Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: felt dizzy, really dizzy; super high heart rate/heart rate 170, just standing; throwing up; long COVID; some kind of autoimmune; postural orthostatic tachycardia syndrome; She is not sure if it was COVID. Doctor suspected it but never got tested; She is not sure if it was COVID. Doctor suspected it but never got tested; sick; did not start feeling good; Has not been able walk. Her legs and everything are ok; gets severe stomach aches; is out of breath/winded, like when she went to walk/run; This is a spontaneous report received from a Consumer or other non HCP from medical information team.  A 25-year-old female patient received BNT162b2 (BNT162B2), on 23Apr2022 as dose 1, single (Lot number: FP4554, Expiration Date: 31Jul2022) at the age of 24 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Hypothyroidism" (unspecified if ongoing); "COVID-19", start date: Jan2022 (unspecified if ongoing), notes: it was really bad. Concomitant medication(s) included: LEVOTHYROXINE taken for hypothyroidism, start date: 2018 (ongoing). The following information was reported: GAIT DISTURBANCE (medically significant) with onset Jul2022, outcome "not recovered", described as "Has not been able walk. Her legs and everything are ok"; DRUG INEFFECTIVE (medically significant), SUSPECTED COVID-19 (medically significant) all with onset Jul2022, outcome "unknown" and all described as "She is not sure if it was COVID. Doctor suspected it but never got tested"; FEELING ABNORMAL (medically significant) with onset Jul2022, outcome "not recovered", described as "did not start feeling good"; ABDOMINAL PAIN UPPER (medically significant) with onset Jul2022, outcome "unknown", described as "gets severe stomach aches"; DYSPNOEA EXERTIONAL (medically significant) with onset Jul2022, outcome "unknown", described as "is out of breath/winded, like when she went to walk/run"; POST-ACUTE COVID-19 SYNDROME (medically significant) with onset Jul2022, outcome "unknown", described as "long COVID"; POSTURAL ORTHOSTATIC TACHYCARDIA SYNDROME (medically significant) with onset Jul2022, outcome "unknown"; ILLNESS (medically significant) with onset Jul2022, outcome "not recovered", described as "sick"; AUTOIMMUNE DISORDER (medically significant) with onset Jul2022, outcome "unknown", described as "some kind of autoimmune"; HEART RATE INCREASED (medically significant) with onset Aug2023, outcome "unknown", described as "super high heart rate/heart rate 170, just standing"; VOMITING (medically significant) with onset Aug2023, outcome "unknown", described as "throwing up"; DIZZINESS (medically significant) with onset Sep2023, outcome "unknown", described as "felt dizzy, really dizzy". The events "she is not sure if it was covid. doctor suspected it but never got tested", "sick", "did not start feeling good", "has not been able walk. her legs and everything are ok", "gets severe stomach aches", "is out of breath/winded, like when she went to walk/run", "super high heart rate/heart rate 170, just standing", "throwing up", "felt dizzy, really dizzy", "long covid", "some kind of autoimmune" and "postural orthostatic tachycardia syndrome" required physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: Echocardiogram: (unspecified date) fine; Heart rate: (Aug2023) 170, notes: super high, just standing; Magnetic resonance imaging: (unspecified date) Nothing serious. Therapeutic measures were not taken as a result of drug ineffective, suspected covid-19, illness, feeling abnormal, gait disturbance, abdominal pain upper, heart rate increased, vomiting, post-acute covid-19 syndrome, autoimmune disorder. Therapeutic measures were taken as a result of dyspnoea exertional, dizziness, postural orthostatic tachycardia syndrome. Clinical course: When the patient had COVID the first time in Jan2022, it was really bad, and it was before she got vaccinated and that's the reason why she decided to get vaccinated in the first place. Back then, she got tested but it came back negative so probably had a false negative test. Doctor said it was COVID. The rest of the patient's family tested positive but she was the only one that tested negative and the only one that was not vaccinated at that time. It was bad. She had similar symptoms this time. She keeps getting sick. She did not start feeling good and got sick in Jul2022. She used to be a runner then, could no longer run long distances. She was still able to go get cup of coffee and go for drive. Every time she runs, gets severe stomach aches, is out of breath, winded. She used to run before, was still able to leave house, go out with friends. Never felt the same. She got sick again in Aug2023. She had same symptoms but, got so much worse. She has not been able walk. Her legs and everything are ok, just can't stand long periods of time or workout or anything. She really did not feel good, was super out of breath, like when she went to walk. Her heart rate was, she thinks, 170, just standing. She continues to monitor. It was not as high as it used to be, has come down but still not able to do long standing or walks without getting super out of breath. If she talks too much, can tell, as well. She is not sure if it was COVID. Doctor suspected it but never got tested. She did not feel good at all. It never never really went away. She got completely bedridden. She got completely bed ridden, didn't know what was going on. She had super high heart rate and was throwing up. She had never thrown up since she was super young. She has all these issues and can't go 5 minutes. It was kind of a slow decline. Thought she could run, her Mom would have to pick her up. Just so out of breath. Patient has had a few providers, this is most recent one. The physician told her, maybe she has long COVID, has been going through some health stuff. She was kind of like, aware, there is only so much testing they can do, it kind of proves it could be totally unrelated. Doctor thought maybe she has some kind of autoimmune or something. She can't speak on the record and really does not know. She said this could all be unrelated. Some people suspected she had postural orthostatic tachycardia syndrome (POTS), that is what one of the doctors mentioned when she went to emergency room (ER) on Sep2023. It was a month later, Sep2023, that she had to go to ER. She just had like, really high heart rate, felt dizzy, really dizzy, out of breath. She does not have any confirmation of that, the POTS. They told her to drink more water, do electrolytes. Patient has no treatments for the other events. Since Aug2023, she really has not left house. She has one of those oxy things, oxygen checker things. Has been seeing lot of doctors since Aug2023. Has seen cardiology, gastro specialist, neurologist, rheumatologist, primary doctor. Has seen every doctor there is. When she got sick on Aug2023, she was at hospital a few times. She went once in Sep2023 and twice in Oct2023. She was just to emergency room but was not admitted to hospital. She has had some test results come back and has had heart checked. Echo came back fine, had MRI, was nothing serious. Everything looked very healthy. She didn't know why was just getting all these weird things happening. Some of those symptoms have gone away. She has other health issues. She was not sure if any of it is related or not. She has not felt the same. It started with her stomach, was not having endurance, just going through some personal stuff and thought it might be related.