Pfizer

Patient received the vaccination. Approximately 20 seconds after receiving the dose patient said "I'm going to faint'. Patient appeared to faint but also appeared to be having a seizure. The patients legs appeared to go rigid and he make movements with his arms. He appeared very pale. The patient "came to" within approximately a minute? Patients mother and I were able to lay Patient down on the floor. I asked his mother if she would like us to call 911 and she said yes. Prior to the incident, I discussed Patients past history of seizures with his mother. She sail he had seizures when he was younger and had been on medication, but he was no longer on any medication and had been seizure free for approximately 5 years.

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

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

Patient was immunized with Pfizer vaccine as a minor with consent from mother. Patient had no issues initially with vaccine. Following 15 minutes after administration, patient noted flank pain and both sides of abdomen and also labored breathing. We called a code white in the store had management as well as pharmacist offer ambulance to patient and also monitored the patient. Mother and son left AMA and went to call patient's doctor.

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

4:30pm C/O discomfort in left arm where vaccine was administered. 4:35pm Cold compress administered to L.D. and provided water to drink. Patient reported feeling better.

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

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

Possible Vasovagal reaction. Patient was approximatly 7-10 minutes post dose. Upon video review of event patient was sitting and stood, waivered (appearing dizzy), lost consciousness and collapsed to ground. Remained unconscious for under 30 seconds. Observed various muscle flexing/tension & uneven breathing. However patient never appeared to stop breathing. Patient did hit his head during fall & and was seen by EMS. During follow up patient was being seen in ED, but according to parents he appeared to be perfectly fine.

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

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

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

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

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

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

Patient was experiencing burning sensation in calves 4 hours after vaccination but has resolved. The following morning, patient was taken to urgent care for back pain between the shoulder blades (writhing in pain and crying)

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

Lymph node swelling and pain in left armpit and left side. Tender to the touch. This was the side of the injection. Lasted for a week after the vaccine injection.

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

approximately 2 inch long x 1.5 inch swelling under left armpit identified 2 days after vaccine administration. no redness or pain. Complained of general pain in the arm and "deep inside" his left shoulder. Has good range of motion.

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

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

He received the second dose of the vaccine on 6/4. 6/6 he developed neck pain that developed into chest pain as well. He additionally had some shortness of breath. He was seen on 6/7 by his pediatrician. An electrocardiogram was obtained which showed ST elevation in the lateral precordial leads(image below). Additionally a chest x-ray was obtained demonstrating clear lungs and no notable findings. A troponin T was obtained and measured 232 ng/L(normal range 0-22). CRP 39 mg/L(normal 0-7). His chest pain resolved within 3 days of developing. He has not noted any palpitations. He has not had any syncope. He has been doing light activities without having any issues.

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

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

Patient was in his usual state of health until 3 weeks after the covid vaccine, when he played basketball for 3 hours on 6/22. He had been inactive prior to 6/22 and it was hot day. He developed leg pain that evening and was diagnosed with rhabdomyolysis with a CK of 21,980. Patient was hospitalized for IV fluids and since then his CK has been down trending and his leg pain has now resolved.

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

Patient developed significant and tender left axillary lymph node swelling and left upper chest swelling

The evening of his morning shot he began to have back pain up between his shoulder blades. Describes it as burning, his "skin hurts" is uncomfortable when touched, leaning against a chair or even when his t-shirt rubs against it. Three days later and it still hurts.

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

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

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

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

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

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

Patient received covid vaccine (Pfizer) on 5/18/21. About 2 weeks prior to admission to hospital patient began having leg weakness and unsteady gait which has progressively gotten worse. Patient is beginning IVIG treatment for Guilian Barre syndrome.

