Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Headache, Investigation, Magnetic resonance imaging, Malaise
Clinical narrative: Stayed inside stomach upset; no appetite; weakness in upper chest centre/ weakness in upper chest(front of centre); Rash upper back and chest; difficulty breathing/ heaving to catch breath; swallowing; vertigo; bloody nose; headaches/ headache-back of head; malaise; weakness/a vortex of weakness in center; constant phlegm drip; coughing spasms and heaving; Elevated Blood Pressure/ blood pressure remains high; Extreme fatigue; Joint aches- all wrist, ankle, knee Thigh etc/ All joints ache - severe pain / joint pain; Pounding heart; difficulty walking breathing/ Winded walking up steps; scary; Heavy mucous cough, threw up mucous/ coughing so much white mucous slippery, gross huge quantity of mucous; Heavy mucous cough, threw up mucous; Stroke symptoms; Fever; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 79 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), intramuscular, administered in deltoid left, administration date 17Feb2021 11:30 (Lot number: EM9810, Expiration Date: 30Jun2021) at the age of 79 years as dose 1, 0.3 ml single for covid-19 immunisation. Relevant medical history included: "Allergy" (unspecified if ongoing); "Asthma" (ongoing), notes: Pertinent Details: History of asthma from many years; "Breast cancer" (ongoing), notes: Onset Date:, 2015, 2017, 2022, Pertinent Details: Surgery- Lumpectomy left breast 03May2020 (1year before incident); "Surgery- Lumpectomy", start date: 03May2020 (unspecified if ongoing), notes: Pertinent Details: Surgery- Lumpectomy left breast 03May2020 (1year before incident); "acute respiratory syndrome. COVID 19" (unspecified if ongoing); "acute respiratory syndrome. COVID 19" (unspecified if ongoing); "right arm post surgery", start date: Mar2020 (unspecified if ongoing); "history of Phlebitis", start date: Feb2020 (unspecified if ongoing), notes: history of Phlebitis, clots; "clots", start date: Feb2020 (unspecified if ongoing), notes: history of Phlebitis, clots. Concomitant medication(s) included: VITAMIN C [ASCORBIC ACID]; VITAMIN D3; VITAMIN E [TOCOPHEROL]; ZINC LOZENGES [ASCORBIC ACID;BIOFLAVONOIDS NOS;GLYCINE;PROPOLIS;ZINC GLUCONATE;ZINC OXIDE]. Past drug history included: Acetaminophen, reaction(s): "allergies: acetaminophen", notes: Allergies:, Medication name: Percocet, Ingredient: Acetaminophen; Alendronate sodium, reaction(s): "allergies: Alendronate sodium", notes: Medication name: Fosamax, Ingredient: Alendronate sodium; Amoxicillin trihydrate, reaction(s): "Hives", notes: Medication name: Augmentin, Ingredient: Amoxicillin trihydrate, Reaction (severity): Hives; Clarithromycin, reaction(s): "Altered Heart Rate", notes: Ingredient: Clarithromycin , Epinephrine, Gadolinium-Containing contrast media Iodine, Oxycodone, Reaction (severity): Altered Heart Rate; Epinephrine, reaction(s): "Altered Heart Rate", notes: Medication name: Biaxin, Ingredient: Clarithromycin , Epinephrine, Gadolinium-Containing contrast media Iodine, Oxycodone, Reaction (severity): Altered Heart Rate; Allergies: gadolinium-containing contrast media iodine, reaction(s): "Altered Heart Rate", notes: Medication name: Biaxin, Ingredient: Clarithromycin , Epinephrine, Gadolinium-Containing contrast media Iodine, Oxycodone, Reaction (severity): Altered Heart Rate; Oxycodone, reaction(s): "Altered Heart Rate", notes: Medication name: Biaxin, Ingredient: Clarithromycin , Epinephrine, Gadolinium-Containing contrast media Iodine, Oxycodone, Reaction (severity): Altered Heart Rate; Potassium clavulanate, reaction(s): "Hives", notes: Medication name: Augmentin, Ingredient: Potassium clavulanate, Reaction (severity): Hives; Propoxyphene hcl, reaction(s): "Hives", notes: Medication name: Augmentin, Ingredient: Potassium clavulanate, Reaction (severity): Hives; Simvastatin, reaction(s): "Allergy: Simvastatin", notes: Medication name: Darvov, Ingredient: Propoxyphene Hcl , Simvastatin; Tetracycline for Technetium-TC 99 Sestamibi, reaction(s): "Allergy: Tetracycline", notes: Tetracycline, Reaction (severity): Severe swelling, lymph gland pooling, acute abdominal pain, diarrhoea, Technetium-TC 99 Sestamibi; Tetracycline for Severe swelling, reaction(s): "Allergy: Tetracycline", notes: Tetracycline, Reaction (severity): Severe swelling, lymph gland pooling, acute abdominal pain, diarrhoea, Technetium-TC 99 Sestamibi; Tetracycline for lymph gland pooling, reaction(s): "Allergy: Tetracycline", notes: Tetracycline, Reaction (severity): Severe swelling, lymph gland pooling, acute abdominal pain, diarrhoea, Technetium-TC 99 Sestamibi; Tetracycline for acute abdominal pain, reaction(s): "Allergy: Tetracycline", notes: Tetracycline, Reaction (severity): Severe swelling, lymph gland pooling, acute abdominal pain, diarrhoea, Technetium-TC 99 Sestamibi; Tetracycline for diarrhoea, reaction(s): "Allergy: Tetracycline", notes: Tetracycline, Reaction (severity): Severe swelling, lymph gland pooling, acute abdominal pain, diarrhoea, Technetium-TC 99 Sestamibi. Vaccination history included: Flu shot (FLU SHOT given on 30Oct2019, I HAD ANAPHALACTIC