Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Impaired work ability, Muscular weakness, Ultrasound scan
Clinical narrative: he seems like he loss his strength in his arms and his legs; I had hard time to get him in bed, he had a hard time with his legs and his arms; hard time to get him in bed, he had a hard time with his legs and his arms.; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team.  An 89-year-old male patient received BNT162b2 (BNT162B2), on 14May2022 at 11:00 as dose 4 (booster), single (Lot number: FA4591) at the age of 89 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "bladder cancer" (unspecified if ongoing), notes: Caller states she doesn't know how long her husband has been taking this but the doctor said to take this every day for his bladder cancer years ago.; "She states this was close to the brain stem but removed the tumor and was something he was born with." (unspecified if ongoing), notes: She states her husband is 89-year-old and got operated on when he was 57-year-old. She states this was close to the brain stem but removed the tumor and was something he was born with.; "shunt in his head" (unspecified if ongoing), notes: She states her husband has a shunt in his head and she always asks the doctor how do you know if the shunt is still working.; "blood pressure" (unspecified if ongoing), notes: Caller states her husband doesn't take anything for blood pressure or anything like that.; "disabled" (unspecified if ongoing), notes: Caller mentioned her husband is a disabled patient from 30 years ago when he had a tumor on the back of his head and has to use a wheelchair for moving.; "tumor on the back" (unspecified if ongoing), notes: he had a tumor on the back of his head and has to use a wheelchair for moving.; "Deaf" (unspecified if ongoing), notes: Caller states her husband is deaf.; "wheel chair" (unspecified if ongoing); "to make sure he empties his bladder" (unspecified if ongoing); "Cholesterol" (unspecified if ongoing); "take if he gets agitated" (unspecified if ongoing). Concomitant medication(s) included: TAMSULOSIN taken for bladder disorder; SIMVASTATIN taken for blood cholesterol abnormal; BUPROPION; SERTRALINE; LORAZEPAM taken for agitation. Vaccination history included: moderna coviD-19 vaccine (Vaccine Name: 1st dose Moderna COVID-19 Vaccine, Lot Number / Expiry Date: unknown, Route, Anatomical Location: unknown, No. of Previous Doses:, Date: 11Jan2022, Age at Immunization if date not available:), administration date: 11Jan2021, when the patient was 89-year-old, for Covid-19 immunization; moderna coviD-19 vaccine (Vaccine Name: 2nd dose Moderna COVID-19 Vaccine, Lot Number / Expiry Date: unknown, Route, Anatomical Location: unknown, No. of Previous Doses:, Date: 13Feb2021, Age at Immunization if date not available:), administration date: 13Feb2021, when the patient was 89-year-old, for Covid-19 immunization; moderna coviD-19 vaccine (Vaccine Name: 3rd dose Moderna COVID-19 Vaccine, Lot Number / Expiry Date: unknown, Route, Anatomical Location: unknown, No. of Previous Doses:, Date: 04Dec2021, Age at Immunization if date not available:), administration date: 04Dec2021, when the patient was 89-year-old, for Covid-19 immunization.  The following information was reported: IMPAIRED WORK ABILITY (non-serious) with onset 15May2022, outcome "not recovered", described as "hard time to get him in bed, he had a hard time with his legs and his arms."; MUSCULAR WEAKNESS (non-serious) with onset 15May2022, outcome "not recovered", described as "he seems like he loss his strength in his arms and his legs; I had hard time to get him in bed, he had a hard time with his legs and his arms". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: Reporter stated, well, her husband here, he was 89-year-old (captured as provided) and he is disabled (Intent: History) but he has a wheel chair that he can around in and he had the Pfizer booster shot (Covid-19 vaccine), the last, the fourth, the second one (second booster shot) which is yesterday and today he seems like he loss his strength in his arms and his legs. He had the Pfizer, the booster shot, the second one and he never had any problem in the other vaccines (Covid-19 vaccine) but today he seems like he, I had hard time to get him in bed, he had a hard time with his legs and his arms. Upon follow-up 16May2022, Updated information included patient information, relevant medical history, dose details, vaccine facility information, best doctor information, HCP information (reporter slider 2), Concomitant drug, lab test added Additional Information: for other medicines Tamsulosin: Caller states she doesnt know how long her husband has been taking this but the doctor said to take this every day for his bladder cancer years ago.  Dosage and Relevant Information: Dosage text: 0.4 mg every day, Indication for Use in Case: Indication as Reported by the Primary Source: to make sure he empties his bladder. Caller reported her husband received the 2nd booster shot of the COVID-19 Vaccine on Saturday and yesterday noticed her husband started to lose strength in his arms and legs. Caller mentioned her husband is a disabled patient from 30 years ago when he had a tumor on the back of his head and has to use a wheelchair for moving. She reports yesterday she came back home and her husband was lying on the floor and could not get up. She states she noticed her husband had no strength in his arms and legs. Caller reports every previous dose her husband received was Moderna but his 2nd booster dose of the COVID-19 Vaccine was the first Pfizer. Agent reports he has assisted the caller with her medical information inquiry. Caller states this is the first time this has ever happened and the only thing different is the shot although she is not saying this is from the shot. She states she wants to take her husband to the emergency room but he is a hard headed person and he doesnt want to go. She states she couldnt get him in the bed last night. Caller states this just happened yesterday and he had the shot Saturday, 14May2022 around 11am. Bupropion XL: Caller also states egg shell in regards to the tumor. Lorazepam: She states Lorazepam is also called Ativan. Caller states her husband takes this if he gets agitated and wants to leave the house. She states he has an electric wheelchair that he crosses the expressway with. She states she gave her husband 2 last night because he wanted by all means to get in the bed but she couldnt get him in the bed. She states she fixed him a pillow and blankets on the floor. She states her husband doesnt take Lorazepam that often. She states she gets the medicine from the pharmacy and Humana. Medical Conditions: Caller states her husband cant bathe himself and she has someone to come bathe him.  She states her husband has a hard time going to the bathroom. She states when he got the operation his gate was affected. She states this was an outpatient and tried but didnt help him. She states her husband went to rehab and only let him go 10 days. She states her husband was taught to walk with a cane which he did for many years. She states the older he gets the worse he was. Test Results: Caller states the last couple times went to the doctor they did a CAT Scan not an MRI. She states usually he has an ultrasound of his stomach because doctor wanted to see something as he said he had kidney stones. Caller states her husband is deaf. Caller states she is not thinking this is from the shot but just happened this is the only thing he had done and this has never happened before. She wants to take him to the emergency room but he doesnt want to go. Emergency Room and physician Office was No. Prior Vaccinations (within 4 weeks) or other vaccinations within four weeks prior to the first administration date of the suspect vaccine(s) was No. Patient Medical History (including any illness at time of vaccination) and Family Medical History Relevant was None. She states she has a son who works in the hospital as a plumber and he said he is not getting the COVID-19 vaccine and her son's wife and child did not get the COVID-19 Vaccine. She states her daughter got one as she has an immune system problem. She states another daughter had 2 but no booster and another daughter had all of the COVID-19 Vaccines. She states none of her family has had trouble. She states she is not saying her husband problem is caused from the COVID-19 Vaccine but was the only thing different and she wanted more information.