Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Epistaxis, Hypertension, SARS-CoV-2 test negative
Clinical narrative: gets hot and then cold and sweating; gets hot and then cold and sweating; gets hot and then cold and sweating; She states the nausea was slight after the first dose but more so after second shot.; headache; not feeling well; no energy; She states after the second shot, her tiredness is worse; She stated after the second shot, her tiredness was worse; Blood pressure high; Fever; Nose bleeds; Severe Chest Pain, fluttering feeling, feels little things; This is a spontaneous report from a contactable consumer (patient). A 79-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EL9262), via an unspecified route of administration in left arm on 13Mar2021 at 10:15 (at the age of 79-year-old) as dose 2, single for COVID-19 immunisation at "PRIVACY" where doctor offices older buildings are. "PRIVACY" now has brand new office, old used for shot and doctors. Medical history included diverticulitis from 2016 and ongoing (she changed her diet. No greasy, no fried, no spicy foods. 2017 attack, 2018 or 2019. Stated that she has felt fine ever since), booster from an unknown date and unknown if ongoing (She stated about 5-6 years ago, she had boosters from childhood shots, every booster. Never had the shingles shot. She stated she has never had a reaction from any of it). Historical vaccine included A 79-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EN6198), via an unspecified route of administration in left arm on 19Feb2021 (at the age of 79-year-old) as dose 1, single for COVID-19 immunisation at "PRIVACY" where her doctor was located, her office was upstairs (the nurses had people spaced downstairs) and experienced a lot of face redness, severe chills, nausea. There were no concomitant medications. The patient did not receive any other vaccines within four weeks prior to the vaccination. It was reported that she stated that about a week before the second vaccine she was not sleeping well but she had started to feel better but then she got the second dose and that was a whammy. She stated that when she got the first shot, it kept her awake, like she drank 20 cups of coffee, but after 24 hours, she was just exhausted. She has always been energetic and none of that anymore. She stated after the second shot, her tiredness was worse. She gets exhausted doing nothing. She stated that it was on and off nausea where some mornings felt ok, others she felt nauseated. She does not know if it was the blood pressure pill or not, she was not used to taking any meds. She would probably call the doctor "today" and tell them. She was not used to not feeling well. The patient stated that on 17Mar2021, she got a nosebleed, but she was able to control it and had fever. She called her doctor and told her about the chest pain and nosebleed. She stated the nausea was slight after the first dose but more so after second shot. She was more aware of not wanting to eat and feeling nauseous. She was being cautious because it was so profuse on "Sunday" 21Mar2021 and her blood pressure was so high. "Now", she was on a blood pressure pill and she hopes she does not have another nosebleed. She stated that it was a fluttering feeling, and she can feel little things. It was started testing her blood pressure when it went up on the 17Mar2021. It was 122 and 131. Then on 20Mar2021, it was 174/77 in the "evening" and on 21Mar2021, it really shot up and she went to the hospital and there it was 197/93. She stated that on the 17Mar2021, she was not feeling well and on 18Mar2021, she called her doctor and they told her to stay hydrated and take her blood pressure. She stated then on 21Mar2021, it got really bad. She stated with the medication since the 21Mar2021 "Sunday". On 22Mar2021, it was 156/91 and 128. It was 107/64 "yesterday" and "now" 117/75. She stated that it seems to be back down where it usually has been, more towards lower rather than the higher reading. She has never experienced high blood pressure. She stated that the ER (emergency room) doctor said her problem was high blood pressure and you have had for years but she states she has not. She stated in 2016, she went to the hospital for a diverticulitis attack and then it went back low again at doctor office. In 2017, she went to the ER (emergency room) with diverticulitis. She stated the ER (emergency room) doctor was looking at the blood pressures from times when she was in the ER (emergency room) in 2016, 2017, and 2018 or 2019. She stated that after the ER (emergency room), she always maintained her blood pressure, but he put her on a blood pressure pill, but she was questioning it because she has always maintained low BP. She has never had high blood pressure in her life, it always runs low. On 21Mar2021, emergency room doctor said her blood work for her age looks very good and she really was very healthy. She was thinking, then why was she there. Stated her blood work looked very good and she looked very healthy. The patient was received the treatment in ER (emergency room), Amlodipine, talked to nurse yesterday afternoon and she asked how she was feeling, not like feeling bad, no energy. They gave it to her IV (intravenous) to bring her blood pressure down on "Sunday" (21Mar2021). " Physician office: Followed Up with Phone Calls, 06Apr2021 she has a follow-up appointment ". The patient underwent lab tests and procedures which included blood pressure: 174/77 (unknown units) on 20Mar2021, 197/93 (unknown units) on 21Mar2021, 156/91 (unknown units) on 22Mar2021, 107/64 (unknown units) on 23Mar2021, 117/75 (unknown units) on 24Mar2021. The outcome of fever was resolved on 17Mar2021, nose bleeds was resolved on 21Mar2021; Severe Chest Pain, fluttering feeling, feels little things, Blood pressure high, her tiredness worse, Nausea aggravated was not resolved; gets hot and then cold and sweating, headache, not feeling well, no energy, was unknown  No follow-up attempts are possible. No further information is expected.