Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Cardiac stress test, Chest pain, Fatigue, Feeling abnormal
Clinical narrative: It went all the way into her chest, to her heart. She had severe pain; got very cold, like freezing; very very tired; weird sensation; severe pain that radiated from her spine to the right and left side; It went all the way into her chest, to her heart. She had severe pain; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team.  A 44-year-old female patient received BNT162b2 (BNT162B2), on 04Mar2021 as dose 1, single (Lot number: EN6204, Expiration Date: 30Jun2021) at the age of 43 years for covid-19 immunisation. The patient had no relevant medical history. The patient's concomitant medications were not reported.  The following information was reported: ANGINA PECTORIS (medically significant), CHEST PAIN (non-serious), outcome "unknown" and all described as "It went all the way into her chest, to her heart. She had severe pain"; FEELING COLD (non-serious), outcome "unknown", described as "got very cold, like freezing"; FATIGUE (non-serious), outcome "unknown", described as "very very tired"; FEELING ABNORMAL (non-serious), outcome "unknown", described as "weird sensation"; SPINAL PAIN (non-serious), outcome "unknown", described as "severe pain that radiated from her spine to the right and left side". The patient underwent the following laboratory tests and procedures: Cardiac stress test: (01Jun2021) unknown results; SARS-CoV-2 antibody test: (26May2022) Negative; (27May2022) Negative; (02Jun2022) Positive. Product PAXLOVID, Expiry Date: Feb2023, Dosage previously discontinued/treatment completed: Caller stated she has had 3 Pfizer COVID vaccines previously. She was exposed to COVID 19 on 14 May and tested positive for COVID 19 on 19May2022. She started Paxlovid on 20May2022 in the morning and she finished it on the 24May202. Her symptoms started to improve. She stated she was a caregiver to her father who had his own medical issues. She completed two PCR tests on 26May2022 and 27May2022, which came back negative. On Tuesday the 31st, "extreme exhaustion came over me like she had never felt before and she slept for 5 hours."  She reported a " weird sensation, chest tightness that felt like my heart was coming out of my chest and coughing" that started yesterday. A rapid test at home was positive. A PCR test done yesterday was positive today. Caller found information online about rebound for Paxlovid patients and symptoms reappear between 2-8 days after completing the medication. Caller had asked if she was shedding and if she could have exposed her father? She also asked if she should take another course of Paxlovid? No Other Conditions. Weight: She lost a lot of weight and does not know if it was from the COVID or the Paxlovid. It gave her diarrhea and she now weighs 112. She had no choice right. Both of her parents are over 80. Chest tightness: Started 01Jun2022. She had a stress test that day, 01Jun2022 and when she on the treadmill, she told her doctor she could not finish the test. Toward the end, it felt like heart was going to pop put of her chest and she was completely out of breath. During the night of 01Jun2022, when she was sleeping, she woke up with a weird pain in her chest. It was painful and was hard to breath. Her chest felt very tight today. Yesterday started with a cough and had shortness of breath in the evening. It felt like malaise. That is what prompted the rapid test, which came back positive for COVID.  Her doctor told her to get a PCR, which the results came back today as positive. Diarrhea: Started the first day she started the Paxlovid. For 2 days, she had severe diarrhea. While she was on the Paxlovid, she had a horrible taste in her mouth that was like metallic. It was horrible the first day she started the Paxlovid and lasted through out that time taking it. She thought it went way but yesterday morning, she went to drink juice and it tasted like vinegar. That was yesterday, 02Jun2022. Treatments: Ever since she found out she was exposed exposed to somebody with COVID, she bought Zinc and Vitamin C and Vitamin D3. She started taking that throughout and hadn't stopped since. Her doctor put her on Montelukast and nasal spray because she had been getting a lot of mucus. For fevers and stuff, she had been on Tylenol. The mucus started a lot yesterday and her throat felt like it was on fire. The doctor told her to take Zyrtec thinking maybe it was allergies. Caller stated she knew this was not allergies and had to be COVID. While looking for her vaccine card, caller states that she can't seem to remember things. Test results: Ever since she was exposed to somebody with COVID, she took the rapid test at the hotel and was isolating at the hotel. When she tested positive, she went to the doctor and did the PCRs that came back negative. She has not had any other PCR done. She had the stress test 01Jun2021. No Additional Vaccines Administered on Same Date of the Pfizer Suspect, Did not any AE(s) require a visit to: Emergency Room, Physician Office, No prior Vaccinations (within 4 weeks), AE(s) following prior vaccinations was none. She had reactions with the COVID vaccines and with each dose, it actually got worse. It was always with the arm. With the first one, she got very cold, like freezing and those those symptoms lasted about 2 or 3 days. She was very very tired and had this very weird sensation. The doctor sent her for a chest Xray with the second one. With the first one, she had severe pain that radiated from her spine to the right and left side. It went all the way into her chest, to her heart. She had severe pain. This all happened with all 3 vaccines. With the second one, she felt like she was being stabbed through the spine. With the third one, it felt the same but it wasn't as strong the previous one. No Patients Medical History (including any illness at time of vaccination)? Family Medical History Relevant to AE(s), Relevant Tests: Rapid Covid test, 02Jun2022 positive.  Follow-up attempts are completed. No further information is expected.