Sex: F
Vaccine: COVID19
Symptoms: Nausea, Palpitations
Clinical narrative: pain on the left side of the heart; heart palpitations; she had an asthma-like feeling; tight chest feeling; nausea; tiredness; dizziness; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 57-year-old female patient received BNT162b2 (COMIRNATY), on 27Apr2022 as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Covid-19 vaccine (Dose:1, Primary vaccination series completed but manufacturer unknown), for COVID-19 Immunization; Covid-19 vaccine (Dose: 2, Primary vaccination series completed but manufacturer unknown), for COVID-19 Immunization; Covid-19 vaccine (Dose:3, Primary vaccination series completed but manufacturer unknown), for Covid-19 immunization. The following information was reported: DIZZINESS (medically significant) with onset 28Apr2022, outcome "unknown"; PALPITATIONS (medically significant) with onset 28Apr2022, outcome "unknown", described as "heart palpitations"; NAUSEA (medically significant) with onset 28Apr2022, outcome "unknown"; ANGINA PECTORIS (medically significant) with onset 28Apr2022, outcome "unknown", described as "pain on the left side of the heart"; ASTHMA (medically significant) with onset 28Apr2022, outcome "unknown", described as "she had an asthma-like feeling"; CHEST DISCOMFORT (medically significant) with onset 28Apr2022, outcome "unknown", described as "tight chest feeling"; FATIGUE (medically significant) with onset 28Apr2022, outcome "unknown", described as "tiredness". The events "pain on the left side of the heart", "heart palpitations", "she had an asthma-like feeling", "tight chest feeling", "nausea", "tiredness" and "dizziness" required emergency room visit.  Clinical course: The patient would like to report the adverse effects she experienced after receiving the second booster of the Pfizer COVID-19 vaccine and to know if those side effects are reported. She received the vaccine on 27Apr, the next day she had to go to the emergency room, she had an asthma-like feeling, a tight chest feeling, nausea, heart palpitations, tiredness, dizziness, pain on the left side of the heart. When she received the previous dose, she did not experience any symptoms other than pain in her arm. The patient was a 57 years old. He declined to report to Safety and preferred that her information were transmitted in writing. Per attached, there was a low chance that the vaccination can cause Myocarditis (inflammation of the heart muscle) and pericarditis.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.  Follow-up (06May2022): This is a follow-up spontaneous report received from a same contactable consumer. This consumer (patient) reported in response to consumer letter sent via telephonic follow-up activity which included that: Updated Information: Reporter's details and patient information was added.   The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.  Amendment: This follow-up report is being submitted to amend previous information: Amendment: This follow-up report is being submitted to amend previous information: Amended reporter information and events Pain and Asthma were recoded to appropriate terms. This is a follow-up report to confirm previously submitted information for this case 202200709785. Case 202200655263 was incorrectly submitted to trading partners with the same company number of this case 202200709785. Case 202200655263 is considered invalid and corresponding information is re-entered under manufacturer report number 202200709785.