Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antinuclear antibody, C-reactive protein, Computerised tomogram thorax, Dyspnoea, Fatigue
Clinical narrative: I am still having shortness of breath; Extreme fatigue; muscle aches; nausea; headache; sweats; arms getting really heavy; brain fog; This is a spontaneous report from a contactable Nurse (patient). A 57-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number: EL3248; Expiration date: 30Apr21) intramuscularly in deltoid left on 29Jan2021 at 10:15 (at the age of 56-year-old) as single dose for COVID-19 immunization at Hospital. Patient's Medical History included Asthma [Well controlled], seasonal allergy, on 02Nov which was patient second week of missing work due to extreme fatigue, headache and nausea as she worked in urgent care-within COVID patient but never contracted COVID. Patient had no family history. Concomitant Medications included fluticasone propionate, salmeterol xinafoate [ADVAIR] daily taken for Asthma, levosalbutamol hydrochloride [XOPENEX] PRN (as needed) taken for asthma, oxymetazoline hydrochloride [CLARITIN] daily taken for seasonal allergies, ergocalciferol [VIT D], Zinc, ascorbic acid [Vit C] last taken on 09Nov. Patient did not receive any prior vaccinations (within 4 weeks). Patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number: EL3246; Expiration date: 30Apr21) intramuscularly in deltoid left on 07Jan2021 at 12:30 as single dose for COVID-19 immunization and experienced headache, fatigue, chills with Chills off/on during first week post vaccine headaches and fatigue for 3 wks. post vaccine, headaches wake her at night. On 31Jan2021 at 14:00, patient experienced headaches, sweats, extreme fatigue, nausea, muscle aches, shortness of breath. Events resulted in physician office visit. The short of breath and fatigue came with second shot like 31Jan2021. Patient was still having shortness of breath from just walking around the house and fatigue and she never had COVID. Reportedly, patient was having events from past 2 months out and was still having, she was improving but haven't been able to go back to work. Patient had experienced arms getting really heavy and brain fog on an unspecified date in 2021. She also mentioned that she has never been sick before and that it gave her a hard time to go to the shower because of the breathing problems. Some days the side effects gets better as well according to her. Patient underwent a bunch of tests because she was still having symptoms. She had CRP simultaneously ANA and a fibroid test there was another one she doesn't remember. Patient stated that the shortness of breath and fatigue she had and also had headache and nausea but those were improving. Patient had nausea, headaches, muscle aches up until 2 weeks ago until they started to subside. Patient also mentioned that their cardiologist ordered an echo yesterday and chest CT to be done on Monday to check on this. Patient would like to know if there are any data in regards these side effects several months after getting the vaccine. Patient was taking some supplements (unspecified) in response to the events. Outcome of all events were unknown at the time of report.  No follow-up attempts are possible. No further information is expected.