Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Immunisation, Off label use, Pain, Vaccination site erythema
Clinical narrative: Headache for 3 day; injection site became red; increased pulse rate/ High resting heart rate 125+/My watch for 28Oct2021 recorded 178/resting heart rate 111; vomiting; diarrhea/Light diarrhea; feeling achy; Had booster shot on 27Oct2021; Had booster shot on 27Oct2021; eyes are burning; fatigue; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 74 year-old female patient received bnt162b2 (COMIRNATY), intramuscular, administered in arm right, administration date 27Oct2021 11:00 (Lot number: RA30135) at the age of 74 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "High Blood Pressure" (ongoing), notes: Verbatim: High Blood Pressure; "High cholesterol" (ongoing), notes: Verbatim: High cholesterol. Concomitant medication(s) included: AMLODIPINE taken for hypertension, start date: 2014 (ongoing); OLMESARTAN taken for hypertension, start date: 2019 (ongoing); ATORVASTATIN taken for blood cholesterol increased (ongoing). Vaccination history included: Bnt162b2 (Dose: 1st , Time: 02:45 pm (place name withheld), Site and Route of injection:, Route of administration: Intramuscular, Batch/Lot number: Lot # El9267, ), administration date: 13Feb2021, when the patient was 74 years old, for COVID-19 immunization, reaction(s): "either the first or second dose of the Covid vaccine she had chills", "Was achy"; Bnt162b2 (Dose: 2nd, Time: 02:45 (place name withheld), Site and Route of injection:, Route of administration: Intramuscular, Batch/Lot number: Lot # EN6199, ), administration date: 06Mar2021, when the patient was 74 years old, for COVID-19 immunization, reaction(s): "either the first or second dose of the Covid vaccine she had chills", "Was achy". The following information was reported: IMMUNISATION (non-serious), OFF LABEL USE (non-serious) all with onset 27Oct2021, outcome "unknown" and all described as "Had booster shot on 27Oct2021"; HEART RATE INCREASED (non-serious) with onset 28Oct2021, outcome "recovering", described as "increased pulse rate/ High resting heart rate 125+/My watch for 28Oct2021 recorded 178/resting heart rate 111"; VOMITING (non-serious) with onset 27Oct2021, outcome "recovered" (27Oct2021), described as "vomiting"; DIARRHOEA (non-serious) with onset 27Oct2021, outcome "recovered" (27Oct2021), described as "diarrhea/Light diarrhea"; PAIN (non-serious) with onset 27Oct2021, outcome "not recovered", described as "feeling achy"; EYE IRRITATION (non-serious) with onset Oct2021, outcome "unknown", described as "eyes are burning"; FATIGUE (non-serious) with onset Oct2021, outcome "unknown", described as "fatigue"; HEADACHE (non-serious), outcome "recovered", described as "Headache for 3 day"; VACCINATION SITE ERYTHEMA (non-serious) with onset 07Nov2021, outcome "unknown", described as "injection site became red". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of heart rate increased, vomiting, diarrhoea, pain, eye irritation, fatigue.  Additional information: Caller is a 74 year-old female who received the booster dose of the Pfizer Covid-19 vaccine on 27Oct2021 and is having complaints of increased pulse rate. Caller also reports that she had complaints of vomiting and diarrhea the night of 27Oct2021 but this has resolved. Light diarrhea and vomiting that night. Caller is asking whether an increased pulse rate is normal after the Pfizer Covid-19 vaccine. Caller is asking how long will the fast heart beat last? There is a remote chance that the vaccine could cause a severe allergic reaction. A severe allergic reaction would usually occur within a few minutes to one hour after getting a dose of the vaccine. For this reason, your vaccination provider may ask you to stay at the place where you received your vaccine for monitoring after vaccination. Signs of a severe allergic reaction can include: difficulty breathing, swelling of your face and throat, a fast heartbeat, a bad rash all over your body, dizziness and weakness2, myocarditis (inflammation of the heart muscle) and pericarditis (inflammation of the lining outside the heart) have occurred in some people who have received COMIRNATY. In most of these people, symptoms began within a few days following receipt of the second dose of vaccine. The chance of having this occur is very low. You should seek medical attention right away if you have any of the following symptoms after receiving the vaccine: chest pain, shortness of breath, feelings of having a fast-beating, fluttering, or pounding heart. in general, local side effects; the ones you get on the arm where you got the shot (such as injection site redness and injection site swelling) were mostly mild-to-moderate in severity and resolved within 1 to 2 days. Side effects that you may experience throughout the rest of your body; (systemic side effects) including fever and chills were observed with the first 1 to 2 days after vaccination and resolved shortly thereafter. Swollen lymph nodes (lymphadenopathy), which generally resolved within 10 days, is likely to have resulted from a robust vaccine-elicited immune response. Caller states she had the shot yesterday around 11: 00a.m. and last night she had vomiting and diarrhea but she noticed her pulse has been very high all day; heart rate is running 95-110bpm and it is usually in the 50s (From: 28Oct2021 to ongoing). Caller states she is calling about the Pfizer Booster Covid Vaccine. Caller states she didn't realize it if it was elevated yesterday. Caller states she has an watch and her heart rate is running 95-110bpm and it is usually in the 50s. Caller states she didn't know what to do or if that was normal or how long it would last? Caller states her pulse is normally very low in the 50s-60s. Caller states she walks everyday 3-4 miles usually, but she didn't feel like it today because it was raining. Treatment: Trying to drink water and deep breaths. Lot Numbers as provided by caller. She states the hand writing is not very good. Vaccination Facility Type: Pharmacy. Time of onset of AE(s): Early this morning. No emergency room visit. No physician office and she called him though. 3rd dose time was mid morning. Previous visits in 50's.