Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Electrocardiogram, Heart rate increased, Insomnia
Clinical narrative: occasional random fainting spells; I was woken up by a very rapid heart beat; palpitations; lightheadedness/dizziness; extreme involuntary shaking/tremors; chest pains; left arm pains; tingling/cramping of arms and legs; cramping of arms and legs; cramping of arms and legs; dizziness; high fevers; nausea; pain in legs and arms; shortness of breath; occasional blurry vision; pain in eyes; frequent urination; Loss of appetite; sleeplessness; blood pressure constantly low; white blood cells have been abnormally high; extreme involuntary shaking/tremors; pain in legs and arms (feels almost like poor circulation); Previous Dose Number: 1/Previous Dose Administration Date: 02Jul2021/Dose Number: 2/Administration Date:07Dec2021; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 25-year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm right, administration date 07Dec2021 19:00 (Lot number: FJ1620) at the age of 25 years as dose 2, single for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Bnt162b2 (Name of Drug as Reported: Pfizer, Dose Number: 1, Batch/Lot No: EW0191, Location of injection: Arm Left, Vaccine Administration Time: 03:00 PM), administration date: 02Jul2021, when the patient was 24 years old, for Covid-19 Immunization. The following information was reported: SYNCOPE (medically significant) with onset 08Dec2021 23:00, outcome "not recovered", described as "occasional random fainting spells"; HEART RATE INCREASED (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "I was woken up by a very rapid heart beat"; PALPITATIONS (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "palpitations"; DIZZINESS (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "lightheadedness/dizziness"; TREMOR (non-serious), TREMOR (non-serious) all with onset 08Dec2021 23:00, outcome "not recovered" and all described as "extreme involuntary shaking/tremors"; CHEST PAIN (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "chest pains"; PAIN IN EXTREMITY (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "left arm pains"; PARAESTHESIA (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "tingling/cramping of arms and legs"; MUSCLE SPASMS (non-serious), MUSCLE SPASMS (non-serious) all with onset 08Dec2021 23:00, outcome "not recovered" and all described as "cramping of arms and legs"; DIZZINESS (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "dizziness"; PYREXIA (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "high fevers"; NAUSEA (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "nausea"; PAIN IN EXTREMITY (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "pain in legs and arms"; DYSPNOEA (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "shortness of breath"; VISION BLURRED (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "occasional blurry vision"; EYE PAIN (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "pain in eyes"; POLLAKIURIA (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "frequent urination"; DECREASED APPETITE (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "Loss of appetite"; INSOMNIA (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "sleeplessness"; HYPOTENSION (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "blood pressure constantly low"; WHITE BLOOD CELL COUNT INCREASED (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "white blood cells have been abnormally high"; PERIPHERAL VASCULAR DISORDER (non-serious) with onset 08Dec2021 23:00, outcome "not recovered", described as "pain in legs and arms (feels almost like poor circulation)"; INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (non-serious) with onset 07Dec2021, outcome "unknown", described as "Previous Dose Number: 1/Previous Dose Administration Date: 02Jul2021/Dose Number: 2/Administration Date:07Dec2021". The events "occasional random fainting spells", "i was woken up by a very rapid heart beat", "palpitations", "lightheadedness/dizziness", "extreme involuntary shaking/tremors", "chest pains", "left arm pains", "tingling/cramping of arms and legs", "cramping of arms and legs", "cramping of arms and legs", "dizziness", "high fevers", "nausea", "pain in legs and arms", "shortness of breath", "occasional blurry vision", "pain in eyes", "frequent urination", "loss of appetite", "sleeplessness", "blood pressure constantly low", "white blood cells have been abnormally high", "extreme involuntary shaking/tremors" and "pain in legs and arms (feels almost like poor circulation)" were evaluated at the physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: blood pressure measurement: (unspecified date) constantly low; polymerase chain reaction: (18Jan2022) negative, notes: Nasal Swab; white blood cell count: (unspecified date) abnormally high. Therapeutic measures were taken as a result of syncope, heart rate increased, palpitations, dizziness, tremor, chest pain, pain in extremity, paraesthesia, muscle spasms, muscle spasms, dizziness, pyrexia, nausea, pain in extremity, dyspnoea, vision blurred, eye pain, pollakiuria, decreased appetite, insomnia, hypotension, white blood cell count increased, tremor, peripheral vascular disorder.  Clinical course: The day after second dose, at 11:20pm, 08Dec2021, patient was woken up by a very rapid heartbeat, palpitations, surges of adrenaline through body, lightheadedness/dizziness, extreme involuntary shaking/tremors, chest pains along with left arm pains that were accompanied by tingling/cramping of arms and legs and occasional random fainting spells. As days went by, symptoms would lessen but then symptoms would randomly return but with severity along with other new symptoms. These new symptoms along with the current ones were high fevers, nausea, pain in legs and arms (feels almost like poor circulation), shortness of breath, occasional blurry vision and pain in eyes, frequent urination. Loss of appetite and sleeplessness has been occurring along with these symptoms. Her blood pressure as constantly low, her white blood cells have been abnormally high as well. She stated that it was clearly an adverse reaction. AE treatment included anxiety meds and pain meds which have done nothing. Facility type vaccine: Pharmacy or Drug Store and no other vaccine in four weeks. It was unknown if patient had COVID prior vaccination and was COVID tested post vaccination. No known allergies.