Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Pain in extremity
Clinical narrative: post menopausal vaginal bleeding; She had spotting occur a week later on 30Apr2021; This is a spontaneous report from a contactable consumer (Patient).   A 46-years-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EW0158/Batch number was not reported), via an unspecified route of administration, administered in arm left on 24Apr2021 (at the age of 46-years-old) as 1st dose, single dose for covid-19 immunisation. Medical history of the patient included hormone therapy, menopause from an unspecified date in Aug2008 (It has been 13 years since patient went through menopause in Aug2008), covid-19 from an unspecified date in Feb2021 (She had COVID She had Covid, she thinks around February. She was not tested but had antibodies. She had COVID then and then she tested positive for antibodies before getting the vaccine), hypersensitivity from an unspecified date in Feb2021 (The only time she did not feel well was with allergy symptoms, around mid Feb2021, around 15Feb2021). Concomitant medications included estradiol at a dose of two times daily (0.5pr, 30mg, one click, twice a day) taken for hormone therapy and testosterone cream daily (2% cream, MWF, 2 clicks per day) taken for hormone therapy. Family medical history included her parents and sister all were vaccinated and were fine. Her dad and sister have heart conditions but have been fine, no one had any effects other than like sore arm and tired. The patient did not receive any other vaccines within 4 weeks prior to the vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. The patient did not receive any other vaccines on the same day of vaccine vaccination. The patient did not have any previous history of immunization with Pfizer vaccine. On 30Apr2021, the patient experienced post-menopausal vaginal bleeding. The bleeding was on and off a couple times, but it was not going on anymore. The reporter stated that, she had spotting occur a week later on 30Apr2021 and then she was full on bleeding from the 03May2021 to 09May2021. She said it was not like it has only been a couple years, she said she normally does not bleed. Patient contacted the doctor when she had spotting. She was having sex and did not really associate it with the vaccine because she had her shot in the arm and didn't have many symptoms from it. It has been a while since her last period. She used to have lighter periods she was not a heavy bleeder but with this she had super tampons in and pads and went through them in an hour, intermittently. It was a lot of blood. Patient spoke with her gynecologist who sent her to get an ultrasound because she said she should not be bleeding so she wanted to rule out cancer. The ultrasound was on 06May2021 and was normal. The doctor gave her 5mg norethindrone to take every night. It was given to stop the bleeding; it was 5 tablets one every night. She took it from the 06May2021 to the 10May2021 and her doctor said it should stop within a couple days, but it took longer, it stopped on 10May2021. Then it started again and bled from 13May2021 to 17May2021. After 17May2021, there was no more bleeding. Is pretty sure it was 17May2021, was roughly around that time. The patient underwent lab tests and procedures which included pregnancy test: not pregnant on an unspecified date, ultrasound scan: normal on 06May2021 and blood work: unknown results on 02Jun2021. The outcome of the events was resolved on 17Apr2021.  Information on the lot/batch number has been requested.