Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Injection site pain, Malaise, Myalgia
Clinical narrative: he had a low-grade temperature of 99.6 degrees.; joint pain; headache; a strong urge to vomit; Chills; tiredness; Muscle pain; feeling awful; no energy to walk to the bathroom and back/he was feeling weak; can't walk easily; "wobbly" in his head; injection site pain; describing the pain as a stiffness; This is a spontaneous report from a contactable Consumer (patient, self-reported). A 67-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: EL9262 and expiry date: 31May2021), via an unspecified route of administration, in Deltoid Right, Tuesday on 26Jan2021 at 14:00 PM, as a single dose for COVID-19 immunization at hospital. The vaccine was not administered at a facility. The patient's medical history included COVID-19 from Mar2020 to Apr2020, he was hospitalized for 4 weeks. He stated he was in a coma for 2 of those 4 weeks in the hospital and no further details provided. Concomitant medications were not provided. The patient took B Complex Vitamin from long time. He said his doctor actually insisted him to get the COVID-19 Vaccine, even though he told his doctor that he had the COVID-19 Virus antibodies from having COVID-19 last year. He asked his doctor why he needed to get the COVID-19 Vaccine if he had the COVID-19 Virus. His doctor said the medical community at large decided that it was best to get the COVID-19 Vaccine, unless a person had the COVID-19 Virus within the last 3 months and another doctor also told him the same thing about the COVID-19 Vaccine. The patient reported that last year, he was in good health, with no underlying conditions, before getting the COVID-19 Virus. He said now his lungs were damaged from the COVID-19 Virus. The patient said his doctor told him the stress and trauma of having the COVID-19 Virus probably weakened his body, and the doctor had hoped the Testosterone shots would help boost his body. The patient reported that he had a Testosterone shot on Monday, 25Jan2021. He stated the Testosterone shot was given to him at his doctor's office, so he did not know the Testosterone dose, NDC, Lot, and Expiration Date. He said about a month ago (clarified as 6 weeks ago), he complained to his doctor about generalized weakness. He said his doctor did blood work at the time, and told him, his Testosterone was low. He said he got his first Testosterone shot about 6 weeks ago. He clarified he had a total of 3 Testosterone shots before seeing his doctor, again, on Monday, 25Jan2021. He had a blood test again (clarified as last week) to see if his Testosterone levels had improved. He said when he went to his doctor on Monday, 25Jan2021, his doctor told him his Testosterone level was not improved and had actually gotten worse. His doctor was wondering if his body was not absorbing the Testosterone like it should. The patient said he was feeling better with the Testosterone shots he was received so far and no further details provided. On 26Jan2021, the patient had injection site pain immediately, describing the pain as a stiffness. He said his injection site pain was improved and now he only had injection site pain when the injection site was touched. It was reported that on 27Jan2021, in the middle of night, at 3:45 AM, the patient had chills and clarified his chills improved and were gone by daybreak, muscle pain and tiredness that started overnight and was persisting, clarified the muscle pain has moderated, feeling awful, no energy to walk to the bathroom and back/he was feeling weak and clarified the weakness was getting better with time, no fever-97.2. The patient also can't walk easily and feeling "Wobbly" in His Head. At 7 AM this morning, he had strong urge to vomit, but never came up. He did not have fever last night, but this morning, at 09:30AM, he had a low-grade temperature of 99.6 degrees, some joint pain, muscle pain, and not feeling strong, slight headache and these were still going on. It seems like it was getting better in general, hopefully in time it will be okay. The events did not require a visit to emergency room and physician office. The patient asked that was he allowed to take Tylenol to reduce fever and pain and could he use antipyretics before or after vaccination with the Pfizer-BioNTech COVID-19 vaccine. The patient declined any reported treatment since he began to experience the side effects overnight, he was not done anything yet. There was a product complaint. Outcome of the event chills was recovered on 27Jan2021. Outcome of the events fatigue and "wobbly" in his head was not recovered. Outcome of the events feeling awful, he had a low-grade temperature of 99.6 degrees, and joint pain was unknown and for all other events, it was recovering.  Follow-up attempts completed. No further information expected.