Age: 37.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nausea, SARS-CoV-2 test negative
Clinical narrative: dizziness was so severe; So sick; Nausea; Sore Arm; This is a spontaneous report from a contactable nurse (patient). A 37-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 10Mar2021 13:00 (Batch/Lot number was not reported) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included asthma, Low Immune System, Pretty Bad Eczema, all ongoing. Concomitant medication included methylprednisolone acetate and other unspecified medicines. The patient had a historical vaccine of Tyhoid vaccine from 2006 to 2006 for Immunization and it hurt way worse. Patient just had a sore arm that day (10Mar2021). On 11Mar2021 04:00, 16 hours after taking it, she got up and was dizzy and nauseated. She went to the ER on day 6 and she saw 2 doctors that following week. They were figuring out what was going on, she was so sick and the dizziness was so severe. She was told at that time not to get the second vaccine by her doctor and the ER doctor said even with her side effects, she needs to get the vaccine. Her primary care physician after said he is not sure if she should get it or not because of the reaction she had to the first vaccine and she had never had Covid or antibodies. She had just fully recovered by the 3 weeks when she was supposed to get her second one, so she was planning to get the second dose at 6 weeks. She didn't because one doctor said no and one said yes. Her reaction is unlike any of her patients. She wants to be fully vaccinated, she is scared to death.She does have severe asthma, and she has been admitted to the ICU before with it. She is not around Covid, she works from home. Treatment: At the ER, they gave her fluids and drew lab work, but it was all okay. They gave her antibiotics to cover the bases. They also gave her Meclizine and it didn't help. They also gave her nausea medication in the ER that Tuesday 16Mar2021. She was treated in the ER and released. She also had Covid tests that were negative twice. She had a steroid injection 9 days before the Covid Vaccine. Caller states it is a Trigger Point Injection, she believes it was Methylprednisolone, a small dose into her muscle. For 16 days she was sick. She was able to work from home some, but she missed several days of work because it was too bad to work. She is trying to figure out now with new variant and her son going to withheld where no one will be wearing masks. No one has that severe of dizziness that she knows of. Blood Work, was all okay. The outcome of the events was recovered.  The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.; Sender's Comments: There is a reasonable possibility that the events nausea and pain in extremity were related to BNT162b2 based on known drug safety profile. Based on the close temporal relationship, the association between the events dizziness and illness can not be fully excluded.  The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.