REACTIONS to the FLU SHOT), administration date: 30Oct2019, for Anaphalactic Reactions; Flu shot (Itchy rash - on upper body chest, and back arms with fever, Saw Dermatologist about RASH. (Benadryl)), for Itchy rash; Flu shot (Itchy rash - on upper body chest, and back arms with fever), for Itchy rash  on upper body chest, and back arms with fever; Flu shot (Left arm burning sore throat), for Left arm burning sore throat; Flu shot (fatigue malaise for days), for fatigue malaise for days; Flu shot (fatigue malaise for days), for fatigue; Flu shot (diarrhoea and stomach pains), for diarrhoea and stomach pains; Flu shot (achy joints legs gave me flu shot), for achy joints legs gave me flu shot; Flu shot (achy joints legs gave me flu shot , nausea), for achy joints legs gave me flu shot , nausea. The following information was reported: CEREBROVASCULAR ACCIDENT (non-serious) with onset 2021, outcome "unknown", described as "Stroke symptoms"; RASH (non-serious) with onset 18Feb2021 12:00, outcome "recovering", described as "Rash upper back and chest"; DYSPNOEA (non-serious) with onset 18Feb2021 12:00, outcome "recovering", described as "difficulty breathing/ heaving to catch breath"; DYSPHAGIA (non-serious) with onset 18Feb2021 12:00, outcome "recovering", described as "swallowing"; VERTIGO (non-serious) with onset 18Feb2021 12:00, outcome "recovering", described as "vertigo"; EPISTAXIS (non-serious) with onset 18Feb2021 12:00, outcome "recovering", described as "bloody nose"; HEADACHE (non-serious) with onset 18Feb2021 12:00, outcome "recovering", described as "headaches/ headache-back of head"; MALAISE (non-serious) with onset 18Feb2021 12:00, outcome "recovering", described as "malaise"; ASTHENIA (non-serious) with onset 18Feb2021 12:00, outcome "recovering", described as "weakness/a vortex of weakness in center"; PRODUCTIVE COUGH (non-serious) with onset 18Feb2021 12:00, outcome "recovering", described as "constant phlegm drip"; COUGH (non-serious) with onset 18Feb2021 12:00, outcome "recovering", described as "coughing spasms and heaving"; BLOOD PRESSURE INCREASED (non-serious) with onset 18Feb2021 12:00, outcome "recovering", described as "Elevated Blood Pressure/ blood pressure remains high"; FATIGUE (non-serious) with onset 18Feb2021 12:00, outcome "recovering", described as "Extreme fatigue"; ARTHRALGIA (non-serious) with onset 18Feb2021, outcome "unknown", described as "Joint aches- all wrist, ankle, knee Thigh etc/ All joints ache - severe pain / joint pain"; PALPITATIONS (non-serious) with onset 2021, outcome "unknown", described as "Pounding heart"; GAIT DISTURBANCE (non-serious) with onset 2021, outcome "unknown", described as "difficulty walking breathing/ Winded walking up steps"; FEAR (non-serious) with onset 2021, outcome "unknown", described as "scary"; SECRETION DISCHARGE (non-serious) with onset 2021, outcome "unknown", described as "Heavy mucous cough, threw up mucous/ coughing so much white mucous slippery, gross huge quantity of mucous"; VOMITING (non-serious) with onset 2021, outcome "unknown", described as "Heavy mucous cough, threw up mucous"; CHEST DISCOMFORT (non-serious) with onset 19Feb2021, outcome "unknown", described as "weakness in upper chest centre/ weakness in upper chest(front of centre)"; DECREASED APPETITE (non-serious) with onset 20Feb2021 12:00, outcome "recovering", described as "no appetite"; ABDOMINAL DISCOMFORT (non-serious) with onset 24Feb2021, outcome "unknown", described as "Stayed inside stomach upset"; PYREXIA (non-serious) with onset 2021, outcome "unknown", described as "Fever". The events "rash upper back and chest", "difficulty breathing/ heaving to catch breath", "swallowing", "vertigo", "bloody nose", "headaches/ headache-back of head", "malaise", "weakness/a vortex of weakness in center", "constant phlegm drip", "coughing spasms and heaving", "elevated blood pressure/ blood pressure remains high", "extreme fatigue" and "no appetite" were evaluated at the physician office visit. The patient underwent the following laboratory tests and procedures: computerised tomogram: (17Dec2020) unknown results; (10Nov2021) unknown results; echocardiogram: (24Mar2021) unknown results, notes: Echo cardiogram trans thoracic; investigation: (13May2021) unknown results; (24Mar2021) unknown results; magnetic resonance imaging: (04Feb2021) unknown results; sars-cov-2 test: (unspecified date) negative, notes: Nasal Swab; ultrasound doppler: (unspecified date) unknown results. Therapeutic measures were not taken as a result of rash, dyspnoea, dysphagia, vertigo, epistaxis, headache, malaise, asthenia, productive cough, cough, blood pressure increased, fatigue, decreased appetite. Therapeutic measures were taken as a result of secretion discharge.  Additional information: The patient did not receive any other vaccines within 4 weeks prior to the COVID. The patient received list of other medications the patient received within 2 weeks of vaccination: Vitamins B,C,D3,E, and Zinc Lozenges. Patient had no known drug allergies. Prior to vaccination the patient was not diagnosed with COVID-19.  Follow-up attempts are completed. No further information is expected.