Age: 40.0
Sex: F
Vaccine: FLU4, FLU4, COVID19, FLUX
Symptoms: Contusion, Heavy menstrual bleeding, Migraine, Muscle spasms
Clinical narrative: random increases in resting heartrate; pain in under-arm/same arm as COVID vaccine injection site; Unusual bruises that showed up on the 8th and 9th day after most recent vaccine; Heavy, longer menstrual cycle; Heavy, longer menstrual cycle; Menstrual cycle that occured within the week after the recent COVID vaccine was a day longer, heavier, with more cramps; migraine; 1" purpura; 3"x4" round, dark-leg; Body aches; chills; sweats; fatigue; headache; swelling and pain at COVID vaccine injection site; swelling and pain at COVID vaccine injection site; Other vaccine same date; This is a spontaneous report received from a contactable reporter(s) (Other HCP). The reporter is the patient.  A 40-year-old female patient (not pregnant) received bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 16Sep2023 at 10:00 as dose 5 (booster), single (Batch/Lot number: unknown) at the age of 40 years intramuscular, in left arm for covid-19 immunisation; influenza vaccine (INFLUENZA VACCINE), on 16Sep2023 as dose number unknown, single (Batch/Lot number: unknown), in left arm for immunisation. The patient's relevant medical history included: "Eczema" (unspecified if ongoing); "joint hypermobility" (unspecified if ongoing); "cholecystectomy" (unspecified if ongoing); "tonsillectomy" (unspecified if ongoing); "adenoidectomy" (unspecified if ongoing); "strabismus repair (bilateral)" (unspecified if ongoing); "several skin concerns removed" (unspecified if ongoing); "several skin concerns removed/biopsied" (unspecified if ongoing); "stress velopharyngeal insufficiency" (unspecified if ongoing); "rotator cuff impingement (bilateral)" (unspecified if ongoing); "many ankle sprains" (unspecified if ongoing); "ADHD" (unspecified if ongoing); "Known allergies: Rabbit meat" (unspecified if ongoing), notes: Rabbit meat; "Known allergies: some plants" (unspecified if ongoing); "Known allergies: environmental/seasonal" (unspecified if ongoing); "Known allergies: environmental/seasonal" (unspecified if ongoing); "implant birth control" (unspecified if ongoing), notes: Indication of Con med. Concomitant medication(s) included: VYVANSE; IRON BISGLYCINATE; LIPOSOMAL C-VIT; NEXPLANON taken for contraception. Vaccination history included: Covid-19 vaccine (DOSE 1; MANUFACTURER UNKNOWN), for COVID-19 immunisation; Covid-19 vaccine (DOSE 2; MANUFACTURER UNKNOWN), for COVID-19 immunisation; Covid-19 vaccine (DOSE 3, (BOOSTER); MANUFACTURER UNKNOWN), for COVID-19 immunisation; Covid-19 vaccine (DOSE 4, (BOOSTER); MANUFACTURER UNKNOWN), for COVID-19 immunisation. The following information was reported: PRODUCT USE ISSUE (non-serious) with onset 16Sep2023, outcome "unknown", described as "Other vaccine same date"; PURPURA (non-serious) with onset 16Sep2023 at 22:00, outcome "recovering", described as "1" purpura; 3"x4" round, dark-leg"; PAIN (non-serious) with onset 16Sep2023 at 22:00, outcome "recovering", described as "Body aches"; HEAVY MENSTRUAL BLEEDING (non-serious), OLIGOMENORRHOEA (non-serious) all with onset 16Sep2023 at 22:00, outcome "recovering" and all described as "Heavy, longer menstrual cycle"; DYSMENORRHOEA (non-serious) with onset 16Sep2023 at 22:00, outcome "recovering", described as "Menstrual cycle that occured within the week after the recent COVID vaccine was a day longer, heavier, with more cramps"; CHILLS (non-serious) with onset 16Sep2023 at 22:00, outcome "recovering"; FATIGUE (non-serious) with onset 16Sep2023 at 22:00, outcome "recovering"; HEADACHE (non-serious) with onset 16Sep2023 at 22:00, outcome "recovering"; MIGRAINE (non-serious) with onset 16Sep2023 at 22:00, outcome "recovering"; HYPERHIDROSIS (non-serious) with onset 16Sep2023 at 22:00, outcome "recovering", described as "sweats"; INJECTION SITE SWELLING (non-serious), INJECTION SITE PAIN (non-serious) all with onset 16Sep2023 at 22:00, outcome "recovering" and all described as "swelling and pain at COVID vaccine injection site"; CONTUSION (non-serious) with onset 24Sep2023, outcome "recovering", described as "Unusual bruises that showed up on the 8th and 9th day after most recent vaccine"; HEART RATE ABNORMAL (non-serious), outcome "unknown", described as "random increases in resting heartrate"; AXILLARY PAIN (non-serious), outcome "unknown", described as "pain in under-arm/same arm as COVID vaccine injection site". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of pain, chills, hyperhidrosis, fatigue, headache, injection site swelling, injection site pain, contusion, heavy menstrual bleeding, oligomenorrhoea, dysmenorrhoea, migraine, purpura, axillary pain.  Additional information: patient had body aches, chills/sweats, fatigue, headache, swelling and pain at COVID vaccine injection site for about a week, pain in under-arm/same arm as COVID vaccine injection site, random increases in resting heartrate for a couple of days after. Heavy, longer menstrual cycle (unexpected, because I have a birth control implant that has caused little to no bleeding at any regular time for almost the past year. Menstrual cycle that occured within the week after the recent COVID vaccine was a day longer, heavier, with more cramps, band a migraine than what she would have experienced with my natural menstrual cycle, without the implant). Before she had the implant placed, she had very regular menstrual cycles, and with each COVID vaccine, the next would be extra heavy, a little long, and a little more "intense," then go back to normal the next month. Unusual bruises that showed up on the 8th and 9th day after most recent vaccine, no cause.1" purpura; 3"x4" round, dark-leg.  The information on the batch/lot number for bnt162b2 omi xbb.1.5 has been requested and will be submitted if and when received.