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

13-year-old male, received intramuscular Pfizer vaccination (Lot# EW0191) in right deltoid on June 9th 2021 at 10:31 AM. At approximately 10:36 AM the client went limp, pale, and complained of vision changes to his guardian. The RN at observation went over to assess the patient with other onsite staff. Patient appeared pale and was alert and oriented x 3. Extremities appeared flaccid. The patient denied difficulty breathing, lungs were clear bilaterally. Client reported vision changes and stated "everything looks dark and blurry". Vital Signs were taken at approximately 10:37 am- Temperature was 99.1; Pulse 58; RR: 12; B/P: 104/59; O2: 99%. Second B/P was taken at 10:44 and was 111/63. Client denied eating breakfast or drinking water today. No medication was given. Denied having difficulty swallowing. Water was provided. EMS was called. EMS assessed client- B/P 98/66; Pulse 86; RR 14; O2 98% . At time of EMS assessment, the client reported feeling "normal" and denied having any signs or symptoms. After assessment, EMS reported that the client does not require an ambulance. Patients guardian, decided to opt out of ambulance transportation and opted to take the client to his health provider. The client and his guardian left at 11:01 am to be evaluated at pcp.

The day after the shot, June 9th, he had pain in his armpit and a bit on his left side. Later in the day he felt a lump in his armpit (I am assuming lymph node). It hurt to touch the lump and hurt any time he moved his arm. Pain continued today, June 10th, and the lump under his arm is quite big at around 1.5 inches. It is squishy to touch. Painful to touch or move arm all day today as well. No other symptoms (no fever, chills, etc).

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

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

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

Patient is currently being treated for Guillain Barre syndrome, with symptoms of bilateral feet weakness that then extended up to his thighs, leading to difficulty walking and falling with attempts to stand. He has had no loss of sensation and also states that he had sensation of a full bladder but could not urinate and did experience urinary incontinence.

Patient arrived to observation room and approximately 25 minutes after receiving vaccine dose, patient with c/o pain in his right shoulder and back, which was the opposite side vaccine dose was given. Patient developed rash after first vaccine dose, 2 hours later. No treatment for first dose or hives per moms report. Patient given 25 mg benadryl at 1238. No visible rash when checked at 1240 and no other symptoms. At 1250, patient reported same symptoms. At 1303, patient reported pain much better. Patient left with mother shortly after and reported will take Tylenol as needed for any continued pain.

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

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

Patient is a 13 year old male who presents to the office for pain of right axillae x 3 days, swelling of right axillae x 1 day. Pain began 24 hours after receiving first covid19 vaccination in right arm. He received pfizer vaccine. Clinical exam is notable for tenderness and swelling in right axialle, diffuse erythematous flat macular rash on right chest wall. Swelling of chest wall likely is adenitis possibly due to covid19 vaccination.

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

Intermittent chest pain and right trunk/axillary pain. Was seen by primary doctor and presents to the ER for chest pain to r/o cardiomyopathy. EKG, labs, cxr ordered

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

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

He woke up with chest pain in the upper right quadrant at midnight and then it intensified when he was breathing deep breaths. They woke him up when he was sleeping and did not go away. Then, it continued through the next day and we asked our doctor if we needed to keep an eye on him because of all the reporting and stuff about the heart problems. They did a triage consult visit to see if it could be an adverse event from the vaccine. The course of action was to take 2 ibuprofen every 4 hours and use ice and heat to see if the pain improved to rule out musculoskeletal situations because that was what they thought it was. We did that for 2 days and then the pain moved to his back upper right quadrant and we noticed a rash all over his abdomen and we were not sure where he got that. Based on the fact that the pain moved the doctor was more confident that it was not an adverse event.

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

Patient received his first dose of Pfizer Covid-19 vaccine on 5/15/2021 and the second dose of Pfizer Covid-19 vaccine on 6/5/2021. After an abrupt onset of mid thoracic back pain and leg weakness on 6/16/2021, the patient rested for the night. In the morning, he was unable to walk, characterized by dragging his feet and falling o the ground. He was unable to void. Mother sought care for him at the Emergency room on 6/17/2021. In the ER, he had an MRI scan of his spine which showed no significant central canal foraminal stennosis. He was catheterized and had urinary residual of 600ml after an episode of urinary incontinence. Neurology at the Clinic was consulted and patient was transferr

Heaviness and discomfort left arm. Little bit of pain in the vaccinated area. July 27 2021 he said he was cold and axillary temperature was taken it was 37.66 Panadol was given and cream was applied on vaccinated area for discomfort. Since it is the first reaction and is early morning and is not a complication at the moment he will continue under my observation and then I will call his doctor.

