Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Decreased appetite, Fatigue, Headache
Clinical narrative: no energy; wants to sleep all the time; Sick to her stomach; body aches, especially in her legs and ankles were hurting her.; Unsteadiness on her feet; sporadic headaches; She is having chronic fatigue/I couldnt get off of the couch; loss of appetite; body aches; passed out; This is a spontaneous report from a contactable female consumer (patient). A 58-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: ERG733, Expiration date: unknown), via unspecified route, administered in left arm on 24Mar2021 15:00 (at the age of 58-year-old) as 1st dose, single dose for COVID-19 immunization. The patient medical history includes bipolar disorder and history of anxiety. Concomitant medications include Lithium, Alprazolam and Olanzapine, she has been on these medications for 24 years. On 25Mar2021, 9 hours after the vaccination, the patient experienced chronic fatigue, loss of appetite, body aches, no energy, sporadic headaches, and wants to sleep all the time, unsteadiness on her feet and on 26Mar2021 she experienced sick to her stomach. She stated that then Thursday for 2 1/2 weeks till her second dose she was so tired, chronically tired that she would have to take naps by 1400 each day, she couldn't keep her eyes open, and would fall asleep for 2 hours and get up at 1600. She stated that she kept getting these sporadic headaches, body aches, especially in her legs and ankles were hurting her. It seemed to get better close to the second dose. She has never experienced this in 24 years, so she think this is from the vaccine because the vaccine was the only difference in her life. She stated when she passed out on that Thursday and slept all day, it almost felt as if she was in lithium level toxicity. She wasn't steady on her feet. She stated it feels like lithium toxicity. She wanted to know if anyone has reported an interaction with lithium and the vaccine. She has been on Lithium since 1996, for 24 years she has been on 900mg of the product. The caller wanted to know if there is a drug interaction with Olanzapine and the vaccine. The caller wanted to know if there is a drug interaction with Alprazolam and the vaccine. Patient is concerned about interaction between vaccine and concomitant medications. She was taking Tegretol and recently was taken off it. She went through hell the first 2 weeks and then during that third week she was feeling a little bit better, not quite as tired and she is making it through the day without that 2 hours nap. Caller stated the COVID Vaccine had put her mind at ease after she received the vaccination, but what she is experiencing is not normal. She is going to doctor to get blood work, Lithium Level, CBC, thyroid, the full gambit of test on 16Jun2021. The event passed out assessed as medically significant. The outcome of the events limb discomfort was recovered on 26Mar2021, events fatigue, headache and abdominal discomfort was found recovering. Outcome of events asthenia and hypersomnia was unknown, and outcome of reduced appetite and pain was not recovered.  No follow-up attempts possible. No further information expected.