Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Syncope, Throat clearing, Throat tightness
Clinical narrative: that's quite a bit higher than my normal BP; some shakiness; Lower back pain; heart palpitations/something in my chest wasn't right; started to feel 'off', not comfortable while sitting quietly; headachy; nauseated; asthma; Voice became hoarse; throat seemed like it was getting tight - felt need to cough concerned about airway/throat felt full; vasovagal syncope; extreme abdominal pain; severe stomach pain; sweating; vision abnormal; visual migraine, both eyes; Frequent urination, large amounts.; some coughing; Must have blacked out /possible loss of consciousness; Slightly sore arm; This is a spontaneous report from a contactable consumer (patient). A 64-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL9262), via an unspecified route of administration at right arm on 03Feb2021 15:00 at single dose for covid-19 immunisation. Medical history included GI issues, allergies: Mango. Prior to vaccination, the patient was not diagnosed with COVID. The patient was not pregnant. Concomitant medication included premedicated diphenhydramine hydrochloride (BENADRYL) from 03Feb2021 14:00 and "Histaquel". 39 hours after injection, had extreme abdominal pain which caused she to have vasovagal syncope. Went to urgent care and was diagnosed with syncope. Returned home - Felt headachy, nauseated for approximately 8 hours after syncope. Then at 47 hours, felt as if asthma was developing. Voice became hoarse, throat seemed like it was getting tight - felt need to cough concerned about airway. Went to ER. They determined that no allergic reaction was happening based on my vitals. Next morning at 62 hours, and then 24 hours later, some heart palpitations in the AM, which gradually subsided as the day went on. Vaccine received on 03Feb2021-premedicated with 25 mg Benadryl, 1 hour beforehand, roughly 2 PM. 03Feb-Pfizer Vaccine at 3:00 PM. Took 25 mg Benadryl beforehand. Went home and slept, probably because of Benadryl. WNL (within normal limits). 04Feb-Slightly sore arm, no other symptoms. 05Feb-6 AM Ate breakfast. Normal Bowel movement. Within 5-10 min of eating, severe stomach pain. Started sweating, vision abnormal. Went to kitchen to get drink of water. Possible visual migraine, both eyes. Must have blacked out/Possible Loss of Consciousness-after a short period of time, found myself on kitchen floor. No head injury. Walked to chair, sat down until vision returned. Went to urgent care. Diagnosed as vasovagal syncope, referred for abdominal ultrasound. Ultrasound revealed nothing unusual. Headache, nausea continued until 2 PM but no stomach pain. Frequent urination, large amounts. Felt somewhat better around 2 PM. 3 PM-started to feel asthma/anaphylactic like symptoms. Voice got hoarse, some coughing, throat felt full. Contacted urgent care, was told to go Emergency Room (ER). At ER all vitals were normal. Asthma like symptoms seemed to abate while I was there. Was told it wasn't an allergic reaction because I was "outside the window for allergic reactions to COVID vaccine". Went home. 06Feb-woke with headache. Normal bowel movement. Ate breakfast. Around 8 AM started to feel 'off', not comfortable while sitting quietly -maybe heart palpitations. Seemed to get better if I was walking around. Eventually quieted down by 9:30 AM. Took 12.5 mg Benadryl at noon. Sleepy because of Benadryl. 07Feb-woke up. Still feeling off. 6: 34-heart palpitations again, tried to offset with walking around. BP 107/75, pulse 71. After I burp, felt better. 08Feb-woke up. Again feeling off. Heart palpitations that gradually become less noticeable during the afternoon. Did morning workout, but felt like it was too strenuous for how I was feeling. 09Feb-same feeling. Heart palpitations, something in my chest wasn't right. Took mini Benadryl, lower back pain. 10Feb-same heart palpitations and some shakiness (not sure if was hunger) no workout. Took mini Benadryl in the afternoon. Seemed to be better in the afternoon. Lower back pain. 11Feb-even with mini Benadryl on board, heart still feels different. Lower back pain. 12Feb-heart palpitations seem to be diminishing. Lower back pain. 13Feb-Lower back pain. BP quite low upon rising. Later heart felt strange at rest- took BP - 120/92 65 pulse that's quite a bit higher than my normal BP which tends to run 15-20 points lower on the systolic and the diastolic. The patient was still dealing with an increased BP and it hasn't resolved. She was taking Benadryl for it, which is probably not the best drug but she will be doing consult with her primary care Physician (PCP) this wed. Adverse event resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. Therapeutic measures were taken as a result of heart palpitations, some shakiness, and blood pressure increased; no treatment received for the other events. The patient had Covid test type post vaccination Nasal Swab/polymerase chain reaction (PCR) on 22Jan2021: Negative. The outcome of the event asthma, heart palpitations, some shakiness, Frequent urination was recovering, the outcome of blood pressure increased was not recovered, and the outcome of the other events was unknown.