Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Productive cough, Wheezing
Clinical narrative: nausea/sick in stomach/queasy feeling/feel like I'm going to throw-up; chills; hiccups/adult hiccups/hiccups without regurgitation (they last about 15-20); wheezy; Shortness of breath; bad congestion; Coughing/coughing was more productive, had more mucous, and phlegm; This is a spontaneous report received from a Consumer or other non HCP from medical information team and product quality group.  A 77-year-old male patient received BNT162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 31Jan2024 as dose 1, single (Lot number: HG9498) at the age of 77 years, in arm for covid-19 immunisation. The patient's relevant medical history included: "asthma", start date: 1957 (ongoing), notes: Asthma Diagnosed as a child probably in 1957; "COPD", start date: 1970 (ongoing), notes: COPD Diagnosed probably when got out of military., Probably 1970; "cough" (ongoing). Concomitant medication(s) included: ATENOLOL taken for hypertension (ongoing); LOSARTAN HCTZ taken for hypertension (ongoing); ASPIRIN [ACETYLSALICYLIC ACID] taken for hypertension (ongoing). Vaccination history included: comirnaty (DOSE 1, lot number : EN5318), administration date: 26Jan2021, for COVID-19 immunisation, reaction(s): "COVID-19"; comirnaty (DOSE 2, Lot: EL9266), administration date: 12Feb2021, for COVID-19 immunisation, reaction(s): "COVID-19"; comirnaty (DOSE 3, Lot: FF8839), administration date: 25Sep2021, for COVID-19 immunisation, reaction(s): "COVID-19"; Pfizer bivalent covid vaccine (DOSE 4, reported as either 18Sep2022 or 28 Sep2022), administration date: Sep2022, for COVID-19 immunisation, reaction(s): "COVID-19". The following information was reported: PRODUCTIVE COUGH (non-serious) with onset 15Feb2024, outcome "unknown", described as "Coughing/coughing was more productive, had more mucous, and phlegm"; DYSPNOEA (non-serious) with onset 15Feb2024, outcome "recovered", described as "Shortness of breath"; NASAL CONGESTION (non-serious) with onset 15Feb2024, outcome "recovered", described as "bad congestion"; NAUSEA (non-serious), outcome "recovering", described as "nausea/sick in stomach/queasy feeling/feel like I'm going to throw-up"; CHILLS (non-serious), outcome "unknown"; HICCUPS (non-serious), outcome "not recovered", described as "hiccups/adult hiccups/hiccups without regurgitation (they last about 15-20)"; WHEEZING (non-serious), outcome "unknown", described as "wheezy". The events "shortness of breath", "bad congestion" and "coughing/coughing was more productive, had more mucous, and phlegm" required emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of nausea, chills, hiccups, wheezing, dyspnoea, productive cough. Therapeutic measures were taken as a result of nasal congestion.  Additional information: Caller stated, I'm trying to tell you people that after I got the last vaccination, I started getting some strange things going on, including adult hiccups. He's experiencing chills with no fever, hiccups without regurgitation (they last about 15-20 min), and nausea then patient stated he felt like he's going to throw-up, but never do. Patient had all the Pfizer COVID shots and actually had COVID between the last shot and the one prior to that. Patient took Paxlovid. Clarified had covid around Thanksgiving 2023. Patient had chills, hiccups and nausea within the last 3-4 months but was unable to provide start date. Patient then stated that chills does not happen all the time. Notices it more so when there is a change in weather. It's not age related chills. Before, he did not get chills unless had a fever beforehand. Now, has to wear a T-shirt to bed, or sweater during the day. Once it goes away he is okay. Patient then stated that he had hiccups was funny to him. Does not think of adult male his age as having hiccups. It's more frequent in morning. Patient reported of nausea but it's less frequent, feels like have to throw up, but just has the wheezy/queasy feeling. Gets so sick in stomach but does not throw up. No treatment was provided for chills, hiccups and nausea. Reporter then then added he had an experience where had to go to as initially stated the emergency room. He had bad congestion, coughing and shortness breath. Clarified went to urgent care on 18Feb2024. Bad congestion started around 15Feb2024 and has gone away. Took exactly three weeks for it to go away. Patient received prednisone 20mg tablets in response to the event which he got on 19Feb2024. Patient then reported that historically, he coughs almost every morning of his life. This though is something more acute. The more acute coughing started around 15Feb2024. This coughing was more productive, had more mucous, and phlegm. Shortness of breath also started around 15Feb2024 and reported to have gone away, took three weeks for it to go away. This was the one that was more frightening. The patient was going to get RSV Vaccine, but doctor said get covid vaccine first.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202400075025 same patient, different vaccine doses and different AE.;