Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose abnormal, Blood thyroid stimulating hormone, Body temperature, Body temperature increased, Feeling abnormal
Clinical narrative: Caller took his temperature under his tongue and the reading was 99.5°F last night/his temperature is usually 98 or 97°F/ he maintains his temperature around 96 or 97; some injection site pain; some body pains/ a lot of body pain; he could not sleep much states it was intermittent/He woke up every hour; his vision is not really good; He was experiencing an uncomfortable feeling in his body; This is a spontaneous report from a contactable consumer (patient). A 74-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) Lot number: EK5730, Expiration date: Mar2021, at single dose on 17Dec2020, and second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) Lot number EK9231, expiration date Apr2021, Intramuscular at single dose in left shoulder on 04Jan2021 for prevention of covid. Medical history included ongoing Diabetes which was controlled with medication, blood pressure abnormal, microalbumin level that was high in urine, TSH was low. Concomitant medications included metformin for two or three years for Diabetes, lisinopril for blood pressure and kidney albumin control (he was found to have a microalbumin level that was high in urine and it was prescribed by his doctor several months ago. It was a kidney albumin control), and ongoing levothyroxine since TSH was low (now his TSH was normal and he was taking it per his doctor). The patient received his second dose of Covid vaccine yesterday (04Jan2021). He took his temperature under his tongue and the reading was 99.5°F last night. His temperature was usually 98 or 97°F. He took two Tylenol tablets last night and he did not go to work today. He also had some injection site pain. He had some body pains. He did not have these side effects with the first dose and understood this vaccine was more than the flu vaccine but he was concerned with the side effects. He received the second dose yesterday at 9:30 am. He did not have any problems with the first dose, absolutely nothing. Since last night he could not sleep much states it was intermittent, a lot of body pain, his temperature under the tongue is 99.5 degrees F and most of the time he checks his temperature with a frontal scan and he maintains his temperature around 96 or 97. He was calling to ask if the vaccine can cause covid infection. He did not have any problems yesterday at all prior to the vaccine being administered. When querying outcome of his body pain he stated it was mild. He took 2 caplets of Tylenol yesterday in the middle of the evening. He woke up every hour. He was experiencing an uncomfortable feeling in his body. His temperature was taken about 5 or 10 minutes ago and was 99.3 (states there may be a difference between under the tongue and frontal scan reading). He had to get his temperature checked behind the ear at his workplace since he was coming in from the cold outside. His blood sugar this morning (05Jan2021) was 101. His vision was not really good. Sometimes with the flu vaccine he got the same effect he was getting now but he did not worry about it with the flu vaccine. He received the flu vaccine a long time ago. The outcome of all events was unknown.