Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Insomnia, Mitral valve disease, Palpitations, Vestibular migraine
Clinical narrative: Increase in severity and duration of vestibular migraines.; Increase in severity and duration of vestibular migraines.; Mitral valve disease; I currently have palpitations; Sometimes I am up the entire night; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 58-year-old female patient (not pregnant) received bnt162b2 (BNT162B2), on 15Mar2021 as dose 2, single (Lot number: EN199gh v c) at the age of 55 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Mitral valve disease" (unspecified if ongoing), notes: stable and no issues until vaccine; "Allergy to Sulfa" (unspecified if ongoing); "Allergy to mold" (unspecified if ongoing); "migraines" (unspecified if ongoing). There were no concomitant medications. Vaccination history included: bnt162b2 (Dose Number: 1, Batch/Lot No: EN6200, Location of injection: Arm Left), administration date: 22Feb2021, when the patient was 55-year-old, for Covid-19 Immunization. The following information was reported: PALPITATIONS (disability) with onset Jun2021, outcome "not recovered", described as "I currently have palpitations"; VESTIBULAR MIGRAINE (disability), CONDITION AGGRAVATED (disability) all with onset Jun2021, outcome "not recovered" and all described as "Increase in severity and duration of vestibular migraines."; MITRAL VALVE DISEASE (disability) with onset Jun2021, outcome "not recovered"; INSOMNIA (disability) with onset Jun2021, outcome "not recovered", described as "Sometimes I am up the entire night". The events "increase in severity and duration of vestibular migraines.", "mitral valve disease", "i currently have palpitations" and "sometimes i am up the entire night" required physician office visit. Therapeutic measures were taken as a result of vestibular migraine, condition aggravated. Therapeutic measures were not taken as a result of mitral valve disease, palpitations, insomnia. Clinical course: Increase in severity and duration of vestibular migraines: patient always had migraines, but they increased from perhaps one per week to several per week, lasting days. No pain reliever works. Sometimes patient was up the entire night. she take Ibuprofen and Tylenol and even decongestants offer some relief. She continue to suffer these episodes. The doctor's suggestion was migraine meds. PT told her vestibular and while her manual PT did work, she cannot afford to go 2x per week, which was the only way she had some relief. Heart palpitations: she had an underlying heart condition (Mitral valve disease) and was told by her cardiologist that it was fine to take the vaccine. she was concerned reading about possible vaccine issues affecting the heart, but followed his advice. She saw a cardiologist in 2021, but there was nothing conclusive. He denied that the vaccine could have harmed her heart further. She currently have palpitations, which happen a lot of the time when she get her migraines. Seeing new cardio soon.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202300354136 Same patient, same drug/different dose, different AEs.;US-PFIZER INC-202300354135 Same patient, same drug/different dose, different AEs.;