Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Pyrexia
Clinical narrative: Some of the concussion symptoms recurred the day after the booster injection e.g. mixing words; Head pressure; fog; confusion; fever of 101; pain at arm joint; lack of clarity; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 49 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date Jan2022 (Lot number: FK9729) at the age of 49 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "Car accident in year 2008 that caused concussion and titanium pin in left shoulder near injection site", start date: 2008 (unspecified if ongoing); "Known allergy: penicillin" (unspecified if ongoing); "Concussion", start date: 2008 (unspecified if ongoing), notes: Car accident in 2008 that caused concussion and titanium pin in left shoulder near injection site; "titanium pin in left shoulder near injection site" (unspecified if ongoing), notes: Car accident in 2008 that caused concussion and titanium pin in left shoulder near injection site. There were no concomitant medications. Vaccination history included: Bnt162b2 (Dose 1, Lot number: ER8736, Vaccine location: Left arm), administration date: Apr2021, when the patient was 49 years old, for Covid-19 immunization, reaction(s): "I only had a slight fever"; Bnt162b2 (Dose 2, Lot number: EP7533, Vaccine location: Left arm), administration date: Apr2021, when the patient was 49 years old, for Covid-19 immunization, reaction(s): "I only had a slight fever". The following information was reported: CONCUSSION (non-serious) with onset Jan2022, outcome "not recovered", described as "Some of the concussion symptoms recurred the day after the booster injection e.g. mixing words"; HEAD DISCOMFORT (non-serious) with onset Jan2022, outcome "not recovered", described as "Head pressure"; FEELING ABNORMAL (non-serious) with onset Jan2022, outcome "not recovered", described as "fog"; CONFUSIONAL STATE (non-serious) with onset Jan2022, outcome "not recovered", described as "confusion"; PYREXIA (non-serious) with onset Jan2022, outcome "not recovered", described as "fever of 101"; ARTHRALGIA (non-serious) with onset Jan2022, outcome "not recovered", described as "pain at arm joint"; FEELING ABNORMAL (non-serious) with onset Jan2022, outcome "not recovered", described as "lack of clarity". The patient underwent the following laboratory tests and procedures: body temperature: 101; sars-cov-2 test: negative. Therapeutic measures were not taken as a result of concussion, head discomfort, feeling abnormal, confusional state, pyrexia, arthralgia, feeling abnormal.  Additional Information: Other vaccine in four weeks and other medications in two weeks were reported as no. It was reported that starting about 6 hrs after injection and continuing for five days: Head pressure, fog, confusion, fever of 101, pain at arm joint, which had a titanium pin due to a car accident about 10 years ago, which also caused a confusion. The patient reported "I still have fog and lack of clarity two weeks after the injection. Some of the concussion symptoms recurred the day after the booster injection, e.g. mixing words, although this has improved slowly over the past weeks since the booster. The booster effects contrast with the first two injections, after which I only had a slight fever as a response and no serious side effects or mental diminution." The patient did not have COVID prior vaccination.  Follow-up attempts are completed. No further information is expected.