Age: 88.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Body temperature, Body temperature increased, Fatigue, Macular degeneration, Pain in extremity
Clinical narrative: She needs to get her magnifying glass, she states she's going blind/macular degeneration; She needs to get her magnifying glass, she states she's going blind/macular degeneration; temperature 99.2; vomiting; very tired; arm was sore, couldn't lay on it; This is a spontaneous report from a contactable consumer (patient). An 88-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EM9809) intramuscularly, administered in left arm on 23Feb2021 at 10:30 (at age of 88 years old) at a single dose for COVID-19 immunization; gabapentin, via an unspecified route of administration from 08Feb2021 to 15Feb2021 at 100 mg, daily, then via an unspecified route of administration from 15Feb2021 (Batch/Lot number was not reported; Expiration Date: 08Feb2022) to an unspecified date, at 200 mg, daily for feet burn. Medical history included hiatus hernia surgery from Nov2019, surgery from an unknown date, vomited after surgery for three nights/days, gastrooesophageal reflux disease (GERD), cancer, feet burning, feet red, asthma and thyroid. Concomitant medication included paracetamol (TYLENOL EXTRA STRENGTH), fluticasone propionate, salmeterol xinafoate (ADVAIR) taken for asthma, montelukast sodium (SINGULAIR), fluid pill, vitamin D, vitamin C, potassium, acid reflux pill before nighttime before supper, thyroid pill, singulair pill. The patient previously took Codeine and percocet [oxycodone hydrochloride;oxycodone terephthalate;paracetamol] and experienced allergies. Two years before in Nov2019 she had hiatus hernia surgery. Her stomach went into her chest. She was in rehab. She had to have the surgery done twice. She went from one hospital and then she went to another and it was taken care of there. When she went to rehab after her surgery, all she did was vomit day in and day out. Her current vomiting reminds her of this experience. They finally did take care of it. She came out of the hospital and was vomiting. She clarifies she had problems with vomiting for the last 6 months before this current experience. She doesn't know what she's eating. They say it's acid and she has Gerd. She does try to get her exercises in. When she was in the hospital, they found she had cancer, which they are just watching for now. When querying what kind of cancer she has, the caller explains she didn't have them do a biopsy. She didn't want to go that far into it. She didn't want any extensive treatment. At first, they were keeping check of the cancer every 3 months. Now, she is going ever year. She last went in November. The patient experienced macular degeneration on an unspecified date, vomiting on 23Feb2021 at 17:30, temperature 99.2 on 25Feb2021 at 10:00, very tired on 23Feb2021, arm was sore couldn't lay on it on 23Feb2021. Patient had the first Covid vaccine Tuesday morning, clarified to 23Feb2021 at 10:30AM and around 5:30PM that night she started vomiting. She vomited all night long and all day Wednesday and Wednesday night, and this morning. So far, it had stopped. She was trying to hold water down, but she couldn't keep water down, the water would come up. She clarifies further she tried to take a sip but it kept coming up. She called her doctor who was a practitioner and she told her to drink ginger ale and maybe crackers. She told the doctor that her daughter sent her electrolytes and she was told that was fine to take. She tried toast this morning and she couldn't hold it down. She's been eating very slow, taking little bites at time and she had been holding it down. She did have temperature of 99.2 on 25Feb2021, but half hour or so before it was down to 96 now. She couldn't take medicine that she normally takes because she'll throw it up anyway. She tried to take a few of her pills but it didn't stay down, she threw them up. Around 9am, she took her thyroid and that stayed down. So far, that's doing good. She takes Advair for asthma and she took that, that's okay. She took her singulair pill. So far, the three of these medications have stayed down, and she took 2 Tylenol. Patient took Tylenol twice. She knows it was Extra strength, took 2 pills Tuesday night but it didn't stay down. She Took 4 Tylenol today, 2 pills this morning and 2 right before her CNA left at around 3pm. Caller mentions she can't see the dosage on her Tylenol bottle. She doesn't see the dose. She mentions she will get her magnifying glass to check it out. She's afraid because she had surgery a couple years before and she vomited after surgery for three nights/days, or whatever. Today (25Feb2021), when she spoke to her doctor she was advised to call Pfizer to let them know how the vaccine is affecting her. Right now, she feels pretty good, but she was very, very tired. She's going to lay down when she gets off the phone. She had a CNA with her today and she also spoke to the nurse