Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract infection, SARS-CoV-2 test, Stress
Clinical narrative: Infection after hernia surgery; respiratory infection; swelling was from the trauma of the procedure; pain; aggravates the arthritis; aggravates the psoriasis; stress; Felt like he was getting a cold; Little cough/He was not coughing up green or red, just light brown; Tired; This is a spontaneous report from a contactable consumer (patient). A 65-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), at same age, via an unspecified route of administration, administered in arm left on 09Feb2021 13:00 (Batch/Lot Number: EH9899) as single dose for covid-19 immunisation. Medical history included ongoing bronchitis chronic, pneumonia, ongoing back issues, which has been suffering from back issues for 20 years, ongoing psoriatic arthritis, ongoing psoriasis, liver transplant from 29Oct2013 to an unknown date, muscle spasms, heart rate, depression, anxiety attacks, blood pressure and hernia. Concomitant medication included amlodipine for blood pressure and ongoing and he began taking years ago, carvedilol for heart rate and ongoing that he began taking over 10 years ago and stated that it is to keep his heart rate between 70 and 80 beats per minute; pravastatin and ongoing that he began taking about 5 years ago; sertraline hydrochloride (ZOLOFT) for antidepression and ongoing that he has been taking for 2 or 3 years; alprazolam (XANAX) for anxiety attacks and ongoing that he has been taking for over 10 years; cyclobenzaprine hydrochloride (FLEXERIL [CYCLOBENZAPRINE HYDROCHLORIDE]) for he didn't cramp up and ongoing that he has been taking for 5-10 years; mycophenolate and everolimus both from 2013 and ongoing for anti-rejection since his liver transplant in 2013. While providing concomitant medications he mentioned details about a historical medication. He was on bupropion hydrochloride (WELLBUTRIN), but was switched to Zoloft. He was switched because he had built a resistance to the bupropion hydrochloride and had to move up in the class. The patient experienced tired on 10Feb2021, felt like he was getting a cold on Mar2021, little cough on Mar2021. The patient was hospitalized for infection after hernia surgery (infection) from 22Feb2021 to 24Feb2021. For chronic bronchitis, patient stated that he was never really diagnosed, that it's just like having a cough all the time. It felt like his lungs are not big enough for his body and that he got winded quickly.  He was strong and could do manual labor, even after the liver transplant, but that he has noticed the last couple of years that the cold felt like it's freezing his skeleton. He has had pneumonia 3 times altogether. He was unable to specify dates but he knew that he had it post-transplant in 2013. There isn't a test for psoriatic arthritis so he was unable to provide a diagnosis date.  He had been experiencing this for the last 10 years. He was diagnosed with psoriasis when he was 25. He had his first shot done, clarified as the Pfizer Covid-19 vaccine. He was supposed to go back to get his second dose of the Covid-19 vaccine but was hospitalized briefly after hernia surgery with complications and got an infection. Therefore, he didn't make his appointment. Patient stated that his second dose of the Covid-19 vaccine is now scheduled for 21Mar2021 but he would like to schedule it for somewhere closer. He was a liver transplant patient and that the hospital where he received the transplant likes to keep things in house. After the hernia surgery he couldn't drive or sit down because it was uncomfortable and that the jostling of the car was too much. Patient reported that he would see his physician who recently retired once a month for a prescription for pain meds that he needs for back issues, psoriatic arthritis, and scar tissue from being operated on 4 times. He has had about 10 Covid tests. It made people feel more comfortable when he shows them the negative results. He has been stressed over waiting for the Covid test, that the stress then aggravates the psoriasis which aggravates the arthritis. After the vaccine he clarified he did not feel right. He said that he didn't feel sick, just wasn't 100%. He was tired and felt like he was getting a cold after receiving his first dose of the Covid-19 vaccine. Which he did, he had a cold/cough. He felt tired the next day and only for a couple of days after. He confirmed the tired feeling has resolved completely. Patient stated that he thought the hernia surgery was already scheduled, and stated that the liver clinic called him and said that he had to come in a certain day at a certain time. He received the first dose of the Pfizer Covid-19 vaccine 4 days before surgery. For infection after hernia surgery, patient reported that he couldn't remember the hospital dates but that he was admitted for 2 days and received IV antibiotics. He was hospitalized on 22Feb2021 or 24Feb2021.  His doctor had told him that the swelling was from the trauma of the procedure. For little cough and felt like he was getting a cold, patient reported that he had been on oral antibiotics after his surgery and his doctor increased the dosage to help with the respiratory infection, it was a cough. Feeling like getting a cold started like a week ago. He was not coughing up green or red, just light brown. Patient unable to provide NDC number or expiration date as they were not listed on his card. He was a liver transplant patient so he's on immunosuppressants. He stated that he is 65 and if he gets Covid he's a dead pigeon and that he doesn't see himself surviving the pulmonary aspect. Mentioned he has had pneumonia a few times in his life, post transplant, and has bronchitis. Patient stated that Micophenylate/ Everlimus were actually poison that fool body into thinking that's liver.  Caller stated that they lower immune system so didn't fight it.  He got more colds and if he got a cut on hand it would get infected. Patient stated that he had labs done and a CT scan and labs when he was hospitalized for the infection after his hernia surgery and that everything came back normal. He was just having pain. Vaccine administered was not at facility and vaccination facility type was hospital. Nonadditional administered vaccines. No AEs require a visit to emergency room but physician office was required. He went to the doctor for the little cough that he experienced. He was hospitalized for the infection following his hernia surgery. Patient hospitalized for 2 days was the hospital stay. No prior vaccinations within 4 weeks and no ae following prior vaccinations. The outcome of event tired was recovered on unspecified date in 2021 (as reported), the outcomes of events felt like he was getting a cold and little cough were recovering, while other events were unknown.