Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Somnolence, Thrombosis, Visual impairment, X-ray
Clinical narrative: had hot flashes in the morning; feels hot, temperature was 96.7 but he was sweating; he does not have a temperature, usually it was 96, not sure why it was so low; feels hot, temperature was 96.7 but he was sweating; tightness in chest; pain in left leg below knee; really tired, sleepy all the time; soreness in the chest, chest feels like he swallowed a charcoal cap; soreness in the chest, chest feels like he swallowed a charcoal cap; shortness of breath; really tired, sleepy all the time; headaches; vision problems; This is a spontaneous report from a contactable consumer (patient, reported for self). A 63-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EP7533) via an unspecified route of administration, administered in right arm on 13Apr2021 09:15 (at the age of 63-years-old) as dose 2, single for COVID-19 immunization. Patient had no medical history (Including any illness at time of vaccination). Patient concomitant medications were not reported. Patient had no family medical history relevant to adverse event. Patient stated that he just remembered, he worked at a local hospital and used to take the local Influenza vaccine/ flu vaccine. Patient stated it kicked him in the rear end for a couple weeks and he always had a reaction and always got sick from them so he does not take it because it used to make him sick and he does not want to put himself through that. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Batch/Lot Number: PAA165969) via an unspecified route of administration, in right arm(right shoulder) on 23Mar2021 (at the age of 63-years-old) as dose 1, single for covid-19 immunization and experienced headache, dizziness, vision problems and nauseated. Patient stated he had no medical history he was in perfect health. Patient had not received any other vaccines within 4 weeks prior to the COVID vaccination. Patient stated that on 13Apr2021 at 09:15, he got his second shot and he would say that day it seemed like he was okay, he was really surprised, he didn't experience anything the first day, but the second day (14Apr2021) and third day (15Apr2021) was when the fun began, he started having symptoms (unspecified date in Apr 2021) like soreness in the chest, chest feels like he swallowed a charcoal cap, shortness of breath, really tired, sleepy all the time, could barely walk across the room without feeling exhausted, headaches, vision problems. Patient stated 2-3 days later experienced burning/soreness in his chest, fatigue, felt like he was "burning up" but does not have a fever. Patient stated he had taken his temperature, he felt hot and his temperature was up to 96.7 (unspecified date) but he was sweating, he could feel his body sweating. Patient stated he had no abdominal pain or loss of appetite, just the soreness in the chest, it just feels like he swallowed a charcoal pecan. Patient reported that he experienced pain in left leg below knee. Patient verified all of these symptoms began 14Apr2021 or 15Apr2021 and they were all ongoing and have worsened since beginning. Patient stated that he visited his doctor yesterday (20Apr2021), they tested him for a blood clot where he went to a local hospital. Patient stated that they ran x-ray and ran blood work, a d-dimer maybe, the x-ray and D-dimer were negative, that was what the nurse said when she called right before he called Pfizer. Patient stated that the nurse said everything looked good. He also stated that the D-dimer, the high was 60 and his was 0.27 (20Apr2021). Patient stated so today was 21Apr2021, so he had hot flashes in the morning, he was taking his temperature every morning, he does not have a temperature, usually it was 96, not sure why it was so low, but he has been extremely tired, across the chest it felt tight, it just felt odd and it felt like the inside of it was raw, sore, that was the best he can describe it. Patient stated 0.50 was normal or high or something and his was 0.27 and she said the x-ray did not show anything. Patient stated that he had this testing done later that day (20Apr2021). Patient stated that the impression was the PA and Lateral for clinical shortness of breath and findings: heart size was normal, central vascular unremarkable, lungs were well extended and clear, no pleural effusion, no acute abnormalities. It was reported that the adverse event did not require a visit to emergency room but required a physician office visit. Patient asks why does he feel so tired and so bad after the shot. Patient stated that he just wants to get this over and he was just trying to figure out going forward, he just wants to know what needs to be done, where does he need to go. He also stated that he was still getting worse, day by day, and he cannot really function like this. Outcome of the event pain in extremity, tightness in chest was unknown and the outcome of rest of the events was not recovered.  No follow-up attempts are possible. No further information is expected.