practitioner. The last time she vomited was around 10am. When the CNA came in, she told the caller to call the doctor but she told the CNA she'd be fine. However, the CNA urged the caller to call her doctor and let them know what was going on. Her second dose was scheduled for 16Mar2021. Her doctor told her don't drink the water, drink the ginger ale and don't drink it too fast, and try crackers and toast. The patient took her temperature last night (24Feb2021) but couldn't read it that great, she thought it was 98. When the CNA came this morning (25Feb2021), she took it around 10:00AM and it was 99.2. She told the CNA to take another temperature because she didn't think she had a fever. When the CNA left, she had to leave at 3:00PM, her temperature was normal, it was 96. She thinks maybe her temperature went to 99.2 because she was drinking her tea. However, she wasn't drinking it right away, because she threw up on it. She stopped drinking an hour before her temperature was taken. She clarifies wasn't drinking the tea when the CNA came. She also mentions she broke up her the toast into little tiny pieces and felt like she was eating like a bird, but it didn't stay down so she stopped. The CNA came around 9am, maybe 8am, and clarifies it was maybe around 1030AM when she took the temperature. When the CNA left her temperature was at 96. The patient was very tired the same day she received the vaccine. She remembers went to bed with clothes on. Last night, she wanted to go to bed again with her clothes on but she couldn't stand it and she changed into her pajamas. Then, she went to the bathroom and vomited, she has a bucket by the side of her bed. It wasn't the dry heaves, stuff was coming up. She was still very tired currently. She makes the comment "I forget things and then I remember afterwards". She had to get under the light to see the Covid card, it's small, it is handwritten. Caller mentions she sees the month on it. Caller reports her arm bothered her for quite a while. Last night, she went to sleep on her left side and her arm was feeling better which gave her some hope.  Her arm started hurting her the day she got the vaccine, but her arm wasn't red or anything. Her arm was feeling better this morning. She thinks if she can sleep on it and didn't hurt, it's getting better. The last pills she took were Gabapentin she has been on for about 2 weeks. She explains her feet burn during the night and the doctor recommended the Gabapentin for now. However, she has had too much time trying to stop the vomiting that that took over her feet burning, so her feet didn't bother her as much. She was initially prescribed 1 pill at night before going to bed at 10pm, then when the 1 pill didn't work for a week, the doctor increased it to 2 pills at bed time at 10pm because it takes an hour to work. She stated that she was going to take the Gabapentin on Tuesday night, which was a mistake because she threw it right up and it tasted awful. Caller makes the comment she has not given the doctor the report of how that reacted yet. When probed for an NDC, Lot number or expiry date for the Gabapentin, the caller explains she can't see writing, it's in small print. She does see the Discard After: 08Feb2022. She needs to get her magnifying glass, she states she's going blind. She's been told she had macular degeneration. She doesn't think the Gabapentin is agreeing with her. She reads that it "May cause drowsiness, operating vehicle which she doesn't drive, may cause dizziness, may cause vision. Call if you experience mood changes, sadness, depression.." She started out taking one pill of the Gabapentin every night from Monday to Monday. The second Monday, 15 Feb2021, she started taking 2 pills at night for a total of 200mg. She took it this past Monday night until she had the vaccine and then she took it again, and now she was not taking it anymore. Her burning feet wake her up during the night, it starts at her ankles and goes halfway up her leg. She had to put her feet on a cold floor. Normally, she feels good and she usually doesn't get pain so whatever little bit of pain she has, that's the pain she gets. Her feet were burning like that for month before she called the doctor. she didn't know. Her feet were red before they started to burn, this is the latest thing. During the day, she is fine, only a nighttime her feet burn. The patient underwent lab tests and procedures which included body temperature: 98 on 24Feb2021; 99.2 on 25Feb2021; 96 on 25Feb2021. Therapeutic measures were taken as a result of vomiting. She was going in for a test, clarified as an MRI on the 3rd of March for her eyesight. The action taken in response to the event for gabapentin was permanently withdrawn on an unspecified date. The outcome of the event "Pain in arm" was recovering, the outcome of the event fatigue was not recovered, the outcome of the events "temperature 99.2" and "Vomiting" was recovered, and outcome of other events was unknown.