Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor, Vaccination site pain
Clinical narrative: Super, heavy fever, intense; Chills, later described with heavy sweating and shaking; Arm sore, described as left arm at injection site; Chills, later described with heavy sweating and shaking; Chills, later described with heavy sweating and shaking; Low grade fever; Terrible headache; Bumpy rash on opposite arm, near elbow; This is a spontaneous report from a Pfizer. A 58-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0158), via an unspecified route of administration, administered in Arm Left on 14Apr2021 13:00 at SINGLE DOSE for covid-19 immunization. The patient medical history was not reported. Concomitant medication(s) included paracetamol (TYLENOL), ibuprofen (IBUPROFEN). On 14Apr2021, 5 hours after vaccination patient experienced arm sore, described as left arm at injection site; chills, later described with heavy sweating and shaking (hyperhidrosis), chills, later described with heavy sweating and shaking (chills), low grade fever, terrible headache, bumpy rash on opposite arm, near elbow (rash), chills, later described with heavy sweating and shaking (tremor), On 25Apr2021 16:00, super, heavy fever, intense. Both has had doses of covid vaccine. Patient Said 12 hours after 2nd dose had unusual side effect and went away 36 hours after vaccine. Suddenly side effect is back. The patient was taking Pfizer Covid 19 vaccine protection, doing his duty. Caller stated that then reclarifies, he did not have a primary care provider right now. Caller stated that he would also volunteer to donate blood if it is needed in the future for evaluation. Caller states after the second vaccine, on the same day, 14Apr2021, his arm was sore, he had chills with heavy sweats every 3 hours, a low grade fever, terrible headache and a bumpy rash on the opposite arm near his elbow, that was 3 inches by 3 inches. Caller stated he took Tylenol, which helped, and the symptoms went away. Caller stated that yesterday, the bumpy rash came back, but it was worse. Caller stated he thought it was unusual for his symptoms to come back a week later. Caller stated he does not have a healthcare provider presently. Caller restated that his fever, chills, headache and rash, all appeared on 14Apr2021 and then went away on the 16th and then came back on 25Apr2021. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available. Caller added at the end of the report that he is fair skinned, and has freckles, and felt that was important to add. Caller mentioned again that if Pfizer would like a sample of his blood in the future, he is willing to provide it. Or if Pfizer does want to contact him, he is willing to answer questions. Caller spoken quickly at times and provided a lot of details, multiple reclarifications made to capture the information. The outcome of events (vaccination site pain), chills, low grade fever, rash) were recovered and events (hyperhidrosis, terrible headache, super, heavy fever, intense, tremor) were not recovered. No any unaddressed medical questions were referred or forwarded to Medical Information.  No follow-up attempts are needed; information about lot/batch number cannot be obtained.