Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count
Clinical narrative: 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 60 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 28Apr2021 02:00 (Lot number: ER8735) at the age of 60 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "HSV1", start date: 2008 (unspecified if ongoing); "Auto immune" (unspecified if ongoing), notes: she took a medicine for auto immune condition.; "Graves Disease" (unspecified if ongoing); "allergy" (unspecified if ongoing), notes: Patient reported of known allergies but was not sure, but patient get nausea from mold and she avoid sulfites. The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (First dose: 07Apr2021 02:00 PM, LOT: ER8729, Left arm), administration date: 07Apr2021, when the patient was 60 years old, for COVID-19 immunisation, reaction(s): "Fatigue", "Mild nausea".The following information was reported: NAUSEA (non-serious) with onset 29Apr2021 02:00, outcome "recovered" (2021), described as "severe nausea"; THIRST (non-serious) with onset 29Apr2021 02:00, outcome "recovered" (2021), described as "very thirsty"; CHILLS (non-serious) with onset 29Apr2021 02:00, outcome "recovered" (2021), described as "chills."; FATIGUE (non-serious) with onset 29Apr2021 02:00, outcome "recovered" (2021), described as "fatigue"; PAIN IN EXTREMITY (non-serious) with onset 29Apr2021 02:00, outcome "recovered" (2021), described as "left arm pain.". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of nausea, thirst, chills, fatigue, pain in extremity. Additional information: Patient reported that twelve hours later second dose, about 2:00AM, she woke up and felt okay initially but was then hit with severe nausea few minutes later that lasted 24 hours. She stated she had Pepto Bismol but did not want to take it and instead drank some ginger tea, which did not help. Patient did not have any other vaccine in four weeks. Patient had Methimazole, various supplements/herbs in two weeks. 12 hours after the second vaccination patient developed sudden severe nausea that lasted 24 hours non-stop. Patient was also very thirsty and had chills. The nausea stopped as suddenly as it started but patient had fatigue for a few days afterward. Patient had slight left arm pain. Patient did not received any treatment for adverse event. Patient did not have covid prior vaccination. Patient was not tested for covid post vaccination. Patient reported of known allergies but was not sure, but patient get nausea from mold and she avoid sulfites. Since then, she thought she had come to the understanding that it may have been triggered by and HSV1 outbreak. Was already carrying the virus and had only had one other outbreak since 2008. It was not something she had to deal with regularly. Had noticed that the symptoms indicated that perhaps she had an outbreak. She forgot to mention that she took a medicine for auto immune condition that she believed lowered her white blood count, which was a little bit low normal. It was a slightly low normal white blood cell count. When she had another outbreak years ago, she thought she felt kind of crappy before she realized what was happening. That may explained her symptoms of the nausea. She was not longer experiencing the nausea and thought she was back to normal. if she drank water that had been in a water bottle that had not been cleaned regularly, she got nauseated from mold. She may had a sensitivity to mold. Also said to avoid sulfites, she got sick from sulfites.  No follow-up attempts are possible. No further information is expected.