Age: 59.0
Sex: M
Vaccine: COVID19, FLUX
Symptoms: Dysgeusia, Headache, Malaise, Oropharyngeal pain, Pericarditis
Clinical narrative: painful pericarditis/chest pain; general discomfort or malaise; upset stomach; dry cough; slight chill; slight headache; persistent bad taste/kind of a metallic taste; sore throat; This is a spontaneous report received from a Consumer or other non HCP from medical information team.  A 59-year-old male patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 05Nov2024 at 09:00 as dose 1, single (Batch/Lot number: unknown) at the age of 59 years, in left arm for covid-19 immunisation; influenza vaccine (INFLUENZA VACCINE), on 05Nov2024 at 09:00 as dose number unknown, single), in left arm for immunisation. The patient's relevant medical history included: "had Covid once", start date: Apr2024 (unspecified if ongoing), notes: No other conditions. There were no concomitant medications. Vaccination history included: Bnt162b2 (DOSE 1, probably Fall time, Anatomical locations: Arm), for Covid-19 Immunization; Bnt162b2 (DOSE 2, probably Fall time, Anatomical locations: Arm), for Covid-19 Immunization; Bnt162b2 (DOSE 3, probably Fall time, Anatomical locations: Arm), for Covid-19 Immunization; Bnt162b2 (DOSE 4, probably Fall time, Anatomical locations: Arm), administration date: Sep2023, when the patient was 58 years old, for Covid-19 Immunization; Bnt162b2 (DOSE 5, probably Fall time, Anatomical locations: Arm), administration date: Oct2023, when the patient was 58 years old, for Covid-19 Immunization; Flu shot, administration date: Oct2023, when the patient was 58 years old, for Immunization. The following information was reported: COUGH (non-serious) with onset 05Nov2024, outcome "not recovered", described as "dry cough"; CHILLS (non-serious) with onset 05Nov2024, outcome "unknown", described as "slight chill"; HEADACHE (non-serious) with onset 05Nov2024, outcome "unknown", described as "slight headache"; ABDOMINAL DISCOMFORT (non-serious) with onset 05Nov2024, outcome "recovered" (Nov2024), described as "upset stomach"; MALAISE (non-serious) with onset 06Nov2024, outcome "recovered" (Nov2024), described as "general discomfort or malaise"; PERICARDITIS (medically significant) with onset 07Nov2024, outcome "recovered" (18Nov2024), described as "painful pericarditis/chest pain"; DYSGEUSIA (non-serious) with onset Nov2024, outcome "unknown", described as "persistent bad taste/kind of a metallic taste"; OROPHARYNGEAL PAIN (non-serious) with onset Nov2024, outcome "unknown", described as "sore throat". Therapeutic measures were not taken as a result of pericarditis, abdominal discomfort, cough, chills, headache, dysgeusia, malaise, oropharyngeal pain. Clinical course: The patient (caller) experienced painful pericarditis, a persistent bad taste in the mouth, general discomfort or malaise, upset stomach, dry cough, and sore throat following the administration of the Pfizer COVID-19 Comirnaty vaccine which was administered two weeks ago, so the symptoms have persisted for two weeks. The patient 95% better now, was two weeks ago yesterday. Patient hasn't told HCP about this yet. Painful pericarditis: Got flu shot with the COVID shot, same arm, same time, two different needles. Theoretically possible could have been because of flu shot, but doesn't think is a common side effect of flu shot. Rarely has reactions to shots, and has gotten the Pfizer COVID vaccine prior to this dose multiple times. That evening felt like the normal kind of slight chill, slight headache that gets most of the time caller gets any shot, flu or COVID shot, then two days later started experiencing chest pain. Sharp pain especially when breathing deeply, like trying to catch breath, and when lying down. Has gone away, would say by this past Monday (18Nov2024), so almost the full two weeks, started to get better toward the end of last week, now totally gone, no pain in chest at all. Bad taste in the mouth: Thinks was a lagging affect, patient only had Covid once that patient knows of, and the feeling reminded patient of having Covid, kind of a metallic taste. Clarified caller had several Pfizer COVID shots over the past, thinks only had Pfizer COVID shots, has only had Covid once, which was this past Apr2024. Clarified and confirmed caller had some Pfizer COVID shots prior to having Covid in Apr2024. Got last Pfizer COVID shot, did same thing last year, was probably in the Fall, September or October timeframe, got flu and COVID vaccines around same time like Oct2023 and then got Covid in Apr2024. Stated obviously the shot had probably worn off by then. General discomfort: patient would say he was not 95% better, would say is 100% better, does not think has any symptoms left. Upset stomach: Started right around the same time, doesn't remember exactly. Not ongoing, knows this past weekend, was almost the full two weeks, and still had bad taste in mouth, wasn't nauseous, but wouldn't get very hungry. Dry cough: Start right at onset. Continued also until this past weekend. Sore throat: Thinks sore throat was kind of a side effect of the cough, mostly was last week. There were a few days last week where thought was sick, thought was getting sick, thought what a coincidence, felt like coming down with cold or something or flu or something, but never did. Attributed it to the same reaction to the shot, to the vax. Doctor generally recommends getting flu and COVID vaccine every Fall. No other vaccinations within four weeks prior to the first administration date of the suspect vaccine. On Monday prior to getting the vaccine (04Nov2024), patient had a CT scan of chest and pelvis for a whole different reason, everything was clear, and that was the day before. So patient knew prior to vaccine the report showed caller's lungs and heart were fine, everything was fine. Which was a happy coincidence. No other treatment for the events: just Tylenol. Almost went to ER, Googled and self diagnosed, probably shouldn't have done, but luckily has no heart history at all, confident wasn't a heart attack or anything.   The information on the batch/lot number for BNT162b2 omicron (kp.2) will be requested and submitted if and when received.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202400307242 same patient, different dose and event;