Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation reaction, Injury, Loss of consciousness, Low density lipoprotein increased, Metabolic function test normal
Clinical narrative: The patient, received two doses of the primary series of the Pfizer COVID-19 vaccines at pharmacy. The first dose of the series was given on 9/24/2021 by CPhT, under the supervision of RPh. The vaccine was administered in the left arm, had a lot number of FE3592, and expiration of 11/30/2021. The second dose of the series was given on 10/15/2021 by CPhT, under the supervision of RPh. The vaccine was administered in the left arm, had a lot number of 30145BA, and expiration of 08/31/2022.   On November 3rd, 2023, around 9:45 AM, the spouse of patient, contacted us via phone at pharmacy. She stated that her husband had received two COVID-19 vaccines from us in 2021 and developed a seizure disorder around 6 weeks after, which they believed to be an adverse effect of the vaccines. Patient saw Dr., a neurologist at medical facility, but now sees NP. She stated that NP was going to report the incident but told her to reach out to our pharmacy to report it as well. I told her that we would get in touch with NP for more details and may need to call her back for more information prior to reporting the incident. She was very pleasant and stated that she understood completely. She asked about reaching out to Pfizer about it; I told her she could, but if she wanted to get any kind of compensation from them, she would likely need a lawyer. She did not show much interest in this idea; it seemed that she simply wanted to make everyone aware of the issue. I told her thank you for reaching out to let us know and was extremely sympathetic when she talked about how hard it had been since he had his first seizure. She thanked me again for my kindness and willingness to report the incident, and that was the extent of our conversation. I filed an incident report per our company's protocol on this same day.    On Monday, November 6th, 2023, at 10:39 AM, I reached out to NP, for more information about this incident. She stated that spouse and patient felt strongly that the COVID-19 vaccines he received from us were the cause of his seizure disorder, but she told them that there was not enough data to say one way or another. NP said that on 11/30/2021, the patient had a loss of consciousness and showed seizure-like activity at home. He was transported to hospital via ambulance and was started on levetiracetam 1,000 mg twice daily. This was his first and last known seizure; he has been treated prophylactically ever since. He followed up with Dr., a neurologist at medical facility, on 12/15/2021.  In March of 2022, he started seeing NP and stayed on the levetiracetam until June 29, 2022, when they started to titrate his dose down to start him on lamotrigine. He is still taking lamotrigine for this indication. NP did state that the patient had a motor vehicle accident in July of 2021, during which he had a ?close-hit injury? and flipped his jeep. She said he followed up with his primary care provider, following the wreck and the only note she saw was that he had a broken finger.  NP also added that this patient works at agency.