Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Nausea, Oxygen saturation, Pain, Vertigo
Clinical narrative: not feeling well; Vomiting; waves of vertigo/ dizziness; sick; pressure in his head; Headache; Dizzy; nausea; achy; tired; chills; first week he had a typical virus like the flu; he couldn't stand; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team.  A 80 year-old male patient received bnt162b2 (BNT162B2), administered in arm right, administration date 23Feb2021 09:00 (Lot number: EL9265) at the age of 80 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "hepatitis A and B" (unspecified if ongoing), notes: hepatitis A and B and many other vaccines; "hepatitis A and B" (unspecified if ongoing), notes: hepatitis A and B and many other vaccines; "hearing problem", start date: 2008 (unspecified if ongoing), notes: hearing problem from 2008, that occurred prior to COVID vaccine; "TIA", start date: Jul2020 (unspecified if ongoing), notes: TIA in Jul2020 and he took aspirin every day; Family history included: "severe allergies" (unspecified if ongoing), notes: patient's wife had severe allergies and she was using nebulizer. There were no concomitant medications. Past drug history included: Antihistamine. Vaccination history included: Dtap; Pneumococcal vaccines. The following information was reported: DIZZINESS (non-serious) with onset 24Feb2021, outcome "not recovered", described as "Dizzy"; NAUSEA (non-serious) with onset 24Feb2021, outcome "not recovered", described as "nausea"; HEADACHE (non-serious) with onset 27Feb2021, outcome "not recovered", described as "Headache"; VOMITING (non-serious) with onset 07Mar2021, outcome "not recovered", described as "Vomiting"; VERTIGO (non-serious) with onset 07Mar2021, outcome "not recovered", described as "waves of vertigo/ dizziness"; MALAISE (non-serious), outcome "unknown", described as "not feeling well"; PAIN (non-serious) with onset 24Feb2021, outcome "not recovered", described as "achy"; INFLUENZA (non-serious) with onset 2021, outcome "not recovered", described as ""first week he had a typical virus like the flu; FATIGUE (non-serious) with onset 24Feb2021, outcome "not recovered", described as "tired"; CHILLS (non-serious) with onset 2021, outcome "not recovered", described as "chills"; ILLNESS (non-serious) with onset 07Mar2021, outcome "not recovered", described as "sick"; DYSSTASIA (non-serious) with onset 2021, outcome "not recovered", described as "he couldn't stand"; HEAD DISCOMFORT (non-serious) with onset 07Mar2021, outcome "not recovered", described as "pressure in his head". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of dizziness, headache, vomiting, pain, influenza, fatigue, chills, illness, dysstasia, head discomfort.  Additional information- Vaccination facility was reported a hospital and not facility. The patient was administered with any other additional vaccine within 4 weeks prior to vaccination. There was no list of any other medications the patient received within 2 weeks of vaccination. Prior to vaccination the patient was not diagnosed with COVID-19. Since the vaccination the patient had not been tested for COVID-19. The patient medical history hearing problem and the COVID vaccine was not connected. The reporter mentioned the patient had no immediate problems with his COVID vaccine. The next day he was achy and tired. Then the first week he had a typical virus like the flu, but it was like flu tired, not sleepy tired. His symptoms came and went they would stay for about 3-4 hours. He was fatigued more than sleepy. In 1st week after vaccination the patient had off and on light symptoms during the 1st week. After that, he started having quick onset chills, vertigo that would result to nausea, vomiting and was not feeling well. It has been 17 days since his 1st dose, but he was still experiencing these symptoms. Last Sunday morning it was really bad and that he couldn't stand. She measured his blood pressure, temperature, and blood oxygen and they were all in the normal range since March. She mentioned that he was fine this morning and traveled about 30 miles for an appointment. At 10:50 AM, he suddenly felt really nauseous and had vomited. On 05Mar2021 he was dizzy, had trouble standing and took cetirizine at 07:15 and it helped. On 07Mar2021, he was not dizzy until about 09:00 and then he got dizzy and was also got sick later in the morning, had pressure in his head, vomiting and he was tired. On 07Mar2021, he had waves of dizziness and vertigo with nausea. This whole time she had been monitoring his temperature and his blood oxygen when he gets dizzy and when he was chucking, throwing up. He has had no high temperature and his blood oxygen has been fine. His temperature has been around 98 and his blood oxygen was 97 and 98. On 09Mar2021 he was okay. On 10Mar2021 was not a good day, he got up about 06:00 and at about 08:00 he was sitting in the chair and couldn't move, he vomited at 08:15 and had dry heaves at 09:00. He wasn't better until 10:30. He did take Pepto-Bismol. He was dizzy to where he had to sit in the chair at the table with his arms on the table so didn't fall off the chair. It was true vertigo. On 11Mar2021 he was fine, he had no problems. On 12Mar2021 at 10:15 he was dizzy, nauseous and had vertigo. She gave him a homeopathic antihistamine at 11:45. He had a slight headache and took 81 mg aspirin, that he forgot to take earlier. He had already taken the cetirizine earlier in the morning. He doesn't take naps but he had a long nap 10Mar2021 in the afternoon. He was better 11Mar2021. He was vomiting again on 12Mar2021, and he had been fine. When he went out to the car in curvy road, he had a wave of vertigo, and he could barely get into the car. When he sat in the car, he said to get him some air and the reporter blasted him with the air condition. This was about 10:00 to 10:15 and he only started feeling better about 10 minutes ago. Currently, he was still queasy, but he was not dizzy as long as he moved slowly. The wave of vertigo experienced when he got to the car was on 07Mar2021 and 10Mar2021 as well. It was like a wave of vertigo. The waves of vertigo came with no warning, like when he was brushing his teeth. The first week he had the typical flu type symptoms that they were told to expect, but the reporter was concerned why he was having the dizziness. The reporter stated that the quantity of immediate side effects, such as the headache, nausea, not feeling well, aches and pains were all scattered throughout the first week, and he was fatigued. But now the only thing that seemed to be hitting out of the blue was the dizziness and vertigo and if they are bad enough then they cause the nausea. That was what was getting worse. It was like its getting worse when it comes but it was not coming every day. When the vertigo hits, it was knocking him harder but it was not lasting as long. Maybe only a couple of hours. She mentioned that he was a healthy 80 and a half year old guy, very active and could still ride a bike, no heart conditions, not obese, not a smoker, he had a slight case of asthma, and only drinks 2 beers occasionally. They have no fragrances and no chemicals in their household because of her allergies. So, they are wondering if this had been reported in his age group and if there were any side effects that lasted for 17 days. They consulted with their doctor, and they said just to take his antihistamine 1st thing in the morning. She wanted to know more information so they can prepare for the 2nd dose on 17Mar2021. They consulted with their doctor and they said just to take his antihistamine with saltine crackers 1st thing in the morning. She was not complaining or anything but would just like to have more information so they can prepare for the 2nd dose on 17Mar2021. The patient took Cetirizine HCL 10 mg (Lot number: FP1877008, Expiry Date: 04Feb2022) once a day in the morning with saltines and it had seemed to help good until about 10:14 and then the dizziness starts again. He was taking this because he also was breaking out in hives. He used to take meclizine for regular dizziness, but the doctor said to stick with cetirizine because it won't make the patient was tired and it does the same thing as meclizine. The reporter thought that these side effects might be an elderly thing associated with the COVID vaccine. These events did not resulted in emergency room /physician office visit but, the patient called doctor and took meclizine for dizzy.   No follow-up attempts are possible. No further information is expected.