Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Fatigue, Tenderness
Clinical narrative: This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 62 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 20Apr2021 (Lot number: BW0162) at the age of 62 years as dose 1, 0.3 ml single for covid-19 immunisation. Relevant medical history included: "Spleen removed", start date: 1995 (unspecified if ongoing). Concomitant medication(s) included: VITAMIN D3; PROBIOTICS NOS. Vaccination history included: Flu shot (name of the flu shot is Afluria PFS and it also says 2020-21 INJ 0.5mL), administration date: Oct2020, reaction(s): "little bit of tiredness", "had sore arm". The following information was reported: FATIGUE (non-serious) with onset 20Apr2021, outcome "recovered" (Apr2021), described as "tired"; TENDERNESS (non-serious) with onset 20Apr2021, outcome "recovered" (22Apr2021), described as "tenderness in the left arm for first dose"; ASTHENIA (non-serious) with onset Apr2021, outcome "recovered" (Apr2021), described as "run down for the next couple of days". Additional Information: Patient called about the Pfizer COVID-19 vaccine the MDV. He said he went with his mother named (name) who is 89-year-old. He says they went to (name) on 20Apr2021 and got the first dose, they had no severe side effects but were tired the next day and tender in the arm. He says that passed within a couple of days and was not a big deal. He says the tenderness in the left arm for the first dose lasted maybe a day or two. He say the dose on 20Apr2021 was in the afternoon roughly between 2:00pm and 2:30pm for both him and his mother. He says because of her age he must make sure he stays healthy. He says he doesn't want to pass on illnesses to her and he is the only one who does grocery shopping. He says he doesn't want to pick up any illnesses from the outside and bring them home. History: Align probiotics additional information: He says reads from the product: bifidobacterium longum subsp. longum 35624 TM 4mg in the capsule form. He says sometimes he may take also or instead the Align a duo-biotic which is a prebiotic plus probiotic digestive health. He says that normally he takes it once a day but maybe two a day sometimes. Results: He says the last time he had a workup from a doctor was over a year and a half ago and everything was in the normal range. Prior Vaccinations within 4 weeks were none. Patients Medical History (Including any illness at time of vaccination): The patient denies being sick at the time of vaccinations. Family Medical History Relevant to AE(s) and Relevant Tests were none. The patient says his mother is the one he is primarily concerned about as his reactions were minor. He says he assumed that they will clear up like the effects from the first dose cleared up and much like when they got the flu shot in the past. AE(s) following prior vaccinations: He says both he and his mother had the flu shot last Oct2020 done at one of the (name) as well. He says they had a sore arm and a little bit of tiredness and it usually passes within a day or two. He says for the past flu shot he doesn't recall that he had any concern really, maybe tenderness in the arm but other than that not any tiredness; just a minor thing like what he expected for the COVID vaccine. He says the television said might expect soreness in arm and tiredness like the flu shot. He says for the flu vaccine it was minor: some slight tiredness. He says he does not know the lot number, expiration date, or  number for the flu shots but then finds that information for the latest flu shot he had: He says the name of the flu shot is is Afluria PFS and it also says 2020-21 INJ 0.5mL. He was not sure who the manufacturer is but thinks it might be MFG . no LOT number, no expiration date. He specifies that for this particular flu shot he felt tiredness and a sore arm. Additional Information for Concomitant Products Centrum Silver for Men Multivitamin: He says he has been taking this for years.  No follow-up attempts needed. No further information is expected.