Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure fluctuation, Fatigue, Immediate post-injection reaction, Nasopharyngitis
Clinical narrative: cold; arm was tired; It can be as low as 80 and as high as 220 / It just fluctuates; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  An 85-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 24Oct2022 as dose 4 (booster), single (Batch/Lot number: unknown) at the age of 85 years for covid-19 immunisation. The patient's relevant medical history included: "blood pressure regulated" (unspecified if ongoing). Concomitant medication(s) included: LOSARTAN taken for hypertension; NIFEDIPINE taken for hypertension. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE), for COVID-19 immunization; Bnt162b2 (DOSE 2, SINGLE), for COVID-19 immunization; Bnt162b2 (DOSE 3 (BOOSTER), SINGLE), for COVID-19 immunization. The following information was reported: BLOOD PRESSURE FLUCTUATION (medically significant) with onset 24Oct2022, outcome "not recovered", described as "It can be as low as 80 and as high as 220 / It just fluctuates"; NASOPHARYNGITIS (non-serious), outcome "unknown", described as "cold"; FATIGUE (non-serious), outcome "unknown", described as "arm was tired ". The patient underwent the following laboratory tests and procedures: Blood pressure measurement: highest reading at 220; hang around 187; 146 is lowest she can get it; It can be as low as 80. Therapeutic measures were taken as a result of blood pressure fluctuation. Clinical course included patient was a 85 years old female got her 4th dose; a Pfizer omicron booster dose. Patient reported that after she got it in October, her blood pressure has not been right since 24Oct2022. It fluctuates on 24Oct2022 with the highest reading at 220 but will hang around 187 (146 is lowest she can get it). said she has called before and was referred to CDC. Patient asking can the shot affect blood pressure. Patient stated she talked to 2 other people who experienced the same thing. Patient stated she has had all Pfizer covid 19 shots and date of last booster: 24Oct2022. States she had talked to many people about this; 2 other people she talked to landed in the ER with one man having a BP around 220. States she called Pfizer right after this happened. Caller has taken all of the COVID vaccines by Pfizer. Her last one was the Omicron COVID vaccine. She took the omicron shot the end of 24Oct2022, and her blood pressure has not been right since 24Oct2022. Everything was fine until this shot. She can only find 2 other people that this happened to. Ever since she got the last vaccine, her blood pressure has been going up and down on 24Oct2022. It has gotten up to 220 many times. It usually stays in the 180s. It just fluctuates. She had to switch pills around and added something else medication wise to help. It has not been 220 lately, but it is hanging around 187. 146 is the lowest she has seen the top number of her blood pressure. She takes her blood pressure in the mornings and evening. It can be as low as 80 and as high as 220. She received 4 doses though. She cannot read the information on the vaccine card. She had 4 doses. The last one was the Omicron shot. She got the last dose 24Oct2022, and the blood pressure issues started immediately. It just goes day to day She did not check her blood pressure last night. Her arm was tired from having the cuff on it. Her adding that blood pressure pill helped. Treatment included losartan- 100mg nifedipine - 30mg. She used to take losartan at night and nifedipine in morning, but now she is taking them together at night) hydrochlorothiazide- 25mg (to get the sodium out of her system). This cold she has was due to her not wearing socks on her cold floor. Originally she was on 75mg of losartan at night (for about 10 years), and nifedipine in the morning (she has been on that for about 10 years). Those products had her blood pressure regulated. When her blood pressure went high she did not have a headache or anything. The caller stated she probably should have went to the ER, but she just doubled down on her blood pressure medicine to bring it down.   The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 has been requested and will be submitted if and when received.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202201361208 Same reporter, same product, same event, different patient;US-PFIZER INC-202201361209 Same reporter, same product, same event, different patient;