Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Full blood count, Headache, Metabolic function test
Clinical narrative: headache; Little bit of cough; sinus discomfort; difficulty in breathing; This is a spontaneous report from a Pfizer sponsored Program. A contactable consumer (Wife) reported that a 75-year-old male patient (husband) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left (Left shoulder) on 26Feb2021 (at the age of 75-year-old) (Lot Number: EN6205, NDC number, UPC number, Expiry Date: Unknown) as dose 1, single for covid-19 immunisation. Medical history included Blood pressure high, anxiety, High cholesterol, Thyroid issues, breaks out itching terrible, for his allergies, he was constipated from Jan2021 (He just couldn't get his bowel movement there are some arteries that run from stomach to small intestine and that were narrowing). Concomitant medication(s) included citalopram (40 mg, tablet, once a day) taken for anxiety; atorvastatin (40 mg, once a day, tablet) taken for High cholesterol; levothyroxine (112 mcg, once a day, tablet) taken for Thyroid issues; fexofenadine (180 mg, tablet, once a day as needed) taken for itching terrible and for his allergies; amlodipine (generic Norvasc, 10 mg, tablet, once a day) taken for high blood pressure; for all start and stop date were not reported. On an unspecified date, the patient experienced headache, little bit of cough, sinus discomfort, difficulty in breathing. Caller was calling to report some adverse events (headache, sinus, difficulty in breathing, cough) experienced by her husband. She mentioned that they got the 1st vaccine shot together on 26Feb2021 and are scheduled for 2nd shot tomorrow (19Mar2021). She wants to know if her husband can still get the vaccine tomorrow despite the adverse events. Additional Information for Concomitant Products Levothyroxine: Indication: Reporter stated, "Thyroid issues." Dates for Concomitant Products Fexofenadine: (Start: Unspecified Stop: Unspecified). Additional Information for Concomitant Products Fexofenadine: Reporter stated, "Once in a while he just breaks out itching terrible, for his allergies, she guess." Reporter stated, " Reporter just had a question, my husband and Reporter just had first Pfizer Covid shot on 26Feb2021 and now they are due to have our second shot due for tomorrow but about last week her husband just had a headache, little bit of cough, some sinus discomfort, he was pretty blocked up, but he finally get up today feeling like he could breathe better, Reporter was just wondering since patient was having headache and all these other little symptoms, should patient have his second shot tomorrow". When paraphrased the concern reporter confirmed the same and stated, "Right, he had a sinus discomfort, he was little stuffed up, he has little bit of cough almost every day, anyway reporter didn't know if these symptoms were could have come from his last shot specially the headache or its just normal for him to like since he got headache and stuff anyway, he should go and have his second shot tomorrow because the papers that they gave us when he got his first shot the headache especially could be a side effect from and reporter was like he already got a headache that's her question that should we go and get his second shot anyway. Email address: Reporter stated, "They did not have an email, They did not have a computer. Reporter stated, "No, her husband was a Pharma and reporter was a homemaker." Facility of vaccination details: Email address: Reporter stated, "No, she don't have that." Expiration date, NDC# and UPC#, Reporter stated, "Reporter was not seeing it on the card they gave us at the clinic. Site of Administration of vaccine: Left shoulder. Other medications: Reporter stated, "He has some thyroid issues, he takes Synthroid (later clarified as Levothyroxine), for his high blood pressure, it was generic Norvasc, 10 mg, once a day, tablet (further not clarified). Diagnosis date of High Blood pressure, High Cholesterol and anxiety, reporter stated, "reporter could not because he was having issue for years and reporter could not remember when he was diagnosed with the stuff." Laboratory work: Reporter stated, "Yes, in Jan2021, he was not feeling good so we take him to the emergency room and they found out that he was constipated. He just couldn't get his bowel movement they saw and reporter could not tell you want kind it was, they saw and understand that he was constipated, there are some arteries that run from stomach to small intestine and that were narrowing, doctor said that when they are narrowing bowel don't work, so reporter did not know they did enemas and told him to take bunch of stuff and it took couple of weeks but we got him going again and he has seen a specialist, he has seen a doctor, did ultrasound and did some work studies of his abdomen and checked out that artery and that specialist didn't think it was bad enough, they put the stuff in, so that was last in January." Date of the test, reporter stated, " reporter did not think this all worth it, its 05Jan2021, we took him to the emergency he had complete blood count, comprehensive metabolic panel, 'CT' abdomen, ECG, chest X-ray." Still experiencing events: Reporter stated, "Headache was now about for a week now, his headache was little left, and when he got up he could breathe a little better, his sinus discomfort seems like every morning he got all stuffed up, he just coughed little bit in the morning, he just cleared out, but that was kind of normal for him but reporter was just wondering if some of those symptoms were from first shot and he should go for second shot." Treatment: Reporter stated, "No, he was showing Primary Physician for years for sinus and stuff." The outcome of events was recovering.  Follow-up (31May2021): Follow-up attempts completed. No further information expected.