Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Brain fog, Chest X-ray, Computerised tomogram, Illness, Scan
Clinical narrative: She was pretty sick; brain fog; This is a spontaneous report received from a consumer or other non HCP.  A 75-year-old female patient received BNT162b2 (BNT162B2), on 29Mar2022 as dose 4 (booster), single (Lot number: FK9894) at the age of 74 years for COVID-19 immunisation. The patient's relevant medical history included: "Cholesterol high" (unspecified if ongoing); "Triglycerides high" (unspecified if ongoing); "Had herpes, not genital, on one of her buttocks on occasion" (unspecified if ongoing); "Smoker" (unspecified if ongoing), notes: Smoked for a long time. Concomitant medications included: LIPITOR oral taken for blood cholesterol increased, blood triglycerides increased; VALACYCLOVIR [VALACICLOVIR] oral taken for herpes virus infection, antiviral prophylaxis, start date: 1977. Vaccination history included: BNT162b2 (DOSE 1, SINGLE, Lot No: EL3247, Left arm), administration date: 26Jan2021, when the patient was 73-year-old, for COVID-19 immunisation; BNT162b2 (DOSE 2, SINGLE, Lot No: EL9262), administration date: 08Feb2021, when the patient was 73-year-old, for COVID-19 immunisation; BNT162b2 (DOSE 3 (BOOSTER), SINGLE, Lot No: FC3184), administration date: 08Sep2021, when the patient was 74-year-old, for COVID-19 immunisation. The following information was reported: ILLNESS (medically significant) with onset Sep2022, outcome "unknown", described as "She was pretty sick"; BRAIN FOG (medically significant) with onset Sep2022, outcome "recovered". The events "she was pretty sick" and "brain fog" required emergency room visit. The patient underwent the following laboratory tests and procedures: Chest X-ray: (Sep2022) Didn't show anything they were concerned about; Computerised tomogram: (Sep2022) Didn't show anything they were concerned about; Scan: (unspecified date) Unknown result. Therapeutic measures were taken as a result of illness, brain fog. Clinical course: Patient clarified 20Sep2022 was when she got COVID. Patient clarified they didn't admit her. It was a public hospital. They took her into a COVID ward. She was the only person there. No one in the country was getting it at that time. She was in ER for 8-9 hours on 20Sep2022 and then went back on 21st or 22nd for about 5 hours based on health insurance. She was still feeling poorly and went back to ER for 5 hours the next day. They did a lot of tests on her while she was there on the 1st day. A lot of medical intervention in the ER. Patient then stated that she was pretty sick. She definitely felt that she had brain fog for a while and felt recovered from that. Never been able to exercise to the same extent as before she had COVID. She was doing 400 calories on the elliptical before and hasn't been able to go more than 200 calories a day since Covid. That is how it measures (as reported). They gave her IV fluids. What they did was 1st gave her a chest X-ray and then as a result of that they decided to do a CT with contrast. It didn't show anything they were concerned about. When she came back, she ran it past her lung doctor. She gets screened for lung cancer because she smoked for a long time and her mother and mother's 2 siblings had lung cancer late in life. She talked to them about genetics. Stated their lung cancer doesn't predispose her. She does have that scan every other year and now they recommend every year for everyone who smoked. They didn't find anything that concerned them with the CT with contrast. Her lung doctor said not concerning. Also wants to report that her last Pfizer was 29Mar2022. She went to her physician and told him she was going in Sep2022 out of country and thought she should have another booster because between March and September would be that many months since boosted. He said, "Well you know if you get the booster now, you will not be eligible to get the new vaccine coming out September". This new one, the latest one. She is not angry with him. She was kind of pushy and kept saying "Are you sure" and he said "it's your choice". The omicron is coming in September and they talked about postponing their trip based on interval between 29March and September felt like a long time. Weren't talking a lot about waning of protection. They were keeping up on COVID very seriously. Almost cancelled the trip because new Omicron was coming out when they would be away and wouldn't have benefit of that. Thought had she had a booster after the 29Mar one she probably wouldn't have gotten COVID. States that then again some people say it doesn't prevent COVID they say it prevents hospitalization.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202400005987 same patient and drug, different dose and events;US-PFIZER INC-202400005389 same patient and drug, different dose and events;