Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Hypertension, Insomnia, Loss of personal independence in daily activities
Clinical narrative: Real tired feeling; Dizzy/he felt dizzy d he went in the bathroom trying to get himself together and felt off; Blood pressure elevated; He checked his blood pressure and it was hypertension, it was in the red, it was 140 something; Hard to focus; Brain foggy; Heart palpitations; He was off balance; vitamin d, cholesterol, and platelets were low; vitamin d, cholesterol, and platelets were low; Vitamin d, cholesterol, and platelets were low; labelled with anxiety; Not sleeping much; Burping problems; It is hard to do a daily task; he was not well; This is a spontaneous report from a contactable consumer or other non hcp (patient reported for himself). A 43-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection) via an unspecified route of administration, administered in Arm Right on 15Apr2021 between 15:00 to 18:00 (Batch/Lot Number: EN5318) as dose 2, single for covid-19 immunization (at the age of 43-years-old). Medical history included covid-19 (clarified that he got covid prior to the vaccine possibly in 2020, or maybe Feb2021) from an unknown date and unknown if ongoing. There were no concomitant medications. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) on 25Mar2021 between 15:00 to 18:00, as single dose for COVID-19 immunization (at the age of 43-years-old) and experienced sleepiness. It was reported that after second dose of vaccination the patient kept moving on at work and on an unspecified date in 2021, he got a real tired feeling, like he could hardly keep his eyes open and barely making it. One morning he felt dizzy, and he went in the bathroom trying to get himself together and felt off. He went to the nurse, checked his blood pressure and it was up, it was elevated. Checked his blood sugar and said it was ok to go back to work. But he still felt off and decided to go home. He could not get in contact with his wife, and he called his sister and was told to go to the ER (emergency room). His sister thought he may be dehydrated. He was at home and he decided not to go to the ER since he got a scheduled visit for the following day with his primary care doctor. He went to his doctor and she took him off work and gave him blood pressure medicine. Ran his blood work and waited for two weeks. Took him off work for a month starting 01Jul2021. He started taking the blood pressure medication and never had a blood pressure problem in his life ever. When he came home it was hard for him to focus, think, his brain feels foggy, he was having heart palpitations and he was off balance. Went back to the doctor after two weeks and said his vitamin d, cholesterol, and platelets were low. He was then scheduled for a heart exam and it came back fine. He was still telling the doctor that he was not well and himself. He was sent to a psychiatrist, and he was labelled with anxiety and she was trying to label him with depression and he knows he was not depressed. He went to one psychiatrist and did not like him and went to next psychiatrist on 13Aug2021 and off the top she said there was something not right with him and he was in a spaced-out place. His primary doctor said all the signs are saying he was fine but he knows his body and his primary was trying to get him back to work. He was scheduled to go back to work on 23Aug2021 but the psychiatrist said he could not go back to work and the psychiatrist told him to tell his primary doctor that she would give him more time to get himself back together. He went to the doctor that Thursday that and told his primary that his psychiatrist said he needed more time and could not go back to work and the primary doctor was fine with it. He was supposed to see the psychiatrist on Friday, and she was not in and he called his primary and told her that he could not get in contact with the psychiatrist. He knows he could not go back to work since he was not functioning right. At this point he scheduled a session with the therapist/psychiatrist and upon arriving she was not there again and was told she was out since she had covid. His primary doctor did a teleconference with him and agreed to take him off work till 10Sep2021 even though she didn't really want to take him off work. He still has not heard from therapist and never called and the therapist has been out all this time. He goes back to work on 10Sep2021 but he felt overwhelmed and went back to work but the paperwork was not right so he had to get that fixed. He checked his blood pressure and it was hypertension, it was in the red, it was 140 something. He was overwhelmed and not scheduled to meet with his primary for 6 weeks. He called his primary and HR and did what he could to get a leave of absence. He knows he was not able to go back to work. He has been off work since 01Jul2021 and he loves to work but he knows he was not able to perform. He was getting disability but since his primary won't take him off, he was not getting any assistance and bills are piling up. He just does not know at this point. He further stated that he still feel off balanced he knows it's not going to be perfect. It was hard to do a daily task, he gets no sleep and he was then put on sleep medicine. He might sleep 2, 3, or 4 hours at most and he was just laying there. He also has a whole lot burping problems and not eating right. He is fighting. It has been rough and he was going to fight and he has a family that he needs to take care of. He just cannot wait to get this behind him. The patient underwent lab tests and procedures on an unspecified date in 2021 which included vitamin d, cholesterol, and platelets which were low, blood pressure showed elevated and hypertension (he checked his blood pressure, and it was hypertension, it was in the red, it was 140 something), blood sugar was ok and heart exam was fine. The outcome of the event loss of balance was not recovered and outcome was unknown for rest of all other events.  Follow-up attempts are completed. No further information is expected.