Age: 16.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypotension, Syncope
Clinical narrative: passed out; BP was 70/44; could not sit or stand; EKG-Potential abnormal Twave; Calcium was low; This is a spontaneous report received from two contactable consumers reporting for her daughter. A 16-years-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), vaccinated at the age of 16 years old, via an unspecified route of administration, administered in Deltoid Left on 05May2021 15:00 (Batch/Lot Number: ER8735; Expiration Date: 31Jul2021) as single dose for covid-19 immunisation. Patient received the first dose on unknown date. Her daughter had no reaction from the first one that was three weeks prior.  The patient medical history included Attention deficit hyperactivity disorder. Concomitant medications included lisdexamfetamine mesilate (VYVANSE) taken for attention deficit hyperactivity disorder, start and stop date were not reported. Last Wednesday, at 3 pm, caller's daughter received the second vaccine.  Her daughter had no ill effects.  Her daughter got up the next morning, 18 hours after administration, and passed out. Caller states that they called the squad and her daughter's BP was 70/44.  They pushed an IV, transported her daughter, and they were in the ER for 10 hours. The local hospital gave her daughter 2 1/2 bags of fluid and transported her daughter to Hospital. Caller adds that there were 4 liters of fluid given, and her daughter could not sit or stand without her blood pressure dropping for about 8 hours after the incident. There were 2 transports and 2 ER's. Caller asks why were they not told that this is a symptom.  She was grateful that she could catch her daughter before she hit her head, but what about parents who leave their kids alone. Last Wednesday, caller's daughter received the vaccine 05May2021 at 3 pm and passed out 06May2021 in the morning.  It was the only time she passed out and caller states she saw her daughter's head drop and then was trying and caught her.  She was trying to talk to her and her eyes were in the back of her head, and was trying to arouse her.  She was out for over a minute.  She went to Emergency Room in. They were there for 6 hours.  Then, when she could not sit up and her blood pressure was dropping, they recommended Hospital.  She was there, this all took place, on Thursday from 9 am or around 8:50 am when she passed out and then they were discharged after 9 pm.  It was a 12 hour situation where they were transported and she spent 12 hours in 2 emergency rooms. The only one she had at time was vyvanse but she did not take this before passing out.  The last time that she took this would have been nine hours before administration of the vaccine on 05May2021. She did not take it on 06May2021 when the incident happened.  She was just getting up.  She had only been on this for about a week.  It is a stimulant drug but it is out of the system in the evening so people can sleep.  She asked each doctors if this had any role in it and they said no.  They told her to take it again which they have not started back yet.  She has no other medical conditions. Investigations: caller does not provide dates or specific test results.  The first ER did bloodwork, urine, chest x-ray. They wanted a CAT scan of her head but caller declined because she thought it was unnecessary. They did an EKG at first in the ER.  Nothing was abnormal.  She did have some things out of range in bloodwork which is not surprising because she was taking in fluids. Her calcium was low.  Nothing was way out of range, nothing was abnormal. The second ER did a follow up EKG but no other tests or bloodwork.  According to three physicians, the EKG was fine.  A cardiologist reviewed the 2nd EKG and she got a phone call that they wanted her to follow up because of potential abnormal T waves which could have been a result of that much fluid intake and electrolytes being out of sync after that much fluid.  They are following up on this. Her father has as vasovagal response hat he has experienced 4-5 times in his lifetime. He has never passed out following a vaccine. Caller had no idea that was even a response to vaccine. He has passed out after giving blood, with severe pain, coming out of anesthetic, and with severe stress. He has never had an extended period of time where his blood pressure was low. She, they could not get, her blood pressure up with fluid after fluid which is why she was transported to the second ER because they thought they did not know what was going on there. Caller states does she think that there may be some relationship and her daughter has this tendency to vasovagal - yes.  Was it brought on by the vaccine?  Yes.  She has never fainted in her life.  Caller adds she can see how some many say this may not be related to the vaccine but 18 hours after administration, they can not get her blood pressure up and were in the ER for 12 hours. Treatment included all the fluid, and 2 capsules of acetaminophen.  No other treatment. Outcome of events was unknown.   Information on Lot/Batch number was available. Additional information has been requested