Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling jittery, Insomnia, Palpitations, Vaccination site pain
Clinical narrative: Even after taking Tylenol, I couldn't sleep; Heart racing; Arm hit like I got the shingles shot (don't recall it hurting enough that I couldn't sleep on R side with past vax); felt like I had caffeine (my body doesn't tolerate caffeine/I get jittery) but I didn't have any caffeine yesterday; felt like I had caffeine (my body doesn't tolerate caffeine/I get jittery) but I didn't have any caffeine yesterday; This is a spontaneous report received from a Consumer or other non HCP.  A 58-year-old female patient (not pregnant) received BNT162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 25Jan2024 at 18:00 as dose 1, single (Lot number: HM7004) at the age of 58 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "COVID-19" (unspecified if ongoing), notes: Prior to vaccination, the patient diagnosed with COVID-19:Yes. Concomitant medication(s) included: SIMVASTATIN; MULTI; VIT D3. Past drug history included: Aspirin, reaction(s): "Allergy"; Caffeine, reaction(s): "I get jittery"; Caffeine, reaction(s): "doesn't tolerate caffeine". Vaccination history included: Covid-19 vaccine (DOSE 1, MANUFACTURER UNKNOWN), for COVID-19 immunisation; Covid-19 vaccine (DOSE 2, MANUFACTURER UNKNOWN), for COVID-19 immunisation; Covid-19 vaccine (DOSE 3 (BOOSTER), MANUFACTURER UNKNOWN), for COVID-19 immunisation; Covid-19 vaccine (DOSE 4 (BOOSTER), MANUFACTURER UNKNOWN), for COVID-19 immunisation; Shingles shot (DOSE NUMBER UNKNOWN, MANUFACTURER UNKNOWN). The following information was reported: VACCINATION SITE PAIN (non-serious) with onset 25Jan2024 at 21:30, outcome "recovered" (Jan2024), described as "Arm hit like I got the shingles shot (don't recall it hurting enough that I couldn't sleep on R side with past vax)"; INSOMNIA (non-serious) with onset 25Jan2024 at 21:30, outcome "recovered" (Jan2024), described as "Even after taking Tylenol, I couldn't sleep"; PALPITATIONS (non-serious) with onset 25Jan2024 at 21:30, outcome "recovered" (Jan2024), described as "Heart racing"; FEELING ABNORMAL (non-serious), FEELING JITTERY (non-serious) all with onset 25Jan2024 at 21:30, outcome "recovered" (Jan2024) and all described as "felt like I had caffeine (my body doesn't tolerate caffeine/I get jittery) but I didn't have any caffeine yesterday". Therapeutic measures were not taken as a result of insomnia, palpitations, feeling abnormal, feeling jittery. Therapeutic measures were taken as a result of vaccination site pain.  Additional information: The patient reported that her arm hit like she got the shingles shot (don't recall it hurting enough that she couldn't sleep on R side with past vax). Even after taking Tylenol, she couldn't sleep. Additionally, she felt like she had caffeine (her body doesn't tolerate caffeine/she get jittery) but she didn't have any caffeine on 25Jan2024 (reported as yesterday). Also reported she experienced heart racing. The patient received Simvastatin 20mg + OTC multi + vit D3 (usual, new) within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Since the vaccination, the patient has not been tested for COVID-19.