m not about to go to sleep. Checked my temperature and it is around 96 and was around 98 when I was going to bed at around 11pm

Events: Tingling in left arm, lightheaded, nauseous, trouble breathing, sweating, temporary loss of vision, increased blood pressure. Treatment: immediate help, fanning, given water, asked state of mind questions, Outcome: vision returned, heart rate and blood pressure returned to norma, started shivering for a few minutes. Lingering feelings of anxiety/unease. Arm soreness.

Very mild fatigue all day and at 5pm until now at 9pm experiencing abdominal pain?hard to stand straight.

Client received vaccine and started to feel lightheaded, dizzy and nauseous. Client exited car for fresh air and symptoms worsened. Client lowered himself to the ground to prevent falling. Fire Rescue arrived to evaluate patient. Client diaphoretic, pale, but A+Ox3. Vitals all wnl, symptoms began to resolve as client rested and hydrated. Client was able to ambulate independently back to his vehicle where he continued to recover. Client declined transport for further evaluation and stated he felt better. Per Fire Rescue no further evaluation needed at scene. Client released at 10:45am.

20 second post-administration of vaccine, patient stated he felt nauseous, and like he was going to pass out. He was lowered to the floor and did not lose consciousness. Vital signs were WNL other than a BP of 158/109. Patient was able to stand and left without any issues after a 30 minute observation period.

Normal reaction the following day, strong fatigue, headache, nausea, arm soreness. Disappeared 36 hours later. 3 days later experienced heavy nausea, anxiety, gastrointestinal discomfort. Heavy bloating, inability to pass gas, loose stool/diarrhea all week. 7 days post vaccination symptoms came back, feeling of wanting to vomit, strong nausea, loss of appetite. 7-14 days later lost majority of appetite, eating aversion, heavy bloating, nausea and continuing diarrhea. Weakness, fatigue and shaking. Received Stool sample and blood test April 13. Elevated levels of albumin and red blood cell count. Doctor said it was most likely from dehydration. Zofran prescribed April 13 and only taken 2 days. Nausea subsided and ability to eat came back slowly. Since April 15th have been eating more food, but still have to force myself to eat. Hunger pangs rarely felt, only know when hungry when stomach churns and fatigue sets in. Today, April 28, still experiencing slight anxiety, loose stools once every other day, brain fog and depression. Lack of emotion, irritability and periodic upset stomach still persist, along with appetite loss. Am able to eat filling meals again, but no appetite makes food less appealing. Failure to thrive still evident and feeling like I won't get better evident. Treatment during illness was minimal, urgent care did nothing other than prescribe zofran. Gastroenterologist and GP cannot see me for another 2 weeks.

Patient received vaccine and moved to waiting area as counselled during the administration of vaccine. Shortly after sitting down patient alerted pharmacist that they felt dizzy. Patient was pale and said they felt hot and nauseous, He was provided water and a trash can. His companion said the patient hadn't eaten all day and went to get him something to eat. After the patient rested, drank some more water and ate part of a sandwich they felt better and were ready to go home.

Flu-like symptoms, violent shaking, extreme nausea, dizziness, fever. All only lasting a couple hours 3-5:00am.