Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Arthralgia, Decreased appetite, Dizziness, Fatigue
Clinical narrative: face was swollen; tender glands under left arm; severe muscle and joint pain; getting dizzy/ very hard to walk or move without being dizzy; Headache; severe muscle and joint pain; Decreased appetite; severe feeling of unwellness/ feeling unwell; Exhaustion/ totally wiped/ totally exhausted; Upset stomach; queasy feeling; This is a spontaneous report received from an Other HCP.  An 82-year-old female patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 07Oct2024 as dose 1, 30 ug single (Lot number: LM2216) at the age of 82 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Arthritis" (ongoing), notes: From: Had for many years, To: Ongoing, getting worse; "Neuropathy" (ongoing); "Retinopathy" (ongoing); "Thyroid cancer", start date: 2011 (unspecified if ongoing), notes: Initially stated cancer, clarified thyroid cancer. Had bilateral thyroidectomy and is on medication.; "Diabetes" (ongoing), notes: Diabetes. From: Over 20 years ago; "allergic to medications" (unspecified if ongoing), notes: severely allergic female, allergic to almost all medications; "anaphylactic to CAT scan dye" (unspecified if ongoing); "pacemaker user" (unspecified if ongoing), notes: pacemaker placed a couple of years ago; "cataract" (unspecified if ongoing), notes: cataract surgery, maybe within the last 5 years; "inflammation systemically" (unspecified if ongoing); "UTIs" (unspecified if ongoing); "problems with dizziness" (unspecified if ongoing); "problems with walking occasionally" (unspecified if ongoing); "walker user" (ongoing), notes: Has to use walker to keep balance most of the time now; "bilateral thyroidectomy" (unspecified if ongoing); "cataract surgery" (unspecified if ongoing). The patient took concomitant medications. Past drug history included: Morphine, reaction(s): "anaphylactic to morphine". Vaccination history included: BNT162b2 (DOSE 1, SINGLE), administration date: 12Apr2021, when the patient was 79-year-old, for COVID-19 immunization; BNT162b2 (DOSE 2, SINGLE; lot number: ER8733), administration date: 03May2021, when the patient was 79-year-old, for COVID-19 immunization; BNT162b2 (DOSE 3 (BOOSTER), SINGLE; lot number: FF2593), administration date: 03Nov2021, when the patient was 79-year-old, for COVID-19 immunization; BNT162b2 (DOSE 4 (BOOSTER), SINGLE; Lot Number: FP7138.), administration date: 24Aug2022, when the patient was 80-year-old, for COVID-19 immunization, reaction(s): "Dizziness", "unsteady on feet", "Brain function is slowing down", "Cognitive confusion", "Injection site pain", "Tiredness", "Headache", "Muscle pain", "Chills", "become inflamed or sore are the weak areas in caller's body", "Feeling unwell/general malaise feeling", "Decreased appetite", "Energy decreased", "Pain in arm", "Congestion nasal", "Joint pain", "Sleep excessive"; Bnt162b2 nos (DOSE 5 (BOOSTER), SINGLE), for COVID-19 immunization. The following information was reported: DECREASED APPETITE (non-serious) with onset 07Oct2024, outcome "not recovered"; FATIGUE (non-serious) with onset 07Oct2024, outcome "not recovered", described as "Exhaustion/ totally wiped/ totally exhausted"; HEADACHE (non-serious) with onset 07Oct2024, outcome "unknown"; ABDOMINAL DISCOMFORT (non-serious) with onset 07Oct2024, outcome "recovering", described as "Upset stomach"; DIZZINESS (non-serious) with onset 07Oct2024, outcome "unknown", described as "getting dizzy/ very hard to walk or move without being dizzy"; MALAISE (non-serious) with onset 07Oct2024, outcome "recovering", described as "severe feeling of unwellness/ feeling unwell"; MYALGIA (non-serious), ARTHRALGIA (non-serious) all with onset 07Oct2024, outcome "recovering" and all described as "severe muscle and joint pain"; SWELLING FACE (non-serious) with onset 08Oct2024, outcome "recovering", described as "face was swollen"; LYMPH NODE PAIN (non-serious) with onset 08Oct2024, outcome "recovering", described as "tender glands under left arm"; NAUSEA (non-serious) with onset Oct2024, outcome "recovering", described as "queasy feeling". Therapeutic measures were taken as a result of myalgia, arthralgia.  Additional information: The Pfizer COVID Comirnaty 2024-25 30 mcg injection which caller received Monday, 07Oct2024, at approximately 4 PM (Expiry: Either May2025 or May2028, handwritten on pharmacy paper) and wanted to report a number of adverse reactions caller had. Height was currently about 5 feet 3 inches, was 5 feet 4 inches but shrunk and weight about 210 or 215 pounds. However, report filed as follow up since caller was transferred from another Pfizer Drug Safety agent. The caller clarified caller was reporting today (10Oct2024) that the adverse reactions started with caller getting upset stomach, thought from not eating, but then found on list that came with the package to product. Then started getting headache, which caller sometimes did when allergic to medications. Then started getting severe muscle and joint pain, decreased appetite. Severe feeling of unwellness, total exhaustion, feeling unwell, kept getting dizzy, very hard to walk or move without being dizzy. Also had tender glands under left arm, which was the arm that caller got vaccine in, but not in right arm. The second day noticed face was swollen. Upset stomach was started probably within the hour after had the injection on Monday, 07Oct2024, that was first reaction and as outcome Just queasy feeling now, not that bad, trying to eat and drink even if little bits of something, better than it was, Confirmed ongoing, but improved. Headache started probably within a couple of hours and as outcome comes and goes, but not like it was before. The intermission points are much longer. Caller was a severely allergic female, allergic to almost all medications, over 40 of them, also which was not applicable to this, caller was anaphylactic to morphine and CAT scan dye. Severe muscle and joint pain started within a couple of hours also and as outcome was much less, but only able to take extra strength Tylenol 500mg every 4 to 8 hours as needed. Decreased appetite started within a few hours as well and as outcome just did not had regular appetite back, not hungry, but forced self to eat something so did not got sick. Severe feeling of unwellness started immediately and as outcome just did not feel right, not as bad as it was. Exhaustion started when had to get out of car after got home, was totally wiped, could barely walk, totally exhausted, very dizzy. Confirmed the exhaustion, kept getting dizzy, very hard to walk or move without being dizzy, all coincided. Severe exhaustion was still present. Tender glands under left arm started second day and not ongoing, pretty much gone. Face was swollen started second day and seemed to have subsided a little bit, not back to normal yet. Indication: High risk patient, has multiple medical problems, Covid could be the death sentence for caller. Concomitant products, medical conditions: Had to take other medications for other issues, but caller stated caller was unknown if those products were pertinent. Had some of these problems before, such as inflammation systemically, when got UTIs or had other problems has problems with dizziness and walking occasionally. Had to use walker to keep balance most of the time then. Had over 20 different medical issues. Had arthritis, neuropathy, retinopathy, pacemaker placed a couple of years ago, cancer, diabetes, had a lot of other medical problems. Also has had whatever they do, clarified had cataract surgery, maybe within the last 5 years. Clarified cancer as thyroid cancer, diagnosed in 2011, had bilateral thyroidectomy and is on medication. The patient thinks she had 5 Pfizer COVID injections prior to this recent dose, so thinks has had 6 total doses. Caller has also been one that wears a mask, self quarantines since Covid started. Did not go anywhere without mask, most of caller's travels are to doctor. Prior Vaccinations (within 4 weeks): None, has been years.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202201095436 same patient, different vaccine dose/event;