Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Investigation, Magnetic resonance imaging, Rash, Urine analysis
Clinical narrative: small rash on her right forearm; allergic reaction; fatigue/tiredness; dizziness; balance issue; This is a spontaneous report from a contactable consumer (patient).  A 73-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in right arm on 08Feb2021 (Batch/Lot Number: EL1283) (at the age of 73 years old) as single dose for Covid-19 immunisation. Medical history included high cholesterol from 2008 and ongoing, type 2 diabetes (uses diet and exercise to keep her A1C under 7), sinus issues, leaky valve (saw her cardiologist a year ago and said everything was fine and there had been no changes), ear infection. The patient had flu shot (Influenza vaccine) on an unknown date. Concomitant medications included fexofenadine, pseudoephedrine hydrochloride (ALLEGRA-D [FEXOFENADINE;PSEUDOEPHEDRINE HYDROCHLORIDE]) taken for an unspecified indication from 2009 and ongoing; fluticasone propionate (FLUTICASONE PROPIONATE) taken for sinusitis from 2009 and ongoing; olopatadine hydrochloride (OLOPATADINE HYDROCHLORIDE OD) taken for sinusitis from 2013 and ongoing; atorvastatin (ATORVASTATIN) taken for blood cholesterol increased, start and stop date were not reported. The patient experienced dizziness on 16Feb2021; fatigue/tiredness on 17Feb2021; balance issue on an unknown date in Feb2021; and small rash on her right forearm and allergic reaction on an unspecified date. Additional information: The patient had her Covid-19 vaccine on 08Feb2021. She stated that she had no telltale signs that she got a vaccine, like when she got a flu shot, until 16Feb2021. Patient stated that on the 16Feb2021, she began having dizziness in the evenings. Patient was alarmed after reading the brochure with the adverse events for the product, and she did go to the Emergency Room. The patient stated that the ER staff told her that she has a balance issue. She would say that while the people were good there, they were not familiar with the signs and symptoms of this vaccine. She was sent home from the ER with script for balance help. The patient states that she really noticed the dizziness on the 17Feb2021, and it continued with tiredness, increasing tiredness that continued on the 18Feb2021, and continued until today. Patient stated that the dizziness usually occurs in the evening, after dinner or another meal like lunch. She was wondering if these were known side effects and if there was a connection with food. She noticed the dizziness at night, before bed, and she put up a fight against negative thought processes, and she drank lots of water and noticed that being cold helped make it easier to overcome the tiredness. She stated that she woke up and had breakfast and it started all over again. The dizziness went away later on the 16th and on the 17th, she felt okay, nothing unusual, and she took her normal maintenance medications in the morning, and then by 5:30PM that evening, she was having the severe dizziness again. She went to the ER because of dizziness and she was seen and discharged that same day. Treatment was provided for dizziness. She stated that when she made it to the ER, the staff went through the process of eliminating the possibility that her symptoms were due to the vaccination. She also noticed a small rash on her right forearm. She did not know if this was an allergic reaction to a food she ate or to the vaccination. She stated that these symptoms were confusing with the covid vaccine, and with her sinus stuff, because she has sinus issues and in this region where she lives, is a farmland, and there are unsurmountable sinus conditions and allergies and there was always something in the air. Investigations: Patient reported that the ER did an MRI to see if there was something there creating her dizziness, and they did physical tests to check for dehydration, and they did blood work and a urinalysis, but patient has not gotten the results yet, and can only suspect that her primary care doctor would have that information. Outcome of the events was unknown.    No follow-up attempts are needed. No further information is expected.