Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Laboratory test, Nausea, Pericarditis
Clinical narrative: Pericarditis; severe diarrhea and nausea; severe diarrhea and nausea; Hernia; dizziness; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 79-year-old male patient received bnt162b2, bnt162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 09Sep2022 as dose 5 (booster), single (Lot number: GH9694) at the age of 79 years for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: bnt162b2 (Dose 1, Single, Lot: EM9810), administration date: 04Feb2021, when the patient was 77-year-old, for COVID-19 Immunization; bnt162b2 (Dose 2, Single, Lot: EN6202), administration date: 25Feb2021, when the patient was 77-year-old, for COVID-19 Immunization; bnt162b2 (Dose 3 (Booster), Single, Lot: FF2589), administration date: 01Oct2021, when the patient was 78-year-old, for COVID-19 Immunization; bnt162b2 (Dose 4 (Booster), Single, Lot: FJ4989), administration date: 12Apr2022, when the patient was 78-year-old, for COVID-19 Immunization. The following information was reported: HERNIA (non-serious) with onset Sep2022, outcome "unknown"; DIZZINESS (non-serious) with onset Sep2022, outcome "unknown"; PERICARDITIS (hospitalization, medically significant) with onset 22Sep2022 at 19:00, outcome "recovered" (24Sep2022); NAUSEA (non-serious), DIARRHOEA (non-serious) all with onset 24Sep2022, outcome "unknown" and all described as "severe diarrhea and nausea". The patient was hospitalized for pericarditis (start date: 22Sep2022, discharge date: 23Sep2022, hospitalization duration: 2 day(s)). The event "pericarditis" required emergency room visit. The patient underwent the following laboratory tests and procedures: Blood pressure measurement: (Sep2022) Unknown results; Blood test: (22Sep2022) No heart attack, notes: showed no heart attack; (23Sep2022) Pericarditis, notes: led cardiologist to diagnosis of Pericarditis; Cardiac stress test: (23Sep2022) Pericarditis, notes: led cardiologist to diagnosis of Pericarditis; Computerised tomogram: (22Sep2022) No heart attack; Echocardiogram: (23Sep2022) Pericarditis, notes: led cardiologist to diagnosis of Pericarditis; Electrocardiogram: (22Sep2022) No heart attack; (23Sep2022) Pericarditis, notes: led cardiologist to diagnosis of Pericarditis; Heart rate: (22Sep2022) Unknown results; Tests: (22Sep2022) No heart attack, notes: small dissection in Aorta near stomach-not the problem. Therapeutic measures were taken as a result of pericarditis.  Clinical course: The patient went to Hospital about 20:00 on Thursday 22Sep2022 with chest pain. CT (computed tomography) scan, blood work & EKG (Electrocardiogram) showed no heart attack. Given the option, he elected to stay overnight so they could monitor things and do a stress test on Friday. On Friday an echocardiogram (early AM), the stress test, several EKGs, and blood work led cardiologist to diagnosis of Pericarditis. Details: Active but not excessively on Thursday. Went to hospital with chest pain about 8:30. Pain eased leaned forward. Tests showed no heart attack and small dissection in Aorta near stomach - not the problem. ER Dr. said consider staying overnight for stress test Fri (Friday) AM. The patient was hurting and said he wanted to do that. No sleep and sat in chair most of night due to pain. On back the worst pain. Could not complete stress test Fri (Friday) AM due to chest pain and shortness of breath. Saw cardiologist Friday PM - diagnosis Pericarditis maybe caused by COVID booster. First Colchicine tablets taken. Almost immediate relief of chest pain. Saw Dr. who recommended saying another night to monitor BP & HR - Aortic dissection. Declined in writing to do that. He could and did monitor BP & HR 4X daily. Wanted out of his jeans, wanted a shower and his bed. After Saturday AM dose of Colchicine he had no pain but he had severe diarrhea and nausea. Stopped Colchicine Saturday AM. Took 800 mg ibuprofen 3 times daily until 28Sep. No pain. Then reduced to Motrin 800 mg 2x daily due to dizziness in AM. Continue Motrin 30 days? Follow-up appointment with cardiologist on 04Oct2022. Home on Friday afternoon with 10% of Thursday pain level and Rx's (prescription): Colchicine - 0.6 mg - 2 tablets - 2X daily for 30 days, Motrin (Ibuprofen) 800 mg - 3X daily for 7 days, Stopped the Colchicine on Saturday 24Sep2022 due to severe diarrhea and nausea. Saw Dr. on 28Sep2022 (had previous appointment to check for hernia), Reduced the Motrin per Dr from 3X daily to 2X daily due to dizziness. Released for walking 9 holes of golf and volunteering at PET - 40# lifting limit. No prior vaccinations within 4 weeks.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202300358655 Same patient, different drug dose/events.;