Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Blood bilirubin, Blood bilirubin increased, Decreased appetite, Diarrhoea
Clinical narrative: slight fever of 99; Bilirubin and it was slightly elevated; She can't eat much and she has lost some weight; She can't eat much and she has lost some weight; loose stomach; Diarrhea; This is a spontaneous report from a contactable consumer or other non hcp (patient). An 82-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration, administered in Arm Left on 20Aug2021 (Batch/Lot Number: FC3180) as DOSE 2, SINGLE for covid-19 immunisation. Medical history included leukaemia from an unknown date and unknown if ongoing. Concomitant medications included aciclovir sodium (ACYCLOVIR [ACICLOVIR SODIUM]) and furosemide taken for an unspecified indication from Jan2020 to an unspecified stop date; levothyroxine sodium taken for an unspecified indication, start and stop date were not reported and pancreatin (CREON) taken for pancreatic failure, start and stop date were not reported. The patient previously took Mercaptoturine. While providing information for her report caller stated that she was on Mercaptoturine. That medicine was causing her bilirubin to be elevated. They had her taking 14 pills a week. She would take two a day. Then it was cut down to 10 pills a week. Then it was down to 5 pills a week and she was still having trouble. Now she was down to 3 pills a week. 82 years old patient stated "I received the second dose of the vaccine on 20Aug2021, around 5;30- 6:00pm, and 1 days later, in the morning when I got up, I began to have diarrhea, and I've had it about a week. I hope it goes away. It was not all day, it started in the morning, and I take an Imodium, then before dinner it starts again several times until I go to bed. Sometimes I had to get up at 4 in the morning, not always. I put myself on a rice diet and it did not help. I cannot take anymore Imodium, I had to get off, because if you take too much it can make you dizzy, and that was what happened this morning. It's better than I was. I went to see my doctor for something else, you see I am on remission for All Leukemia, and I went for chemotherapy, they had me on maintenance therapy. He told me he did not think the diarrhea has anything to do with the vaccine. I did not feel sick or anything like that, I had a slight fever of 99, and it was perfectly normal the next day." She had her second vaccination on 20Aug2021. The first one was Pfizer and on 30Jul2021. When she had it, it was fine but the next day after the first one she had diarrhea and loose stomach. By the time of the second one she was fine, but it came back. She got the second one on Friday late in the day at 5:30PM or 6:00PM. The diarrhea came back the next day and she still has it. She saw her doctor, not for that, on 26Aug2021. She saw her doctor for her chemo maintenance. She was in remission for Leukemia. The doctor did not think the diarrhea was related to the vaccine. Patient clarified that she saw the nurse practitioner because the doctor was on vaccination. She had blood test which were fine except her liver was elevated from another drug, Mercaptoturine. The provider said caller needs to eat more potassium rich food. Patient was not sure if it will go away. She was not tired or weak. She had slight temp of 99. The next day it was normal and then below normal. Patient stated she was not like some people. She was not tired or weak. She can't eat much, and she had lost some weight. Her husband was just tired after it. Patient stated she had hers late because she had to stop Methotrexate to get the vaccine. She took Dexamethasone for five days after chemo. She had to wait to stop both of those drugs before getting the vaccine. Now she was back on Dexamethasone. She started Dexamethasone back last Thursday, 26Aug2021 after chemo dose. No further details provided. The patient underwent lab tests and procedures which included blood bilirubin: slightly elevated and pyrexia: temp of 99 on an unspecified date. The clinical outcome of the events was unknown at the time of report.  Follow-up attempts are completed. No further information is expected.