Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Panic reaction
Clinical narrative: Metallic Taste in the mouth; head feeling pressure like its full/like air filling up in the brain/getting full all quick/the insides of the head were scrambling/was short circuiting and misfiring/was a scrambling in her brain; heart started racing and pounding; chest tightness; experienced a soreness of the arm; This is a spontaneous report from a contactable consumer or other non hcp (patient herself). A 59-years-old female patient received bnt162b2 (BNT162B2, Formulation: Solution for injection, Lot Number: EN6207, Expiry date: Unknown) via an unspecified route of administration in Arm Left on 17Mar2021 (at the age of 59 years) as dose 1, single for COVID-19 immunisation. Medical history included hypothyroidism from an unknown date and unknown if ongoing, morbid obesity from an un-known date and unknown if ongoing. She has had No other vaccines on the same day or 4 week prior. Concomitant medication(s) included levothyroxine sodium (SYNTHROID) 112 mcg taken for an unspecified indication, start and stop date were not reported; pantoprazole (PANTOPRAZOLE) 20 mg taken for an unspecified indication, start and stop date were not reported; colecalciferol (VITAMIN D 3) 1000 iU 2 by mouth taken for an unspecified indication, start and stop date were not reported; acetylsalicylic acid (BABY ASPIRIN) taken for an unspecified indication, start and stop date were not reported. She normally takes a baby aspirin, but she did not that day because she heard don't take aspirin and tylenol before the shot, she didn't take baby aspirin that morning. The patient previously took flu vaccine in Sep2020 and shingles vaccine over a year ago, hydrocodone and experienced heart rate in-creased, toradol and experienced heart rate irregular and ibuprofen and she has had it at larger doses and had a problem. On 17Mar2021, the patient experienced metallic taste in the mouth, head feeling pressure like its full/it was like air filling up in the brain, like it was getting full all quick, and the insides of the head were scrambling/felt like it was short circuiting and misfiring, like there was a scrambling in her brain, heart started racing and pounding, chest tightness and on an unspecified date in 2021, experienced a soreness of the arm. Patient elaborated on what she means by reaction, when she got the shot within 15 or 16 minutes, she had a metallic taste in the mouth and immediately it led to her head feeling pressure like its full, her brain was doing a lot of stuff like it was misfiring or short circuiting, and then her heart started racing and pounding. She doesn't know if her heart racing was because she got scared or it was the shot. She thought the Metallic taste was no bid deal, sometimes with MRI contrast she understand that can happen but with her Brain it was kind of hard to explain, she's had nothing like it. After the metallic taste, it was like air filling up in the brain, like it was getting full all quick, and the insides of the head were scrambling. Outcome was, the metallic taste went away, it was gone in 30 seconds, quickly the brain thing went away, like a quick 30 seconds or minute. Her heart racing and pounding ended the same day also. After the vaccine they had her sit there, she was afraid to get up, and no one was checking on her at the pharmacy, she just sat there with her heart racing for a couple minutes, it then started to subside, her husband was waiting for her. She did go to the pharma-cist and told them she experienced a side effect, the pharmacist hadn't heard of it before, she was then feeling better but then chest tightness occurred after, she clarified that she was not experiencing it now. Her Heart pound and racing was for about 5 minutes it then subsided and the chest tightness was for 3 hours. She has recovered completely. She laughs and states that mentally it gets her Blood pressure up just talking about it. She is Scheduled for second dose, it's supposed to be in 3 weeks, but they did it in 4 weeks, she thinks it's 14Apr2021. She has sensitivity, a little medicine goes a long way for her, she is sensitive to medications, she doesn't know which reacted with her but she had hydrocodone and Toradol and her heart was racing and was irregular. This was several years ago. Caller states that she misspoke when saying irregular heartbeat, she actually doesn't know if it was irregular, they did not tell her this. Her heart was racing and she was uncomfortable. She can take ibuprofen and she has had it at larger doses and had a problem, she was also very sensitive to caffeine. These experienced were back in Feb2018. She has no Lot or Expiry for Ibuprofen, hydrocodone, and Toradol, they have been discarded. She has no Allergies. The patient underwent lab tests and procedures which included 2 weeks ago she had a panoramic Mouth x-ray around the head, normally for pregnant patient they give a cover on their torso, but the lady told her the radiation was less than the sun and didn't need it. Treatment was nothing used to treat it, she just dealt with it, her Sister-in-Law said the tight-ness of the chest could have been like she was having a panic attack. The outcome of all the events was recovered on 17Mar2021 and soreness of arm was recovered on an unspecified date in 2021.  No follow-up attempts are needed. No further information is expected.  Follow-up (09Jul2021): Follow-up attempts are completed. No further information is expected.