Sex: F
Vaccine: COVID19-2
Symptoms: Nervousness, Overdose, Pain, Pyrexia
Clinical narrative: she is shrinking, is about 5 foot 1; Gave me 2 covid shots instead of one Flu and 1 of the Covid vaccine; Fever; discomfort; Sickness; achy all over; Nauseous; Her temperature is normally 97.1, lower than it should be and she was 99; headache that was really extreme; it scared her/ Nervous; she got 2 Pfizer booster shots; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 73-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 14Oct2022 as dose 5 (booster), single (Lot number: G56665) at the age of 73 , in arm and on 14Oct2022 as dose 6 (booster), single (Batch/Lot number: unknown), in arm for covid-19 immunisation. The patient's relevant medical history included: "compromised immunity" (unspecified if ongoing); "allergic to contrast dye" (unspecified if ongoing). Concomitant medication(s) included: HYDROXYCHLOROQUINE taken for immune system disorder. Past drug history included: Vancomycin, reaction(s): "allergic to one or two antibiotics, Vancomycin"; Levaquin, reaction(s): "allergic to one or two antibiotics, Vancomycin"; Benadryl for burning sensation. Vaccination history included: BNT162b2 (DOSE 1, SINGLE; Lot Number: EL3248; Expiry date: Apr2021), administration date: 28Feb2021, when the patient was 72-year-old, for COVID-19 immunization, reaction(s): "no problem"; BNT162b2 (DOSE 2, SINGLE; Lot Number: EL3302), administration date: 08Mar2021, when the patient was 72-year-old, for COVID-19 immunization, reaction(s): "dose 1: 28Feb2021, lot EL3248/dose 2: 08Mar2021, lot EL3302", "Tiredness"; BNT162b2 (DOSE 2, SINGLE; Lot Number: EL3302), administration date: 08Mar2021, when the patient was 73-year-old, for COVID-19 immunization, reaction(s): "Achy"; BNT162b2 (DOSE 3 (BOOSTER), SINGLE; Lot number: 0130BA), administration date: 21Sep2021, when the patient was 72-year-old, for COVID-19 immunisation; BNT162b2 (DOSE 4 (BOOSTER), SINGLE; Lot number: FJ4991), administration date: 11Apr2022, when the patient was 73-year-old, for COVID-19 immunisation. The following information was reported: HEADACHE (non-serious) with onset 14Oct2022, outcome "recovered" (16Oct2022), described as "headache that was really extreme"; NERVOUSNESS (non-serious) with onset 14Oct2022, outcome "recovered" (16Oct2022), described as "it scared her/ Nervous"; OVERDOSE (non-serious) with onset 14Oct2022, outcome "unknown", described as "she got 2 Pfizer booster shots"; PYREXIA (non-serious) with onset 15Oct2022, outcome "recovered" (16Oct2022), described as "Fever"; BODY TEMPERATURE DECREASED (non-serious) with onset 15Oct2022, outcome "recovered" (16Oct2022), described as "Her temperature is normally 97.1, lower than it should be and she was 99"; NAUSEA (non-serious) with onset 15Oct2022, outcome "recovered" (16Oct2022), described as "Nauseous"; ILLNESS (non-serious) with onset 15Oct2022, outcome "recovered" (16Oct2022), described as "Sickness"; PAIN (non-serious) with onset 15Oct2022, outcome "recovered" (16Oct2022), described as "achy all over"; DISCOMFORT (non-serious) with onset 15Oct2022, outcome "recovered" (16Oct2022); BODY HEIGHT DECREASED (non-serious), outcome "unknown", described as "she is shrinking, is about 5 foot 1"; INCORRECT DOSE ADMINISTERED (non-serious), outcome "unknown", described as "Gave me 2 covid shots instead of one Flu and 1 of the Covid vaccine". The events "headache that was really extreme", "it scared her/ nervous", "sickness", "achy all over", "nauseous", "her temperature is normally 97.1, lower than it should be and she was 99", "she is shrinking, is about 5 foot 1", "fever", "discomfort", "gave me 2 covid shots instead of one flu and 1 of the covid vaccine" and "she got 2 pfizer booster shots" required physician office visit. Relevant laboratory tests and procedures are available in the appropriate section.  Additional Information: The pharmacist that gave patient 2nd booster Pfizer was supposed to give her a flu shot at the same time. The pharmacist reached for the wrong syringe, and she got 2 Pfizer booster shots. The patient has been getting Pfizer shots throughout. She is better now. The patient is shrinking, is about 5 foot 1. The reporter did not see her about the side effects. The patient had side effects the next day, they kicked in on Saturday. The patient got the 2nd dose booster Pfizer Covid 19 vaccine about noon. Pharmacist didn't give her any details about the 2nd dose she got, once he did it he had this horrible look on his face and said he thought he gave her another Pfizer Covid 19 booster in her other arm.  The mistake happened and he gave her the booster in one arm and instead of the flu shot in the other she got another booster. That night, 14Oct2022 she had a headache that was really extreme, and it scared her.  The next day, 15Oct2022 she had a fever, was achy all over and nauseous. Her temperature is normally 97.1, lower than it should be and she was 99. something. These lasted a full day and when she woke the next morning, 16Oct2022 they were gone. She knew it was side effects because when sick your symptoms gradually feel better and this just appeared and disappeared, it didn't fade. She woke up and they were gone with no remaining effects. Concomitant medications: does take medications for 2 minor autoimmune things. States the symptoms were clearly from the booster shot and declines to provide details regarding medications. She is overall healthy. She was seen by withheld because she was getting nervous about the fever and travelling on Monday. They took her temperature and did a general examination. Time the Vaccination Was Given: around noon. Anatomical Location of Administration of Pfizer vaccine considered as suspect got a dose in both arms. The patient didn't want any more shots and decided to wait to see what happened. He tried to mitigate their discomfort by saying not to worry because it was Pfizer dose is a more diluted dose of Moderna and to think of it as if she had gotten Moderna booster. That she shouldn't expect any bad effect as it is like the equivalent to Moderna's booster vaccine. Headache started same night 14Oct2022 and fever, was achy all over and nauseous started on 15Oct2022. The patient did not receive other vaccines within four weeks prior to COVID vaccine. No, the patient had never had fever but with she thinks the 1st had no problem and the 2nd Pfizer Covid 19 shot she had not a headache but achy and tired. The Patient does have compromised immunity and she takes low dose of immune suppressant Hydrochlorquine. States she is allergic to one or two antibiotics, Vancomycin and Levaquin and allergic to contrast dye. She didn't have anaphylactic. She just felt a burning sensation and since then had a procedure with contrast dye and they gave her Benadryl and she seemed fine. Caller had 4 doses of Covid vaccine previously so this current dose was the 5th and 6th. Caller provided lot number G56665 but is unaware which formulation was given. Caller mentioned that the pharmacist who administered the shot told her not to worry because the effect of 2 doses of Pfizer- Biontech Covid vaccine is the same as 1 shot of Moderna because of the difference in terms of dilution.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.  Follow-up (26Oct2022) and (27Oct2022): This is a spontaneous follow-up report received from a contactable consumer. This consumer (patient) reported that:  Updated information: General tab (reporter information and classification at-risk removed), patient tab (height, weight, dob, age, ethnicity added, historical vaccine name, relevant medical history), suspect product tab (vaccination date, lot number, vaccine facility information), event tab (events added) and additional information.  The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 has been requested and will be submitted if and when received.