Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Investigation, Laboratory test, Muscle tightness, Nausea
Clinical narrative: This is a spontaneous report received from a contactable consumer (patient) .  A 48-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot ER8735), in Arm Left on 21Apr2021 at 15:15 (at 48 years) at single dose for covid-19 immunisation. Medical history included urinary tract infection (UTI) and history of low blood pressure (not ongoing). She biked and hiked and eat healthy. Family history included high blood pressure in her dad and in her sister.Previously on 24Mar2021 (at 48 years) the patient received the first dose of the vaccine (lot ER8730) in right arm for covid-19 immunisation. Concomitant medication included ciprofloxacin taken for urinary tract infection from 10Apr2021 to 16Apr2021 (She just came off antibiotic a week prior to the second shot). On 21Apr2021 at 10:05 PM her heart rate was "extremely accelerated" (had accelerated heart rate) and patient stated that her chest, neck, and head felt "super hot" (her chest, neck, and head were hot) and  also stated that she was feeling "weird" and "floaty". She stated these symptoms lasted about 15 seconds and went away but had another episode right after that she stated was "not as intense but pretty intense still."She had a couple of those situations and she kept getting a wave of like this floating feeling or sensation all over her body.She reported going to the emergency room (ER) on 21Apr2021 where she had a few more incidents like this and stated that she also got "real hot" and had a "sensation" all over her body all at once that she cannot describe (she states that it's different than a "pins and needles" feeling) that made her dizzy and caused her heart to race. She stated these symptoms continued for a couple of days. She reported that on 24Apr2021 she woke up and felt fine but on 24Apr2021 at night stated that the symptoms returned but worse, her muscles started "trembling and jerking" and reported having a hard time talking and walking; she got that all over sensation again all over her body, her heart was racing, her chest was tight and hot and her muscles were tremoring and her leg muscles started jerking and she had trouble talking and walking, her throat and neck were feeling tight and closing.She reported she took 2 Benadryl and drank some sugar 2 teaspoons of sugar water but her symptoms worsened so she went back to the ER. She stated that by the time she got to the emergency room, her symptoms had subsided except her legs were "still trembling"/ her legs were just shaky. At the ER they checked her heart and did a blood panel. They said everything was good, they sent her home. On 25Apr2021 and on 26Apr2021 she was dizzy, weak, shaky, and had other incidents of her heart racing that she stated weren't extreme and then started to feel better on 27Apr2021. She reported that on 27Apr2021 night she woke up and her chest was tight again, it was hot and tight on the left side, she had that floaty feeling again all over. She had left side chest pain from 23:00 until 5:40 in the morning then it stopped, everything stopped and she was fine all day.On 29Apr2021  afternoon she felt better but still had some slight dizziness "almost like vertigo" but on 29Apr2021 night she was back at the ER, she had that all over feeling again, that sensation all over, her leg muscles were jerking, she couldn't talk again, she took Benadryl and drank sugar water again because it worked before she really does not know if that was what worked but it calmed down after that the time before. She went back to the ER they checked her in and this time the sensation, the feeling that was all over stayed in the right arm and leg but it subside on left side, her heart was racing a couple more times. It was right when her legs muscles started tremoring, they were having minor jerks, not as bad but every time that happened her heart rate would go up, her resting was 59 or 61 and it got up to 101. Her neck and chest would get hot. On 29Apr2021  night she was in the ER for quite a while, it subsided they sent her home with some Ativan for tremors and palpitations and told her to follow up with a cardiologist. Patient went to the cardiologist, she had blood and labs done and she had 2 conferences on the phone with her doctor.On 30Apr2021 morning she was super dizzy and weak and shaky and light headed and nauseous. She went to a cardiologist on 30Apr2021 and has been hooked up to a 7 day heart monitor. She reported that she still felt "real trembly" she has started feeling a little dizzy and floaty feeling. Event accelerated heart rate was ongoing, it just popped up whenever on and off. Dizziness was ongoing, patient said it was on and off but it was more on than off; she said sometimes it was worse or it was less but it had never left. Chest pain recovered on 28Apr2021 at 05:40.Outcome of the other events was unknown.Events heart rate increased , feeling hot, floating sensation and dizziness are reported as serious per hospitalization in 2021.