Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Atrial fibrillation, Bile acids, Bile acids abnormal, Blood pressure measurement
Clinical narrative: stomach issues; AFib; Wasn't feeling really good; his stool was a little discolored; bad stomachache; Was thinking bile or pancreas going bad; Was thinking bile or pancreas going bad; Pain was transitory; Had problem peeing and doesn't now so doesn't take as much. This happened before his AFib.; Diarrhea; food poisoning; This is a spontaneous report received from a Consumer or other non HCP.  A 70-year-old male patient received BNT162b2 (BNT162B2), on 23Mar2022 as dose 4 (booster), single (Batch/Lot number: unknown) at the age of 67 years, in arm for covid-19 immunisation. The patient's relevant medical history included: "shoulder surgery" (not ongoing); "kidney function was a little off" (not ongoing); "Cubital tunnel" (unspecified if ongoing); "carpal tunnel" (unspecified if ongoing); "genetic history of gout" (ongoing); "extra beats" (ongoing); "hypertension stage 1/Blood pressure was 130/85-90" (ongoing). Concomitant medication(s) included: ALLOPURINOL taken for gout (ongoing); METOPROLOL taken for extrasystoles, hypertension (ongoing); LOSARTAN taken for cardiovascular event prophylaxis; MULTIVITAMIN [VITAMINS NOS]. The patient also took other concomitant therapy. Vaccination history included: BNT162b2 (DOSE 1, SINGLE), administration date: 07Jan2021, when the patient was 66-year-old, for COVID-19 immunization; BNT162b2 (DOSE 2, SINGLE), administration date: 26Jan2021, when the patient was 66-year-old, for COVID-19 immunization; BNT162b2 (DOSE 3 (BOOSTER), SINGLE), administration date: 13Oct2021, when the patient was 67-year-old, for COVID-19 immunization; Prevnar vaccine (DOSE NUMBER UNKNOWN, SINGLE), for immunization; Shingles vaccine (DOSE NUMBER UNKNOWN, SINGLE), for immunization; Flu vaccine (DOSE NUMBER UNKNOWN, SINGLE, got 1st flu shot 8 years ago), for Influenza immunization. The following information was reported: ATRIAL FIBRILLATION (hospitalization) with onset Apr2024, outcome "unknown", described as "AFib"; GASTROINTESTINAL DISORDER (hospitalization) with onset 28Apr2024, outcome "unknown", described as "stomach issues"; MALAISE (non-serious), outcome "unknown", described as "Wasn't feeling really good"; FAECES DISCOLOURED (non-serious), outcome "unknown", described as "his stool was a little discolored"; ABDOMINAL PAIN UPPER (non-serious), outcome "unknown", described as "bad stomachache"; BILE ACIDS ABNORMAL (non-serious), PANCREATIC DISORDER (non-serious), outcome "unknown" and all described as "Was thinking bile or pancreas going bad"; PAIN (non-serious), outcome "unknown", described as "Pain was transitory"; DYSURIA (non-serious), outcome "recovered", described as "Had problem peeing and doesn't now so doesn't take as much. This happened before his AFib."; DIARRHOEA (non-serious), outcome "unknown", described as "Diarrhea"; FOOD POISONING (non-serious), outcome "unknown". The patient was hospitalized for atrial fibrillation, gastrointestinal disorder (start date: 28Apr2024, discharge date: 29Apr2024, hospitalization duration: 2 day(s)). The event "stomach issues" required physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: Bile acids: (unspecified date) bile or pancreas going bad; Blood pressure measurement: (unspecified date) 130/85-90, notes: He had extra beats and blood pressure was hypertension stage 1. Blood pressure was 130/85-90; (unspecified date) down; (Apr2024) 185/123, notes: his blood pressure was through the roof 185/123; Electrocardiogram: (Apr2024) AFib; Heart rate: (unspecified date) Irregular; Radioisotope scan: (08May2024) Unknown results, notes: He had a nuclear scan yesterday and should get results tomorrow; Renal function test: (unspecified date) little off, notes: kidney function was a little off; (unspecified date) 100% normal., notes: his kidneys were 100% normal. Therapeutic measures were taken as a result of atrial fibrillation, gastrointestinal disorder, faeces discoloured, abdominal pain upper, bile acids abnormal, pancreatic disorder, dysuria. Clinical course: Patient never had Covid. Went into AFib and for some reason doctors could not understand what happened. Went to Emergency Room with stomach issues, went into an PRIVACY. Stated him on Amiodarone 200mg twice a day. Metoprolol 25mg twice a day and his blood pressure was down. Eliquis 5mg twice a day. He would had a calcium heart scan next Wednesday. He did not knew if they would shock him or ablation. It came out of nowhere. Only thing he had done was 4 Covid vaccines. Stated his stool was a little discolored and he had a bad stomachache. Was thinking bile or pancreas going bad. No infection in urine and stool was clean. Put on metronidazole and cipro. Was put on low dose metoprolol 25mg which was double and put on Eliquis and amiodarone. Eliquis was only for about a month. Would hope the AFib resolves. Patient's height was 6 foot 2 in college and now he was about 6 foot 1. Stomach issues - started not this past Sunday but Sunday before on 28Apr2024. He went in on the same day to (hospital withheld) and was sent over to (hospital withheld) that afternoon and was admitted. 29Apr2024 discharged. Was in there a little over a day. Outcome: Pain was transitory. Never had problem before, had diarrhea, it was dark and scared the heck out of him. He told his wife and she overreacted. He was going to gym and she said go in. They went in and it went away. Never had problems since then. He ate very spicy food. It did not bothered him. Might have gotten something like food poisoning, he did not knew. He stated that he did not knew if he got the real stuff or placebo. Did got a booster and another for sure. If he was not mistaken thought the 1st he got was placebo, that was his opinion. Stated he started Folic Acid 1mg once a day after he left the hospital. Medical History: had shoulder surgery, right total rebuild about 15 years ago or more and left rebuild about 2 years after that and stuff from when he was abusive to his own body. Never had internal organ problems. Once his doctor said his kidney function was a little off and he said yeah he had gotten hammered and eaten steaks the night before and the next time his kidneys were 100% normal. Cubital tunnel which is like carpal tunnel but it's the nerve. He lost some feeling in that and had release about that time too with the other stuff. Stated he was taking Alfuzosin 10mg once a day for urine flow but did not really took it. Had problem peeing and did not now so did not took as much. This happened before his AFib. It went away and did not took anymore. He had B1 just started taking. Felt good and it was scary. He checked blood pressure 3 times a day and it said he had irregular heartbeat. Wanted that to went away. He started LOSARTAN about a month after starting Metoprolol when saw cardiologist and said like him to be on it.  The information on the batch/lot number for BNT162b2 will be requested and submitted if and when received.