Age: 70.0
Sex: F
Vaccine: COVID19, FLUX, VARZOS
Symptoms: Anion gap, Full blood count, Headache, Hypersensitivity, Red blood cell count
Clinical narrative: Slight headache/ left side, frontal and temporal lobe headache; allergic response; This is a spontaneous report received from a contactable reporter (Nurse). The reporter is the patient.  A 70-year-old female patient received bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 10Oct2023 at 12:15 as dose 1, single (Batch/Lot number: unknown) at the age of 70 years, in left arm for covid-19 immunisation; varicella zoster vaccine rge (cho) (SHINGRIX), on 10Oct2023 at 12:15 as dose number unknown, single (Batch/Lot number: unknown), in right arm for herpes zoster immunisation; influenza vaccine (INFLUENZA), on 10Oct2023 at 11:00 as dose 2, single (Batch/Lot number: unknown), in left arm for immunisation. The patient's relevant medical history included: "three episodes of breast cancer (history)" (unspecified if ongoing); "diabetic" (unspecified if ongoing), notes: long history of diabetes; "Shingles" (unspecified if ongoing), notes: she thought she had two episodes in the past; "Allergies" (unspecified if ongoing), notes: had long standing allergies. The patient's concomitant medications were not reported. Past drug history included: Tetracycline, reactions: "allergy/ allergic reaction"; "difficulty breathing when she was a teenager"; and "hives"; Aspirin, reactions: "allergic to adult dose/ allergic reaction"; "difficulty breathing when she was a teenager"; and "hives", notes: known medical condition. Vaccination history included: Influenza (DOSE 1; MANUFACTURER UNKNOWN, Batch/Lot number: unknown), for immunization. The following information was reported: HEADACHE (non-serious) with onset 11Oct2023 at 11:00, outcome "recovering", described as "Slight headache/ left side, frontal and temporal lobe headache"; HYPERSENSITIVITY (non-serious) with onset Oct2023, outcome "recovering", described as "allergic response". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of hypersensitivity, headache. Additional information: The patient took Ibuprofen for headache. The patient had switched from Ibuprofen (not a Pfizer product; NDC number: 49035-912-12; Batch/lot number: P130715, Expiry date: Jul2025) to diphenhydramine (Benadryl) and acetaminophen (Tylenol, not a Pfizer product; NDC number: 49035-047-24; Batch/lot number: WJ00608, Expiry date: Nov2022); they all were subsiding, but she knew that they were still there. The patient confirmed she consumed the expired medication (Acetaminophen), but it helped; it worked. The patient was then informed to contact Poison Control Centers department in case of emergency. The patient thought she had an allergic response to three vaccines that she got on Tuesday. She got the new COVID-19; she thought she got the double variant flu, because she was a diabetic; and she got the shingles (later clarified as Shingrix), because she thought she had two episodes in the past and she just wanted to be covered up with something like vaccines. When probed for the facility type, the patient stated that she got vaccinated in both; her flu shot was in her doctors office and her COVID and shingles shots were in the clinic. The patient got the flu shot at the doctors office at about 11 o'clock. Then she went by the clinic, all the way home and she got the COVID and the Shingrix at 12:15. The patient only knew that it was Flu Valent and its the number two, its the stronger dose, because she had been long term diabetic. The patient got Flu and Shingrix vaccine every year, because she had long standing allergies. The patient had lab test on Monday when she went to her oncologist. All of them were normal, except one, but it was like anion gap and she couldn't remember it. But everything else was normal. She thought its with her blood count, one of those RBC ratios or something was on the low side. The event started when she got up the next morning. She had a slight headache, so, she took the Ibuprofen; she took 800 milligrams of Ibuprofen and took a nap. It was about maybe around 24 or 26 hours something like that. She got it (vaccines) around 11 and she started with a headache around 11, the next day. It was left side, frontal and temporal lobe headache. She took it (Ibuprofen) around 11 and she took it again around 1 o'clock in the morning, because it was like mid-day. The patient had not had Tetracycline and adult dose Aspirin since she was a teenager, as she had the allergic reaction. The patient reassured that the symptoms were subsiding. They started to subside after she took the Benadryl, Tylenol PM, but it longed out taking the Ibuprofen about every 8 hours and so or 5 hours. She had the headache again, 5 hours; she started to have more at the time of the report. The patient clarified that after taking Ibuprofen, headache was persisting, but she switched from Ibuprofen to the Benadryl and Tylenol. They all were subsiding, but she knew that they (adverse effects) were still there, so she was going to have to go and take other dose in little bit. The patient just have Ibuprofen left, so she was going to use the Ibuprofen next. The patient further clarified that she was taking the generic name, Acetaminophen with Diphenhydramine.  The information on the batch/lot number for bnt162b2 omi xbb.1.5 has been requested and will be submitted if and when received.