Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Eating disorder, Faeces discoloured, Malaise, Muscle spasms
Clinical narrative: diarrhea / Mine is like severe; almost black; stomach pain and abdominal pain.; stomach pain and abdominal pain.; I'm not feeling good; pain; lost weight; I was not able to eat much/ I can hardly eat anything; muscle cramp; I do have any kind of bowel movement; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 68-year-old female patient received bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 03Oct2023 as dose 1, single (Batch/Lot number: unknown) at the age of 68 years intramuscular, in right deltoid for covid-19 immunisation; dicyclomine (DICYCLOMINE), (Batch/Lot number: unknown) at 20 mg for irritable bowel syndrome; meclozine hydrochloride (MECLIZINE [MECLOZINE HYDROCHLORIDE]), (Batch/Lot number: unknown) at as needed (i don't take that on a regular basis it is kind of prn). The patient's relevant medical history included: "Migraine" (unspecified if ongoing); "Blood pressure high" (unspecified if ongoing); "I've been disabled", start date: 1991 (unspecified if ongoing); "leg spray vascular surgery two Carotid" (unspecified if ongoing); "I had surgeries" (unspecified if ongoing), notes: I have a lot I had surgeries; "pain" (unspecified if ongoing); "neuropathy" (unspecified if ongoing); "I had episodes of chest pain" (unspecified if ongoing); "I get bad really muscle cramp" (unspecified if ongoing); "UTI" (unspecified if ongoing); "I get real dizzy" (unspecified if ongoing); "Inflammation" (unspecified if ongoing); "legs and stuff hurt" (unspecified if ongoing); "sinus problem" (unspecified if ongoing); "Osteoarthritis" (unspecified if ongoing); "Arthritis" (unspecified if ongoing); "IBS Irritable bowel syndrome" (unspecified if ongoing); "nausea" (unspecified if ongoing); "vomiting" (unspecified if ongoing); "bladder" (unspecified if ongoing). Concomitant medication(s) included: ACETAMINOPHEN taken for arthritis, osteoarthritis; ALBUTEROL [SALBUTAMOL] resp inhalation; ASPIRIN [ACETYLSALICYLIC ACID]; BACLOFEN; BUTALBITAL, ACETAMINOPHEN & CAFFEINE taken for migraine; CLOPIDOGREL; FAMOTIDINE; FLOMAX [TAMSULOSIN HYDROCHLORIDE]; FLUTICASONE PROPIONATE; GABAPENTIN taken for sinus disorder, neuropathy peripheral, pain; GABAPENTIN taken for sinus disorder, neuropathy peripheral, pain; IRON; LEVOTHYROXINE; LOVASTATIN; MECLIZINE [MECLOZINE] taken for dizziness; MELOXICAM taken for inflammation; METHOCARBAMOL taken for limb discomfort; METOPROLOL SUCCINATE taken for hypertension; MONTELUKAST taken for sinus disorder; NITROGLYCERIN; OXYBUTYNIN CHLORIDE taken for bladder disorder; PROMETHAZINE taken for nausea, vomiting, migraine; ROPINIROLE; VITAMIN B12 [CYANOCOBALAMIN]; VITAMIN C [ASCORBIC ACID]; VITAMIN D3. Vaccination history included: Moderna (DOSE 1, SINGLE), for COVID-19 IMMUNIZATION; Moderna (DOSE 2, SINGLE), for COVID-19 IMMUNIZATION; Moderna (DOSE 3 (BOOSTER), SINGLE), for COVID-19 IMMUNIZATION; Moderna (DOSE 4 (BOOSTER), SINGLE), for COVID-19 IMMUNIZATION.  The following information was reported: BOWEL MOVEMENT IRREGULARITY (non-serious) with onset Oct2023, outcome "unknown", described as "I do have any kind of bowel movement"; EATING DISORDER (non-serious) with onset Oct2023, outcome "unknown", described as "I was not able to eat much/ I can hardly eat anything"; MALAISE (non-serious) with onset Oct2023, outcome "unknown", described as "I'm not feeling good"; FAECES DISCOLOURED (non-serious) with onset Oct2023, outcome "unknown", described as "almost black"; DIARRHOEA (non-serious) with onset Oct2023, outcome "unknown", described as "diarrhea / Mine is like severe"; WEIGHT DECREASED (non-serious) with onset Oct2023, outcome "unknown", described as "lost weight"; MUSCLE SPASMS (non-serious) with onset Oct2023, outcome "unknown", described as "muscle cramp"; PAIN (non-serious) with onset Oct2023, outcome "unknown"; ABDOMINAL PAIN UPPER (non-serious), ABDOMINAL PAIN (non-serious) all with onset Oct2023, outcome "unknown" and all described as "stomach pain and abdominal pain.". The events "diarrhea / mine is like severe", "almost black", "stomach pain and abdominal pain.", "i'm not feeling good", "pain", "lost weight", "i was not able to eat much/ i can hardly eat anything", "muscle cramp" and "i do have any kind of bowel movement" required emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. The action taken for dicyclomine was unknown. The action taken for meclozine hydrochloride was dosage permanently withdrawn. Therapeutic measures were taken as a result of diarrhoea.  