Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Myocardial infarction, Nephrolithiasis, Troponin
Clinical narrative: ketoacidosis episode; having a heart attack; twinge in my heart/twinge heart.; 5 kidney stones one of which was obstructive; my blood sugar went too high/blood sugar over 600; confused; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team, Program ID. The reporter is the patient.  A 67-year-old female patient received bnt162b2, bnt162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 18Nov2022 as dose 3 (booster), single (Batch/Lot number: unknown) at the age of 66 years for covid-19 immunisation. The patient's relevant medical history included: "melanoma surgery" (not ongoing), notes: I've had melanoma surgery many times; "skin carcinoma" (ongoing); "insulin dependent diabetic" (ongoing); "lymph node removal" (not ongoing); "basal cell carcinoma" (ongoing); "squamous cell carcinoma" (ongoing); "all kind of surgery for skin cancer" (not ongoing), notes: all kind of surgery for skin cancer; "melanoma" (ongoing). The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (Dose 1, single), for COVID-19 immunization; Bnt162b2 (Dose 2, single), for COVID-19 immunization. The following information was reported: NEPHROLITHIASIS (hospitalization) with onset Jul2023, outcome "unknown", described as "5 kidney stones one of which was obstructive"; CONFUSIONAL STATE (hospitalization) with onset Jul2023, outcome "unknown", described as "confused"; MYOCARDIAL INFARCTION (hospitalization) with onset Jul2023, outcome "unknown", described as "having a heart attack"; KETOACIDOSIS (hospitalization) with onset Jul2023, outcome "unknown", described as "ketoacidosis episode"; BLOOD GLUCOSE INCREASED (hospitalization) with onset Jul2023, outcome "unknown", described as "my blood sugar went too high/blood sugar over 600"; ANGINA PECTORIS (hospitalization) with onset Jul2023, outcome "unknown", described as "twinge in my heart/twinge heart.". The patient was hospitalized for ketoacidosis, myocardial infarction, angina pectoris, nephrolithiasis, blood glucose increased, confusional state (start date: Jul2023, discharge date: Jul2023, hospitalization duration: 8 day(s)). The events "ketoacidosis episode", "my blood sugar went too high/blood sugar over 600" and "confused" required physician office visit. The events "having a heart attack", "twinge in my heart/twinge heart." and "5 kidney stones one of which was obstructive" required physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: Blood glucose: (Jul2023) over 600, notes: Went too high; Troponin: (Jul2023) troponin is present. Clinical course: The caller was 67-year-old female, stated she had a history of melanoma and skin carcinoma. She was an insulin dependent diabetic. She mentioned she had three doses of Pfizer COVID-19 vaccine and third one was on 18Nov2022, while she was still on follow up for cancer. All of her vaccines prior were at (name withheld) where she had been patient. She had melanoma surgery many times, lymph node removal, basal cell carcinoma, squamous cell carcinoma, all kind of surgery for skin cancer and she was an insulin dependent diabetic. She missed the fourth one (bivalent). The Caller mentioned that around 04Jul she had a ketoacidosis episode and ended up hospitalized for 8 days. She was in the hospital because her blood sugar went too high in Jul. Just before the fourth of Jul. Ended up in the hospital because she stopped eating and drinking. She ended up in the hospital with ketoacidosis with blood sugar over 600. She got very confused. They (doctors) thought she had a heart attack. Because troponin was present when blood sugar was very high. However, the reason why she went to the ER (Emergency room) was because she felt like a little twinge in heart. She got the pain that was traveling up from her left hip bone to under her left rib cage. She went to the ER (Emergency room) about the pain on her side and that turned out she had 5 kidney stones one of which was obstructive.  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.