Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dyschezia, Dyspnoea, Fatigue, Frequent bowel movements, Gait disturbance
Clinical narrative: This is a spontaneous report from a contactable consumer (patient) via Medical Information Team. A 60-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EN6206), via an unspecified route of administration in the upper left arm on 26Feb2021 (at the age of 60-year-old), dose 1, single for COVID-19 immunisation. Medical history included HIV, asthma, colon inflammation, and allergies. The patient's concomitant medications included mesalamine and bictegravir sodium, emtricitabine, tenofovir alafenamide fumarate (BIKTARVY). The patient received unspecified for medication for colon inflammation which commonly called as yogurt (not specified). Historical vaccine included shingles vaccine, pneumocystis vaccine and had very bad reactions for like five days and the doctor gave him an antihistamine (treatment) for ten days and that squelched everything. The patient reported height as between 5 feet 11 inches and 6 feet and weight as like 250 (not specified). The patient stated that he decided between his doctor and pharmacist to take the COVID-19 vaccine and he received the vaccination on 26Feb2021. Probably, less than 24 hours, the patient started to get reactions, but it did not look like initially that it was probably a reaction to the vaccine. Part of his concern was of the fact that, he had bad reactions with both shingles vaccine (unspecified vaccine) and pneumocystis vaccine (unspecified vaccine) and he had it for like five days. The patient had reactions and the doctor would not do anything and when he went to the pharmacy, the doctor gave him an antihistamine (treatment) for ten days and that squelched everything and after both those incidents, the patient was advised do not take COVID-19 vaccine. The patient started experiencing reactions like after 12 to 15 hours like late Friday night. The patient further stated, he did not sleep very well from 26Feb2021 night to 27Feb2021 morning, he kept getting up and had trouble going back to sleep which was not normal for him. The patient was one of those people that could drink a strong cup of coffee and twenty minutes later lay down and go back to sleep. The first thing the patient have noticed was not being able to sleep because he had a pain shooting down his left arm and felt like somebody was trying to dislocate his index finger. Then later on, throughout the day, on 27Feb2021, he just kept experiencing fatigue. The patient was trying to do laundry, he live in an apartment and he was going down one floor to do laundry and it took him over eight hours to do his laundry and when he reach his house he would just fall asleep. The patient was all out from everything. The patient had headaches that was coming and going and at one point he felt like a hot flash. The patient took his temperature and the temperature was on the normal range and then all of a sudden, he started sweating and had a fever and pricking sensation kind of like small shivers and along with that he was having achy joints and achy muscles. The patient had basically, aches from his head till my toes, even my toes, it just hurt to move down. The patient further stated, the only thing from his experience from his 60 years of life, he could relate it to like he was stuck somewhere in between of feeling like he was getting in sick and getting over of getting sick. On top of that, he started that on 27Feb2021 night and 28Feb2021 morning he was experiencing dizziness, that was when he was getting up on his bed or out of the chair and he was still feeling weak like barely able to walk because he was walking through his building to get his laundry and there were two people who said he did not look good. The patient stated when he was walking around and doing laundry, he was experiencing shortness of breath. This was the most annoying, he had hasty symptoms, this morning, periods of runny nose and his nose got itchy and he started sneezing for some time and he become very congested and all of a sudden, it would just cleared up and be calm again. The patient also had had multiple trips to the bathroom, that was the most annoying because he would have a bowel movement and it would burn like he had a fire coming out of me. The patient was scheduled probably about a month to get blood work done as every six months he gets his blood work. The patient was taking antihistamine, Equate 25 mg for the events. The patient stated he was somewhat still experiencing events, but it was stopped kind of. The outcome of the events was recovering. No follow-up attempts are possible; No further information is expected.