Sex: F
Vaccine: COVID19-2, COVID19
Symptoms: Nail disorder, Onychoclasis, Pyrexia
Clinical narrative: I had an allergy right after I had this shot; 102 fever; chills; do not want to stand up; nails break, real thin, they don't want to stand up, all of a sudden; nails break, real thin, they don't want to stand up, all of a sudden; wakes up in the am with hair in her mouth/Her hair is falling out/wakes up in the morning with hair come out; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 19Oct2022 as dose 5 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Comirnaty (DOSE 1), for COVID-19 immunization; Comirnaty (DOSE 2), for COVID-19 immunization; Bnt162b2 (DOSE 3 (Booster)), for COVID-19 immunization; Bnt162b2 (DOSE 4 (Booster)), for COVID-19 immunization. The following information was reported: PYREXIA (non-serious) with onset 2022, outcome "recovered" (2022), described as "102 fever"; CHILLS (non-serious) with onset 2022, outcome "recovered" (2022); DYSSTASIA (non-serious) with onset 2022, outcome "unknown", described as "do not want to stand up"; ONYCHOCLASIS (non-serious), NAIL DISORDER (non-serious) all with onset 2022, outcome "unknown" and all described as "nails break, real thin, they don't want to stand up, all of a sudden"; ALOPECIA (non-serious) with onset 2022, outcome "unknown", described as "wakes up in the am with hair in her mouth/Her hair is falling out/wakes up in the morning with hair come out"; HYPERSENSITIVITY (non-serious) with onset Oct2022, outcome "recovered" (2022), described as "I had an allergy right after I had this shot". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: It was reported that there are 2 of them. Patient states one was Comirnaty and the other was the Pfizer Biontech COVID 19 Vaccine. Patient wants to know if they are the same and states that she was confused. Patient also notes that "Comirnaty" was "one hell of a word." Patient states she got the Pfizer COVID shot in October. It was her 5th shot she states. Patient would like to know if we have heard of other callers with reactions pertaining to the hair and nails. Patient states she had a reaction to the product, 2nd reaction out of 5 total shots and she notes that she was still alive to talk about it and not worried about it." Patient would like to know if there was anything in that "combination" that you manufacturer that can make you hair fall out or make your nails break, real thin, they don't want to stand up, all of a sudden. Patient also states she "wakes up in the am with hair in her mouth" and was wondering if has anything to do with the shot. This was her second reaction out of the 5 shots, hair was falling out; wakes up in the morning with hair come out, nails are really thin; they are not falling up but they are very thin, do not want to stand up, I had an allergy right after I had this shot, fever and chills. Transferring Agent stated, "I have a consumer on the line. She was calling in regards to the Pfizer COVID-19 Vaccine booster dose. She stated that she got the product in October and she is stating that this was her second reaction out of the 5 shots (Further clarifications unknown hence event captured as per verbatim). Her hair was falling out. Her nails are really thin, do not want to stand up and she wakes up in the morning with hair come out. That was all the information I have." When paraphrased the concern: Consumer stated, "No, that was a little dramatized. I had an allergy right after I had this shot. That is the second one I had the fever and chills and all that stuff for a couple of days and I had a 102 fever. That is the came and went that is over. Patient was just saying now, what I am curious about knowing about her hair was turning out so thin and my nails are falling up they are not falling up but they are very thin. Is that a reaction to the medication or is that of old age. Consumer was informed that the query has been addressed by the previous department Pfizer Medical Information department. LOT#: Consumer stated, "Okay, the last one did not have a LOT#. I had it on 19Oct2022 at Withheld. It did not have a LOT#." Consumer was unwilling to complete the report. Thus further probing was not done. Product details (Expiration Date, NDC# and UPC#) and Pharmacy details could not be probed. Hence limited information was available over the call. QR Comment: Reporter type could not be probed hence captured by default as Consumer or other non-health professional in tab.  No follow-up attempts are possible. No further information is expected.