Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Gait disturbance, Headache, Myalgia
Clinical narrative: Two steps feels like a mile; feeling kind of cold; she was 5ft 2in but that might have decreased a little bit; nausea; lack of appetite/she has no appetite; itching, rash all over her body; itching, rash all over her body; feels like low grade fever; chills, woke up shivering; light has been bothering her; body ache; muscle pain; headache; weakness; no energy/lack of energy; tiredness/feeling tired; This is a spontaneous report from a contactable consumer (patient). This report is not related to a study or programme. A 69-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot Number: EN6205; Expiration date: 30Jun2021), via an unspecified route of administration in left arm on 10Mar2021 15:00 (at the age of 69-years-old) as DOSE 2, SINGLE for covid-19 immunisation or to prevent the COVID-19 virus. Vaccination facility type was Expo Center, place where they have concerts and conferences. The patient medical history and concomitant medications included none. Had flu vaccine was in October. Historical vaccine included first dose of BNT162B2 (Lot Number: EL9266) on 17Feb2021 as DOSE 1, SINGLE for covid-19 immunisation and experienced muscle aches, headache and some lingering weakness. Additional vaccines administered on same date with the Pfizer vaccine considered as suspect; prior Vaccinations (within 4 weeks); AE(s) following prior vaccinations; relevant tests included none. The patient experienced tiredness/feeling tired on 10Mar2021, body ache, muscle pain, headache, weakness, no energy/lack of energy on 11Mar2021, feels like low grade fever, chills, woke up shivering, light has been bothering her on 16Mar2021, itching, rash all over her body on 17Mar2021, nausea, lack of appetite/she has no appetite on 18Mar2021, two steps felt like a mile, feeling kind of cold on an unspecified date. Therapeutic measures were taken as a result of reported events. Patient was calling about the Covid vaccine. Her second shot was last week on Wednesday, 10Mar2021. On 11 Mar 2021, she felt body aches, tiredness, muscle pain and headache. It was expected. The next day, she basically was tired and had weakness and then that was gone. Now on Tuesday of this week on 16Mar2021 she started feeling tired again and lack of energy and muscle and body aches all over again like she has the flu. Then, yesterday she woke up with a rash and itching all over her body. She still had the rash and itching. Today, she had no energy. Two steps felt like a mile. And she had no appetite. She didn't know if the rash or itching could be because of the vaccine. She had no idea. She just expected to be tired and had muscle aches and all that like everybody else had. The day before she also had chills, she woke up shivering on 16Mar2021. Tiredness, no energy, weakness, itching, rash all over her body was reported as worsened. Investigation assessment included none. She thought this was important for Pfizer to know. She hadn't gone out since 10Mar2021 when she received her second Covid 19 vaccine. She was not exposed to anything or anyone else. Nothing has bitten her, and the rash was all over her body and she thought at first, she had shingles. She's had the shingles shots and her doctor said shingles was only on one side of her body and nerves would be shot, but that was not the case. Her rash was in her ears and hair, and it was itching, and the rash was all over her body- arms, legs, torso. When probing height caller reports she was 5ft 2in but that might have decreased a little bit. She said it was a shame that nothing could be done. She spoke to her doctor yesterday and he said to take Benadryl, but she didn't like to take Benadryl in the daytime, and she didn't have Benadryl at her house, and she didn't feel well enough to go get it. He told her if the rash was really bad then he would prescribe something. He mentioned steroids but she didn't want that. She mentioned her rash was expanding and was getting worse still. The tiredness and weakness were worse on the day of this report than any other day she's had it. She reported she was really sapped she didn't even want to take a shower today, but she made herself. She never falls asleep in the daytime and today she did. She confirmed she had a headache on 11 Mar 2021 and 12 Mar 2021. She had another headache on 16Mar2021. Since then, she hasn't had a headache. She mentioned she has been taking Tylenol all 3 days. She had to take Tylenol at least twice because the muscle aches come back. She clarified she was taking Tylenol in the morning and by the late evening, she had to take it again because the aches come back. Sometimes, she was taking Aleve so it will be even longer lasting. Right then she didn't have a headache. The worse thing right now was she had no energy. On the day of this report, the worst day for no energy. And in between those days she felt ok. On the weekend she felt ok. She cleaned the bathroom and the floor, and she was ok. It was just this Tuesday, 16Mar2021 that all this came back. And she couldn't figure out why she had the rash. She hadn't been outside since Wednesday, 10Mar2021 when she got her vaccine. She hadn't been exposed to anything or anyone or been bitten by anything. She was asking if there are any suggestions for getting her energy or if any suggestions for the rash. She reported she couldn't finish her lunch. She had been feeling like she had a low-grade fever, she had not taken her temperature. It was not 99 or something like that. It goes away after she takes something, but at times she was waking up feeling like she had a low-grade fever. Also, mentioned light has been bothering her as well since 16 Mar 2021. She hadn't had chills yesterday or this morning. However, she had been feeling kind of cold all these days and she was turning the heat up. Patient received treatment with Tylenol 500mg tablets 1-2 tablets every 8-10 hours (NDC/Lot unknown; Expiration Mar2022), Aleve 220mg she took one tablet every 12 hours (NDC/Lot unknown; expiration Nov2021). Advised caller to follow up with her primary health care doctor for treatment options and persisting side effects. AE(s) did not require a visit to Emergency Room or Physician Office. No further details were provided or obtained.Clinical outcome of event body height decreased was unknown and outcome of other events was not recovered.  No follow-up attempts are possible. No further information is expected.