Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Vaccination site erythema, Vaccination site pruritus
Clinical narrative: Heart palpitations overnight; Rapid heartbeat for several hours next morning, often 100-120; Fever 2.2 degrees above my normal morn temp; Vaccine arm itchy & pink-red patch 2-3 days later.; Vaccine arm itchy & pink-red patch 2-3 days later.; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP), Program ID. The reporter is the patient.  A 71-year-old male patient received bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 31Oct2023 at 10:00 as dose 1, single (Lot number: HF9299) at the age of 71 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Grass allergy" (unspecified if ongoing); "Cats allergy" (unspecified if ongoing); "Dust allergy" (unspecified if ongoing); "CLL" (unspecified if ongoing); "hypoglycemia" (unspecified if ongoing). Concomitant medication(s) included: KEPPRA [LEVETIRACETAM]. Vaccination history included: bnt162b2 (DOSE 1, SINGLE, Lot number: EN6202, Administration time: 10:00, Anatomical site: Right arm), administration date: 08Mar2021, when the patient was 68-year-old, for COVID-19 Immunisation; bnt162b2 (DOSE 2, SINGLE, Lot number: ER8733, Administration time: 10:00, Anatomical site: Right arm), administration date: 29Mar2021, when the patient was 68-year-old, for COVID-19 Immunisation; bnt162b2 (DOSE 4 (BOOSTER), SINGLE, Lot number: FP4554, Administration time: 14:00, Anatomical site: Right arm), administration date: 28Apr2022, when the patient was 69-year-old, for COVID-19 Immunisation; Bnt162b2 (DOSE 3 (BOOSTER), SINGLE, Lot number: 32030BD, Anatomical site: Left arm), for COVID-19 Immunisation; Covid-19 vaccine (Dose 5, Manufacturer Unknown.), for COVID-19 Immunisation. The following information was reported: PYREXIA (non-serious) with onset 01Nov2023 at 01:00, outcome "recovered", described as "Fever 2.2 degrees above my normal morn temp"; PALPITATIONS (non-serious) with onset 01Nov2023 at 01:00, outcome "recovered", described as "Heart palpitations overnight"; HEART RATE INCREASED (non-serious) with onset 01Nov2023 at 01:00, outcome "recovered", described as "Rapid heartbeat for several hours next morning, often 100-120"; VACCINATION SITE PRURITUS (non-serious), VACCINATION SITE ERYTHEMA (non-serious) all with onset 01Nov2023 at 01:00, outcome "recovered" and all described as "Vaccine arm itchy & pink-red patch 2-3 days later.". The events "heart palpitations overnight", "rapid heartbeat for several hours next morning, often 100-120", "fever 2.2 degrees above my normal morn temp" and "vaccine arm itchy & pink-red patch 2-3 days later." required physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of palpitations, heart rate increased, pyrexia, vaccination site pruritus, vaccination site erythema. Additional information: The patient experienced heart palpitations overnight. Rapid heartbeat for several hours next morning, often 100-120. Fever 2.2 degrees above my normal morning temperature. Improved over several hours but remained 1 deg. high. Rest & water. Resolved next day. Vaccine arm itchy & pink-red patch 2-3 days later. Daily cool compresses but grew to reddish 3"x5" over 7 days, then faded. Still noticeable a bit 2 weeks after vaccine. Occasional itchiness persists. Resting HR was 92; declined to 84; by afternoon, to low 70s. Much higher than my normal rate of 55-59. Took several days to return to normal. HR taken by watch; confirmed by BP device and neck pulse. The patient consulted cardiology once twice via phone. The patient did not receive other vaccine in 4 weeks. The patient did not have COVID prior vaccination and did not test for COVID post-vaccination.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021390667 same patient, different event/dose;US-PFIZER INC-202200727308 same patient, different event/dose;