Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Asthenia, Blood test, Body temperature, Electromyogram
Clinical narrative: Stomach was off; She has lost weight; Can't get out of bed if she's lying flat unless she's able to pull on things; Weakness has made her afraid to walk down the stairs; Tired; Exhausted; Very high temperature; Extremely weak; Muscle weakness; This is a spontaneous report was received from a contactable nurse (patient). A 70-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/lot number: EN6204 and Expire Date: unknown) in left arm, via unspecified route of administration, on 15Mar2021 as 2nd dose, single dose for Covid-19 immunisation. Patient's medical history included ongoing Parkinson's disease, Chronic lymphocytic leukaemia, Sleep apnoea, Chronic fatigue, Hypothyroidism. She has not had any changes to her medications. She has taken the same medications for years. She declines to provide her medication information. The patient also had slight allergy (vomiting) due to Miralax in the year 2012. She had the Miralax in 2012 when she broke her hip, she was at a rehab hospital. The hospital didnt have any prunes so they gave her Miralax twice. The patient's concomitant medication included IgG infusions every 4 weeks. She received her IgG infusion on the days after she received her first and second Covid 19 vaccine. She has been getting IgG for 15 years. She took Tylenol and Benadryl and Prednisone to get her IgG. On 22Feb2021 at 10:30, the patient had received 1st dose of vaccine (Batch/lot number EM9809) on left arm and experienced gas. On 15Mar2021, the patient's temperature was as high as 101.7 degrees Fahrenheit. She did not take any Tylenol for her high temperature because she was told not to with the Covid 19 vaccine. She did ultimately take Tylenol for her temperature and her fever came down. She doesnot recall the exact temperature. It had gone up to 100.9 degrees Fahrenheit and then over the next few days it was around 99 degrees Fahrenheit. She thought she was weak because of the high temperatures. Her stomach felt off, but she drank some Ginger ale. She was weak, tired, and exhausted. She also had her blood tested for Covid 19 antibodies and she was negative for antibodies. Now her primary care doctor is concerned with her muscle weakness and thinks she now has an advanced case of Parkinsons disease. She does have a history of Parkinsons disease before-hand. She had an EMG (Electromyographic Nerve Test) last Thursday, 20May2021 and she has had blood work that has ruled out Myasthenia Gravis and ruled out Guillain-Barre. Her weakness has made her afraid to walk down the stairs. She had to have someone pull her up to the side of the bed. she has lost weight. She reports the temperatures are gone but the weakness has gotten worse. She still cannot get out of bed if she was lying flat unless she was able to pull on things. Her doctor told her she should report her side effects. She just got off the phone with reporting hotline. She reports she has no immunity because of her cancer, and she was hoping she can still receive the Covid 19 vaccine booster if needed. The patient did not receive any vaccine prior to covid-19 vaccine but had sore arm for any vaccine that he had received. Five months ago, she was able to hike and do yard work and now she was basically housebound, mostly. She has been to her primary care doctor on 06Apr2021, and she went to her gynecologist for a routine visit on 07Apr2021. Her gynecologist was upset because she looked so weak. She went to the Cancer clinic on 13Apr for an IgG infusion. She saw a urologist on 07May2021 for a routine appointment. Her appointments with the urologist and gynecologist were not related to her experience with the Covid 19 vaccine. She has had lots of conversations with her neurologist and had not written down the dates she has talked to him. She saw her primary care doctor again today on 28May2021. Her cancer doctor, primary care doctor and her neurologist have all been talking together about her case. The patient undergone lab tests which included body temperature on 15Mar2021,101.7 Fahrenheit and unspecified date in Mar2021, 100.9F and 99F and in Mar2021, SARS Cov-2 test results was negative, weight measurement showed decreased weight, on 20May2021, Electromyographic Nerve Test and blood work reports included Myasthenia Gravis and Guillain-Barre. On an unspecified date in 2021, the patient was recovered from very high temperature and not recovered from extremely weak, muscle weakness, stomach was off, tired, exhausted and weakness has made her afraid to walk down the stairs and outcome of lost weight, can't get out of bed if she's lying flat unless she's able to pull on things was unknown.