Additional information: Caller stated she received a Pfizer covid 19 vaccine (2023-2024) (12 years and older) on 03Oct2023. "Shortly after and is still happening I started having if I ate much of anything like bouts of diarrhea and it's really dark. Yesterday I ate cheese and crackers, last week I was only eating bagels with nothing on them. If I ate much of anything this happens. Friday night I went out to dinner, didn't ate much, brought leftovers and ate them on Saturday, I was just miserable with diarrhea yesterday. Today I don't know what is going on, I'm having stomach pain and abdominal pain. I'm really not feeling well, that report took forever, because I'm on a lot of medications. I've been disabled since '91, and I've developed several other problems since then, so I had to give her all the medications. I'm failing here, I really am, today I'm not feeling good, my stomach is really bothering me. I don't know what this is about, I hope is not problems. I have awful diarrhea, I'm almost afraid to eat, I used to be a milk drinker, but I don't do it anymore because I'm afraid is going to trigger things. Mine is like severe, do you know how long they had problems with it. I had this vaccine on the third and today is the 16th, so I've been with this for almost two weeks. This is the first Pfizer vaccination I've taken in the past I've taken Moderna, the first 2 vaccinations and then 2 boosters, were all Moderna, when I went to the pharmacy they only had Pfizer, I don't know if this makes a difference or not. Mine is severe and it is very dark, almost black, I've never had it like this before and today I had stomach ache and abdominal pain I just took some medicine, I hope it's not going to start again. I don't know what I can do about it, the pharmacist said I can try to take some Imodium and I just took some because my stomach is bothering me, I don't feel good. I'm at the point that I'm afraid to eat much of anything. I've been putting it off, I just thought it would get better, but when I eat much of anything besides dry bagels or crackers or toast I end up having an issue and I just hate it. I went through this as far as two years ago with a medication I was taking, it was bad, I had severe diarrhea, it was not a good situation. Yesterday it went from morning to some time in the afternoon, I thought I was going to lose my mind. I have other medical problems. I have a lot of pain to begin with it. It could be interacting with one of my other medications but I have not idea which one, I'm on a lot of medicines, some of them I only take when is needed but still I'm on a lot of daily medicines. I have been having bowels since I got this shortly after I got this of like real dark colored soft stools diarrhea and I can hardly eat anything okay, otherwise it's just terrible. I ate one of my first meals on Friday because lately I been eating dry bagels may be toasted and cheese crackers and cheese and I got really, I did not get sick Friday, but I have same meal on Saturday and I had a really hard time. Today my stomach is bothering me. I mean I can eventually eat some crackers and cheese last night may be that was just too much. I mean I am having a hard time eating anything because I am always afraid that I am going to have another episode. I got this to report. When probed for height and weight: Consumer stated, "I am about 5(feet) 1(Inch) and weigh around 110, I am sure I have lost weight now because I can hardly eat anything. It's about 5 feet 1 Inch. You do not know how much medical I have. Let me get it from one when I was in the emergency room. That is in the folder in here. I have got so much stuff. I do not even have room even to find it anymore. It is a bad situation or me. ER should have it. I don't know. Before I go roaming into the other room that it isn't there let me make sure. I had to go to the emergency room. So, I am on a blood thinner. This is all blood work. This is instructions. I would have thought for sure but there should be my medications in here. The first one is Acetaminophen and I take this one is the Arthritis drug, acetaminophen. I can and I am sick and if you can't wait a minute then I don't want to give you any more information. The first one is Acetaminophen. It is the Arthritis drug for arthritis pain so you can put on diagnosis that is one of the thing I have really bad Osteoarthritis and it's 650 milligrams CR tablets and I take two tablet with my afternoon medicines. I also take a regular acetaminophen I take 2, 500 milligram tablet in the morning and then I take an inhaler it is called Albuterol 90 mcg/actuation inhaler and I take two actuation Inhaler and I take two puff every morning. I can't take up to 6 during the day but I usually do for every six hours. Ascorbic acid commonly known as Vitamin C and I take about the milligrams that every day and then we have Aspirin 81 milligrams essentially baby Aspirin 81 milligrams and I take one of those every morning I have lot of vascular pumps. I have had leg spray vascular surgery two Carotid, surgeries of my Carotid artery then a repair. I have had a drug many years ago etc. Baclofen 10 milligram tablet now I also take a medication called the Methocarbamol but I also alternate Baclofen with the Methocarbamol like this morning it depends on how bad my legs and stuff hurt in the morning if it real bad then I take Baclofen because I can't take Baclofen and it does not a small tablet. It does not upset my stomach because I don't eat breakfast right away and in sometimes I just need something that help me to walk. So, I can alternate and that with Methocarbamol which I normally take three times daily then I take Butalbital-acetaminophen-caff