Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Condition aggravated, Disturbance in attention, Dizziness, Dysarthria
Clinical narrative: faint feeling like she was going to pass out; "Vertigo" like dizziness; "Vertigo" like dizziness/ super dizzy; Slurred speech like her brain couldn't catch up with her words/slurred speech like her brain couldn't catch up with her words; Faint feeling like she was going to pass out; Shortness of breathe; The anxiety got worse; Arms tingling; Sore arm; Fever; I noticed feeling that brain fog shortly; Brain fog where I couldn't think clearly to be able to even like have a conversation with my friends; My concentration is very poor; really weird and off balance; stumbling a lot over my words; Super anxious; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 32 year-old female patient received bnt162b2 (COMIRNATY), administered in arm right, administration date 05Nov2021 (Lot number: 30145BA) at the age of 32 years as dose 1, single for covid-19 immunisation; valproate semisodium (DEPAKOTE), since 2021 (ongoing) (Batch/Lot number: unknown) at 250 mg 1x/day for anxiety. Relevant medical history included: "Anxiety" (unspecified if ongoing); "Panic attacks" (unspecified if ongoing); "COVID", start date: Jul2021 (unspecified if ongoing), notes: I got sick with COVID in July I had vertigo afterward and I just felt like really weird. The patient's concomitant medications were not reported. The following information was reported: SYNCOPE (medically significant), outcome "unknown", described as "faint feeling like she was going to pass out"; VERTIGO (non-serious) with onset 07Nov2021, outcome "unknown", described as ""Vertigo" like dizziness"; DIZZINESS (non-serious) with onset 07Nov2021, outcome "not recovered", described as ""Vertigo" like dizziness/ super dizzy"; DYSARTHRIA (non-serious) with onset 07Nov2021, outcome "unknown", described as "Slurred speech like her brain couldn't catch up with her words/slurred speech like her brain couldn't catch up with her words"; DIZZINESS (non-serious) with onset 07Nov2021, outcome "unknown", described as "Faint feeling like she was going to pass out"; DYSPNOEA (non-serious) with onset 07Nov2021, outcome "unknown", described as "Shortness of breathe"; ANXIETY (non-serious) with onset 2021, outcome "not recovered", described as "Super anxious"; CONDITION AGGRAVATED (non-serious) with onset 07Nov2021, outcome "not recovered", described as "The anxiety got worse"; PARAESTHESIA (non-serious) with onset 07Nov2021, outcome "unknown", described as "Arms tingling"; PAIN IN EXTREMITY (non-serious) with onset 07Nov2021, outcome "recovered" (Nov2021), described as "Sore arm"; PYREXIA (non-serious) with onset 07Nov2021, outcome "unknown", described as "Fever"; FEELING ABNORMAL (non-serious) with onset 07Nov2021, outcome "unknown", described as "I noticed feeling that brain fog shortly; Brain fog where I couldn't think clearly to be able to even like have a conversation with my friends"; DISTURBANCE IN ATTENTION (non-serious) with onset 07Nov2021, outcome "unknown", described as "My concentration is very poor"; FEELING ABNORMAL (non-serious) with onset 07Nov2021, outcome "unknown", described as "really weird and off balance"; DYSPHEMIA (non-serious) with onset 07Nov2021, outcome "unknown", described as "stumbling a lot over my words". The patient underwent the following laboratory tests and procedures: sars-cov-2 test: (2021) negative. Therapeutic measures were taken as a result of anxiety. Clinical course: Per caller she has been on anxiety medication Lorazepam for about two months prior to receiving her first Pfizer Covid 19 Vaccine. The medication had been working fine. Caller voiced that about three days after the vaccine she experienced "vertigo" like dizziness, slurred speech like her brain couldn't catch up with her words, faint feeling like she was going to pass out, shortness of breathe. Then a couple days after that her anxiety kicked in over drive, super anxious, arms tingling, she couldn't go to the store alone. Per caller she thought maybe she was just anxious about the side effects with the new vaccine because she was hesitant to receive it. Now she is going on her third week because her second vaccine is on the 26th is the second one and she is still dealing with the anxiety, her medication is not working even the PRN. Per caller even her doctors are confused how come the medicine just stopped working. Caller asking if anyone else had been dealing with similar symptoms?When this agent provided the caller with the information that no reports of the symptoms mentioned have been reported at this time, the caller voiced "that's what I find weird because when I was searching like if anybody had a vertigo reaction I came across a form of so many people and they said the best thing to do is to reach out to Pfizer or the CDC to let them know of these vertigo reactions. Because multiple people were explaining the same thing I was going through so I don't see how at this time there is still no reactions to do with vertigo. On top of my dad's wife being a nurse and even she said her co-workers who are nurses as well said they experienced the vertigo. I guess the vertigo is common. But, I'm more concerned I guess about the long term effects on top of the different side effects I experienced aside from the vertigo. Because nobody else could relate with me on those behalf, so they couldn't come for me and say well that goes away too. At least with the vertigo she was saying that oh well her co-workers mentioned that it does go away within a couple of weeks." Consumer stated, "I just wanted to report like a wired thing that happened shortly after I got my first vaccine of the Pfizer because I have never been vaccinated with the COVID 19 (Captured as Pfizer