Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Discomfort, Fatigue, Hypertension, Influenza, Investigation
Clinical narrative: it was mimicking MS symptoms; pain was not just in her legs it had moved to both hands/Pain in toes/Pain in feet; Blood pressure high; she had lost her appetite; hair started shedding and falling out; lack of thirst; Her energy level is still sluggish; affected menstrual cycle, delayed like 9 days; she still has a little discomfort; dehydrated; Vomiting; Stomach pains; Pain in back; lethargic; Chills; Fever; Fatigue; felt crummy; had flu and strep; This is a spontaneous report from a contactable consumer (patient's mother). A 17-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in arm right on 17Apr2021 08:45 (Batch/Lot Number: EW0164) as 2nd dose, single dose for covid-19 immunization. Patient age at time of vaccination: 17 years. No Additional Vaccines Administered on Same Date of the Pfizer Suspect. Medical history included seasonal allergies and a banana allergy; both diagnosed as a toddler around 2 years old, confirmed by allergy skin testing. The patient ate bananas, broke out in rashes and hives, and throat started to close up. No hospitalization required. Concomitant medication included cetirizine hydrochloride (ZYRTEC) taken for hypersensitivity from an unspecified start date (started taking in elementary school) and ongoing; diphenhydramine hydrochloride (BENADRYL) taken for hypersensitivity, start and stop date were not reported (started taking in elementary school), multivitamin gummies. The patient previously took first dose of bnt162b2 (Pfizer CV 0.3 ml, Lot Number / Expiry Date: ER8733/ 31Jul2021) in right upper arm on 27Mar2021 13:00 at the age of 17 years for covid-19 immunization. No prior vaccinations (within 4 weeks). The patient experienced it was mimicking MS symptoms (hospitalization) on an unspecified date with outcome of unknown, pain was not just in her legs it had moved to both hands/pain in toes/pain in feet (hospitalization) on 22Apr2021 with outcome of recovering, chills on 17Apr2021 11:00-12:00 with outcome of recovered on 20Apr2021, fever on 17Apr2021 11:00-12:00 with outcome of recovered on 29Apr2021, fatigue on 17Apr2021 11:00-12:00 with outcome of recovering, lethargic on 21Apr2021 with outcome of unknown, blood pressure high on an unspecified date with outcome of unknown, stomach pains on 25Apr2021 with outcome of recovered on May2021, pain in back on 22Apr2021 with outcome of recovering, vomiting on 26Apr2021 07:00 with outcome of recovered on 26Apr2021, lost her appetite on an unspecified date with outcome of recovering, hair started shedding and falling out on an unspecified date with outcome of not recovered, lack of thirst on an unspecified date with outcome of recovering, her energy level is still sluggish on an unspecified date with outcome of unknown, affected menstrual cycle, delayed like 9 days on an unspecified date with outcome of unknown, she still has a little discomfort on an unspecified date with outcome of unknown, dehydrated on an unspecified date with outcome of unknown, felt crummy, had flu and strep on 17Apr2021 with outcome of unknown. Clinical course: Two hours after getting the second dose of vaccine, the patient got chills, fever, the fatigue, and that lasted until about Tuesday (20Apr2021). The time of symptom onset was around 11:00-12:00. Caller stated, then she started feeling better, the fever broke, and Wednesday (21Apr2021) was still a little lethargic. But, Thursday morning (22Apr2021) when she got up, her legs were in a lot of pain, and caller said she told her to take ibuprofen and drink water, and it got worse as the day went on, so she went to the pediatrician, and they were on the CDC site trying to see about symptoms. They told her to keep taking ibuprofen and hydrate because they didn't really see anything that alerted them. Then, it got worse as the evening went on that Thursday, which was the 22nd, she thinks. And got her to the emergency room because pain was not just in her legs it had moved to both hands, and so they admitted her because they were concerned it was mimicking MS symptoms and wanted to do MRIs and x-rays. So they got her admitted and she had two MRIs and both were clear. Stated she had X-rays, all kinds of lab work, and things like that done and everything came back clear. But she was still running fever, her blood pressure was high, she was still having pain that was moving from toes up to her back and it was in both legs. Pain was consistent and they were giving her lots of pain medicine, but pain was still hovering around that 1-10 range of pain and she was a 6 or 7 out of 10, in her hands, feet, and legs. The fever had went away around Tuesday and Wednesday was lethargic, but fever came back Thursday evening, low grade fever, when she was admitted, she had a slight fever and kept it throughout her few days stay at the hospital and finally broke that Saturday. Blood pressure stayed consistently high and she never had a blood pressure reading that high before. They did all the tests, they did Lyme's disease, lupus, a panel of blood work, every kind of blood work