Age: 83.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Heart rate increased, Middle insomnia, Off label use, Oxygen saturation, Oxygen saturation decreased
Clinical narrative: tired; her heartbeat was high/heart rate was 102; she was cold/ she was freezing; Pulse Oximeter reading was 90%; her breathing was heavy; breathing was high; Chills; weak; Shaky/her hands were shaky; loose bowel movements; Third Dose: On 27Aug2021; Third Dose: On 27Aug2021; up in the middle of the night; This is a spontaneous report from a contactable consumer (patient). An 83-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Batch/Lot Number: EW0181), via an unspecified route of administration, administered in arm left on 27Aug2021 (at the age of 83-year-old) as dose 3, single for COVID-19 immunization;  immunoglobulin human normal (GAMMAGARD), via an unspecified route of administration on 30Aug2021 to build up immune system. Medical history included chronic obstructive pulmonary disease (COPD) and ongoing immunocompromised. Concomitant medications were none. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Batch/Lot Number: EL9261, Expiry date: 31May2021), via an unspecified route of administration, administered in the left arm on 03Feb2021 (at the age of 82-year-old) for COVID-19 immunization and she never had a reaction at all. The patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Batch/Lot Number: EN6205, Expiry date: 30Jun2021), via an unspecified route of administration, administered in the left arm on 02Mar2021 (at the age of 82-year-old) for COVID-19 immunization and her immune system went down to 300 (This year it went up to 900). The patient called Pfizer last week about getting a 3rd shot. The patient stated last Friday (27Aug2021) she got her covid vaccine, and on Monday 30Aug2021 she got her Igg infusion, clarifing that her Igg infusion was called GAMMAGARD and she had no Lot or Expiry for it since the infusion was always given in the hospital, it was an ordered product for her, she got it last on 30Aug2021. The patient was told to talk to doctor since she was immunocompromised. The patient was fine, she went on Friday 27Aug2021 for her 3rd covid shot. On Tuesday 31Aug2021 she was fine when she woke up but then at 3 o clock she experienced chills, she was cold, just not herself, weak, loose bowel movements, she was shaky, her hands were shaky like she could visibly see it, she was freezing and put on winter pajamas. She knew that when she got her Igg infusion it usually kept her up at night because the immune system was up and helped prevent her from getting sick. Then Wednesday the next day on 01Sep2021 she was tired, she was up in the middle of the night, tired, 3 o clock she did not eat, next day she woke up had bowel movements going loose. That was when her kid said Mom go to the doctor. Yesterday (01Sep2021) she went to hospital, she walked in, she thought she was walking into urgent care but it was the ER, they changed the whole building so she did not know. The girl at the desk made her wait till they find a doctor, because she could not just walk in. On Tuesday (31Aug2021) the patient put on a pulse oximeter, because she saw her breathing was high and her heartbeat was high, when she did not have oxygen on her pulse oximeter showed 90% and her heart beat was like 100 or 105 and she was really cold, so her breathing was heavy, and she sat down there, calmed down, took Tylenol. On Wednesday (01Sep2021) she left, the doctor took her vitals with breathing and then she left. The patient confirmed on Wednesday 01Sep2021 she went to the ER. She was not admitted and came home the same day. She further clarified that her breathing being heavy, experiencing chills were so bad on Tuesday 31Aug2021 that she put on her own pulse oximeter at home, she saw that her Pulse Oximeter reading was 90% which she knew was low and the heart rate was 102. She again confirmed these readings were taken at home on Tuesday. Seeing her results she put on her oxygen at home and kept it on all day Tuesday, this allowed her oxygen levels to go up. In the ER, her pulse oximeter levels were fine, the oxygen was at 95% and the heart rate was about 89. The patient stated that right now she felt much better.The patient had been on the same breathing medications. The only ongoing side effects she had at the moment was Loose Bowels, they were not there yesterday afternoon but then at midnight 12:30, she went 3-4 times at night and this morning 3 times. It was like she had a colonoscopy and took the medication for a colonoscopy. She said the loose bowels were Less than before but then this morning it was a lot. It was about the Same. The patient had a blood test before the Gammagard, her result was 960 (the range was between 750-1400). The patient was wondering with all these symptoms, should she get a covid test, she wanted to know what she got, was it the infusion or the vaccine, she was trying to take care of herself now with delta virus. The patient asked if she should get tested for covid. The action taken in response to the events for immunoglobulin human normal was unknown. The outcome of the event loose bowel movements was not recovered, of the other events was unknown.