Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Confusional state, Diarrhoea, Diet refusal
Clinical narrative: Blockage; Diarrhea; Dizziness/felt dizzy/dizziness mixed with nausea; Nausea/Dizziness mixed with nausea; Stomach was upset; Vomited in quantities; Sick as a dog as/sick all day; Didn't sleep last night; Lost weight; Can't stop hiccupping; GERD; Feeling dementia (he fogot everything); Diverticulitis; Pancreatitis; Stomach ache; Confused; waking up 3 to 4 time to urinate; not eaten; swollen feet at night; numb at night right foot; This is a spontaneous report from a contactable consumer (patient himself).   A 72-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EN6201; Expiration date: 30Jun2021), via an unspecified route of administration in the right arm, on 27Feb2021 at 13:00 (at the age of 72-year-old) as a single dose for COVID-19 immunization, administered at the hospital (not a facility). Historical vaccine includes the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EL9581; Expiration Date: 31May2021) administered on 06Feb2021. Relevant medical history included broken right shoulder; dizziness (not ongoing); "sugar diabetes", high blood pressure (ongoing), two heart attacks, he was not able to walk too fare (ongoing), and surgery to place a tube in to transfer blood from his right leg into left leg. Family history included: his father died from colon cancer, his six uncles had colon cancer; his mom died from dementia and heart problems. There were no concomitant medications. The patient previously took meclizine HCl for dizziness, and was not working; paracetamol (TYLENOL), and reported he would be feeling good, and then his symptoms would hit him again. On an unspecified date in 2021, the patient was "feeling dementia"; had diverticulitis; pancreatitis; could not stop hiccupping; and had gastroesophageal reflux disease (GERD). On 09Mar2021, the patient had nausea; stomach was upset; had vomited in quantities (described as "had filled up two containers of trash"); was sick as a dog as/sick all day; did not sleep at night; and had lost weight (lost 30 lbs). On 10Mar2021, the patient had dizziness. The patient clarified that the dizziness reported was a different dizziness from what he had before. The patient had taken meclizine as treatment for dizziness; and paracetamol (TYLENOL) as treatment for the upset stomach and nausea. As of 05Apr2021, the patient stated he has been sick as a dog as he woke with stomach ache, had diarrhea yesterday (04Apr2021), dizziness mixed with nausea and that it was really ''a bad feeling'' (as reported).  The patient stated that he woke up to go to the bathroom and has a hard time going. He stated that he was waking up 3 to 4 time to urinate which was not normal for him. This has been going on for a week now and was ongoing. He stated it is almost getting worse and that it is not getting any better. The patient stated he never got to see his doctor but had an appointment next month. He stated he couldn't get ahold of his doctor to talk to him. The patient stated his stomachache started a couple of months ago and was ongoing since every morning he woke up and was sick and he was either better or worse.  The patient would say it is worse since he was blocked. He had a blockage resulting in a weak stream and that he couldn't go to the bathroom and so he had not eaten in 2-3 days. He was given macrogol 3350 (MIRALAX) but had not taken it yet. So, stomachache had worsened. The patient stated that this started about a week or two ago and he will be sitting and feel good and then all of a sudden it came over him and he felt dizzy and the dizziness with stay 5 to 20 minutes and then all of a sudden it hits him. He stated he was so confused. On 04Apr2021, the patient had diarrhea. He was not sure on the outcome that he will have to see since he went this morning and did a little bit. The patient had also dizziness mixed with nausea, started 2 to 3 weeks ago and he forgot what he was talking about. The patient stated that dizziness mixed with nausea were still going on and had worsened in the last couple of days really worsened. The patient stated that he forgot everything, and he thought he was getting dementia.  The patient had also GERD, swollen feet at night and he was not sure if this was related to the surgery he had where they placed a tube in to transfer blood from his right leg into left leg. He felt his sickness was coming. The patient had not eaten. This started a week or two weeks ago and was ongoing. Caller stated this is worse as nothing is getting better. He had swollen feet at night: this has been going on for a while and he thought it was because his circulation was screwed up and was still ongoing. He stated this was the same. It did not bother him he just noticed his feet feel like they were swollen, and it felt like he had socks on all the time even if he was barefoot and that it was a weird feeling. He had numbness at night in his right foot. He was supposed to have his knees replaced and they never did that and he was not able to walk too far. He had numb at night right foot: this has been a while because of his circulation and that it was still ongoing and had been the same. The patient was recovering from 'vomited in quantities', and' Sick as a dog as/sick all day'. The patient had not recovered from 'stomach was upset', ' 'waking up 3 to 4 time to urinate', 'lost weight' 'stomach ache', 'Nausea/dizziness mixed with nausea', 'dizziness/felt dizzy/dizziness mixed with nausea', from 'swollen feet at night', from 'not eaten', and from 'numb at night right foot'. The outcome of the remaining events was unknown.  Follow-up (05Apr2021): New information received from a contactable consumer (patient himself) includes updated time of second shot (from '14:27' to '13:00'), additional medical history (2 heart attacks, unable to walk to far and surgery), family history, additional SAE (blockage), additional AEs (stomach ache, diarrhea, confused, waking up 3 to 4 time to urinate, not eaten, swollen feet at night, and numbness at night right foot), and treatments received.  No follow-up  attempts are needed. No further information is expected.