Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Oropharyngeal pain, Sinus disorder, Throat irritation
Clinical narrative: she has some sinus drainage.; her Sodium was a little low; Immediate sore and scratchy throat; Immediate sore and scratchy throat; Blood Pressure shooting up very high; Chills; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 78 year-old female patient received bnt162b2 (BNT162B2), administered in arm right, administration date 01Apr2021 13:08 (Lot number: ER8737) at the age of 78 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "High Blood Pressure" (ongoing), notes: Diagnosed a long time ago.; "her Sodium levels to be a little low sometimes" (unspecified if ongoing). The patient took concomitant medications. Vaccination history included: Flu vaccine (Vaccine/Brand Name: Flu Vaccine/No Brand Name), administration date: 2019, for immunization, reaction(s): "blood pressure high". The following information was reported: THROAT IRRITATION (non-serious), OROPHARYNGEAL PAIN (non-serious) all with onset 01Apr2021, outcome "recovering" and all described as "Immediate sore and scratchy throat"; BLOOD PRESSURE INCREASED (non-serious) with onset 01Apr2021, outcome "not recovered", described as "Blood Pressure shooting up very high"; CHILLS (non-serious) with onset 01Apr2021, outcome "not recovered", described as "Chills"; SINUS DISORDER (non-serious), outcome "unknown", described as "she has some sinus drainage."; BLOOD SODIUM DECREASED (non-serious), outcome "unknown", described as "her Sodium was a little low". The event "blood pressure shooting up very high" was evaluated at the physician office visit and emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of throat irritation, oropharyngeal pain, blood pressure increased.  Additional information: Patient stated she had the vaccine a week ago yesterday and had a horrid reaction. Stated her blood pressure shot up right away. She was sent to the Emergency Room and was there for 4 and a half hours. Said she had to go back this past Monday because her blood pressure was up in the 200s over something. Said when she got to the Emergency Room it was 215 over something. Said her blood pressure is normally controlled. Her blood pressure doctor is out of town. Said she has talked to her cardiologist and a different blood pressure doctor about this. Patient stated she has been taking her medication for her blood pressure. Said her blood pressure just hasn't been normal since she received the vaccine. Said the stress that it has added isn't helping either. Her regular doctor told her to present to the Emergency Room if her blood pressure reaches 160. The Emergency Room doctor told her that was not necessary. Stated she has chills still this morning and the shot was a week ago yesterday. Stated she is terrified of taking her second shot. Her cardiologist told her to get it but she doesn't want to take it and then die. Stated her time is limited as she has an appointment with her back doctor this afternoon. Agrees to report. Stated that her throat became sore immediately. Stated that her throat was not closing but within 10 minutes of receiving the vaccine it was very sore and scratchy. She was given Benadryl at that time. Said it the throat itchiness and soreness was gone the next day but it still persists off and on now. She is not sure if that's related to her reaction or because she has some sinus drainage. Said that within 15 minutes of the vaccine her blood pressure was 200 and something over 98. That was when they sent her to the Emergency Room. Stated the chills she is still experiencing also began on the day of the vaccination. Concomitant Products: Patient stated she takes blood pressure medication. Said it normally keeps her blood pressure level. Her blood pressure may shoot up once in a while; like if she is stressed or something. Patient declines to share any names or doses of her medications. Investigations: Patient stated they did blood work when she was at the Emergency Room and told her that her kidneys looked good and her Sodium was a little low. She stated this is normal for her Sodium levels to be a little low sometimes. Stated that in 2019 she had a reaction to a vaccine where her blood pressure shot up really high; stated they kept her at Urgent Care for 3 hours to get it back down. When discussing her reaction to the flu vaccine in 2019 that caused her blood pressure to become high; patient stated that was the only time in 15 years of getting the flu shot she had something happen. Stated she knows that they change the flu shot every year. She wonders if there was something in that years flu shot that is also in the Covid Vaccine. Stated she is wondering if she should get her second vaccine. Has seen doctor's on television and the news who have said if you have a reaction to the first vaccine not to get the second one. Wanted to know if Pfizer recommends getting the second vaccine if you had reactions with the first dose.  She wondered if there was something in her 2019 flu shot that is also in the Covid Vaccine. They both made her blood pressure high. History of all previous immunizations with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available): None. Additional Vaccines Administered on Same Date of the Pfizer Suspect: None. Prior Vaccinations (within 4 weeks): None.  No follow-up attempts are possible. No further information is expected.