Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Antibody test, Frustration tolerance decreased
Clinical narrative: he is frustrated; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team for a Pfizer sponsored program COVAX US Support.(159558). The reporter is the patient.  A 75 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 04Mar2021 (Lot number: EN6202, Expiration Date: 30Jun2021) at the age of 74 years as dose 2, single for covid-19 immunisation, prophylaxis. Relevant medical history included: "Rheumatoid arthritis", start date: 2005 (unspecified if ongoing), notes: diagnosed about 15 years. Concomitant medication(s) included: METHOTREXATE taken for rheumatoid arthritis; ORENCIA taken for rheumatoid arthritis. Vaccination history included: Bnt162b2 (DOSE: 1, Lot: EM9809, Dosage text: 0.3ml, injection in left arm, Expiry date: 30Jun2021), administration date: 11Feb2021, when the patient was 74 years old, for COVID-19 immunization. The following information was reported: FRUSTRATION TOLERANCE DECREASED (non-serious), outcome "unknown", described as "he is frustrated". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: A 75 year old male consumer who go his second dose of the Pfizer BioNTech Covid-19 vaccine in Mar2021; recently had bloodwork and had no antibodies. He is asking if he has to start the series over again.  Mentions he is frustrated with his doctor because he had the test about a month ago, and just got the results a few days ago, and that he's been walking around all this time and could have gotten the virus and he did not know. States he has a history of rheumatoid arthritis, and get infusions of Orencia once a month, and also takes methotrexate.  Asks if that would that have anything to do with him having no antibodies. His doctor told him that he needed to wait 2 weeks before getting another infusion after getting the vaccine; later told him a month, so he is not sure what to believe. Stated that antibody test result was a percentage of 0.85, and had to be below 0.79; unsure of the name of the test, caller said it, but it was not clear. Should have asked him to spell it, but did not at the time.  He asked if we knew about those numbers or what they mean. He recently had a blood test and had no antibodies in his system. Wondering if he will have to be revaccinated. He was asking if the medication he takes would have anything to do with it. Would he have to restart the series since he thinks he does not have antibodies. He thought he was protected from covid and had the antibody test done a month ago but received his results the other day. She is transferring him for a negative antibody test after the vaccine.  He had the antibody test on 01Sep2021 but did not find out about his results till this past Tuesday. He declined consent to contact rheumatologist since she is misleading him on quite a few things. He thinks he will find another rheumatologist. He does not have Orencia or methotrexate handy to provide details such as lot, ndc, expiration, or manufacturer.  No follow-up attempts are possible. No further information is expected.