Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation, Road traffic accident, Skin laceration, Somnolence
Clinical narrative: almost got in to a few accidents, 2 little accidents; mentally out of it/ consciousness fog, brain fog, out of it, diminished cognitive acuity; mentally out of it/ consciousness fog, brain fog, out of it, diminished cognitive acuity; the sense of fogginess/ consciousness fog, brain fog, out of it; cut thumb while chopping food; having trouble staying awake; This is a spontaneous report received from contactable consumer. The reporter is the patient.  A 70-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), administered in the right arm (right shoulder), administration date 22Mar2021 13:20 (Lot number: ER2613) at the age of 70 years as dose 2, single for COVID-19 immunisation. The patient had no relevant medical history. Concomitant medication included: TETANUS SHOT taken for immunisation, administration date 23Mar2021. Vaccination history included: BNT162B2 (dose 1, administered in the left shoulder, Batch/Lot number: EN6200, Expiry Date: 30Jun2021), administration date: 23Feb2021 13:10, when the patient was 70 years old, for COVID-19 immunisation, reactions: "Cognitive disorder", "Feeling abnormal", "somnolence"; Pneumonia shots (juggling pneumonia shots), for immunisation. The following information was reported: FEELING ABNORMAL (non-serious) with onset 22Mar2021 20:00, outcome "not recovered", described as "the sense of fogginess/ consciousness fog, brain fog, out of it"; SKIN LACERATION (non-serious) with onset 22Mar2021 20:00, outcome "not recovered", described as "cut thumb while chopping food"; SOMNOLENCE (non-serious) with onset 22Mar2021, outcome "not recovered", described as "having trouble staying awake"; ROAD TRAFFIC ACCIDENT (non-serious) with onset 23Mar2021, outcome "unknown", described as "almost got in to a few accidents, 2 little accidents"; MENTAL DISORDER (non-serious), COGNITIVE DISORDER (non-serious) all with onset 23Mar2021, outcome "not recovered" and all described as "mentally out of it/ consciousness fog, brain fog, out of it, diminished cognitive acuity". The event "cut thumb while chopping food" was evaluated at the physician office visit and emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: The patient drives a tractor trailer. He wound up taking the next day off at work because he didn't feel comfortable working. He took the second day off, Tuesday off, Wednesday off (on 23 Mar2021 and 24Mar2021), because he didn't feel that he could drive. On 23Mar2021, at 05:15, he called his physician for the cut in his thumb and the physician said he should have gotten this stitched. The patient drove to the hospital (emergency room). When he was driving from the hospital he almost got in to a few accidents, 2 little accidents. He is 40 years a professional and he doesn't do those kind of accidents. He was looking at a billboard and missed the details of the billboard, hit the breaks. He said he did the right thing staying away from work, to take today off as well and not worry about it. The patient also stated that having trouble staying awake has worsened after the second dose.  No follow-up attempts are possible. No further information is expected.