Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Gastrointestinal obstruction, Intestinal obstruction, Investigation, Migraine
Clinical narrative: appear to have a partial blockage of digestive system; It has been 2 complete weeks since she received the vaccine and she is still having some sort of intestinal blockage or obstruction; bruise; serious migraine headache; have degenerative arthritis in her spine; still having tremors at night; muscle spasms cramps; Constipation; pain in kidneys; muscle aches and pains; Chills; pain shooting across back of neck and shoulders; diarrhea; bloated; coated tongue, white film over her tongue; metallic taste; This is a spontaneous report from a contactable consumer (patient). A 66-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, #lot: EK9231) intramuscularly administered in Arm Right on 27Jan2021 11:00 (at the age of 66-years-old) as single dose for COVID-19 immunisation. Medical history and concomitant medications included none. The patient previously took amoxicillin pill and experienced adverse reaction. A long time ago she had a reaction to a rhogam shot, she checked the ingredients, and the only similar ingredient is sodium chloride, she does not have lot, NDC, or expiration. She is Rh- blood and rhogam was given to her for blood crossing over. Prior Vaccinations (within 4 weeks), history of all previous immunization with the Pfizer vaccine considered as suspect and additional vaccines administered on same date of the Pfizer Suspect included none. Adverse reactions following prior vaccinations included none that she remembers, then clarifies she had an adverse reaction to an amoxicillin pill, she does not have lot, NDC, Exp or manufacturer. The patient experienced , appear to have a partial blockage of digestive system on an unspecified date, it has been 2 complete weeks since she received the vaccine and she is still having some sort of intestinal blockage or obstruction on an unspecified date, pain shooting across back of neck and shoulders, diarrhea on 27Jan2021, pain in kidneys, muscle aches and pains, chills on 29Jan2021, muscle spasms cramps on 30Jan2021, constipation on 30Jan2021, bloated, coated tongue, white film over her tongue, metallic taste on Jan2021, bruise, serious migraine headache, have degenerative arthritis in her spine, still having tremors at night on an unspecified date, she drank a milk product and had horrible stomach cramps and had a big stomach explosion, appear to have a partial blockage of digestive system, it has been 2 complete weeks since she received the vaccine and she is still having some sort of intestinal blockage or obstruction on an unspecified date. Patient had the Pfizer Covid vaccine on 27Jan2021 and did have some side effects that people are supposed to have on the second dose, but she started having some pretty bad side effects a couple of days after the first dose of the vaccine. Patient clarified she had one bad side effect the night of the vaccine than felt. Then she started having some different side effects. Patient was asking if she should get the second dose. She asked her doctor and her doctor recommended to contact Pfizer. She was asking if other people are having these side effects. Height/Weight was estimated. She saw the nurse practitioner after she had the side effects, no email. Immediately within seconds of the shot, she felt pain shooting across back of her neck and shoulders, it still hurts, it has improved. She asked the facility if it was normal, and they said no. She saw 03Sep2020 printed on the bottom of the card, thinks it is the card creation date and read mls # from the card. She has a bruise where the shot was given, a big round bruise, she thinks that is normal. Later that night after she got the vaccine, she drank a cup of hot chocolate and her stomach started gurgling and she got very bloated. She had severe stomach cramps for two hours which ended up in a big stomach explosion, clarified as diarrhea which recovered completely the same evening. For the next few days, she ate soda crackers, drank tea and stuff and it was fine. She went a couple of days and it was fine. She had a tiny bit of milk with grits, and she is not lactose intolerant, and she started experiencing muscle spasm cramps that started Saturday, reports that they come and go like labor pain. The cramps recovered but her stomach has not recovered. She is still bloated, sometimes the bloating comes down and sometimes it stays, even if she does not eat anything. Constipation started Saturday and is still occurring a week later. She experienced pains in her kidneys, and this is the reason she went to see her doctor. She thought she might have a kidney infection or kidney stones, but she did not have a kidney infection or kidney stones. Her HCP told her it was probably due to muscles. She provides that one of the tests said something irregularity with kidney, but she does not have the test available to provide complete details. States it is still a small pain, but it is not excruciating at this time, the excruciating pain stopped on Monday, but there is still a little bit of pain as of today. She also experienced muscle aches and pain, Chills which she is not sure if there is a relationship with the shot or something else. She did not have a fever. The day after her horrible stomach cramps she noticed she had a coated tongue, white film all over her tongue. She clarifies she is not sure if this