Sex: M
Vaccine: COVID19
Symptoms: Body temperature, Pyrexia
Clinical narrative: fever (102 °F); This is a spontaneous report received from a Pharmacist from medical information team, Program ID.  A male patient received BNT162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "learning disabled" (unspecified if ongoing), notes: found out last Mar he has a genetic disability, MECP2, which is a gene that carries Rhett's, autism; "Rett Syndrome" (unspecified if ongoing); "rectal bleeding" (unspecified if ongoing); "fecal impaction" (unspecified if ongoing); "trouble swallowing" (unspecified if ongoing); "spasticity" (unspecified if ongoing); "autism spectrum" (unspecified if ongoing); "lack of speech" (unspecified if ongoing). The patient's concomitant medications were not reported. Past drug history included: Simvastatin, start date: 2020, notes: simvastatin 20mg for years and that was discontinued back in Jan or Feb of 2020; Coumadin, reaction(s): "AFib"; Coumadin, reaction(s): "high fever"; Coumadin, reaction(s): "dehydrated"; Atorvastatin, start date: Mar2020, reaction(s): "Rhabdomyolysis"; Aricept, start date: Mar2020, reaction(s): "Rhabdomyolysis", notes: 2 doses, 1 in am and 1 in pm; Aricept, reaction(s): "Weight loss", notes: 2 doses, 1 in am and 1 in pm; Aricept, reaction(s): "Difficulty in walking", notes: 2 doses, 1 in am and 1 in pm; Aricept, reaction(s): "Fecal impaction", notes: 2 doses, 1 in am and 1 in pm; Aricept, reaction(s): "Rectal bleeding", notes: 2 doses, 1 in am and 1 in pm; Aricept, reaction(s): "Drug interaction", notes: 2 doses, 1 in am and 1 in pm; Aricept, start date: Mar2020, reaction(s): "Creatine phosphokinase increased", notes: 2 doses, 1 in am and 1 in pm; Lipitor, reaction(s): "level went up to 6000"; Lipitor, reaction(s): "Drug interaction"; Lipitor, reaction(s): "Rectal bleeding"; Lipitor, reaction(s): "Fecal impaction"; Lipitor, reaction(s): "Difficulty in walking"; Aricept, reaction(s): "Weight loss"; Lipitor, reaction(s): "Rhabdomyolysis". Vaccination history included: BNT162b2 (DOSE 1, SINGLE, time: 15:45), administration date: 04Feb2021, for COVID-19 immunization, reaction(s): "them on Saturday and his kinase was 1015", "he wasn't feeling well", "Nausea", "unable to articulate how he feels due to depressed ability to speak", "Panic", "Anxiety", "high serum creatinine"; Covid-19 vaccine (DOSE 2, SINGLE; unknown manufacturer), for COVID-19 immunization. The following information was reported: PYREXIA (non-serious), outcome "unknown", described as "fever (102 °F)". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of pyrexia.  Additional information: Caller, a retired pharmacist, wants to know the difference between the Pfizer COVID-19 Booster now that they are about to get to previous vaccines. He mentioned that his son had a reaction when he got the Pfizer Covid-19 booster. He also would like to know if they can interchange Pfizer Covid-19 and Moderna Boosters. Caller would like to know if the Comirnaty vaccines had changed in the last 6 months. His son has a condition that makes him have spasticity and lack of speech. Some doctors say it's Rett's syndrome, some say it's on the autism spectrum. With previous doses of the COVID-19 vaccine, he had high serum creatinine that resolved in a week. Six months ago he got a dose of Pfizer's COVID-19 vaccine and he had a fever (102 °F). He administered him Tylenol liquid 2 teaspoons in total (one when he noticed the temperature was going up, and then another 4 or 5 hours later) and it went away as the day went on  No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.