Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Postural orthostatic tachycardia syndrome, Pyrexia
Clinical narrative: IST/ inappropriate sinus tachycardia; POTS; Could not walk up; minor fever; chills; very abnormally fatigued/fatigue; heart rate was so high; sweating; joint pain; anxiety; This is a spontaneous report received from a Consumer or other non HCP.  A 31-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 29Nov2022 at 13:30 as dose 1, single (Batch/Lot number: unknown) at the age of 31 years, in arm for covid-19 immunisation. The patient had no relevant medical history. Concomitant medication(s) included: SPIRONOLACTONE. The following information was reported: GAIT INABILITY (non-serious) with onset 23Dec2022, outcome "recovering", described as "Could not walk up"; ANXIETY (non-serious) with onset 23Dec2022, outcome "recovering"; CHILLS (non-serious) with onset 23Dec2022, outcome "recovering"; HEART RATE INCREASED (non-serious) with onset 23Dec2022, outcome "not recovered", described as "heart rate was so high"; ARTHRALGIA (non-serious) with onset 23Dec2022, outcome "recovering", described as "joint pain"; PYREXIA (non-serious) with onset 23Dec2022, outcome "recovering", described as "minor fever"; HYPERHIDROSIS (non-serious) with onset 23Dec2022, outcome "recovering", described as "sweating"; FATIGUE (non-serious) with onset 23Dec2022, outcome "recovering", described as "very abnormally fatigued/fatigue"; INAPPROPRIATE SINUS TACHYCARDIA (non-serious) with onset Jun2023, outcome "recovering", described as "IST/ inappropriate sinus tachycardia"; POSTURAL ORTHOSTATIC TACHYCARDIA SYNDROME (non-serious) with onset Jun2023, outcome "recovering", described as "POTS". The events "pots", "could not walk up", "ist/ inappropriate sinus tachycardia", "minor fever", "chills", "very abnormally fatigued/fatigue", "heart rate was so high", "sweating", "joint pain" and "anxiety" required emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of postural orthostatic tachycardia syndrome, gait inability, inappropriate sinus tachycardia, pyrexia, chills, fatigue, heart rate increased, hyperhidrosis, arthralgia, anxiety. Clinical course: Patient did not receive other vaccine same date. Patient did not receive other vaccine in four weeks. Patient received other medications in two weeks (spironolactone). After Emergency room visit in Jul2023 patient started medications. Patient had no known allergies. Patient had typical reaction to vaccine with minor fever, chills. Began feeling very abnormally fatigued in December - might started- 23Dec2022. Could not walk up a flight of stairs without taking a break at the top. She finished a half ironman earlier in Sep2022. Fatigue continued. All blood tests came back normal. Eventually improved but had another incident in Jun2023, at which time she was diagnosed with IST and POTS. Never tested positive for COVID, yet she have had long covid symptoms since 23Dec2022 - shortly after she received the vaccine. Other medical history: No - because her heart rate was so high post vaccine, She thought it was anxiety but therapy and anxiety medication did not improve her heart rate, sweating, fatigue, joint pain, or other symptoms.  The information on the batch/lot number for BNT162b2 will be requested and submitted if and when received.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202400305840 Same patient and product, dose and events;