started Thursday, Friday, or Saturday. She thinks it started the night after the bad stomachache. The same day she noticed the coated tongue, she noticed she had a metallic taste, then clarifies maybe the metallic taste started the day after the vaccine. The metallic taste comes and goes, reports she has experienced this before. She had a serious migraine headache for several days; she is not sure if this is from the vaccine or from the weather changing. Patient was taking treatment with stool softener hoping her stomach will get better. The doctor did order an X-ray of her neck on Monday and she was found to have degenerative arthritis in her spine. She thinks the vaccine may hit areas she is not well in. Her main concern was her kidney pain. Patient did not visit Emergency Room however visited Physician Office. Patient reported that one of the tests said something irregularity with kidney but did not have the test available to provide complete details, rhesus antigen negative: she is rh- blood on 25Jan202, X-ray found to have degrative arthritis in her spine on 25Jan2021. Other relevant tests included none. Therapeutic measures were taken as a result of bloated (abdominal distension), constipation (constipation), stomach cramps (abdominal pain upper). Upon follow-up on 09Feb2021, patient was asking if this vaccine protective against the new variants or was there a booster that is needed to get. Patient stated that she called 1 week ago to file a report of her symptoms after she received her first vaccine dose. Patient called to report that she is still experiencing significant side effects and asked if this was normal, what to do about it. And asked if this meant that she had Covid prior getting her first dose and why she was still going through this. Caller reported that the first night after getting the vaccine, she drank a milk product and had horrible stomach cramps and had a big stomach explosion for about 2 hours. It also reoccurred on Saturday, she was fine for a couple of days and appear to have a partial blockage of digestive system at the time of this report. It's really backed up. Patient went to her doctor on Monday following the vaccine and at that time her kidneys were in pain, so questioned a kidney infection or kidney stones, so they did a did a kidney test. Patient continued to have bloating, had a migraine headache and was still having tremors at night. Patient reported that her symptoms were still persisting at the time of this report. She did not want to speak with anyone at the time of this report. Patient asked about the timing of the second dose and if she could postpone the second dose to later than 3 weeks. Patient asked if she got the first dose from Pfizer, whether she could get the second dose from Moderna and whether she could mix the two vaccines. And asked how effective the first dose of the vaccine was. Upon additional follow-up on 09Feb201, patient reported that she called about a week ago concerning some side effects from the Pfizer COVID-19 vaccine. The person took down all of her information and went through a report and was going to switch the caller over to a different department and she got all of her information. She was switched over to some people that she was told would be able to answer some questions concerning getting the next shot. She clarifies further, the person just said they were called professionals. What happened was that she gave them her cell phone number, but the switch had gotten turned off and her phone didn't ring. Therefore, she missed the call. When she tried to call back, she gets in this thing where she had to wait 20 minutes and she gets another person who only records side effects. The caller confirmed she was not provided with any type of reference number from any previous call. She clarifies the problem she had since she had the vaccine was that her digestive system and stomach muscles shut down and it has not gotten any better. It's still a problem. She is scheduled to take the second vaccine next Wednesday and she can't in good conscious get the second vaccine if her digestive system is not working. Caller verifies she did report this information that her stomach was upset, however, it was so long ago (last week) when she reported it, she kind of figured her stomach would be operating again. It has been 2 complete weeks since she received the vaccine, and she is still having some sort of intestinal blockage or obstruction. The caller confirms she didn't report in the previous call that this stomach issue is still ongoing and there hasn't been anything she has been able to do to correct it. Patient had questions concerning getting the next shot. Clinical outcome for the events muscle spasms cramps recovered on30Jan2021, diarrhea recovered on unspecified date, pain shooting across back of neck and shoulders, pain in kidneys, muscle aches and pains, chills, coated tongue, white film over her tongue was recovering, appear to have a partial blockage of digestive system, still having some sort of intestinal blockage or obstruction, bloated, constipation, she drank a milk product and had horrible stomach cramps and had a big stomach explosion were not recovered, outcome of events metallic state, bruise, serious migraine headache, degenerative arthritis in her spine, still having tremors at night was unknown at the time of this report.  Follow-up attempts have been completed and no further information is expected.