Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Induration, Nasal congestion
Clinical narrative: shortness of breath; The shortness of breath has continued and has gotten a little worse; Nasal congestion; Coughing; heaviness in chest; It was like lumps; This is a spontaneous report from a contactable consumer or other non hcp (patient himself). A 80-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection), dose 2 via an unspecified route of administration, administered in Arm Left on 13Feb2021 12:10 (at the age of 80 years old) (Batch/Lot Number: EL9269; Expiration Date: 31May2021) as single dose for COVID-19 immunisation. Previously the patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left on 23Jan2021 (at the age of 80 years old) (Batch/Lot Number: EL3248; Expiration Date: 30Apr2021) as single dose for COVID-19 immunisation. Medical history included Heart bypass, it was 18 years ago. It was a aortic valve replacement, ongoing lymphoma cancer, and it is gone at this point, had shingles on the right side in 2015, skin cancer in both ears in 2016. Concomitant medications included ongoing warfarin sodium (COUMADIN), ongoing warfarin deanol, ongoing carvedilol, ongoing atorvastatin calcium (LIPITOR ORIFARM), ongoing atorvastatin, ongoing hydrochlorothiazide, triamterene (TRIAMTERENE & HCTZ), ongoing gabapentin (GABAPENTIN) taken for restless legs syndrome, ongoing acetylsalicylic acid (BABY ASPIRIN), ongoing turmeric and bromelain, ongoing ascorbic acid, betacarotene, cupric oxide, tocopheryl acetate, zinc oxide (PRESERVISION) taken for macular hole, ongoing loperamide hydrochloride (IMODIUM) taken for diarrhoea, ongoing bifidobacterium bifidum, bifidobacterium lactis, lactobacillus acidophilus, lactobacillus brevis, lactobacillus bulgaricus, lactobacillus casei, lactobacillus paracasei, lactobacillus plantarum, lactobacillus rhamnosus, lactobacillus salivarius (PROBIOTIC 10), ongoing potassium, ongoing Calcium citrate magnesium zinc all in one pill 80mg Magnesium, 500mg Calcium, 10mg Zinc, 20mg B6 taken for restless legs syndrome. Has been on his normal medications for years and nothing has changed. Has been on all of these medications at least 15 years, or more than that, maybe 18 years. The patient experienced shortness of breath since Feb2021 (at the age of 80 years and 6 monthes). He received both doses of the Pfizer Covid-19 Vaccine and received his second dose 13Feb2021. He has been to his doctor and has been treated with antibiotics and Prednisone. He wanted to know what he should do about it. Caller's shortness of breath began a couple of weeks after his second dose in Mar2021, where it became noticeable, and it continues. The patient would like to know if others have reported shortness of breath after receiving the Pfizer Covid-19 Vaccine. He has been experiencing shortness of breath since Feb2021. Maybe it is a side effect of the Covid vaccine, he does not know. First stated that it was around 15Feb2021 or earlier, when he first went to the doctor. He stated that he did start experiencing it before then. He wouldn't of went to the doctor if he didn't have that. Wife was brought on the phone to describe the event further. Stated that 01Mar2021 is when he first went to the doctor. They went on vacation on an unspecified date in Mar2021 and his wife had to take him to a clinic there that it was around 09Mar2021. He has had 4 series of antibiotics and prednisone since that first visit in Mar2021. When he got home, he went to the doctor again and they gave him more antibiotics and Prednisone. Then again in May, he had another round of it, and is still experiencing shortness of breath. He had also had other symptoms at that time. He had a lot of congestion. It did not stop but that has kind of subsided. The shortness of breath has remained. He had heard a news report stating shortness of breath symptoms have been reported regarding the COVID vaccine. He had his last shot 13Feb2021, he thinks it was. Soon after, he started having the shortness of breath. At first, he didn't relate it to the Covid shot. He does have heart problems. The first antibiotic was Azithromycin, it was with the Prednisone, It was the ZPack. He took it for 6 days and then tapered one every day. In Mar 2021 he took Medrol pack, which was 4mg tablets. They were different Prednisones and different antibiotics each time. The last one he took was Doxycycline, which was 40mg and he took it for 4 days. Can't remember what the other one was. Caller states that he had the Zpack from the clinic and his doctor gave him Doxycycline after he came home. It was a different amount of Prednisone each time. He had a lot of allergy like symptoms with nasal congestion and coughing. States that it was clear congestion and was probably 3 times as thick as with normal nasal problems. It was like lumps, was clear and was coughing it up. The congestion started when he was coughing up stuff. The last time his doctor gave him nasal spray, Azelastine HCI, which was in a spray bottle with 30ml. He stopped it after a period of time. He still has some congestion every day, but it is not near what it was before. The Prednisone and antibiotic lessened the problem along with the nasal spray and really helped. The shortness of breath has continued and has gotten a little worse. He used to be able to walk 3 quarters of a mile every day but now he probably can't walk 4 blocks. Sometimes, just sitting on the couch, watching TV, he gets heaviness in his chest. He has to breathe really deep to get it fixed. When he had his oxygen level tested, at the doctor's office, it is always 98, 99 or 100 percent. The doctor listens to his lungs and he doesn't see or hear anything that is going on. He had an X-ray for his lungs they didn't see anything there either. Had a chest X-ray, blood tests by his primary care physician and heart doctor. Had blood tests by his oncology doctor. All of those came out normal, with no problems. Feel free to ask for those results. No other additional vaccines were administered on Same Date of the Pfizer Suspect. The patient has not received any other vaccines within 4 weeks prior vaccinations. The adverse event shortness of breath resulted in visit to urgent care and physician office. The patient underwent lab tests and procedures which included chest x-ray: normal on an unspecified date. Therapeutic measures were taken as a result of the adverse events. The outcome of the events was unknown.; Sender's Comments: Based on plausible temporal relationship, a possible causal association between the events "Dyspnoea, Nasal congestion ,Cough, Chest discomfort " and the suspect drug BNT162B2 cannot be excluded.  The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in re-sponse, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.