Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Myalgia, Pain, Somnolence, Vaccination site erythema
Clinical narrative: The day after the shot, I had a severe headache and had severe body chills and a high level of overall body pain.; The day after the shot, I had a severe headache and had severe body chills and a high level of overall body pain.; I had a severe headache and had severe body chills and a high level of overall body pain.; I was also extremely tired and I slept over 12 hours during the day.Because of a medical condition; I was also extremely tired and I slept over 12 hours during the day.Because of a medical condition; My pulse rate was about 30 bpm faster than normal; I still have redness (about 3 inches in diameter) around the injection site; The overall joint and muscular pain, along with high levels of tiredness, which feels like exhaustion is still a problem 3 days after my second shot; The overall joint and muscular pain, along with high levels of tiredness, which feels like exhaustion is still a problem 3 days after my second shot; This is a spontaneous report received from contactable reporter (Consumer or other non HCP). The reporter is the patient.  A 60 year-old male patient received bnt162b2 (BNT162B2), administered in arm right, administration date 30Aug2021 16:15 (Lot number: EW0175) at the age of 60 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "Ulcerative colitis" (unspecified if ongoing), notes: Other medical history:Ulcerative colitis, paralyzed left hemidiaphragm.; "paralyzed left hemidiaphragm" (unspecified if ongoing), notes: Other medical history:Ulcerative colitis, paralyzed left hemidiaphragm. Concomitant medication(s) included: DICLOFENAC; MONTELUKAST; MESALAMINE; LIVALO. Vaccination history included: Bnt162b2 (product=COVID19, brand=PFIZER, lot number=EW0175, lot unknown=False, administration date=09Aug2021, administration time=04:15 PM, dose number=1, vaccine location=Right arm), administration date: 09Aug2021, when the patient was 60 years old, for Covid-19 Immunisation. The following information was reported: HEADACHE (non-serious), CHILLS (non-serious) all with onset 31Aug2021 03:00, outcome "not recovered" and all described as "The day after the shot, I had a severe headache and had severe body chills and a high level of overall body pain."; PAIN (non-serious) with onset 31Aug2021 03:00, outcome "not recovered", described as "I had a severe headache and had severe body chills and a high level of overall body pain."; FATIGUE (non-serious), SOMNOLENCE (non-serious) all with onset 31Aug2021 03:00, outcome "not recovered" and all described as "I was also extremely tired and I slept over 12 hours during the day.Because of a medical condition"; HEART RATE INCREASED (non-serious) with onset 31Aug2021 03:00, outcome "not recovered", described as "My pulse rate was about 30 bpm faster than normal"; VACCINATION SITE ERYTHEMA (non-serious) with onset 31Aug2021 03:00, outcome "not recovered", described as "I still have redness (about 3 inches in diameter) around the injection site"; ARTHRALGIA (non-serious), MYALGIA (non-serious) all with onset 31Aug2021 03:00, outcome "not recovered" and all described as "The overall joint and muscular pain, along with high levels of tiredness, which feels like exhaustion is still a problem 3 days after my second shot". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of headache, chills, pain, fatigue, somnolence. Therapeutic measures were not taken as a result of heart rate increased, vaccination site erythema, arthralgia, myalgia.  Additional information: No other vaccine in four weeks, Facility type vaccine was Pharmacy or Drug Store, Other medications in two weeks was Montelukast, Diclofenac, Mesalamine, Livalo. Adverse event: The day after the shot, he had a severe headache and had severe body chills and a high level of overall body pain. He was also extremely tired, and he slept over 12 hours during the day. Because of a medical condition, he can only take Tylenol, but the 2-tablet dosage did nothing for the symptoms. He took 2 total doses of Tylenol during the day. He also missed work on this day. His pulse rate was about 30 bpm faster than normal and this was the same for the second day after his shot. He still had redness (about 3 inches in diameter) around the injection site. The overall joint and muscular pain, along with high levels of tiredness, which feels like exhaustion was still a problem 3 days after his second shot. He had not seen my primary care physician, but he was seriously considering doing it in the next few days. No covid prior vaccination and no covid tested post vaccination. There was no known allergies.  Follow-up attempts are completed. No further information is expected.