Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Body temperature, Chills, Dyspnoea, Fatigue
Clinical narrative: Fever; felt tired; felt like a mild or beginning flu; chills; shooting pain through my wrist; muscle soreness; shortness of breath; This is a spontaneous report from contactable consumer (patient) from a Pfizer-sponsored program COVAX US Support. A 63-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Formulation: Solution for injection, Lot Number: FA6780), via intramuscularly in upper left arm on 06Aug2021 at 15:05 (at the age of 63-years-old) as dose 2, single for COVID-19 immunization at Pharmacy or Drug store. Medical history included ongoing asthma from 1983 (used asthma pump, some time had trouble with weather allergy, use pump for asthma only when needed), ongoing endometrial hyperplasia from Feb2018 (PNC indicated but not done yet b/c of covid-19), ongoing osteoporosis from 2010 (vitamin D and calcium supplements only), ongoing GERD (gastroesophageal reflux disease) from 2010 (Take turns when needed, take tums antacid), ongoing irritable bowel syndrome from 1995 (try to control diet); uterine hyperplasia, heartburn, allergy, and dermatitis (dermatitis on right hand/fingers after first dose and it continues in till now. She had it before, but not for many year), all from an unknown date and unknown if ongoing. Family medical history included mother had stroke and heart attack and died of tachycardia w/o then illness and father died of lung cancer. Concomitant medications included vitamin B, vitamin D, calcium and calcium carbonate (TUMS ANTACID) (Calcium supplements); all taken for an unspecified indications, start and stop dates were not reported. No prior vaccinations within 4 weeks. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Formulation: Solution for injection, Lot number: EW0217), via intramuscularly in upper left arm on 07Jul2021 at 17:50 (at the age of 63-years-old) as dose 1, single for COVID-19 immunization and experienced muscle pain, stomach infection, diarrhea, heartbeat went up, her heart was going faster, some digestive problem, intestinal problems, muscle cramps in her legs, got dermatitis on her right hand/fingers, pain beneath her left rib cage in her chest just before her left breast and some pain below right rib cage, headache, pain beneath her left rib cage, some pain in armpit lymph nodes, rapid pulse and abnormal heartbeat it goes high 220 and goes lower like 47 or 50. On 06Aug2021 at 22:00, the patient felt tired. On 07Aug2021 at 15:00, the patient experienced fever around 100 degree. On an unspecified date in 2021, the patient felt like a mild or beginning flu, chills, shooting pain through her wrist, muscle soreness and shortness of breath. The patient underwent lab tests and procedures which included biopsy resulted abnormal on an unspecified date in Oct2020 and heart rate resulted abnormal on an unspecified date in Jul2021 (her heartbeat went up, her heart was going faster, abnormal heartbeat it goes high 220 and goes lower like 47 or 50) and body temperature around 100 degree on 07Aug2021. No treatment received for the events felt tired and fever. The seriousness of the event felt tired was persistent /significant disability / incapacity and medically significant while seriousness of the other events was non-serious. Reported that events lasted about 12 hours, but shortness of breath and tiredness continues until now. The outcome of the events felt tired and shortness of breath was not recovered. On an unspecified date in 2021, the events fever, felt like a mild or beginning flu, chills, shooting pain through my wrist, muscle soreness was recovered.  Follow-up (07Sep2021): New follow-up spontaneous report received from a contactable consumer in response to Non-HCP letter sent. The initial case was missing the following minimum criteria: Unspecified AE. Upon receipt of following information on (07Sep2021), this case now contains all required information to be considered valid.  Follow-up attempts are completed. No further information is expected.