Age: 56.0
Sex: M
Vaccine: COVID19-2, FLU4, COVID19
Symptoms: Blood glucose decreased
Clinical narrative: high blood sugar; passing out; This is a spontaneous report received from a Consumer or other non HCP.  A 56-year-old male patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 06Sep2024 at 11:00 as dose 1, single (Batch/Lot number: unknown) at the age of 56 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Chronic pancreatitis", start date: 2011 (unspecified if ongoing), notes: diagnosed about 13 years ago; "Type I diabetes", start date: 2011 (unspecified if ongoing), notes: diagnosed about 13 years ago, morphed into type I diabetic since he was previously type II diabetic; "Type II diabetic" (not ongoing), notes: morphed into a type I diabetic since he was previously a type II diabetic. There were no concomitant medications. Vaccination history included: Pfizer covid vaccine (DOSE 1), for COVID-19 immunization; Pfizer covid vaccine (DOSE 2), for COVID-19 immunization, reaction(s): "had problem". The following information was reported: LOSS OF CONSCIOUSNESS (medically significant) with onset 06Sep2024, outcome "unknown", described as "passing out"; BLOOD GLUCOSE INCREASED (non-serious) with onset 06Sep2024 at 16:00, outcome "recovered" (10Sep2024), described as "high blood sugar". The events "passing out" and "high blood sugar" required physician office visit. Clinical course: patient was calling about Pfizer Covid vaccine. He took it last Friday and has not had a chance to call. Stated it put him on a huge rollercoaster, he had a side effect that is pretty big and stated this could happen to someone other than him. It was a sugar rollercoaster. Clarifies this later, he had high blood sugar. He got the covid vaccine at 11AM and by 4 in the afternoon his sugar was up to 375. Then he was in the hospital because he was almost passing out. Confirmed he was not admitted to the hospital and released the same day. Clarified he had high blood sugar, and it was his blood sugar that was up to 375. The hospital they took blood and had him sit in the lobby for a few hours. They checked his heart with monitor and that was it, and then he was released. Now his blood sugar is normal. He added that while in the waiting room of the hospital on Friday his blood sugar dropped down to 165, then rise again to 248, and then stayed over 200 throughout the night. When he woke up at 8:30 am the next morning 07Sep2024, his blood sugar was 276. Stated it stayed that way for another couple of hours then started dropping around noon and then his blood sugar went all the way down to 58. He was working and he was stopped by a a waitress since he did not look right that told him to buy food at the restaurant and he bought chicken wings with bbq sauce on it. Then his sugar went back up to 178 or 179. Then the next day 08Sep2024, states and this may just be heat related since he is in (state name withheld) and it was 95 degrees that day but he went to work in the afternoon at 2pm and by 4pm his body told him to stop. He spent all day Monday 09Sep2024 at home. Then he was fine on Tuesday 10Sep2024 and is normal after that. The only thing he could not do was his normal workout which was 4.5 miles on treadmill but he was only able to do 2.25 miles on the treadmill. He never really had a problem before, then clarified the only other time he had a problem was when it first came out, clarified only other time he had problem was with the second Pfizer covid vaccine he received. The patient underwent the following laboratory tests and procedures: Blood glucose: (06Sep2024) up to 375, notes: 4 in the afternoon; (06Sep2024) dropped down to 165; (06Sep2024) Rise again to 248; (06Sep2024) stayed over 200 throughout the night; (07Sep2024) 276, notes: When he woke up at 8:30 am; (07Sep2024) dropping around noon; (07Sep2024) down to 58; (07Sep2024) back up to 178 or 179; (10Sep2024) Normal; Cardiac monitoring: (06Sep2024) unknown results.  The information on the batch/lot number for BNT162b2 omicron (kp.2) will be requested and submitted if and when received.