Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Borrelia test, Dizziness, Fatigue, Head discomfort, Headache
Clinical narrative: faint and dizzy; fatigue/tired; headache; stiff neck; faint and dizzy; back of his head he thought would explode; This is a spontaneous report received from a Consumer or other non HCP from medical information team.  A 71-year-old male patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 16Oct2024 as dose number 1, single (Batch/Lot number: unknown) at the age of 71 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "blood pressure" (unspecified if ongoing). Concomitant medication(s) included: NORVASC taken for blood pressure abnormal; CRESTOR. Vaccination history included: Covid-19 vaccine (dose number unknown, manufacturer unknown), for Covid-19 immunization. The following information was reported: HEAD DISCOMFORT (non-serious) with onset 18Oct2024, outcome "unknown", described as "back of his head he thought would explode"; DIZZINESS (non-serious) with onset 18Oct2024, outcome "unknown", SYNCOPE (medically significant), outcome "unknown" and all described as "faint and dizzy"; FATIGUE (non-serious) with onset 18Oct2024, outcome "recovering", described as "fatigue/tired"; HEADACHE (non-serious) with onset 18Oct2024, outcome "recovering"; MUSCULOSKELETAL STIFFNESS (non-serious) with onset 18Oct2024, outcome "recovering", described as "stiff neck". The patient dialed in for information regarding the Pfizer Comirnaty Booster 2024-2025 formula. He received the vaccine 12 days ago and reported experiencing fatigue, headache, and a stiff neck that were still persisting. He wanted to know if these side effects were normal. The patient informed that he was 12 days out and still gets a lot of fatigue, headaches, stiff neck and was just wondering was that still ok and he had concerns like that for these types of shots and was it ok; on Wednesday and Thursday which were the 16th and 17th he was ok and then on Friday 18Oct2024, the back of his head he thought would explode and had a really bad headache and stiff neck and has had that since and fatigue the whole time too. On 18Oct2024 Friday morning the fatigue, headache, stiff neck began and he thought those were improving and he has been going to work but missed work on Friday, Saturday and Sunday and was still getting tired and knew he was not himself and was just different and the stiff neck was still there and went from one side to the other and he gets faint and dizzy at times and he was not the same. The patient has the pharmacy receipt that said Comirnaty 2024-2025 injection Pfizer quantity 0.3 with NDC 00069-2432-10 and has the doctor's name on it and has no lot or expiry date but has the prescription number and a CRD number and he did not know what that was. The patient informed he was pretty active and still mobile and walks a lot and gets dizzy and walks to work. The patient went to urgent care Wednesday and called his pharmacy and they did not know or say anything then and he called primary care and went and then went to urgent care and they did not know if the Pfizer shot caused it and did blood work for lyme disease which was negative and thought he may have listeria as there was a recall on waffles or something but he had no stomach upset or diarrhea and they verbally said he was negative for listeria.  He did not know if there was a test for that but they did the blood test for lyme disease and that was negative he was assuming this past Saturday 26Oct2024.  The information on the batch/lot number for BNT162b2 omicron (kp.2) will be requested and submitted if and when received.