Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dry eye, Eye infection, Tremor, Visual impairment
Clinical narrative: Tremors of hands; Dryer eyes; Dryer eyes; had the vision issues and infections; had the vision issues and infections; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 79-year-old female patient received BNT162b2 (BNT162B2), on 05Oct2021 as dose 3 (booster), single (Batch/Lot number: unknown) at the age of 78 years for covid-19 immunisation; triamcinolone acetonide (TRIAMCINOLONE ACETONIDE), (Batch/Lot number: unknown) at 0.1 % (0.1 % (apply twice daily up to two weeks per month as needed)) for dry mouth. The patient's relevant medical history included: "Raynauds" (ongoing), notes: Raynauds; "Pulmonary hypertension" (ongoing), notes: Diagnosed this fall was borderline for years and now over the borderline.; "Scleroderma" (ongoing), notes: Start Date: At the same time she was diagnosed with Hashimoto's thyroiditis, probably 34-years-ago; "Hashimoto's thyroiditis" (ongoing), notes: Hashimoto's thyroiditis, Diagnosed about 34-years-ago; "Sjogren's Reaction" (ongoing), notes: Sjogren's Reaction Diagnosed between 20 and 30 years ago.; "environmentally allergic" (ongoing), notes: environmentally allergic Diagnosed about 34 years ago.; "Arrhythmia due to crest heart" (ongoing), notes: Arrhythmia due to crest heart; "GERD from scleroderma" (ongoing), notes: GERD from scleroderma; "High blood pressure" (ongoing), notes: High blood pressure; "Dry eyes" (ongoing); "Anemia" (unspecified if ongoing); "Rash" (unspecified if ongoing); "Probiotic" (unspecified if ongoing); "Dry mouth" (unspecified if ongoing). Concomitant medication(s) included: SYNTHROID taken for autoimmune thyroiditis (ongoing); FLECAINIDE taken for arrhythmia (ongoing); OMEPRAZOLE taken for gastrooesophageal reflux disease (ongoing); LOSARTAN taken for hypertension (ongoing); RESTASIS taken for dry eye (ongoing); ASPIRIN [ACETYLSALICYLIC ACID]; CENTRUM SILVER WOMEN 50+; MAGNESIUM GLYCINATE; VITAMIN D 3; VITAMIN C [ASCORBIC ACID] taken for rash; RUTIN [CALCIUM DOBESILATE;TROXERUTIN] taken for rash; ALIGN taken for probiotic therapy; GLUCOSE OXIDASE;LACTOFERRIN;LACTOPEROXIDASE;LYSOZYME HYDROCHLORIDE taken for dry mouth; BIOTENE [GLUCOSE OXIDASE;LACTOFERRIN;LACTOPEROXIDASE;LYSOZYME] taken for dry mouth. Vaccination history included: BNT162b2 (DOSE 1, SINGLE, Batch/lot number: EN6202), administration date: 26Feb2021, when the patient was 78-year-old, for COVID-19 immunization, reaction(s): "Sjogren's reaction worsening", "Sjogren's reaction worsening", "total dryness throughout the body"; BNT162b2 (DOSE 2, SINGLE, Batch/lot number: EN6204.), administration date: 18Mar2021, when the patient was 78-year-old, for COVID-19 immunization, reaction(s): "Lymphocytic dermatitis"; Shingles vaccine (severe reaction to a shingles vaccine prior to the COVID-19 vaccine), for Immunization, reaction(s): "Severe reaction". The following information was reported: TREMOR (non-serious), outcome "recovering", described as "Tremors of hands"; DRY EYE (non-serious), CONDITION AGGRAVATED (non-serious), outcome "recovering" and all described as "Dryer eyes"; VISUAL IMPAIRMENT (non-serious), EYE INFECTION (non-serious), outcome "recovered" and all described as "had the vision issues and infections". The event "tremors of hands" required physician office visit. The action taken for triamcinolone acetonide was unknown. Therapeutic measures were taken as a result of dry eye, condition aggravated, visual impairment, eye infection.  Additional information: The report was not related to a study or programme. The other concomitant medication included: Ocusoft lid scrub, Fiosen with iron. After the COVID-19 Vaccine Booster, the patient got tremors in her hands. Neurologist said it was from the vaccine but couldn't prove it. Tremors had improved significantly. Clarified she did get shakiness in her hands but nothing like where she literally dropped anything that she had in her hands before. Further clarified that at times she could drop things and now used mugs because mugs were easier to handle. Modified her yardwork significantly because holding tools and all she did not have the control anymore.  Her eyes were dryer and she was getting eye injections. The patient had to see ophthalmologist. Most of it had resolved back to more of an eyedrop routine. Dryer eyes started after the COVID-19 Vaccine Booster and was ongoing but improved. Clarified she was always on an eyedrop routine but then had the vision issues and infections after the vaccine booster but got it taken care of with steroid drops and had resolved at the moment. The patient's husband had COVID-19 over Christmas and she didn't get it which was great. The patient had a severe reaction to a shingles vaccine prior to the COVID-19 vaccine and was advised not to take a second shingles vaccine.  The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.; Sender's Comments: Linked Report(s): PFIZER INC-202300040069 same patient/drug, different dose/AE; PFIZER INC-202300040082 same patient/drug, different dose/AE;