Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Heart rate increased, Myalgia, Pain
Clinical narrative: fast heartbeat; heart was beating fast and then would "kind of skip a beat"; Body aches; headache; on his fingers, nose, feet, back, the itching bounces all around/"terrible" itching all over his body; felt burnt but did not show burnt/his skin has a burning sensation in certain areas and states "it's like it's been in the sun"; Cannot sleep at nighttime due to the itching; Does not feel like doing anything; back ache / Pains in his back; chills; Tiredness/fatigue; tightness in his chest; feeling like he has a "frog in my throat"; muscle aches; This is a spontaneous report from a contactable consumer (patient). A 74-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number and expiration date was not reported), dose 1 via an unspecified route of administration, administered in arm left (left shoulder) on 06Mar2021 at around 13:30-14:00 (Patient age at time of vaccination in years: 74) as DOSE 1, SINGLE for covid-19 immunisation (vaccination) at Medical Facility. Medical history included ongoing a little bit of respiratory stuff (Onset Date: Couple of years ago at least), ongoing chronic obstructive pulmonary disease (Onset Date: Couple of years ago at least), ongoing chest discomfort (Onset Date: Couple of years ago at least) (ongoing a little bit of respiratory stuff, like a little bit of COPD with a little bit of tightness in his chest; onset Date: couple of years ago at least); had a DVT blood clot in back of the leg from an unknown date and unknown if ongoing (Onset Date: 20 years ago; he still performed sports). There were no concomitant medications and no other products. Historical vaccine included having his FLU shot about 3-4 months ago for immunization (adverse events following prior vaccinations: none). History of all previous immunization with the Pfizer vaccine considered as suspect and additional vaccines administered on same date of the Pfizer Suspect were none. No prior vaccinations (within 4 weeks). Family Medical History relevant to adverse events was none. Reportedly, the patient was administered his first dose of PFIZER-BIONTECH COVID-19 VACCINE on 06Mar2021. He reported symptoms including tiredness (within about 8 hours of being administered the vaccine); chills (about 4 hours after the vaccine was administered, around 17:30-18:00); headache (within about 8 hours of being administered the vaccine); body aches; pains in his back (later in the evening on 06Mar2021, within probably 8 hours of being administered the vaccine); fatigue; did not feel like doing anything (within about 8 hours of being administered the vaccine); and 2 were not showing up on the list in which first was hard to explain, but his skin was like you've been out in the sun, it felt burnt but did not show burnt (within about 8 hours of being administered the vaccine); and second was itching all over his body with no rash, on his fingers, nose, feet, back, the itching bounces all around (later in the evening on 06Mar2021, within probably 8 hours of being administered the vaccine), he could not sleep at nighttime due to the itching; all on 06Mar2021. He did not know if he was a candidate to get the second dose of the PFIZER-BIONTECH COVID-19 VACCINE or not, did not want to have these symptoms or worse with the second dose. Clinical course was as follow: the patient would like to know if it was safe to receive his second dose and if he should take the second dose of the PFIZER-BIONTECH COVID-19 VACCINE after the side effects he experienced with the first dose. These side effects included: back ache, headache, muscle aches, chills, fatigue, tightness in his chest, and feeling like he had a "frog in my throat; all in Mar2021." The patient reported that on 08Mar2021 (yesterday) he experienced "fast heartbeat" where his heart was beating fast and then would "kind of skip a beat." He also stated that his skin had a burning sensation in certain areas and states "it's like it's been in the sun. and had "terrible" itching all over his body (but did not show a rash) that went "to his hands, to his nose, to his throat, inside his ears, down his legs" and this had been going on for about 3 days. As therapeutic measures he tried taking BENADRYL 25mg strength for the itching, but the BENADRYL did not faze the itching. No emergency room/physician office visit and was not hospitalized. Relevant tests were none. Outcome for muscle aches, tightness in his chest, feeling like he has a "frog in my throat", fast heartbeat, heart was beating fast and then would "kind of skip a beat" was unknown; outcome for rest all events was not recovered.  No follow-up attempts are possible; information about batch/lot number cannot be obtained.