COVID 19 Vaccine), so this is my first time like two weeks ago and the first day it was the sore arm whatever, the fever that was expected. But then I noticed like I had really bad vertigo, like super dizzy and it persisted like I was just off balance, and I know what the vertigo feels like because when I got sick with COVID in July I had vertigo afterward and I just felt like really weird and off balance and I thought I was permanently like that, so I had the same exact feeling after getting my Pfizer vaccine. And on top of that, it thicken my anxiety over like my arms were tingling and I was extremely super anxious even yesterday at the store I caught myself having like anxiety like I had to run out because I just felt shortness of breath, like I was going to pass out. And minding you I have been on meds for anxiety so probably I am not going to half already, the med have been working for me. But it's like the moment that I took the Pfizer, it's like not even the as needed anxiety medicine works for me at all. So that's why I am have an appointment with my doctor on Tuesday but it's hard to roll out you know what exactly it is, but at the same time I notice anything different is that the vaccine."Consumer stated, "Yeah that's fine but see I am concerned to get my second one. I was hoping that somewhere through this line I was able to speak with somebody to get the recommendation of you know what may be you shouldn't get the second one because me and my son are booked to get out second one next week of the 26th and I am kind of hesitant because even than my speech hasn't come back like I am kind of developed a stutter like my mind can't figure out how to get my words out quick enough. Like my concentration is very poor and I am afraid to get the second one to be even worse, I have two kids."Other medical condition: Consumer stated, "Well I have developed anxiety like panic attacks after I recovered from COVID, I guess it's a side effect of COVID. So my doctor had me on Depakote medicine and it was working up until I got the vaccine and then it seems like the medicine completely stopped working and I went back all the way to square 1 which my mind racing, not being able to drive anywhere myself it's like  somehow I feel like, somehow me taking the vaccine just stopped my medication from working completely."Dosage for Depakote: Consumer stated, "Depakote I take 250mg, Once a day."When probed if the consumer is still using the Depakote, Consumer stated, "Yes, I have been using it because I am thinking like oh maybe I got anxiety from taking the shot, so maybe after couple of days I will be fine, but my anxiety got worst to the point where I had to make an appointment with my doctor because I told her like it's back at square 1 where we were like 2 months ago."Therapy start date for Depakote: Consumer stated, "About like 2 months ago."Concomitant medication: Consumer stated, "Well they prescribed me another anxiety medicine. But this one is mainly like as needed if I was to have like a panic attack or anxiety attack but for the 2 months. Once my body gets used to this medication, I haven't had to use it at all, I only started using it one's I got the vaccine I had to open this up because I couldn't control my anxiety anymore. So it's the Lorazepam."Dosage for Lorazepam: Consumer stated, "It's 0.5 mg, and you take it as needed. So, since my vaccine I probably been taking a half of the pill, like a half of that dose or the whole dose every single day since then."Lab test: Consumer stated, "No I haven't done any lab testing. I mean the only thing that I did was a Swab to check a if I had COVID again because I couldn't tell like what was going on with my body. Because like I said I ended up having vertigo which I had after I recovered form COVID, So I am thinking do I have COVID again, but that came out negative."Event details:Still experiencing: Consumer stated, "Yeah, my anxiety is really bad right now, even my medicines are not working, the as needed too is not working, I got vertigo, like where I just get the dizzy spells out of nowhere. It was really bad when first I got the vaccine the dizzy spells, even I thought I was going to pass out  cooking breakfast for my kids but right now I am just like having random dizzy spells out of nowhere and shortness of breath."Outcome of the event: Consumer stated, "I never had the side effect from the medicine at all. Are you trying to ask if it is persisted form COVID or from the vaccine? The anxiety got worse and the arm pain like went away probably by second or third day, the dizziness is not as bad but dizzy spells I do have and my speech I feel like I can't, it feels like my mind, my mouth is moving quicker than my mind. I don't know if they make sense, like my mind can't think of the words quick enough, so even I find myself when I am reading that I am stumbling a lot over my words and I noticed feeling that brain fog shortly, like a couple of days after that I got the vaccine I notice that brain fog where I couldn't think clearly to be able to even like have a conversation with my friends. Like I am sitting there asking am I making sense right now? Because I feel like I am not making any sense."When probed that the doctor prescribed the anxiety medicine as a treatment: Consumer stated, "No I had this anxiety medication prior to even getting shot. That's why I found it wired that I had been taking the medications for 2 months and out of nowhere after getting the vaccine like it felt like it doesn't work at all any more. So I have an appointment next Tuesday so we could try to get me on a different medicine because she found it wired that we just filled up with new prescription and now it doesn't work."  Follow-up attempts are completed. No further information is expected.