Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, UNK
Symptoms: Electroencephalogram, Laboratory test, Lumbar puncture, Magnetic resonance imaging head, Magnetic resonance imaging neck
Clinical narrative: Seizure; a fever that was 101.4; Aspiration Pneumonia, due to aspirating or vomiting during the seizure; Aspiration Pneumonia, due to aspirating or vomiting during the seizure; Aspiration Pneumonia, due to aspirating or vomiting during the seizure; arm on the left side at the armpit was swollen; This is a spontaneous report from a contactable consumer. This consumer (patient's wife) reported for a 69-year-old male patient (husband) who received second dose of BNT162B2 (Pfizer-BiONtech COVID-19 vaccine, formulation: solution for injection), via an unspecified route of administration, administered in Arm Left on 03Mar2021 18:00 (Batch/Lot Number: EN6198) as single dose for Covid-19 immunization; cephalexin hcl (Capsule, 500 mg), via an unspecified route of administration from 10Mar2021 to 10Mar2021, at 500 mg, once daily, (He only had the 1 dose) for protection. Medical history included Diabetes Type 2 and lymph node was removed from the left armpit on 05Mar2021. Historical vaccine included BNT162B2 (Pfizer-BiONtech COVID-19 vaccine), (First Dose: Lot EL8982, No Expiry written, administered on the Left Arm) for COVID-19 immunisation on 10Feb2021 and experienced lymph node was removed from the left armpit, Pneumonia vaccine on Feb2012 for Immunization and experienced he had a reaction from it. Pneumonia vaccine Feb2012 and he ended up in Hospital because he had a reaction from it, she does not know Name, Lot number, or Expiry of the pneumonia Vaccine, had a reaction with the pneumonia vaccine in the past. Concomitant medications were not reported. Patient experienced Seizure, a stroke, convulsing on 10Mar2021, a fever that was 101.4 on 09Mar2021 and Aspiration Pneumonia, due to aspirating or vomiting during the seizure, arm on the left side at the armpit was swollen on Mar2021. She was calling about the Covid Vaccine. She was calling on behalf of her husband. They got both covid vaccines, the first was 10Feb2021 and the second was on 03Mar2021 at 6 pm. On 10Mar2021 her husband had a seizure, he was 69 years old, and he has never had a seizure before. She was wonder if this could be any relation to the vaccine or other things leading up to it. She has already called and reported this on the site but no one has called her from the (Public agency name). Reporter was a Medical Secretary, but she retired 8 years ago. His First Dose was on 10Feb2021 at 6 PM. The Second Dose was on 03Mar2021 at 6 PM, the Seizure happened on the 10Mar2021. Facility of vaccine administration: It was apart of "(name withheld)" it was like a pop up clinic but offered by (name withheld). It was in (address withheld). She confirms this was a Medical facility, not Military facility, it took place in a physician office suite. The Seizure was a 1 time event, he was not still experiencing seizures. It lasted about a minute, more or less, but she called #, she screamed because she was scared. He was then taken to the hospital, admitted, and then discharged. At the Hospital they did everything, they ruled out a stroke, ruled out everything. They said this was not due to any epileptic nature, her husband had Brain EEG, MRI, MRA, Chest X ray, Head CT, Ct Scan of the Head, Ct Scan of the Chest, Spinal Tap, Blood Culture for Sepsis. Caller was queried if there was any known results she would like to share, she states that everything was normal. Outcome: He ended up with Aspiration Pneumonia, due to aspirating or vomiting during the seizure. Caller was queried on what the current status of the Aspiration Pneumonia was, she stated that he was good, he had a Follow Up yesterday with the doctor, he was pretty good at the moment, he was coughing a lot but that's related to the aspiration pneumonia, he does have another Chest X ray in 4 weeks to a month. First Dose: Lot EL8982, No Expiry written, administered on the Left Arm. Second Dose: Lot EN6198, No Expiry written, administered on the Left Arm. Concomitant Medication: It was questionable and dark. On 03Mar2021 he had his second dose, then on 05Mar2021 at 9 AM he had a procedure in which a lymph node was removed from the left armpit. This procedure was actually scheduled after the first covid vaccine dose. It was done in the doctors office, by Tuesday afternoon 09Mar2021 he was running a fever that was 101.4 late in the day. They initially thought it was a lipoma. Caller was queried if she knew what the actual procedure name was, she stated Left. It was some proper medical name for arm pit. They called the general surgeon that did this surgery, their doctor actually referred her husband to him, he said bring him in the morning and give him Tylenol or Advil, it helped the fever and it came down but the arm on the left side at the armpit was swollen. Her husband went to the doctor in the morning 10Mar2021, he had a 10:30 AM appointment, he saw Physician Assistant and she removed 22 cc's of a light red fluid, when it was removed her husband was like oh my god what a relief! For protection, her husband was prescribed an antibiotic, caller initially said Keflex but then confirms that it is actually generic Cephlaxin 500 mg twice a day. He was fine when he left the office, they even stopped at the store, and then when they pulled into the driveway the Physician Assistant called to ask if he feels okay, this was at 12:50 noon. The Cephlaxin was started, they then walked into the house made a sandwich had a drink and he took the first pill, then at 1:36 PM she was on the phone. It was in between 12:50 and 1:36 PM that he had the seizure, it just right before 1:36 PM. Prior to seizure, her husband was sitting down, and he said "my eyes, the light is blinding his eyes, he cant see" She then looked over at him and he was seizing and convulsing. Cephalexin: Dispensed in an amber orange brownish color pharmacy vial, it is capsules, oblong, light green, it says 219 on the capsule. The Manufacture is (Manufacturer name). He only had the 1 dose on 10Mar2021, and did not take anymore, it was stopped. Medical conditions: Caller was queried if there are any Allergies, she stated No, however in 2012 he had a Pneumonia vaccine Feb2012 and he ended up in Hospital because he had a reaction from it, she did not know Name, Lot number, or Expiry of the pneumonia Vaccine. Her husband has had no other vaccines on the same day as the covid vaccine or in the 4 weeks prior. This experience did cause him to go to the ER and Physician Office, as she mentioned yesterday he had a follow up on 18Mar2021 and he has another this coming Monday 22Mar20221, it was a follow up with the surgeon. Treatment: He came home, they called in a medication which he took his last dose last night of Augmentin. He was on IV medication in the Hospital. When speaking with the family doctor he said that it could be multiple things, he doesn't know what to think as there is no conclusive answer. He said this could be the cephalexin or the covid vaccine considering her husband had a reaction with the pneumonia vaccine in the past. The doctor said for now, no more vaccines, nothing for him. She was given a case number through the the site, she doesn't if she will hear from the (Public agency name). The patient underwent lab tests and procedures which included blood culture: normal on Mar2021, temperature: 101.4 fahrenheit on 09Mar2021, chest x-ray: normal on Mar2021, CT scan: normal on Mar2021, Head CT: normal on Mar2021, Brain EEG: normal on Mar2021, Spinal tap: normal on Mar2021, MRI: normal on Mar2021, MRA: normal on Mar2021.The action taken in response to the events for cephalexin hcl was permanently withdrawn on 10Mar2021. The outcome of the events, for Seizure was Recovered/Resolved with Sequel, for Aspiration Pneumonia, due to aspirating or vomiting during the seizure, arm on the left side at the armpit was swollen, outcome was unknown, for a fever that was 101.4, outcome was recovering, for a stroke outcome was unknown.