His neck lymph nodes are very stiff and swollen and it hurts badly. He says he has a hard time turning his neck

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

very swollen lymph node in neck, above clavicle toward the neck, left side (side of vaccination). Getting bigger every day for 4 days now. Overall soreness of shoulder (despite not having much injection site soreness the days after the shot)

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

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

Seizure. He was stiff, shaking uncontrollably, gasping for air. Seizure lasted 2-3 minutes. Rescue was called to the house. Had to be taken to ER. ER conducted CBC test. Results came back normal. Was prescribed as needed Valium suppository bc this was his first seizure ever

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

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

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

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

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

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

Pt received Covid #1 at out of office vaccine clinic on 5/27/21. Seen at ER 5/30/21 for behavior change (decreased level of responsiveness, staring off into space, vomiting & nausea, hyperventilation, anxiety Please see enclosed ER note. Spoke with Mom on 6/1/21 is improved History of Present Illness HPI Narrative: 14-year-old boy with history of autism presents with behavior changes, nausea, vomiting. Patient and his mother provide the history. He was in his usual state of health last night, had a normal dinner. Did not answer his door this morning. Parents found him staring off into space with decreased level of responsiveness. He was able to drink fluids. Patient reported having a few episodes of vomiting and abdominal pain earlier. They were concerned that he could be having a reaction to his COVID-19 vaccine which was given 4 days ago. Mom gave 25 mg of Benadryl at home. They were driving to Hospital for evaluation when the patient started looking worse. He has been hyperventilating but also has now clenching of hands and reports that his feet feel funny. Mom reports that he is not at his behavioral baseline currently. No prior abdominal surgeries or additional issues. Not currently take any medications. Patient denies taking any Illicit medications/substances.

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

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

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

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

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

This patient received their second Pfizer COVID-19 vaccine on 6/4/2021. The patient began experiencing arm pain which migrated to his chest on 6/6/2021. The pain resolved but returned with increased severity on 6/7/2021, prompting medical evaluation. The pain was described as a pressure sensation in the center of the chest and in bilateral arms. Upon initial evaluation, he was found to have an abnormal EKG with ST segment changes. Troponin was significantly elevated. He was transferred to the hospital. A transthoracic echo was obtained and was normal. He was hospitalized on the pediatric cardiology service, admitted on 6/8/2021. Troponin trended down during his stay. He was started on lisinopril. He was discharged home on 6/9/2021 with plan for outpatient pediatric cardiology follow up. Given the proximity of his second Pfizer COVID-19 vaccine to onset of his symptoms, and given similar reported events, the chief concern is whether his episode of myocarditis is related to administration of the Pfizer COVID-19 vaccine. I was on call as attending physician when this patient was admitted. Physician cared for this patient as the pediatric cardiology inpatient attending during his hospital course.

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

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

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

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

developed myalgias, bodyaches two days after vaccine. seen in clinic on 6/18/21 due to worsening b/l thigh pain. Found to have elevated CK levels concerning for mild rhabdomyolysis (CK level on 6/18/21 was 1600). Treated at home with oral fluids, rest and ice compressions. Symptoms resolved by follow up in clinic today on 6/21/21.

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

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

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

Patients eyes rolled back, turned very red, and his arms became rigid for about 30 seconds, then he passed out. He came to about 30 seconds later. We called 911 - paramedics assessed the patient and concluded that he was feeling ok.

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

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

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

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

Presented with bilateral facial weakness on 7/11. Prescribed 3 day course of steroids (7/14-7/16) without improvement. Presented again on 7/18 with worsening facial weakness in addition to bilateral upper and lower extremity weakness and difficulty walking. Admitted to hospital on 7/19. On the second day of his hospitalization he was no longer ambulatory. Diagnosed with likely AIDP based on CSF studies (albuminocytologic dissociation, negative infectious work-up). Treated with 3-day course of IVIG (7/21-7/23), after which he showed significant improvement in his upper/lower extremity and facial strength and ambulation. He is being discharged with ongoing outpatient physical therapy.

Patient feel dizzy, light headedness, vision changes, observe peel, muscles relax. Did not loose consciousness during brief event, was alert and oriented there after. Escorted by nurse and family member to observation area. observed for 30mins.

