Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature, Body temperature increased, Headache, Pain, Productive cough
Clinical narrative: headache; Slight cough with phlegm; temperature was 100 and went up to 101.9; body ache; This is a spontaneous report from a contactable consumer (patient herself) reported that a 72-year-old female patient received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Formulation: Solution for injection), dose 1 via an unspecified route of administration, administered in left arm on 06Feb2021 at 12:47 (Lot Number: EL9264) as dose 1, single (at the age of 72 years) for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient family history was reported as the patient went to an allergist. She was tested for all kinds of plants. She was not allergic to anything. She does get body aches. Was told by her doctor she was allergic. She was thinking maybe that was it. She has been outside near plants. Patient historical vaccine includes shots for allergies on an unknown date, she was allergic to things. About 15 years ago she took shots for allergies. Half allergy shots had to be put in one arm and half was put in the other arm. Has no NDC/Lot/Exp for these allergy shots to provide and she also had shingles shot in Nov2020. The patient temperature was 100 and went up to 101.9, body ache, headache, slight cough with phlegm on 15Feb2021. As of right now the caller stated that her fever went away but only had body ache, slight headache and slight wet cough. Caller asking if this could be the side effect from her covid vaccine shot and asking if she could take the second shot of vaccine in 27Feb2021. On 15Feb2021 she had symptoms. Experienced body aches, temperature of 100 that rose to 100.9. Most concerning was a slight cough with phlegm. Since then she would have body aches and the cough. The next day she was fine. It goes off and on. One day she was fine, the next day she has body aches to where she does not want to do anything. She was still coughing and bringing up phlegm. Has not had a fever since 17Feb2021. She asked that these reaction to the shot or is it something else. Would like to find out what was going on. Dose not want to be around neighbors. Lives in a 55 and older place. She was supposed to get the second COVID-19 vaccine on 27Feb2021. Believes Pfizer could tell her more about the possible side effects. Today she is having a bad day. Yesterday was fine. Aspirin takes care of most of the body aches, but its not today. She was taking two aspirin in the course of the whole day. Returns for second dose 27Feb2021 and she wanted to be able to hug granddaughter. Has more phlegm today than usual. Did not start take Aspirin until 8 days after the COVID-19 Vaccine. Did not want to dilute the COVID-19 vaccine. Lot number for Aspirin 7KE1724A and 4167A45SA, but unable to clearly identify lot number; product strength and count size dispensed was 325mg tablets; 100 tablet count. Patient prior vaccinations within 4 weeks were none. The patient underwent lab tests and procedures which included body temperature was 100 on 15Feb2021 and went up to 100.9 for about a day or two on an unknown date in Feb2021. Supposed to get blood work done next week. Wants somebody to tell her this phlegm was not anything to be concerned about. Wants to know if she should get the second shot. Therapeutic measures were taken as a result of body ache. The outcome of the event body temperature increased was recovered on 17Feb2021; Slight cough with phlegm was not recovered; other events was unknown.  No follow-up attempts are possible. No further information is expected.