Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature, Chills, Headache, Pain, Pyrexia
Clinical narrative: woke up about 5 am with a fever, approximately 102 plus or minus a half a degree; Chills; Headache; achy all over; This is a spontaneous report from a contactable consumer (patient). A 57-year-old male patient received of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot/batch number: EN6205 and expiry date was not reported), via an unspecified route of administration at left upper arm (left arm pretty close to the top, near the shoulder), on 15Apr2021 at 14:30 (at the age of 57-year-old), as a dose 1, single for COVID-19 immunization. The patient's medical history includes seasonal allergies (From: Unspecified To: Unspecified), herniated discs in the neck (From: Unspecified To: Unspecified) and the patient was in a car wreck 15-20 years ago, Arthritic pain in hands, Relief and COVID-19. The patient concomitant medication includes montelukast sodium (Singulair) for allergies (Start: Unspecified Stop: Ongoing) the patient has been taking about 10 years usually takes at night when he remembers, Levocetirizine (generic name: Xylal) for allergies (Start: Unspecified Stop: Ongoing) usually takes at night, pollen usually bad at night in the deep south the has been taking about for 10 years, Hydrocodone-acetaminophen for relief (Start: Unspecified Stop: Ongoing) and has been taking off and on for 15-20 years, Meloxicam for arthritic pain in hands (Start: Unspecified Stop: Ongoing) takes as needed. Took as needed up until the vaccine yesterday. Needed a little something. They wouldn't give him Valium or Morphine. Reportedly the patient had Covid back in September, and entire household did as well. Back in September, his symptoms were most severe. Had the fever for 18 days and chills and headaches. About a month of feeling that. Patient' historical vaccine included shingle vaccine on 05Mar2021. history of all previously immunizations and additional vaccines administered on same date reported as none. patient was not received any other vaccine four weeks prior vaccination. On 05Mar2021, Thursday the patient had last vaccine it was reported that the patient was picking up prescriptions at CVS and asked them if they had any single Johnson and Johnson vaccines left. He left. Later got a call telling him that he qualified and to come and get the shot. He went back and got the shot. He was saying the Johnson and Johnson single vaccination, meaning the Covid single vaccination. They were saying the shingle vaccination, so they gave him the shingle shot. It was reported that the patient was told not to get the Covid vaccine for another 2 weeks reportedly the patient noted that he waited about six weeks. On 16Apr2021 at 05:00 the patient woke up and had fever approximately 102 plus or minus a half a degree, at the time of reporting the patient still has the fever and reportedly the predominant symptom was the fever. Chills Started same times as the fever on 16Apr2021 at 05:00. Still feels them a little, but not as much and chillls not bad at the moment. The patient also had headache started this morning around 6 or 7 on (16Apr2021). Is probably a little because he took Tylenol at that time. It was kind of fading but was coming back now that the Tylenol was wearing off. Reportedly on 16Apr201 the patient experienced achy all over and Kind of travels in tandem with the headache. After the Tylenol it is a little better. Reportedly the patient normally takes Meloxicam, which is from Ibuprofen family, for arthritis. The patient queried this something he should take for the fever, or should he just take Tylenol until the fever subsides. Wanted to check on this before he started popping pills. The patient underwent to lab test Body temperature approximately 102 plus or minus a half a degree on 16Apr2021. Patient not visited to emergency room or physician's office for the events. Therapeutic measures were taken as a result of the events. The outcome of the event woke up about 5 am with a fever, approximately 102 plus or minus a half a degree was not recovered, Chills and Headache was recovering and achy all over was unknown.  No follow-up attempts are possible. No further information is expected.