Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling abnormal, Headache, Hot flush, Lymphadenopathy
Clinical narrative: 1st dose- nauseated; 1st dose- diarrhea; BPPV migraine; 1st dose- couldn't taste or smell anything; 1st dose- couldn't taste or smell anything; 1st dose- double vision and that was kicking up her vertigo; 1st dose- severe headache in a very specific little spot at the back of her head on the left side where her head and her neck meet and it was excruciating pain; 1st dose- severe headache in a very specific little spot at the back of her head on the left side where her head and her neck meet and it was excruciating pain; 1st dose- arm was so tender and she couldn't wear clothes over it comfortably; 1st dose- weakness; within 4 hours she couldn't breathe and had to do inhalers every 4 hours; Fever; 1st dose- felt like she was floating and then sounds became amplified and light became so bright and everything was getting fuzzy; 1st dose- sore throat; 1st dose- swollen glands; 1st dose- body aches; 1st dose- chills; 1st dose- she was sweating and then freezing which was like hot flashes she had when she was going through menopause; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 61 years old female patient received bnt162b2 (COMIRNATY, solution for injection, (Lot number: EN6204, Expiration Date: Jun2021)  administered in arm left, administration date 22Mar2021 12:15 at the age of 61 years as dose 1, single for covid-19 immunisation. Relevant medical history included ongoing asthma from 2017, ongoing arthritis as the patient was diagnosed in her 20's so it began sometime in the 1980s, She also has arthritis throughout her body but she is not on medications for that. She takes over the counter medications for ongoing allergies since 11Jan1960 Has had her whole life, She has allergies so she takes Claritin D 24/7, 12 hour tablets; and Inflammation and took Advil 400 mg every 12 hours and that's to help with inflammation from her autoimmune disease and the arthritis; Vertigo as She has suffered from vertigo her whole life. Family history included ongoing autoimmune disease since 11Jan1960 as She has had this ever since she was born, The autoimmune disease runs on her dad's side. Her brother, father, uncle and father's mother has it. It goes back generations. Concomitant medications included ADVIL [IBUPROFEN] taken for inflammation (ongoing); CLARITIN-D taken for hypersensitivity (ongoing); Allergy Relief Tablets taken for inflammation. Past drug history included Actifed, In the 1980's she was using Actifed which has pseudoephedrine in it and eventually they came out with the Claritin D and so now she switches back and forth taking the Claritin D and (pharmacy name) brand Allergy Relief Tablets which is the old formula of Actifed with pseudoephedrine in it. Vaccination history included: Tetanus shots (She has previously had severe reactions even to a tetanus shot that took her 3 weeks to recover from.), reaction(s) severe reactions. On 22Mar2021, the patient had within 4 hours she couldn't breathe and had to do inhalers every 4 hours, fever, feeling abnormal, 1st dose- felt like she was floating and then sounds became amplified and light became so bright and everything was getting fuzzy, sore throat, swollen glands, body aches, chills, she was sweating and then freezing which was like hot flashes she had when she was going through menopause, nauseated, diarrhea, double vision and that was kicking up her vertigo, severe headache in a very specific little spot at the back of her head on the left side where her head and her neck meet and it was excruciating pain, arm was so tender and she couldn't wear clothes over it comfortably, weakness. On 23Mar2021, the patient had couldn't taste or smell anything. The outcome of all the events was reported as recovered on an unknown date in 2021 while outcome of the event diarrhea was unknown.  The events were evaluated at the physician office visit.  It was reported that after she went through everything with the 1st dose her doctor had made sure that she had all the prescriptions that she would need. The doctor wanted to make sure that she had everything, including steroids at home. The doctor gave her a 6 day pack of the steroids in advance even though normally they would only give those afterwards but previously the caller couldn't drive and once she got home the symptoms had kicked in so she needed to have that on hand. She also had to make sure that she had her inhalers on hand since she was using both every 4 hours after the 1st dose. They make you sit there for 15 minutes after the vaccine and she just thought, uh oh here we go, it is all expected when she has a vaccine. Mentally she was very conscious and aware of what was going on but she can only describe it like she felt like she was floating and then sounds became amplified and light became so bright and everything was getting fuzzy and she thought that she better get home where she has her medications. When she stood up and looked down she thought, okay she is standing now, and when she was trying to make herself walk it was weird.  She only had to drive 2.5 miles to get home and when she did she had started with a sore throat, fever, swollen glands and then she felt like she had ran a mile and she only walked from her car into the house. She laid down and took a nap and she woke up 4 hours later. She also had body aches, chills, and she was sweating and then freezing which was like hot flashes she had when she was going through menopause. The reason that she woke up at 4 hours was because she was having problems with her breathing and her asthma has been under control for 2 months before this. She began using her inhalers and when she was getting off of the sofa she was out of breath. She thought well her asthma has just flared and that's possible. She also was nauseated and had diarrhea and thought good grief. The next day she couldn't taste or smell anything and then that lasted the whole day but she still had all the other symptoms too. When she woke up from her nap the lights were still really bright and sounds were still amplified and then she was starting to have double vision and that was kicking up her vertigo. She has suffered from vertigo her whole life.  Eventually, later that week, she figured out that if she covers her right eye, then she could see everything normal out of her left eye, but out of her right eye everything was at a 45 degree angle. It was brutal and she couldn't drive for 3 weeks. When she was able to get to the doctor's office they had prescribed her steroids to see if a dose of steroids for a week would get it under control and it didn't. The doctor said that she was surprised with the vison issues. The caller also had severe headaches, it was the most awful headache ever. It was not at the front, it was at a very specific little spot at the back of her head on the left side where her head and her neck meet and it was excruciating pain.  Finally after all of this the fever broke after 5 days and then the headache went away but the double vison continued and the other side effects were starting to dissipate. The sound and light sensitivity, nausea and weakness had all continued. Then the doctor had gave her the prescription for steroids and after a week, finally, the double vison started getting better but the steroids didn't resolve it. The doctor sent the caller to an ophthalmologist who said that there was no medical reason for her double vision and referred her to a neurologist and when she was eventually able to go to see the neurologist, months later since she was a new patient, he diagnosed it an as BPPV migraine that was triggered. He asked the caller why she didn't recognize her own migraine and she said that she had never had one in her life.  The doctor said that she had every single symptom of it and usually you have these types of migraines your whole life. He asked if the caller had fell and hit her head after the vaccine and she said no, she has had no brain injury whatsoever, she just got the vaccine and sat down. The doctor said that he hadn't heard of this happening after the vaccine before and she said that she hasn't ever experienced this either.  Eventually everything settled down but it took 5 months for all of her energy to come back and during that time she had went for a mammogram and the nurse said that it sounded like maybe she had COVID before she had her vaccine and didn't know it so it triggered all of this. The caller said she wasn't tested for COVID before the vaccine but she felt fine before it and if her autoimmune disease is flared she postpones her vaccines. After 5 months she had the okay to get the 2nd dose but she decided to get her flu shot first since she knew she would recover faster from that. Now she is wondering when she should get her booster.  Follow up (31Oct2021): New information included patient details, event details added and narrative updated. Follow-up attempts are completed. No further information is expected.