Age: 21.0
Sex: F
Vaccine: COVID19-2, COVID19-2, COVID19
Symptoms: Presyncope, Pyrexia
Clinical narrative: This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the parent. A 21-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 12Jan2023 at 18:23 as dose 4 (booster), single (Lot number: OJ6742) at the age of 21 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Hypothyroid" (ongoing), notes: Hypothyroid Has low thyroid. Diagnosed with when patient was 18 years old. The patient's family history included: "IgG sub class 3" (unspecified if ongoing). Concomitant medication(s) included: LEVOTHYROXINE taken for hypothyroidism (ongoing). Vaccination history included: BNT162b2 (First dose, lot: EL3247, NDC: unknown , expiration: unknown , Route of adminstration: right arm, Time: 1400 or 1500), administration date: 30Mar2021, when the patient was 19-year-old, for COVID-19 immunization; BNT162b2 (Second dose, lot: EL3247, NDC: Unknown , expiration: Unknown , route of adminstration: right arm, Time: 1400 or 1500), administration date: 20Apr2021, when the patient was 19-year-old, for COVID-19 immunization; BNT162b2 (Third dose, lot: FM9992, NDC: Unknown , expiration: unknown , route of administration: right arm, Time: 1700 or 1800), administration date: 21Apr2022, when the patient was 20-year-old, for COVID-19 immunization; Pneumococcal vaccine (Has a slight immune deficiency. Clarifies, doesn't develop antibodies to Pneumococcal Vaccine. Typically hoping develops immune response. Several years ago, not recently. Received many pneumococcal vaccines.), for Immunization. The following information was reported: PYREXIA (non-serious), LYMPHADENOPATHY (non-serious) all with onset 12Jan2023, outcome "unknown" and all described as "Had fever and had golf size lymph nodes."; HEART RATE INCREASED (non-serious), HYPOTENSION (non-serious) all with onset 12Jan2023, outcome "unknown" and all described as "Heart rate was high and blood pressure really low"; DIZZINESS (non-serious) with onset 12Jan2023, outcome "unknown", described as "dizzy"; FALL (non-serious) with onset 12Jan2023, outcome "unknown", described as "had fallen over looking at stuff"; PRESYNCOPE (non-serious) with onset 12Jan2023, outcome "unknown", described as "like wanting to pass out but did not completely.". The events "like wanting to pass out but did not completely.", "had fallen over looking at stuff", "dizzy", "heart rate was high and blood pressure really low" and "had fever and had golf size lymph nodes." required emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of pyrexia. Additional information: Reported that patient and dad have IgG sub class 3. Further stated that patient has immune deficiency, was testing to see if developed any antibodies, does not develop antibodies to Pneumococcal Vaccine. Did test at immunology office. Trying to find out why immune system doesn't work well. It was reported that on 12Jan2023 patient went shopping around 1800, was in dressing room trying something on, mother knocked on door and patient had fallen over looking at stuff. Had a strawberry Frappuccino, drank something and was fine. But 17 minutes later was very dizzy. Sat a while. Took patient back to pharmacy. Clarified it was 1823 when patient received the Pfizer Bivalent Booster dose and 17 minutes later when began. Went to pharmacist who took heart rate and blood pressure. Laid patient down in back of pharmacy. Heart rate was high and blood pressure really low. Suggested call ambulance and took patient to emergency room. Patient was discharged from the emergency room. By time got to emergency room symptoms kind of got a little better. Did EKG in ambulance and at hospital and seemed to have gotten better. Was supposed to follow up after the emergency room. Heart rate up and blood pressure down again. Patient fell forward again, like wanting to pass out but did not completely. Had to sit back. Took blood pressure. Heart rate up and blood pressure down. Took to urgent care, was going there anyways to follow up from emergency room visit. Patient was given Ibuprofen for fevers. When took to urgent care fever had gone away. Clarified, the patient just took temperature and was 99.1, has come down.