they could think of. Everything came back clear and the only slight deficiency was her vitamin d level, but nothing to worry about. The patient got home Saturday (24Apr2021) from hospital and then Monday (26Apr2021) she were back at the pediatrician's office because she was having bad stomach pains, a lot of discomfort, and then fever came back. So they were wondering from symptoms and from way she was feeling if she was experiencing appendicitis. They ruled out that, it wasn't appendicitis. Caller stated maybe it was all the meds she had, also she wasn't eating, she had lost her appetite, hair started shedding, she still has a bald spot on left side of her head where hair started falling out. So they told them to give broth and clear fluids, things like that, and hopefully she will get a stool out. Since with all the pain meds, it can constipate. The patient still was unable to eat and drink much and that went on a whole week. She did start to get some comfort as they moved to end of that week when she did get a stool out, the fever went away, the discomfort in legs and hands was still there. Caller stated it affected her menstrual cycle, very weird, being delayed by like nine days. The patient had going to the neurologist today because while she was in hospital she had a physical therapist and neurologist was seeing her too. And she went back today to be sure that the pain and things from toes going into her back and hands is better. That is better, so she hoped they release her from that. Caller stated the fatigue, she still has her exams, AP exams, and things like that. Stated she missed school so had to go on campus to take exam and was about four hours and got home about 13:00 and slept from 13:00 until 18:00, when mother got off work, then was back in bed at 21:00. Her energy level was still sluggish, but trying to do vitamins and veggies, and all that stuff. As for pain, caller stated it's better she still had a little discomfort, but not on the scale she was having it and hates to say 100%, but for them it's like 100%. Blood pressure started during the hospital stay and was not normal when they left the hospital. It was still a little elevated on 26Apr2021 at pediatrician and still had a low-grade fever then. Has not had blood pressure checked again. The caller stated 26Apr2021 through the 30th was a roller coaster ride. The fever broke and didn't come back after 29Apr2021. Stated it was around the end of that week when fever left and she hasn't had a fever since then. Stomach pain/discomfort got better beginning of May2021, around first weekend in May2021. Stated it started around that Sunday evening, around the 25Apr2021, and got worse on the 26Apr2021, and she went to see the pediatrician. Appetite and lack of thirst lingered into the first week of May2021 was eating only a little bit and drinking sips. Around second week of May2021, stated she got back to better eating and drinking. As for fatigue, caller stated she turned a corner and energy level improved around 17May2021-18May2021. Stated Saturday after she got home from the hospital, she was comfortable, and Sunday started turning again, not a full day of being home from the hospital, and started talking about stomach on Sunday afternoon not feeling great and then Monday started vomiting in the morning around 07:00, before 08:00, wasn't sleeping well. Then got her to the pediatrician. The patient did really good with her first dose, like she didn't have it. She knew everybody said second dose can cause symptoms, so they expected the fever, chills, that kind of things, and even when she got that on the 17Apr2021, she felt crummy, but she's had flu and strep, the typical things kids get. And stated she didn't feel horrible. But the second dose, never in their wildest dreams would have expected the symptoms she got. The patient hated she went through it and costing them so much sleep and all. Treatment included Ibuprofen, water, pain medications, broth and clear fluids, physical therapy. The events chills, fever, fatigue, pain in legs, pain in back, pain in feet, pain in toes, pain in hands required a visit to emergency room and physician office. The patient was hospitalized from 22Apr2021 to 24Apr2021. Relevant Tests: Magnetic resonance imaging (MRI) brain and neck: Date: 23Apr2021, Result: clear. MRI spinal area: Date: 24Apr2021, Result: clear. Chest x-ray: Date: 23Apr2021, Result: Normal. Lyme's disease Date: 22Apr2021-24Apr2021, Result: Normal. Lupus: Date: 22Apr2021-24Apr2021, Result: Normal. Aluminum and metals: Date: 22Apr2021-24Apr2021, Result: Normal. Different types of cancer panels: Date: 22Apr2021-24Apr2021, Result: Normal. Iron levels: Date: 22Apr2021-24Apr2021, Result: Normal. Vitamin D: Date: 22Apr2021-24Apr2021, Result: Deficiency. When took MRI, they were concerned about her having to drink solution when taking those because it can cause kidney damage and they thought she was dehydrated, because she hadn't been eating or drinking. Caller stated lab work was done from 22Apr2021-24Apr2021, different panels of things they were looking at. Caller confirms the dates of hospitalization was from 22Apr2021-24Apr2021.