Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Feeling abnormal, SARS-CoV-2 test
Clinical narrative: She had small stroke; The second shot she didn't feel like herself.; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 74-year-old female patient received BNT162b2 (BNT162B2), on 01Apr2021 as dose 2, single (Lot number: ER2613) at the age of 73 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "physical therapy" (unspecified if ongoing), notes: for 3 years her chin wants to go on her chest when she sleeps and is progressively weaker; "also has reactions to foods and gets red all over and get really sick" (unspecified if ongoing); "blood pressure sent it off" (unspecified if ongoing); "was like bronchitis but worse. " (unspecified if ongoing); "coughing so hard" (unspecified if ongoing). Concomitant medication(s) included: METOPROLOL TARTRATE, start date: Nov2021; CLOPIDOGREL, start date: Nov2021; ATORVASTATIN, start date: Nov2021; AMLODIPINE BESYLATE. Vaccination history included: BNT162b2 (First dose: given on 11Mar2021. No reaction and was fine. , lot: EN6202), administration date: 11Mar2021, when the patient was 73-year-old, for covid-19 immunization, reaction(s): "No reaction and was fine.". The following information was reported: CEREBROVASCULAR ACCIDENT (hospitalization) with onset Nov2021, outcome "unknown", described as "She had small stroke"; FEELING ABNORMAL (non-serious), outcome "recovered", described as "The second shot she didn't feel like herself.". The patient was hospitalized for cerebrovascular accident (discharge date: Nov2021). The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: tested and nothing showed up.  Clinical course details:  She had the second booster last Wednesday. She is not calling to complain. She is calling to report what she thinks happened to her. She sat through the long thing when she called and is so glad that call handler answered. At the end of the recording it says if medical emergency to disconnect and call (withheld). Caller thinks that should be said at the beginning of the call. She doubts people would listen to that, but it is very informative. Caller clarified that she is calling about the Covid19 vaccine, she is 74 years old. So she is over 50. She has compromised lungs. She was aware not to get Covid form the beginning and that was personal. It was added that she is not religious about checking her email. She only checks if she recognizes the sender. The first shot she had no reaction and was fine. The second shot she didn't feel like herself. She didn't feel sick, just not herself. She drank lots of water and slept. From that afternoon until the next day at noon time she didn't feel like herself. She doesn't know how to explain it. The booster she got in Dec. She had been sick before that. She had 2 weeks of something she thinks she had omicron, but tested too early. She had small stroke. She got booster in early Dec and was fine. She had soreness in her left arm every time and she expected that and it didn't bother her. Seeing physical therapy because for 3 years her chin wants to go on her chest when she sleeps and is progressively weaker. No muscles in her body work. She thinks the protruding stomach has something to do with the gastro. Caller can't hold her muscles in. She also has reactions to foods and gets red all over and get really sick. When investigating what was in the Pfizer shot early on last year she saw that PEG was in it. She didn't know what PEG was and researched and found it is sometimes in food and sometimes in cosmetics. She looked through her creams and stuff and she had cream that had PEG in it. She lathered it all over herself and had no reaction, so she got the shot. As an aside she saw in report that proper posture can lead to problems with neck. Caller has never had proper posture. Before she took the Pfizer shot she took her mask off in the grocery store. She got a sore throat and was tested and nothing showed up. She had the worst sore throat. She went to (name withheld) and told them if it wasn't Omicron she needed an antibiotic. They put her on 500mg Keflex three times a day. Also gave her a steroid caller Methyl Pred something. She was too take the steroid for 6 days. Caller had small acute thalamus stroke. She has had high blood pressure for a long time and refused medication. The steroid shot her blood pressure up. Caller thinks she wasn't taking her blood pressure and the stroke was imminent and coming. The stroke only lasted for 10 seconds. By the time (withheld) came on the phone, caller was walking around. She had pins and needles in her hands and feet, but not in the face. By the time 911 answered the feeling was gone. The hospital thought she had TIA and did MRI the next day and saw she had real stroke not a TIA. It was the small acute thalamus infarction. The pins and needles included entire left side. Caller doesn't have NDC/LOT/EXP for Keflex and  the steroid Methyl Pred something. Caller states she calls it Keflex. It is the only thing she can take that she doesn't have reaction to. Caller clarified that she has had reactions to antibiotics. The provider wanted to put her on something else. Keflex is called something else, Cefla something. The