Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: chills; hives; headache; extreme fatigue/became very tired/exhausted; Couldn't stay awake; cannot function; This is a spontaneous report from contactable nurse (patient) via medical information team. A 71-year-old patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot number: Unknown) via an unknown route of administration on 12Mar2021 at 11:30 at single dose for COVID-19 immunization in airfield where they build airplanes. Medical history included spleen removed many years ago due to enlargement from the blood disorder. Also had ongoing spherocytosis (States takes B12 and Folic Acid for this condition), ongoing sleep disorder, ongoing narcolepsy, chronic fatigue syndrome. She got pneumonia and respiratory failure after pneumonia vaccine and was hospitalized for 6 weeks. This happened years ago. She was almost died. So she avoids vaccines. Concomitant medications included ongoing methylphenidate hydrochloride (RITALIN) for sleep disorder and narcolepsy (20 years), folic acid for spherocytosis, cyanocobalamin (B12-VITAMIIN) for spherocytosis. No prior vaccinations (within 4 weeks). Patient received the first dose of the Pfizer-BioNtech Covid-19 vaccine on 12Mar2021 at 11:30 (Friday as reported). In the evening she started experiencing some reactions (caller states she got the paper with the side effects and it mentions that they are usually worse after the second dose of the vaccine); chills, hives, headache and extreme fatigue on 12Mar2021. She is still very tired (crippling fatigue) and her headache is not so bad. She felt fine until around 1700 of the same day, when she experienced chills, hives, headache, became very tired, couldn't stay awake and went to bed. The next day she still had a headache, was still tired, hives were gone. At this time, just the extreme fatigue is continuing. States that today she is so tired she cannot function. Also mentions that she did not get a vaccine card from the facility that administered the vaccination. States that she is sorry that she got the product because she has a history of chronic fatigue syndrome and wondered if this would trigger it; but that her doctor said it would not. Caller feels that it has, because she can't function and this is terrible. She was afraid to get the second dose if she felt this crappy after the first one. She had no soreness or anything from the injection. With this amount of fatigue, she is just exhausted. States she has not been seen by her doctor, did not expect her doctor to do anything. A visit to emergency room or physician office was not required for events. Events were reported as medically significant. Specific causality was not provided for each event by the reporter. The outcome of event hives recovered on 13Mar2021; for events headache and fatigue was not recovered; for other events was unknown.  Information on lot/batch number has been requested.; Sender's Comments: Based on temporal assosciation, the causal relationship between BNT162B2 and the events,chills, hives, headache, extreme fatigue ,somnolence and cannot function cannot be completely ruled out.