Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Fatigue, Hepatic enzyme
Clinical narrative: the other 2 Pfizer Covid Vaccine doses she was just tired with/the first two doses of Pfizer Covid Vaccine was being tired; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) for a Pfizer sponsored program. The reporter is the patient.  A 60 year-old female patient received bnt162b2 (BNT162B2), administered in arm right, administration date 14Mar2021 11:00 (Lot number: EN6206) at the age of 60 years as dose 1, single and administered in arm right, administration date 02Apr2021 11:42 (Lot number: FR8734) as dose 2, single for covid-19 immunisation. Relevant medical history included: "Thyroid issues" (ongoing), notes: initially provided as about 2012; but then clarified onset as being around 15 years ago, when she was 45 years old; "Cardiac issues", start date: 2012 (ongoing); "High blood pressure" (unspecified if ongoing), notes: She has high blood pressure that is well controlled with medication.; "non alcoholic fatty liver" (unspecified if ongoing), notes: she has high liver enzymes from non alcoholic fatty liver and takes cholesterol medication; "Cholesterol" (unspecified if ongoing), notes: she has high liver enzymes from non alcoholic fatty liver and takes cholesterol medication. The patient took concomitant medications. The following information was reported: FATIGUE (non-serious) with onset 2021, outcome "unknown", described as "the other 2 Pfizer Covid Vaccine doses she was just tired with/the first two doses of Pfizer Covid Vaccine was being tired". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: Bad adverse reaction: Time of onset about 12 hours after being adminsitered booster shot/third dose of Pfizer Covid Vaccine, which would have been onset time of about 23:15, but provided by caller as around 00:00 so onset date documented as 16Oct2021 relative to time of onset clarification. When she first got the booster shot/third dose the lady did such a good job she couldn't even feel it. Patient is a cardiac patient and all of a sudden felt at the injection site on her right arm turned all red. After it turned red she started to feel like burning sensations really bad like it was on fire going down her armpit by her lymph nodes and around her heart on the right side. The burning went on for several hours. They said you can take Ibuprofen, or Tylenol. Because she has high liver enzymes from non alcoholic fatty liver and takes cholesterol medication she is not supposed to take a lot of that unless she has to. So she took 2 and event went away. About 2-4 hours event came back worse, and then was progressively getting worse for 24 hours. She ended up on emergency room night of 16Oct2021 at (Withheld). She was treated pretty shabbily by the people in there. Her blood pressure shot up to 180/80 and she had this burning pain, painful and burning. She thought well, she is a cardiac patient, so she had better go to the doctor, the emergency room. She ended up in the emergency room at midnight at (Withheld), WI-this would have been midnight of 17Oct2021-as this was night of 16Oct2021 into midnight of 17Oct2021.  The emergency room doctor didn't record that she had diarrhea that day; and she had severe chest pain on the right side; this is on right side where she got the shot; it didn't say those symptoms on the card she got from the withheld; so she was starting to be concerned that she could be having a stroke. She was not admitted to the emergency room or hospital. She reported they just blow you off like a drug addict. She went in because she had extreme pain in right arm like it was burning out and then around her right side of her heart she felt burning sensations and deep pain on right side of her heart; that's why she went there. They did no testing at all. They put the oxygen thing on her and monitored her oxygen and her heart and blood pressure that's all they did. Outcome of event provided as improved, they are gradually going away. Saturday when she woke up she had diarrhea really bad but then that subsided, that stopped; and then she had the chills really bad, tired, had a headache, but that didn't happen until after 12 hours. and the other 2 Pfizer Covid Vaccine doses she was just tired with, they didn't bother her. The only thing she had with the first two doses of Pfizer Covid Vaccine was being tired, but no adverse events, that was it, no problems with the other two doses. During report caller mentioned that her husband got the shot and he had valley fever which is an infection. She clarified that her husband was not administered the Pfizer Covid Vaccine, he was adminsitered Moderna and the valley fever was ongoing prior to him being administered the Moderna. He's fine, nothing happened to him, he had no side effects, he had no problems with the Moderna and she declined to provide any further information for that patient.   Follow-up attempts are completed. No further information is expected.