Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Inappropriate schedule of product administration, Tachycardia
Clinical narrative: she got the second dose and the facility states that it is technically her first dose because it has been 7 months since her last dose; Tachycardia; Shortness of breath; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: was not reported), via an unspecified route of administration on an unspecified date Jan2021, as a DOSE 1, SINGLE for COVID-19 immunization. The patient medical history included Stage 4 lung cancer, on chemo; brain tumor removed; and lots of surgeries. The patient concomitant medications included DIGOXINE for Heart, erlotinib, and Trecena. On an unspecified date, the patient experienced she got the second dose and the facility states that it is technically her first dose because it has been 7 months since her last dose; and on an unspecified date Jan2021 Tachycardia, Shortness of breath. The patient was wondering if there is an increased risk for tachycardia with the second dose. The caller states that she was on chemo for stage 4 lung cancer and her immune system are suppressed, and her cancer doctor told her to get the vaccine give her approximately 80 percent resistance back in January. She got the official first dose because that one was too long ago. She states that was this last month in July that she got the first dose. She states that she has an appointment today to get the second dose. On the first dose in July, she states that she did not have tachycardia and that she had no symptoms whatsoever. She says that from what she has read from the vaccine facility that the second dose may give more symptoms of what was wrong. She states she is on chemo and had an artificial heart valve placed 6 years ago. She has underlying problems, she states she has had a brain tumor removed, lots of surgeries, she says she only has part of one lung. She states that she is doing great and is supposedly cancer free at this point. She states that she can go ahead with the second dose however, the degree of tachycardia was quite high. In that case she is not living in an assisted living facility, but it is a large facility, and she is living in the independent living part of it. She states that she has worked hard to isolate herself, and she could continue to do that, or she could take the second dose. Caller states that she is wondering if she has enough immunity from the vaccine back in July for her not to take the next dose. She wants to know what information there is on heart problems and herself. Caller states that she is in Withheld for treatment but lives in Withheld. She states that she is totally free of it because of the drug Trecena. While you are looking, I have a specific question, on the dose of Pfizer she got in July what estimate is she at percentage wise? That would be good for me to know. She states that she has never got answers from anyone because they state that they just do not know. When your immune system is suppressed, they say the vaccine is going to try and boost it. She states that she is prone to having a comeback of cancer, so she must be much more careful. Caller states that it has been seven months since she received her first shot in January. Caller states that she is on chemo every day, a maintenance dose of erlotinib and that is going to keep her immune system somewhat suppressed even though the vaccine is boosting the immune system. So that kind of throws it off because they are fighting each other. She states that she would appreciate any information on people with immune system suppression on purpose for the reason of cancer, and she cannot believe she is the only one in this situation. She states they asked her today about if she had any immune system depression and she told them yes. So, she guesses she is supposed to go ahead with this, and this will make the third dose. She states that she is not too sure because of the situation where she lives, they have people who are already getting COVID, the day before yesterday there was one, now there is three, and now they are looking for more because these people are not required to wear masks because they have two shots, they are okay, but she cannot be around it because they will give it to her because her protection is not up to theirs. She states that her cancer doctor does not know enough about how the vaccine effects the immune system and its involvement to say if it is okay or not. How it effects the immune system is up in the air. She states she is standing here waiting to see if she is going to take the shot today, if she has protection from way back in January and they consider the one in July being fully vaccinated. She is not hearing that she is halfway protected being that she takes the chemo every day. The outcome for all the events was unknown.  Follow up(11Aug2021): This is a follow up spontaneous report from a contactable consumer. This female consumer (patient) reported for herself that which included: concomitant product, and adverse events were updated in narrative.  The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.  Follow-up (20Sep2021): This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up attempts completed. No further information is expected.  Follow-up (07Mar2022): This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up attempts completed. No further information is expected.