Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Heart rate, Heart rate increased, Vaccination site erythema
Clinical narrative: elevated heart rate; lightheaded; redness as the injection site; This is a spontaneous report received from a Consumer or other non HCP from medical information team.  A 79-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), in Apr2023 as dose number unknown, single (Batch/Lot number: unknown) at the age of 78 years for covid-19 immunisation. The patient's relevant medical history included: "low sodium" (unspecified if ongoing); "Hypothyroidism" (ongoing); "Trigeminal neuralgia" (unspecified if ongoing), notes: for about 11 years; "high blood pressure" (ongoing); "blood cholesterol abnormal" (ongoing). Concomitant medication(s) included: SIMVASTATIN taken for blood cholesterol abnormal; LEVOTHYROXINE taken for hypothyroidism; TEGRETOL taken for trigeminal neuralgia. The patient also took other concomitant therapy. Vaccination history included: Bnt162b2 nos (DOSE NUMBER UNKNOWN), for COVID-19 immunisation, reaction(s): "flu like symptoms", "low grade fever". The following information was reported: HEART RATE INCREASED (non-serious), outcome "unknown", described as "elevated heart rate"; DIZZINESS (non-serious), outcome "unknown", described as "lightheaded"; VACCINATION SITE ERYTHEMA (non-serious), outcome "unknown", described as "redness as the injection site". Relevant laboratory tests and procedures are available in the appropriate section.  Additional Information: It was reported that the patient had had all Pfizer COVID vaccine and had not had any problem with them until her last one when she had elevated heart rate for several days, she was lightheaded and had redness as the injection site. The patient had had low sodium for quite few years and part of its her body tends to do that but also she had trigeminal neuralgia, she had had that for about 11 years and one of the medication they gave her tend to lower her sodium so that kind of exaggerated the whole thing but she had been having light headedness but there was a lot of things, she was thinking it might be caused by it. The patient had a concern with getting this year's vaccine so she talked to primary and she suggested the patient call to receive more information. Also, a pharmacist said they had may be one person last year that complained about the same thing. The patient did have redness at the site and then she had the light headedness with nothing new and had that for over a year now so that was nothing new. The patient had elevated heart rate which it was not super high typically run about 62 heart rate and it was up and around 77 may be something like that last for a couple of days and she kind of expect to have flu like symptoms but that was something that she had not had before. About her trigeminal neuralgia, she had episodes where it gets worse and then she increase the medication but then it will be kind of quiet for a while. The patient did not know what causes it. The patient had low grade fever, it was typically flu symptoms for the previous immunization with Pfizer vaccine. The patient did not receive any other vaccine on the same date that the suspect was administered. The patient had lab work done because they had to check her sodium that was within the last couple of weeks, everything was fine except her sodium was low.