Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Blood pressure measurement, COVID-19, Drug ineffective
Clinical narrative: She was diagnosed with COVID on 07Apr2021, the day after she was administered her second dose of Pfizer Covid-19 Vaccine.; She was diagnosed with COVID on 07Apr2021, the day after she was administered her second dose of Pfizer Covid-19 Vaccine.; blood pressure that won't go down; feeling tired; she just does not seem to have any energy; pulse rate still won't go down; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 67 year-old female patient received bnt162b2 (BNT162B2), administration date 06Apr2021 (Lot number: ER8734, Expiration Date: 31Jul2021) at the age of 67 years as dose 2, single and administration date 15Mar2021 (Lot number: EN6208, Expiration Date: 30Jun2021) as dose 1, single for covid-19 immunisation. Relevant medical history included: "Rheumatoid arthritis" (unspecified if ongoing), notes: immunosuppressed due to this condition.; "COVID", start date: Dec2020 (not ongoing), notes: that Monday diagnosed with COVID with COVID test by doctor in withheld who wanted to put her in hospital-she did not want to go, so friend and her drove home, stayed in car with mask on during drive.; "Bladder problem" (unspecified if ongoing), notes: She is on limited fluids because has bladder problem-her body doesn't recognize it needs sodium and potassium and just flushes sodium and potassium out.Is a little concerned with vomiting and diarrhea if should go ahead and have more fluids;she went ahead and did have more fluids,but does not know if she should have.; "fever", start date: Dec2020 (unspecified if ongoing), notes: Day after arrived on trip 105 degree Fahrenheit fever. When got home no longer had fever.; "lost sense of smell", start date: Dec2020 (unspecified if ongoing); "immunosuppressed" (unspecified if ongoing); "nausea" (unspecified if ongoing); "back injury" (unspecified if ongoing); "bone deterioration" (unspecified if ongoing); "Underactive thyroid" (unspecified if ongoing); "Restless leg syndrome" (unspecified if ongoing); "Blood pressure" (unspecified if ongoing). Concomitant medication(s) included: LOSARTAN POTASSIUM taken for hypertension; AMLODIPINE BESILATE taken for hypertension; CARVEDILOL taken for hypertension; CLONIDINE taken for hypertension; ROPINIROLE taken for restless legs syndrome; LEVOTHYROXINE taken for hypothyroidism; CYCLOBENZAPRINE; PHENYTOIN SODIUM; LEFLUNOMIDE taken for rheumatoid arthritis; CLONAZEPAM (ongoing); MORPHINE taken for rheumatoid arthritis, back injury, bone disorder (ongoing); TEMAZEPAM (ongoing). The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 07Apr2021, outcome "unknown" and all described as "She was diagnosed with COVID on 07Apr2021, the day after she was administered her second dose of Pfizer Covid-19 Vaccine."; BLOOD PRESSURE INCREASED (non-serious) with onset Apr2021, outcome "not recovered", described as "blood pressure that won't go down"; FATIGUE (non-serious) with onset Apr2021, outcome "unknown", described as "feeling tired"; ASTHENIA (non-serious) with onset Apr2021, outcome "unknown", described as "she just does not seem to have any energy"; HEART RATE INCREASED (non-serious) with onset Apr2021, outcome "not recovered", described as "pulse rate still won't go down". The events "she was diagnosed with covid on 07apr2021, the day after she was administered her second dose of pfizer covid-19 vaccine.", "she was diagnosed with covid on 07apr2021, the day after she was administered her second dose of pfizer covid-19 vaccine.", "blood pressure that won't go down", "feeling tired", "she just does not seem to have any energy" and "pulse rate still won't go down" were evaluated at the physician office visit. The patient underwent the following laboratory tests and procedures: blood pressure measurement: (Apr2021) won't go down; heart rate: (Apr2021) hanging around 100-111, notes: beats per minute; sars-cov-2 test: (07Apr2021) positive. Therapeutic measures were taken as a result of drug ineffective, covid-19, blood pressure increased, fatigue, asthenia, heart rate increased. Clinical course included patient went to the hospital on 07Apr2021 and they performed COVID test and told her she had COVID. They did not admit her to the hospital, they gave her fluids and told her to go home and self quarantine. She herself is not sure if she actually had COVID at that time, or if it was just a reaction to the second dose of Pfizer Covid-19 Vaccine; but the COVID test was positive for COVID. Outcome is unknown, initially reported as it took a while, but she is still having problems with blood pressure that won't go down; feeling tired, but she is not a spring chicken, maybe it's from that, but she just does not seem to have any energy. She thinks improving, but ongoing, her pulse rate still won't go down-it is hanging around 100-111 beats per minute. Before having COVID she was very active, she swam, did yoga and all of that. now she was not able to do much. Patient verified predisposing factor to COVID diagnosis after second dose as that she was immunosuppressed; but is not sure if she was exposed to anyone with COVID-not sure because she went to church and there were some people later that had COVID, but can't say for sure if she was exposed and verified she took no antipyretics around time of vaccinations. Medical history included COVID (that Monday diagnosed with COVID with COVID test by doctor in withheld who wanted to put her in hospital-she did not want to go, so friend and her drove home, stayed in car with mask on during drive) and bladder problem (she was on limited fluids because had bladder problem-her body didn't recognize it needed sodium and potassium and just flushes sodium and potassium out. Is a little concerned with vomiting and diarrhea if should go ahead and had more fluids; she went ahead and did have more fluids, but did not know if she should had).