Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Anosmia
Clinical narrative: loses sense of smell again; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team, Program ID. The reporter is the patient.  An elderly male patient received bnt162b2 (BNT162B2), on 01Apr2022 as dose 4 (booster), single (Lot number: FK9729) at the age of 84 years, in left arm for covid-19 immunisation. The patient's relevant medical history was not reported. Concomitant medication(s) included: NOVOLIN 70/30 (ongoing); PRESERVISION AREDS 2 (ongoing). Vaccination history included: comirnaty (DOSE 1; Lot number: EN6198 in the left upper arm), administration date: 20Feb2021, when the patient was 83-year-old, for COVID-19 immunisation, reaction(s): "affected my sense of smell"; comirnaty (DOSE 2; Lot number: ER2613; in left arm), administration date: 31Mar2021, when the patient was 83-year-old, for COVID-19 immunisation, reaction(s): "affected my sense of smell"; bnt162b2 (DOSE3 lot EW0181; time mid-morning in his left upper arm), administration date: 19Oct2021, when the patient was 84-year-old, for COVID-19 immunisation, reaction(s): "affected my sense of smell". The following information was reported: ANOSMIA (non-serious), outcome "unknown", described as "loses sense of smell again". Additional information: The patient received Pfizer's COVID-19 vaccine for each of the injections made available to the American public. The first injection, and each of the following, thereafter affected sense of smell. The patient states that if this continues, he will never smell again. This is frustrating for him as most foods have no flavor except for the taste on his tongue. The pleasure of eating a good meal is lost. Every vaccine he has received, he has a loss of smell and gets a little better and gets next dose or booster vaccine and loses sense of smell again. Just got latest Pfizer Covid vaccine and it happened again. He cannot identify any smells and can tell difference between some foods but not what they are; it makes a big difference on what he enjoys. The first time noticed the loss of smell was after the first two initial vaccinations he got a month apart. He remembers it was after the 2nd dose is when he realized what was going on. It has stayed about the same, it got a little better and when he got the next booster shot it went back. That happens each time he gets booster shot. He doesn't know how to explain improvement, he can tell a little difference between fruit or maple syrup but not the flavors for example. If he has a hot cup coffee in front of him, he can't smell it. But it tastes different, something there but doesn't know what it is. they only mentioned to primary care doctor and see him end of this month and will mention again. States when they see doctor on 29th this month and will talk to him about this again. Going to ask once again for recommendation or referral to ENT. Prior Vaccinations (within 4 weeks): no.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202300384657 same patient, same product/event, different doses;US-PFIZER INC-202300367705 same patient, same product/event, different doses;