Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Headache, Nausea
Clinical narrative: Hives; Redness around injection site; Fever; Chills; tiredness; nausea; arm pain; headache; feeling crappy; 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. Other Case identifier(s): US-PFIZER INC-202101294616 (Pfizer).  A 67 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 29Sep2021 12:00 (Batch/Lot number: unknown) at the age of 67 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "known allergies: sulfa" (unspecified if ongoing), notes: known allergies: sulfa; "known allergies:all shell fish" (unspecified if ongoing), notes: known allergies: all shell fish; "Acid Reflux" (ongoing). Concomitant medication(s) included: PANTOPRAZOLE taken for gastrooesophageal reflux disease (ongoing). Vaccination history included: Bnt162b2 (Dose 1: Did not have these  symptoms the 1st and 2nd shot., No side effects with first two doses of vaccine), for COVID-19 immunisation; Bnt162b2 (Dose 2: Did not have these  symptoms the 1st and 2nd shot., No side effects with first two doses of vaccine), for COVID-19 immunisation. The following information was reported: FATIGUE (non-serious) with onset 29Sep2021 12:00, outcome "not recovered", described as "tiredness"; NAUSEA (non-serious) with onset 29Sep2021 12:00, outcome "not recovered", described as "nausea"; PAIN IN EXTREMITY (non-serious) with onset 29Sep2021 12:00, outcome "not recovered", described as "arm pain"; HEADACHE (non-serious) with onset 29Sep2021 12:00, outcome "not recovered", described as "headache"; FEELING ABNORMAL (non-serious) with onset 29Sep2021 12:00, outcome "not recovered", described as "feeling crappy"; URTICARIA (non-serious) with onset 01Oct2021, outcome "not recovered", described as "Hives"; VACCINATION SITE ERYTHEMA (non-serious) with onset 01Oct2021, outcome "unknown", described as "Redness around injection site"; PYREXIA (non-serious) with onset 01Oct2021, outcome "recovered" (Oct2021), described as "Fever"; CHILLS (non-serious) with onset 01Oct2021, outcome "unknown", described as "Chills". Therapeutic measures were not taken as a result of feeling abnormal. Therapeutic measures were taken as a result of pyrexia.  Additional Information: States that she was calling with questions regarding the booster vaccine. Says that she had the first two shots with no side effects. States that she got the booster the other day and has gotten 9 of the side effects that are listed. Says if it was the same ingredients as the first two vaccines, how was that possible? States that she has experienced hives, redness around the injection site, fever, chills, and nausea. States these symptoms started the second day after the vaccine. She states the fever went away after she took Tylenol. States she still has the hives. States she called her doctor when she had the fever. It was reported that, patient who received the 3rd booster shot of the Pfizer Covid vaccine 29Sep2021, and was complaining of, hives, redness around the injection site, fever, nausea, and chills. They were wondering how was that possible since, she had no reactions after taking the 1st two doses of the vaccine? Per caller: " patient took the booster vaccine the other day, and have 12 of the side effects listed on the card. She took both doses the first time and had no reaction. She poke to her doctor and she suggested she take Tylenol for the fever". Side effects after your second shot may be more intense than the ones you experienced after your first shot. These side effects were normal signs that your body was building protection and should go away within a few days. Although this statement refers to the second dose, the side effects of the vaccine were the same as in the 1st, 2nd, or in this case the 3rd dose, may have elicited a stronger reaction than the other 2.   No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.