Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain, Pain in extremity, Pyrexia, Speech disorder
Clinical narrative: he was very hot and mumbling incoherently; he was very hot and mumbling incoherently; all over body aches; soreness in the arms; Fatigue and achy all over the body; headache; fever; chills; soreness in the arms at the injection site on day of vaccination; This is a spontaneous report received from a contactable consumer or other non-health care professional (wife) reported for her husband (Patient).  A 62-years-old male patient received bnt162b2 (COMIRNATY, PFIZER mRNA COVID-19 VACCINE, solution for injection, Batch No: not reported/Lot Number: EW0171) via an unspecified route, administered in Right arm on 27Apr2021 at 09:30 AM (Age at vaccination 62 years old) as dose 2, single for covid-19 immunization. Medical history included ongoing sleep disorder, ongoing sleep apnoea syndrome (About 12 years ago), ongoing restless legs syndrome all from an unknown date, hypertension from an unknown date and unknown if ongoing, anxiety disorder from an unknown date and unknown if ongoing, predisposition to Migraines from an unknown date and unknown if ongoing. Known allergies included severe allergies to the Penicillin family of medications. The patient has not taken them for years, he had a number of reactions to them and his doctor advised that it was best that he did not take them and confirmed that the patient did not develop a rash or any symptoms similar to allergic reactions when getting the covid vaccine. Concomitant medications included pentazocine (PENTAZOCINE) has been taking this everyday for number years for his restless legs which is a neurologic issue; atenolol (ATENOLOL) has been taking for 3 years for the indication of hypertension; atorvastatin (ATORVASTATIN) has been taking for years now for an unspecified indication; eszopiclone (ESZOPICLONE) has been taking a number of years, he has bad sleep issues for anti-anxiety or to help sleep for the indication of sleep disorder; bupropion (BUPROPION) patient has awful sleep issues, he has had this for his whole life, it started prior to the covid vaccine and taken for a number of years for anxiety disorder, sleep disorder all were with unknown start and stop date. No History of all previous immunization with the Pfizer vaccine considered as suspect and no Additional Vaccines Administered on Same Date of the Pfizer Suspect. Historical vaccine included patient received bnt162b2 (COMIRNATY, PFIZER mRNA COVID-19 VACCINE, solution for injection, Batch No: not reported/Lot Number: EW0150) via an unspecified route, administered in left arm on 06Apr2021 as dose 1, single for covid-19 immunization with Arm soreness. No Prior Vaccinations within 4 weeks. No Family Medical History Relevant to AE(s). It was reported that patient received second dose of the Pfizer BioNTech Covid 19 vaccine on 27Apr2021. After about 12-13 days after getting the vaccine patient presented with all the usual side effects. He was not over-weight he just played a game of tennis yesterday. He was not expecting to get sick with all this stuff. Patient had Arm soreness at injections site started after the injection the day of the 2nd dose, on 27Apr2021. On 09May2021 the patient experienced chills, on 10May2021 headache and fever aching a high of 102.8F and it broke last night. He went to bed about 7 hours ago and now has a temperature of 102. The patient then laid down and at 4:30PM had a 99.4 temperature, so slightly feverish. on an unspecified date, he was sick in bed, Arm soreness, Fatigue and achy all over the body, he was very hot and mumbling incoherently. For headache the pain was on a scale of 1 to 10 last night and he said the headache was about a 7, on an unspecified date. Patient did not visit the emergency room or physician office because the temperature had broken and the patient did not want to go. Investigation Assessment was reported as No. Asking the possibility of delayed response side effects to the vaccine and asking possible he was been infected. The patient underwent lab tests and procedures which included body temperature decreased: 100.9 on at 6 am, and 100.9 degrees and peaked night 102.8 degrees Fahrenheit, weight that he was not overweight on an unknown date, body temperature increased: 99.4 on 09May2021, so slightly feverish, body temperature increased: 101 on 09May2021 his temperature at 7:30PM, body temperature increased: 102.4 on 09May2021 at 11:30 and body temperature decreased: 101.7 on 10May2021. All temperatures were in degrees Fahrenheit. Patient was treated with 4 doses of Tylenol and Aleve for treating the event pyrexia. The outcome of the event headache was not recovered, chills was recovered on 10May2021, outcome for pyrexia, he was very hot and mumbling incoherently, all over body aches, soreness in the arms, fatigue, Soreness at injection site was unknown.  No follow-up attempts are needed. No further information is expected.