Age: 71.0
Sex: M
Vaccine: RSV
Symptoms: Nasal congestion, Nervousness, SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: High blood pressure/  I had at home 200 and 1 or 202 over 107; got a little nervous; started feeling little funny; COVID/ not feeling too good/ I was really stuffy/ I thought I might have a sinus things; This is a spontaneous report received from a Consumer or other non HCP.  A 71-year-old male patient received rsv vaccine prot.subunit pref 2v (ABRYSVO), on 03Jan2024 as dose number unknown, single (Batch/Lot number: unknown, NDC number: 00069-0344-05) at the age of 71 years for immunisation. The patient's relevant medical history included: "Asthma" (unspecified if ongoing); "Cholesterol" (unspecified if ongoing). Concomitant medication(s) included: SINGULAIR; ALPRAZOLAM; PROTONIX [OMEPRAZOLE]; FLUTICASONE PROPIONATE; ZETIA taken for blood cholesterol abnormal; ROSUVASTATIN taken for asthma. The following information was reported: COVID-19 (non-serious) with onset 04Jan2024, outcome "recovered", described as "COVID/ not feeling too good/ I was really stuffy/ I thought I might have a sinus things"; FEELING ABNORMAL (non-serious) with onset 04Jan2024, outcome "unknown", described as "started feeling little funny"; HYPERTENSION (medically significant) with onset 10Jan2024, outcome "recovered" (11Jan2024), described as "High blood pressure/  I had at home 200 and 1 or 202 over 107"; NERVOUSNESS (non-serious) with onset 10Jan2024, outcome "unknown", described as "got a little nervous". The event "covid/ not feeling too good/ i was really stuffy/ i thought i might have a sinus things" required physician office visit. The events "high blood pressure/  i had at home 200 and 1 or 202 over 107" required emergency room visit. The patient underwent the following laboratory tests and procedures: Blood pressure measurement: (unspecified date) normal; (10Jan2024) 201 over like one of seven/ even higher, notes: was like off the charge; (11Jan2024) normal, notes: it's starting going back down; Electrocardiogram: (unspecified date) Unknown result; SARS-CoV-2 test: (10Jan2024) Positive; (11Jan2024) Negative. Therapeutic measures were not taken as a result of hypertension. Therapeutic measures were taken as a result of covid-19 included paxlovid from 08Jan2024 to 10Jan2024.  Clinical course: for Paxlovid and patient was taking the three pills twice a day. He was supposed to take it for five days and he took it for two days and after that last dose, he started to get a high blood pressure which he normally do not have high blood pressure get pretty high and he ended up going to the emergency room and had them deal with it over there and after they did not really give him anything because he had no other symptoms and they know that was one of side effects but that was scary getting blood pressure like that because he had at home 200 and 1 or 202 over 107, which is frightening. So, after being in the ER after couple of hours so, they sent him home and within the next day and half blood pressure looks like it went back pretty much back to the normal. They said stop taking that medication. The patient really did not notice the high blood pressure and he did not really check it initially but on Wednesday night (10Jan2024) for last dose that he took he remember reading that it could cause high blood pressure. so he took the blood pressure and it was high. He got a little nervous he was like that's never that high and he took it again it was even higher. what the heck he waited like a 15-20minutes and he took it again and it was like off the charge. It was 201 over like one of seven. Then, he went the ER. They did not give him any because he had no other symptoms and normally he do not have high blood pressure so when he was in hospital and waited and went down a little bit and then they said well we are not going to give you anything. Thursday Friday, he was going to say what was not feeling too good, it is a week before and he had got a vaccination RSV for Wednesday (03Jan2024). He started feeling little funny on Thursday (04Jan2024) no temperature no problem with blood pressure just so he was really stuffy. He figured that is from the RSV. He started feeling little stuffy and nothing else  he had no other symptoms, he thought absolutely nothing going on that was pretty stuffy. He thought he might have a sinus things. He called doctor that Monday and that would be Monday the 8th to see him and he said okay they made an appointment in the afternoon but they said before you have come in. He would like to take a home COVID test, it was positive, I guess it was not the vaccine, I guess maybe it was from COVID that I had a stuffy. So, he said do not come in and that's what he said "Can we get some Paxlovid in case I get real sick because I do not know what's going to happen" but the thing that I wanted to let you know after I came home from the hospital, the next day I check my blood pressure when it's starting going back down. I get in this fine and I said let me do another COVID test and this time my home test said negative So, I do not know it's possible , I do not know if taking Paxlovid for two days help to make my COVID go away or it has nothing to do with it.  The information on the batch/lot number for rsv vaccine prot.subunit pref 2v will be requested and submitted if and when received.