Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Back pain, Body temperature, Culture urine
Clinical narrative: Diarrhea; Nausea; bad rapid heart beat and her heart was pounding; bad rapid heart beat and her heart was pounding; Short of breath; felt inflammation pain in her abdominal area and also in her back area; thought maybe it was a urinary tract infection because urine felt warm when it was coming out; fatigue that was like malaise; She had fatigue that was like malaise.; felt inflammation pain in her abdominal area and also in her back area; felt inflammation pain in her abdominal area and also in her back area; Fever; feels like kind of weird; She still feels her stomach is a little weird; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 59-year-old female patient received BNT162b2 (BNT162B2), on 24Jun2022 at 14:00 as dose 3 (booster), single (Batch/Lot number: unknown) at the age of 59 years, in left arm for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. Vaccination history included: Jansen (First Dose: Jansen , Date: 24Mar2021, Lot: 1805018, Expiry: Unknown, Route: Injection in the left arm), administration date: 24Mar2021, when the patient was 58-year-old, for COVID-19 Immunization; BNT162b2 (Second dose: Pfizer , Date: 03Nov2021, Lot: FG3527, Expiry: Unknown, Route: Injection in the left arm), administration date: 03Nov2021, when the patient was 59-year-old, for COVID-19 Immunization, reaction(s): "felt like she was going to pass out", "felt nausea". The following information was reported: ABDOMINAL DISCOMFORT (non-serious) with onset 2022, outcome "unknown", described as "She still feels her stomach is a little weird"; FEELING ABNORMAL (non-serious) with onset 2022, outcome "unknown", described as "feels like kind of weird"; PYREXIA (non-serious) with onset 29Jun2022, outcome "recovering", described as "Fever"; MALAISE (non-serious) with onset 30Jun2022, outcome "not recovered", described as "She had fatigue that was like malaise."; FATIGUE (non-serious) with onset 30Jun2022, outcome "not recovered", described as "fatigue that was like malaise"; INFLAMMATORY PAIN (non-serious), ABDOMINAL PAIN (non-serious), BACK PAIN (non-serious) all with onset 30Jun2022, outcome "recovering" and all described as "felt inflammation pain in her abdominal area and also in her back area"; URINE ABNORMALITY (non-serious) with onset 30Jun2022, outcome "not recovered", described as "thought maybe it was a urinary tract infection because urine felt warm when it was coming out"; DYSPNOEA (non-serious) with onset 01Jul2022, outcome "recovering", described as "Short of breath"; HEART RATE INCREASED (non-serious), PALPITATIONS (non-serious) all with onset 01Jul2022, outcome "recovering" and all described as "bad rapid heart beat and her heart was pounding"; NAUSEA (non-serious) with onset 02Jul2022, outcome "recovered" (03Jul2022); DIARRHOEA (non-serious) with onset 05Jul2022, outcome "recovering", described as "Diarrhea". The events "fever", "felt inflammation pain in her abdominal area and also in her back area", "bad rapid heart beat and her heart was pounding", "short of breath", "nausea", "thought maybe it was a urinary tract infection because urine felt warm when it was coming out", "fatigue that was like malaise", "diarrhea", "feels like kind of weird", "she had fatigue that was like malaise." and "she still feels her stomach is a little weird" required physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of nausea, urine abnormality.  Additional information: No other products. No other conditions. The patient reported that she had been experiencing a delayed reaction from the Covid-19 vaccine. The reaction was 2 weeks after getting the vaccine. She said that her symptoms started 4 days after the vaccine and not 2 weeks. It had been almost 2 weeks and she was still having symptoms. She clarified that she had a fever 4 days afterward. She got the shot on the 24Jun2022, and the fever started on Wednesday the 29Jun2022. She clarified that it was the 5th day after receiving the vaccine. She said that her fever was a little bit better. She said that it was worse initially. She thought she had a urinary tract infection and felt inflammation pain in her abdominal area and also in her back area. This started on Thursday 30Jun2022. She started having a bad rapid heartbeat and her heart was pounding and she was short of breath. She started feeling nausea and took something for her nausea. On Saturday 02Jul2022, she went to Urgent care, and they tested her urine and it was clear. They also sent it off for cultures and it came back negative for bacteria. She still had this pain and it felt like inflammation. She thought maybe it was a urinary tract infection because her urine felt warm when it was coming out and the pain she had in her lower abdominal area. Her abdominal symptoms continued through the weekend. The lady from Urgent care referred her to her Primary care physician. She called her urologist and they wanted her to repeat the urine culture. They decided to treat her like she had bacteria in her urine and put her on antibiotics. The culture again came back negative, and she stopped the antibiotics. She had fatigue that was like malaise. Her fever registered as high as 101.5. Since then, it had been up and down and was mostly low grade like 99.3, and yesterday was 100.3. A few minutes ago, it was 98.2 and that was higher than her normal temperature. She usually runs like 97.4-97.5. Right now, it was 98.4. Earlier this morning it was 99.2. She felt like this must be her immune system reacting. This was her second booster. She still feels the pain, but it was not as severe as it was. It did get worse before it got better though. Her heartbeat was worse on Friday and Saturday. She called her cardiologist to see if she could go to the hospital. She stated that she felt a little weird, but not to where she needs to treat the nausea. She felt her stomach was a little weird. She thought that since she had nausea, 2-3 days later she started having bad diarrhea and thinks she lost so many electrolytes, she felt like kind of weird. She was not treating the nausea anymore. She took something on Saturday. After she treated the nausea, she felt better going into Sunday and did not take anything else. She said she took Zofran for the nausea. Diarrhea was like water yesterday 10Jul2022 and was really bad. It had improved as of Today 11Jul2022. She was making herself a electrolyte concoction. She wears glasses. Having difficulty reading her vaccination card. She said that the handwriting was hard to read. When she tried to call the clinic where she received her 3rd dose to let them know what was happening, they never called her back. They only wrote the lot number and the date on her vaccination card. No additional Vaccines Administered on Same Date of the Pfizer Suspect. AE(s) required a visit to Physician office and did not require emergency room. Thought she needed to go to the hospital from the rapid heartbeat and palpitations, but by the time she got a call from her doctor she was feeling better and did not need to go to the emergency room. She had already been to Urgent care by that time. She wanted to find out it was unusual for someone to experience symptoms 4-5 days after the injection. Initially she felt a sore arm then nothing, then the fever came. Is it possible or was she making this up in her head? Is she the only one? She was going to the clinic to get the information on her card verified. She was getting the dosage information She said she would call back and that she could be dead in 3 days- 10days, said that she was not promised tomorrow. After second dose, stated that in the first 15 minutes she reacted but was fine after that. She felt nausea and felt like she was going to pass out. She was not safe to drive home. She said that she felt better after 15 minutes. She got coconut water and crackers and waited for close to an hour and then was fine after that.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.