Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Growth retardation, Hypersomnia, SARS-CoV-2 antibody test negative, Somnolence
Clinical narrative: Slept for about 3 weeks; she had a difficult time staying awake; she was really tired for about 3 weeks after the second dose of the Covid-19 vaccine then went back to normal; This is a spontaneous report received from contactable reporter(s) (Other HCP) from medical information team. The reporter is the patient.  An 80-year-old female patient received bnt162b2 (BNT162B2), administered in arm right, administration date 31Mar2021 (Lot number: ER8732) at the age of 80 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "Psoriatic arthritis", start date: 2015 (ongoing); "High blood pressure" (ongoing), notes: Onset Date: More than 10 years; "Peripheral neuropathy" (ongoing), notes: Onset Date: At least 10 years, if not more; "she has lost 3 inches" (unspecified if ongoing). Concomitant medication(s) included: ORENCIA taken for psoriatic arthropathy (ongoing); METHOTREXATE [METHOTREXATE SODIUM] taken for psoriatic arthropathy, start date: Jan2016 (ongoing). Past drug history included: Pneumovax vaccine, start date: 07Jan2016, for pneumonia, reaction(s): "Big red wheal"; Prednisone, reaction(s): "gained a lot of weight", notes: reported that she gained a lot of weight after being put on Prednisone. Vaccination history included: Bnt162b2 (Dose number:1, Lot Number: EP6955; Anatomical Location: Right arm), administration date: 10Mar2021, when the patient was 80 years old, for COVID-19 immunization, reaction(s): "No reaction". The following information was reported: HYPERSOMNIA (non-serious) with onset 31Mar2021, outcome "not recovered", described as "Slept for about 3 weeks"; SOMNOLENCE (non-serious) with onset Mar2021, outcome "unknown", described as "she had a difficult time staying awake"; FATIGUE (non-serious) with onset Mar2021, outcome "recovering", described as "she was really tired for about 3 weeks after the second dose of the Covid-19 vaccine then went back to normal". The event "slept for about 3 weeks" was evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: There was no PQC present. She received both doses of the Pfizer Covid 19 vaccine on 10Mar2021 and 31Mar2021. She took a test to see if she had antibodies, a "Spike Test" via #. The test said she "had not been exposed to Covid." She asked if there was any test she can take to see if she had any immunity from the vaccine so she can start singing in her church choir again and see how safe she was. Caller wanted to know if Pfizer was working on anything to find out how immunosuppressed patients respond to the vaccine. Report is related to a study or program. Patient is also the reporter. Caller reported that she does not have psoriasis and everyone kept telling her that nothing was wrong with her but arthritis, and to go home and take aspirin or an anti-inflammatory. Caller reported that her primary care physician finally believed her that she had an autoimmune condition and put her on prednisone. Caller reported that it was so long ago that she was diagnosed with high blood pressure that she doesn't even remember. Caller reported that she gained a lot of weight after being put on Prednisone. Caller reported that it was back in that era that she started having high blood pressure and it's been more than 10 years. Caller reported that she has some peripheral neuropathy. She doesn't have diabetes, so she did not know what was causing the neuropathy and neither did anyone else. She stated that she can't even begin to tell you when it started and she knew it was when her old doctor was still practicing. Caller reported it had to have been at least 10 years if not more that she's had peripheral neuropathy. Caller reported that she has a PhD in physiology. Caller reported that she has one of the call blocker phones because of the number of robocalls they received at their house and if she was contacted via phone, whoever calls just has to say their name and it will ring through. Caller reported that she went to see her physician and he informed her that it was not uncommon and not to worry about it. She experienced nothing after the first dose of the Covid-19 vaccine. Caller reported that she could take the Covid-19 vaccine again in a minute. Caller reported that she experienced no other side effects, no fever or aches and pains, just very tired for about 3 weeks. Caller unable to provide the date for the Covid-19 antibody test that she had performed at Lab. Caller reported that she would call back in order to provide the information. Caller reported that normally she would just go about things as usual and keep wearing her mask, but they were talking about going back to church and singing with the choir and she wants to make sure that she was covered. She was unable to provide the expiry date or NDC number of the Covid-19 vaccine as it was not listed on her vaccination card. Caller reported that she sleeps on her left, so just in case if there was any swelling afterward, she usually gets vaccinated in her right arm. Caller reported that she thinks that her chances are pretty good that she wouldn't make it through a Covid-19 infection with her age and medical conditions. Vaccination facility type was pharmacy. Vaccine was administered at a Facility. There was no emergency room visit. Patient went to physician's office. Adverse Event: Big red wheal following first pneumonia shot. She had to received all of her vaccines because her physician would not let her start until she had been vaccinated. Caller reported that she received the Pneumovax on 07Jan2016 and when she got the Pneumovax the first time, she went to a different pharmacy. Caller reported that because she had that red wheal following the first Pneumovax vaccine, she was really worried about getting it the second time. Caller reported that she went to get her second Pneumovax dose at a pharmacy right by the hospital in case she had something other than the side effect of a wheal. Caller reported that if she went into anaphylaxis, she wanted to be close to the hospital.  Follow-up attempts are completed. No further information is expected.