Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Postmenopausal haemorrhage, Vaginal haemorrhage
Clinical narrative: Bleeding vaginal; Spotting vaginal; a little tired; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 57 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 09Nov2021 14:30 (Lot number: FG3527, Expiration Date: 28Feb2022) at the age of 57 years as dose 1, 0.3 ml single for covid-19 immunisation. Relevant medical history included: "Eczema" (unspecified if ongoing), notes: she just has eczema once in a while; "menopause" (unspecified if ongoing), notes: last period was in Apr2020 so it's been 17 months without anything at all; "vaccination" (unspecified if ongoing), notes: maybe 20 years ago. There were no concomitant medications. Past drug history included: Doxycycline, stop date: Oct2021, for eczema or a rash, reaction(s): "skin tingle", notes: stopped taking it at least a couple weeks before she got the COVID vaccine, like maybe Oct2021. The following information was reported: POSTMENOPAUSAL HAEMORRHAGE (medically significant) with onset 11Nov2021, outcome "recovered" (14Nov2021), described as "Bleeding vaginal"; VAGINAL HAEMORRHAGE (non-serious) with onset 10Nov2021, outcome "recovered" (14Nov2021), described as "Spotting vaginal"; FATIGUE (non-serious) with onset 09Nov2021, outcome "unknown", described as "a little tired". Clinical course: She got her Pfizer COVID shot on Tuesday afternoon, 09Nov2021. She was fine, she may have been a little tired and she went to bed early that night, but it was no biggie. The next morning clarified as 10Nov2021, she noticed she had some spotting vaginal and thought this was weird. She stated later that night on 10Nov2021, kind of in the middle of night, she experienced full on bleeding. The caller thought wow, she doesn't think it's a coincidence. It had been 17 months since she had any bleeding. The caller clarified the bleeding began late the night of 10Nov2021, like in the middle of the night, so it was really Thursday, 11Nov2021. The bleeding lasted for four days until like Sunday. She verified she has recovered completely. The patient explained the bleeding lasted for about 4 days. She explained if she wasn't in menopause and she experienced the bleeding after the vaccine, it probably wouldn't have phased her. She would have thought it may have messed something up, but because she is menopause she thought it was kind of funky. Otherwise, she felt fine. She felt tired but it was no big deal. She stated she is a runner and she runs 5 miles a day and she did her morning run and did all of her normal stuff. The patient confirmed she experienced this after her first shot. Her second shot was scheduled on 30Nov2021. She was wondering if the bleeding will happen again, she will let Pfizer know. The events did not require emergency room and physician's office visits. She explained if the bleeding had kept on longer than 4 days, she would have called her gynecologist or a doctor.   Follow-up (19Nov2021): Follow-up attempts are completed. No further information is expected.