Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure measurement, Blood test, Blood thyroid stimulating hormone, Burning sensation
Clinical narrative: having no energy; felt like he had the flu; face, hands, and arms burning; arms (shoulder all the way down to his hands) go to sleep; heart feels like its struggling; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 65 year-old male patient received bnt162b2 (BNT162B2), administered in arm right, administration date 08Sep2021 16:00 (Lot number: EW0182) at the age of 65 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Thyroid" (unspecified if ongoing), notes: He takes a thyroid pill but he has been taking this since he was 28 years old. Concomitant medication(s) included: LEVOTHYROXINE taken for thyroid disorder. Vaccination history included: Tetanus shot (He recently got finned by a fish in the summer and received a tetanus shot), for Immunization. The following information was reported: ASTHENIA (non-serious) with onset Sep2021, outcome "unknown", described as "having no energy"; INFLUENZA LIKE ILLNESS (non-serious) with onset Sep2021, outcome "recovered" (2021), described as "felt like he had the flu"; BURNING SENSATION (non-serious) with onset Sep2021, outcome "recovering", described as "face, hands, and arms burning"; LIMB DISCOMFORT (non-serious) with onset 2021, outcome "recovering", described as "arms (shoulder all the way down to his hands) go to sleep"; CARDIAC DISORDER (non-serious) with onset 2021, outcome "unknown", described as "heart feels like its struggling". The event "face, hands, and arms burning" was evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of influenza like illness, burning sensation.  Additional information: The caller took his first shot and he felt fine for a couple of days. He explains he was very active. He mountain bikes, exercises, he didn't have any health issues, his blood pressure was good. On the third day after receiving the shot. He went to his primary care doctor and his doctor put him on Gabapentin which that has helped. However, the two big issues he was having now was that his arm. If he gets still just a little bit, both of his arms go to sleep. This comes and goes. Those were the two biggest problems he was having now, and Wednesday would have made 13 weeks since he last had the shot. His doctor told him to hold off on getting a second shot for now. The caller also confirms the burning of his face, hands, and arms has improved. The caller also confirms his heart feeling like its struggling comes and goes. He really notices it when he settles down, like when he sits down to relax. When he was up moving and exercising, he doesn't pay attention to it because his heart rate was up anyway. It just feels like his heart was struggling and comes and goes for a few days where he didn't notice it. He states he never noticed this problem until after he took the vaccine. He never had any problems with that. Caller states he went to doctor the fourth week after receiving the vaccine and his doctor did a series of bloodwork. His doctor checked his thyroid. Caller states he didn't understand all these tests but it was about inflammation. The doctor told him to just wait. The caller has another appointment on 04Jan2022 with his doctor. Caller explains his thyroid has never gotten that high, but his doctor wants to check it again. His thyroid level was off the chart. The caller took Gabapentin as therapeutic measures, 100mg capsules. Caller was instructed to take one capsule by mouth before meals and 3-6 capsules at bedtime for burning sensation. His doctor told him to gradually reduce his dosage and the caller confirms he was taking 400mg (milligram) at night.   Follow-up attempts are completed. No further information is expected.