and the dosage which is 50,325 and 40. I take that for my Migraines and then I take Vitamin D3 and I take one of those everyday and it's 25 mcg and then I am no longer taking that I was that on it at UTI. I take a blood thinner called Clopidogrel 75 milligram tablet and I take that every morning and then I take and this is some over the counter now I also take Dicyclomine 20 mg tablet and I need that for IBS Irritable bowel syndrome and I have tried what I was going on, it is not particular and I can't take Lomotil the other name for it is too complicated and I can take that as needed I am out of it though but I am taking a pill form essentially which is 1 tablet by mouth two times daily as needed for diarrhea and then I take Famotidine 20 mg tablet commonly known as Pepcid and I have to take one of those about 20 minutes before I eat and that is an ointment and this is a nasal spray and it is called Fluticasone Propionate and it is a 50 mcg/actuation nasal spray and I use two sprays in each nostril in the morning actually, okay now I have three doses for Gabapentin for sinus problem okay now Gabapentin I take it 800 mg tablet I take one in the morning, I take one in the afternoon and I take one like at bed time but with the 800 mg tablet okay. In the morning I also have Gabapentin 100 mg capsule and in the morning, I take two of the 100 mg capsules with the 800 mg capsules, I still have it, I am juggling two part time jobs now I have no idea how I am doing that, I still have to be able to function, I can't, now I take more of the Gabapentin in the afternoon, I take the 800 I have 3 doses of the Gabapentin, 800 mg and then 100 mg and then 300 mg now Gabapentin 300. I take one of those in the afternoon and also with the evening and then I take Iron and then I take, now the Gabapentin is for, I have a lot I had surgeries, I have neuropathy, I had pain that is what Gabapentin is supposed to be for, I have no idea sometimes if it helps or not (Further clarifications unknown). It is a struggle to work and taking this medication, Levothyroxine I take 50 mcg tablet every morning then I take Lovastatin 20 mg because they gave me 40 and I have been 23 years so my doctor reduced it 20 mg at bed time and then I have a prescription for Meclizine 25 mg tablet and I don't take that on a regular basis it is kind of PRN. I get real dizzy if I go to the Chiropractor and I know it used to be that way. But I have them for a while now.When probed to clarify the medication name from which consumer feels dizzy: Consumer stated, "Sure, Meclizine now sometime I don't like to take this, very seldom and I am not going to the Chiropractor now, I have been going to the Chiropractor since I got the injection. I take it only like if I have an appointment with the chiropractor or sometimes, I take it, I get dizzy too if I have to have a CT done a CAT scan. I have to lay the flat for some reason. I don't know why. Sometimes I get dizzy with that sometimes I don't. That is only I even take that. Now I take Meloxicam 15 mg tablet and I take one of those every morning that is for inflammation and then I take Methocarbamol 500 mg tablet and that is one I alternate with Baclofen so I can take it 3 times a day or if I want to take Baclofen one time a day then I take it 2 times a day and then I take Metoprolol for high blood pressure and then it has this Succinate XL  25 mg and I take 1 tablet every day and then I take Montelukast that is for sinus and it is 10 mg tablet I take it in the morning, I take a multivitamin for women you will get that in the store this is PRN. And then Nitroglycerin 0.4 mg Sublingual tablet and I have had that prescription for 2 or 3 years and I have never have to take there was a period of time that I had really, I had episodes of chest pain I ended up in cardiac unit for a week and it was probably 4 years or may be even longer, Oxybutynin Chloride 5 mg tablet for my bladder I take it at bed time. Promethazine 25 mg tablet and I failed them take that appearance and if my migraine gets really bad and I get really sick to my stomach I have nausea and vomiting that's when I can take that. Then I take Ropinirole 1mg tablet and I've been taking it at night but the nurse practitioner at the neurologist office said I could take it up to 3 times a day. I get bad really muscle cramp. Flomax its generic is magnesium chloride. I take 1 in the morning and 1 in the evening for the same problem. Then I take, oh I don't take that yet. I take some ointments, but I don't think you need that. I take Vitamin B12 1000mg and I don't know. I guess that's it unless they forgot to putting up the 'meds'. I am done.' Treatment: Consumer stated, "No, well no I shouldn't say that. I tried the dicyclomine but that wasn't very helpful. I normally take through 'IBS' and then but it might help me today because I am having lot of stomach pain and I have tried, I told you what it was earlier that was the another one that I also tried taking. I took the Lomotil yesterday."  The information on the batch/lot number for bnt162b2 omi xbb.1.5 has been requested and will be submitted if and when received.