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

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

muscle spasms and weakness to the arm in which the injection was administered, shortness of breath and chest discomfort

Shortly after vaccine my son had extreme pain in his chest and heart area. It expanded to his shoulder and part of his neck and could not stand up. We took him to the local hospital and after examination they said the blood work and ekg was fine so they released him. We are at home now and he feels the pain still if he pauses his breath, and he just showed me you can hear a very strange sound coming from his heart as it beats. I can hear it sitting near him a loud pumping or squirting sound in there as his heart pumps! Never heard anything like that before coming from someone?s chest!

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

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

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

per patient's guardian, patient has joint pain. when tries to move the arm , patient experienced sharp pain. patient already contacted md

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

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

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

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

No tender swelling of the left axilla and left chest wall started ~ 11 hours after immunization. Has increased to extend to the inferior border of the pectoralis muscle.

Thé day after his second shot my son woke up with a back ache and with three veins popping horizontally on his back.

patient felt arm and chest tightness - made patient wait another 15 minutes and he was feeling better - counseled to report an addition chest tightness and to be particularly vigilant around day 5 - will follow up with patient on day 5

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

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

burning chest pain radiating to left arm/shoulder. Elevated troponin. High suspicion for possible myocarditis. Medicated with 325 mg Tylenol by mouth and 324 mg aspirin by mouth (chewed). Transferred to Hospital for cardiac evaluation and further management.

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

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

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

Received second dose of Pfizer COVID 19 vaccine on 6/11/21. The night of Sunday 6/13/21, he developed back/neck aching, chest pain/pressure, and radiating pain down his left arm. Symptoms improved Monday morning with resolution of back/neck and arm pain but continued to have constant chest pain/pressure. Seen by PCP on 6/14 where labs were drawn which resulted on 6/15 and revealed elevated troponin. Patient directed to ED where EKG, labs concerning for myocarditis then transferred to hospital ED. He continues to be hospitalized on the floor at hospital (no ICU stay required) now with improving cardiac markers.

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

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

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

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

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

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

right before his second vaccine dose, he started have very prominent palpitations, could not lie down at night while sleeping, had to sleep elevated or it was difficult to get his breath, had to lean forward to breath during episodes. During the second week of symptoms, he started having pain in his left shoulder and arm Symptoms were intermittent and worse in the evenings

Body/Joint ache, Red hives, very itchy arms, legs, ankles, swollen face, hands, feet. Injection site stung after shot.

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

Reports sporadic burning sensation upon inspiration and left leg weakness that started morning after vaccination. Had with first Pfizer dose and symptoms resolved in one week.

Condition most likely being pericarditis. Matching symptoms include: Chest pain Back pain shortness of breath symptoms worsen when lying down symptoms worsen when taking deep breaths No treatment as of yet

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

Abdominal pain coming from the right testicle, starting at 5:30 AM, ~14 hours after vaccination. The pain made it difficult to just to lay in bed. 5/10 pain. I took Tylenol later in the morning and the pain subsided.

A 15 year old child received COVID 19 Pfizer vaccine approximately 12:40PM 7/10/2021; after the vaccine was given and bandaid was applied, the child's body stiffened for less than 60 seconds. The child's arms and legs were stiff and stretched out and per father's observation, he claimed that his child's eyes were rolled backward. The child returned to "normal" status, he claims that he doesn't remember what happened. The child's hands were little shaky as he was attempting to drink water. We asked multiple questions - child claimed he was not nervous about the vaccine. Parents claimed that the child is doing better with vaccine anxiety compare to previous time, The child and parents informed that he did not eat anything yet. The child claimed that he is not dehydrated. 911 was called immediately at sight. EMT took the child's vital and reevaluated the child's condition. family wanted to follow up with their doctors (if correct, I believe EMT's vital check indicated 116/58 for BP) - our temperature measurement showed 97.3.