provider told caller to take Tylenol twice a day and she is not sure why she did that she never does. It was whatever the big pill was. She has to put her glasses on. She has cataracts. No further details provided. When queried for Tylenol caller clarified the Tylenol as (pharmacy name) Acetaminophen and she is not sure that is what she took. It is Extra strength 500mg. Was taking another bottle that was not Pharmacy before and it was 500mg twice a day. Never said Advil caused stroke, but caller is not sure if the Acetaminophen can. Caller blaming the steroid and her blood pressure sent it off. It lasted for some time. It was more than sore throat. It was like bronchitis but worse. It went down that far. She couldn't feel and was coughing so hard. Hasn't been that sick since she was a child. It was similar to attacks she had as a child. It sounded like how they described Omicron symptoms. Thinks she had the test too soon.  Clarified that she was in the hospital for stroke. For 6 days she concurrently took Keflex and steroid. When she took the last pill the next day she had the stroke because she had high blood pressure that she had not taken care of. She is thinking the steroid and being sick since her blood pressure was high contributed. The stroke was a day or two before thanksgiving. They had her stay in observation. She was in observation for 2 days around thanksgiving 2021. She has been on blood pressure medication since then and she continues to be tired. There are two blood pressure medications. She is on four pills. Metoprolol tartrate (Additional Information for Other medicines Metoprolol Tartrate: generic for Lopressor): 25mg pill that gets cut in half. Takes 12.5mg in the morning and 12.5mg at night. It doesn't cut like she wants it to. There is something hard under there on the line where she cuts. How much she is getting is iffy. The pharmacy said to take the larger half in the morning and then smaller in the evening. She cuts for 2 weeks and there are some that are more than 12.5mg than others. If she is going to have a busy day she takes the larger half. It is in a pharmacy bottle. She is on her third refill. Doesn't know what they all were. She hasn't taken them yet today, she is late taking them. She has to look at the little notes. Going to the light to read it better. Not sure if it was the same manufacturer every time. This time the manufacturer is Caraco/Sun Phar. That is what she was on when she had the booster. Concomitant Medications: She left hospital on all 4 medications in Nov2021. Clopidogrel (Additional Information for Other medicines Clopidogrel: Generic for Plavix. Started it after the stroke. 75mg in the morning): the other two bottle could have been distributed by (withheld). It was made in country. She has no complaints about medications. Hasn't had bad reaction. (pharmacy name) also added the same piece of information on this bottle as they did their own bottles. It says mfr Aurbindo Pharm. That doesn't mean they made it because it says distributed by. Atorvastatin (Additional Information for Other medicines Atorvastatin: generic Lipitor. They sent her home on 40mg and the heart doctor changed it to 20mg. That is what she was taking when she had the shot.: been avoiding it like the plague. She has felt strange thing in her legs off and on because it is a statin. She only took 40mg for 1-2 weeks and been on 20mg since then, almost since the beginning. She would not like to be on it at all. In manufacturer bottle (Manufacturer: Cadila Healthcare LTD. She can hardly read it. It may be Cadla. Made in country distributed Zydus Pharmaceutical. NDC: not provided when queried. Lot: E104854. Expiry: 31May2023). The patient also took amlodipine besylate (Additional Information for Other medicines amlodipine besylate: Generic for Norvasc, It is a tablet. In a pharmacy bottle. 5mg in the morning). Caller states she is not in her right mind. She doesn't remember what she wanted to say. She was very lucky and has no long term problems from the stroke. The second morning in the observation when she woke up on Thanksgiving, the calf below knee felt like a vice around it. She was told it was probably a muscle and to give some heat. They were not giving answer if it was related to stroke. She came home and she had vice around that part of her leg, thigh, middle, boob, and back. It would come and go. She didn't know if she was having another stroke. The nurse line didn't know what it was. The next day she went back to the hospital and they put her on the machines and they were wonderful. At the end of being there 5 hours they put her in observation immediately, they said it is probably muscles. It was not life threatening and she could go home. She was stupid and thought they were looking at records. She came home and wasn't going to waste insurance money any more. She was talking to her daughter of choice who had a friend that is a nurse. Caller texted with her part of the day with her and she said it was symptomatic of the type of stroke caller had. When she went to neurologist for follow up he said it would last 6 months. It was done and gone that weekend. Caller is very lucky and trying to get things in order, but not doing a good job.