Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature, Chills, Dizziness, Dysstasia
Clinical narrative: This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 51 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 26Mar2021 16:45 (Lot number: ER8727) at the age of 51 years as dose 2, single for Covid-19 immunisation. Relevant medical history included: "CHD", start date: 1975, stop date: 1975; "Open heart surgery", start date: 1975, stop date: 1975; "ASD", start date: 1975, stop date: 1975; "VSD", start date: 1975, stop date: 1975; "Infundibular pulmonary stenosis repair", start date: 1975, stop date: 1975; "Aortic Valve-Implant", start date: 1995, stop date: 1995, notes: Aortic Valve-Implant; "remove aortic membrane blocking", start date: 1995, stop date: 1995; "Dysautonomia POTS diagnosis", start date: 2012, stop date: 2012; "POTS diagnosis", start date: 2012, stop date: 2012; "if Covid-19 prior vaccination Yes" (unspecified if ongoing). Concomitant medication(s) included: METOPROLOL TARTRATE; AMLODIPINE BESILATE. Past drug history included: Amoxicillin, reaction(s): "known allergies: Amoxicillin". Vaccination history included: Bnt162b2 (product=COVID 19, brand=Pfizer, lot number #EN6205, administration time=05:45 PM, dose number=1, vaccine location=Left arm), administration date: 05Mar2021, when the patient was 51 years old, for COVID-19 immunisation. The following information was reported: HEART RATE INCREASED (non-serious) with onset 26Mar2021 04:30, outcome "recovering", described as "4 days of elevated heart rate 105-110"; PYREXIA (non-serious) with onset 26Mar2021 04:30, outcome "recovering", described as "Fever 101s for 3 days"; ARTHRALGIA (non-serious) with onset 26Mar2021 04:30, outcome "recovering", described as "Joint pains 5 days"; NAUSEA (non-serious) with onset 26Mar2021 04:30, outcome "recovering", described as "Slight nausea - 2 days"; CHILLS (non-serious) with onset 26Mar2021 04:30, outcome "recovering", described as "Significant chills for 10 days"; DIZZINESS (non-serious) with onset 26Mar2021 04:30, outcome "recovering", described as "For 4.5 months, dizzy and lightheaded standing."; DYSSTASIA (non-serious) with onset 26Mar2021 04:30, outcome "recovering", described as "For 4.5 months, dizzy and lightheaded standing/Cannot stand to shower, brush/floss teeth, or perform household chores"; PRESYNCOPE (non-serious) with onset 26Mar2021 04:30, outcome "recovering", described as "Pre-syncope-lightheaded during every urination/bowel movement for 3.5 months"; SITTING DISABILITY (non-serious) with onset 26Mar2021 04:30, outcome "recovering", described as "Using extra chairs to stay in sitting"; LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (non-serious) with onset 26Mar2021 04:30, outcome "recovering", described as "Cannot stand to shower, brush/floss teeth, or perform household chores". The events "4 days of elevated heart rate 105-110", "fever 101s for 3 days", "joint pains 5 days", "slight nausea - 2 days", "significant chills for 10 days", "for 4.5 months, dizzy and lightheaded standing.", "for 4.5 months, dizzy and lightheaded standing/cannot stand to shower, brush/floss teeth, or perform household chores", "pre-syncope-lightheaded during every urination/bowel movement for 3.5 months", "using extra chairs to stay in sitting" and "cannot stand to shower, brush/floss teeth, or perform household chores" were evaluated at the physician office visit and emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of heart rate increased, pyrexia, arthralgia, nausea, chills, dizziness, dysstasia, presyncope, sitting disability, loss of personal independence in daily activities. Additional information: If other vaccine in four weeks: No. Other medications in two weeks: Yes. Metoprolol Tartrate, Amlodipine Besylate. Adverse event: 4 days of elevated heart rate 105-110. Fever 101's for 3 days. My normal heart rate is 60. Joint pains 5 days. Slight nausea - 2 days. Significant chills for 10 days. For 4.5 months, dizzy and lightheaded standing. Cannot stand to shower, brush/floss teeth, or perform household chores. Using extra chairs to stay in sitting position frequently. Pre-syncope lightheaded during every urination / bowel movement for 3.5 months. If COVID tested post vaccination: No. Other medical history: 1975 - CHD- Open heart surgery- ASD, VSD, and Infundibular pulmonary stenosis repair. 1995- Aortic Valve-Implant, and remove aortic membrane blocking outflow tract. 2012-Dysautonmonia POTS diagnosis. AE treatment: Tweaking medicine dose and physical therapy. Follow-up attempts are completed. No further information is expected.