Pupils dilated and he couldn't see.; Pupils dilated and he couldn't see.; shaky; rigid; and was very hot to touch; This is a spontaneous report from a non-contactable consumer (patient). A 15-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Lot Number: EW0202), dose 1 via an unspecified route of administration, administered in Arm Left on 05Jun2021 (at the age of 15-years-old) as dose 1, single for COVID-19 immunization. No medical history was reported. Patient had no known allergy. Other medical history was none. No concomitant medication was reported. Patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. Patient did not receive any other medication within 2 weeks prior to the COVID vaccine. The patient had not been tested for COVID-19 nor before neither since the vaccination. Facility where the most recent COVID-19 vaccine was administered at Pharmacy or Drug Store. The patient experienced pupils dilated and could not see, shaky, rigid, and was very hot to touch on 05Jun2021. This was within a few minutes of receiving the vaccine and lasted about 20-30 minutes. Seriousness criteria was reported as no. As AE treatment, Pharmacist used cold compresses and gave him juice. The outcome of the events were recovered on 2021. No follow-up attempts are possible. No further information is expected.

right sided chest pain with radiation to right side of neck with walking. Denies shortness of breath, nausea, vomiting, palpitations, dizziness

Child woke with non-traumatic R knee pain & effusion on the morning of 7/29. He was seen in the ED, joint was aspirated and work-up initiated. He still has pain and swelling as of 7/13/21 and is unable to bear weight.

Youth developed sensation of shortness of breath and chest pain. He was admitted to a local hospital for observation overnight and diagnosed with musculo-skeletal pain post vaccination. No other diagnoses or abnormal findings.

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

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

Patient passed out within a few seconds of receiving his 2nd Pfizer Covid vaccine and began what looked like seizing. This lasted for 3 seconds. Vaccine given 7/20/2021 at 6:30pm. No physical injury occurred. Patient gained consciousness within seconds. Patient still felt light headed, skin clammy to touch. Patient complained of pain in neck and kept stating he wanted to lie down. 911 was called within minutes and arrived within a few minutes. Paramedics took patient BP. Patient understood the questions asked was able to answer them all. Patient left on the ambulance with the mother.

6/26/21--;pca; 7/8/21 mild, mildly pruritic , non-painful, bilateral conjunctival injection (left more than right) without ocular discharge--attributed to seasonal allergic conjunctivitis butstill persists at present time. 7/13/21 woke up with severe (8-9/10) sub sternal and left sided chest pain/pressure sensation, whih radiated to his back with associated difficulty breathing/shortness of breath, worsening of pain with deep inspiration and sling supine, and palpitations. Bilateral calf pain and tenderness fo left foot. Symptoms persisted. To ED at Hosptial but left without being seen due to long lines then came to our ED for evaluation. Of note received 1st dose humira without apparent side effects

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

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

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

He was having severe chest pain 10/10; Shortness of breath; Neck pain that radiated through his spine; This is a spontaneous report from a contactable physician (patients mother). A 15-years-old male patient received bnt162b2 (BNT162B2, formulation: Solution for injection), dose 1 via an unspecified route of administration on 15May2021 (Batch/Lot number was not reported) as 1ST DOSE, SINGLE for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. On 16May2021, the next night (second day) he was having severe chest pain 10/10, shortness of breath, neck pain that radiated through his spine, pulse oxygen level 98 percent and his heart rate was fine. Patient received the first dose of the covid vaccine on Saturday, and Sunday is when the severe symptoms started. Caller stated she gave him tylenol and then he was fine. On the third day symptoms improved. By Monday, patient was better. Caller stated her sons next dose is scheduled 05Jun2021. Reporter read new reports about myocarditis. Reporter does not know who to contact to figure out if patient should get the second dose of the covid vaccine. Reporter heard that after the second dose of the covid vaccine, symptoms get worse. Caller stated she had reported on V-safety. Reporter declined to complete a safety report. Reporter has already reported through VAERS. The outcome of events was recovered. Unable to clarify details provided or gather additional information. Caller notified that medical advice is not able to be provided but may have resources to help answer questions. Caller was provided with phone number of (number withheld), option 3, and hours of operation of Monday through Friday, 8AM to 8PM, Saturday and Sunday 9AM to 3PM for COVID-19 vaccine inquiries, prior to attempted warm transfer. Unable to warm transfer due to high call volume. Caller agreed to cold transfer. Information on the lot/batch number has been requested.