Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Migraine, Muscle spasms, Myalgia, Nausea, Pain
Clinical narrative: She is still as sick as a dog; Miserable, wasn't getting anything done, wanted to die; Microalbumin was through the roof, it normally tops out at 30 and she was at 1239; Liver enzymes were elevated; Fever of 101.8 degrees; Vomiting; Muscle spasms; Busted blood vessels in leg; leg black and blue from knee to ankle; Headaches; Migraines; Nausea; Body aches; Debilitating fatigue/exhausted; The doctor thought she was having an inflammatory reaction.; Muscle pain; This is a spontaneous report from a contactable consumer (patient). A 73-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection Lot number-Lot Number: EN6203) via an unspecified route of administration, administered in right arm at hospital on 12Mar2021 (age at vaccination was 73 years) as single dose for covid-19 immunization. The patient medical history included empty sella syndrome due to birth trauma still medication, diabetes mellitus still treatment: taking 84 Units a day, ongoing hypothyroidism, parathyroid tumour, overweight, surgery years ago. previous exposure to drug, shingrix for immunization and experienced full body rash it was 3-4 years ago, experienced drug hypersensitivity to antibiotics, humatrope for blood growth hormone and experienced insulin resistance. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient concomitant medication included hydrocortisone (CORTISONE HYDROCORTISONE) taken for empty sella syndrome. Historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EL9264) via an unspecified route of administration on 19Feb2021 as single dose for covid-19 immunization. On 15 mar2021 first three days after the second dose the patient experienced headaches that kept getting worse.  She stated that the end of the week she had full blown migraines, nausea, body aches, and debilitating fatigue. She went to emergency room on 01Apr2021 because symptoms were ongoing. Stated they did a whole bunch of blood tests, a CT Scan. Her liver enzymes were elevated. Her microalbumin, for her kidneys, was through the roof per the caller. Patient said that they gave her Toradol which alleviated the migraines for about 2 days and then everything came right back. The patient said that she was miserable, not getting anything done, and wanted to die, she went to her primary care provider and was placed on a Medrol Dose Pack. The doctor thought she was having an inflammatory reaction. On 24Mar2021, she had a muscle spasm so bad in her right leg that it busted her blood vessels, and her leg was black and blue from her knee to her ankle. On 25Mar2021 she had vomiting, 26Mar2021she woke up with a fever of 101.8 degrees. The patient said that she was still as sick as a dog. Says no one can find anything, everything aches, and she was exhausted. The patient went to emergency room and physician's office due to events. And received treatment for the events. The patient underwent lab tests and procedures which included pyrexia: 101.8 on 26Mar2021, blood test: negative, computerized tomogram: unknown, hepatic enzyme increased: increased, influenza virus test negative: negative, microalbuminuria: 1239, It normally tops out at 30 and she was at 1239, sars-cov-2 test: negative, white blood cell count: not elevated on 01Apr2021 it was not elevated. The events were medically significant. The outcome of the events vomiting, fever of 101.8 degrees, busted blood vessels in leg; leg black and blue from knee to ankle, she is still as sick as a dog, miserable, wasn't getting anything done, wanted to die, the doctor thought she was having an inflammatory reaction was unknown and other events was recovering.