Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Gait disturbance, Headache, Myalgia
Clinical narrative: she can't walk; headache; chills; productive cough; Tiredness; Nausea; soreness in arm; her body aches; muscle pain; 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 71-year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 17Apr2021 15:45 (Lot number: EW0158) at the age of 71 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "COPD" (unspecified if ongoing); "Asthma" (unspecified if ongoing); "blood pressure" (unspecified if ongoing); "problem breathing at night" (unspecified if ongoing). Concomitant medication(s) included: HYDRALAZINE taken for blood pressure measurement (ongoing); AMLODIPINE taken for blood pressure measurement (ongoing); LISINOPRIL taken for blood pressure measurement (ongoing); METOPROLOL taken for blood pressure measurement (ongoing); LEVOTHYROXINE taken for hypothyroidism (ongoing); ROPINIROLE taken for restless legs syndrome (ongoing); POTASSIUM taken for muscle spasms (ongoing); ESTRADIOL taken for hysterectomy (ongoing); PANTOPRAZOLE taken for gastrooesophageal reflux disease (ongoing); TRELEGY ELLIPTA taken for dyspnoea (ongoing); FUROSEMIDE (ongoing); LIOTHYRONINE taken for hyperthyroidism (ongoing); MELATONIN taken for sleep disorder (ongoing); ASPIRIN 81 (ongoing). The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 17Apr2021, outcome "recovering", described as "soreness in arm"; HEADACHE (non-serious) with onset 23Apr2021, outcome "recovering", described as "headache"; MYALGIA (non-serious) with onset 17Apr2021, outcome "not recovered", described as "muscle pain"; CHILLS (non-serious) with onset 20Apr2021, outcome "recovering", described as "chills"; PRODUCTIVE COUGH (non-serious) with onset 20Apr2021, outcome "recovering", described as "productive cough"; GAIT DISTURBANCE (non-serious), outcome "unknown", described as "she can't walk"; PAIN (non-serious) with onset 17Apr2021, outcome "not recovered", described as "her body aches"; NAUSEA (non-serious) with onset 18Apr2021, outcome "recovered" (19Apr2021), described as "Nausea"; FATIGUE (non-serious) with onset 20Apr2021, outcome "recovering", described as "Tiredness". Therapeutic measures were taken as a result of pain in extremity, productive cough.  Additional information: Patient had pre-existing COPD and asthma for 10 years and problem breathing at night before vaccination, but the breathing problems have gotten worse. Adds the breathing problems got worse since she has gained weight since the virus came out. Patient family history and relevant test were reported as none. Patient was taking Amlodipine; Lisinopril; Ropinirole; Potassium; products B12 and products B Complex Vitamin Hydralazine for years; increased the dosage to three times daily last month, it was twice daily. Metoprolol just increased from once to twice daily. Levothyroxine for years for thyroid. Estradiol: had a total hysterectomy; taking for 25 years. Pantoprazole for years for acid reflux. Trelegy Ellipta for breathing medicine. Furosemide for long time for water pill and she could not take it at night because she would be up all night. Aspirin for years which helped in thining the blood. Liothyronine for years for thyroid. Products D3 for over a year; when she started she was supposed to have ankle surgery and they told her to take these for a year for low bone density. Melatonin for sleep. Hydrocodine for a long time; at least four years. She did have some symptoms. Soreness in her left arm: this went away but that evening of the vaccine, she put some alcohol on a rag and massaged it then did it again in the morning and that helped. It was tender around the shot and today it was not too tender but like a sore muscle. Nausea: started Sunday afternoon, where she couldn't eat dinner; the next day, Monday, not as bad and she ate some crackers and drank a lot fluids. Tiredness and sleepy starting Tuesday or Wednesday. She was unsure if this related to the weather or her medications or the shot. She was still feeling tired. Headache was started 23Apr2021, didn't last that long; it went away and today she had a little headache today but it might be her blood pressure pills she had not taken yet. She didn't let it bother her. Muscle pain: mostly in the lower part of her left arm and making her fingers tingle, her shoulder everything was like a muscle spasm. It came and went and she had to massage it. She first noticed it when she went home and lifted up some groceries after getting the vaccination. Adds the arm feels weak. Chills: she had them on Tuesday, it rained and she got cold and she still got chills that day, she was covered up in the blanket; coughing with mucus production - the cough was like flem cough up but since she was taking alka seltzer plus mucus sinus for about three days and it has dried up a little. Adds she was still feeling not up to par like she used to be. The cough is just a dry cough now and is improved. Whole body aches - mentioned sometimes when she gets up can't walk and her whole-body aches; this started the day of the vaccine and has persisted. She was unsure if all this was coming from the shot or the weather. She is asking if she should get the second dose? Mentions she used to exercise. Adds she takes a lot of blood pressure pills every day and she is unsure if that has anything to do with it, too. History of all previous immunization with the Pfizer vaccine considered as suspect and additional vaccines administered on same date of the Pfizer Suspect was reported as none. Patient did not had emergency room visit and physician office for any event. Patient did not had any vaccination prior 4 weeks of vaccination. Reporter seriousness for soreness left arm; Nausea; Tiredness; Headache; Muscle pain; Chills; coughing with mucus production; whole body aches was unspecified. Patient told she was waiting for a call back from the doctor and has an appointment on Thursday at 3:30. She has not seen the doctor and is not taking antibiotics.  No follow-up attempts are possible. No further information is expected.