Age: 55.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Mental status changes, Mobility decreased, Muscle spasms, Muscular weakness, Pain
Clinical narrative: body burn/ burning pain in her arm that was sometimes in her chest and up the back of her head that made her felt like her body was on fire/ body burned so bad; muscle spasms; doctor thought it was due to the fact that she received the flu shot and the Pfizer COVID-19 vaccine together and her reaction was "so extreme"; feeling lethargic; increase in blood pressure/ has never had her blood pressure that high; loss of appetite; changes in her mental clarity; weak in her legs; fatigue/ very tired; severe headaches; received her Pfizer COVID-19 booster; pain was so bad; she couldn't move, she couldn't get out of bed or function; anxiety; getting woke up in the middle of the night; uncontrollably cry; This is a spontaneous report from a contactable consumer (patient herself). A 55-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration, administered in the arm on 08Oct2021 at the age of 55 years old (Batch/Lot Number: FF2590, Expiration date: unknown) as dose 3 (booster), single for COVID-19 immunization and influenza vaccine (FLU, Solution for injection), via an unspecified route of administration, administered in the arm on 08Oct2021 (Batch/Lot number and Expiration date were unknown), as dose number unknown, single for immunization. Relevant medical history included problem with her elbow and had a naturally low blood pressure (normally, it was 100-115 for the higher number and the lower number was always in the 60s), both from an unknown date and unknown if ongoing. There were no concomitant medications. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), administered on 28Jan2021 at the age of 55 years old (Batch/Lot number: EL9265, Expiration date: unknown) as dose 1, single, and then administered on 25Feb2021 at the age of 55 years old (Batch/Lot number: EN6203, Expiration date: unknown) as dose 2, single for COVID-19 immunization. On Friday 08Oct2021, the patient received her Pfizer COVID-19 booster and her flu shot. Since 12Oct2021, the patient had been experiencing muscle spasms, so bad that her body burn; an increase in blood pressure; fatigue; loss of appetite; and changes in her mental clarity. The patient was looking for someone to help her figure out what had happened and if this was due to the booster, and if it would eventually stop as her life had been frightening since those shots. The patient added that she had spoken to her doctor, who thought that it was due to the fact that she received the flu shot and the Pfizer COVID-19 vaccine together and her reaction was "so extreme." The patient had also spoke with other people who had the same experience and stated that she was doing better, but was still having issues. It was further reported that the patient received the booster of the Pfizer COVID-19 vaccine on 08Oct2021 and on the same day she did receive a flu shot as well; it was unknown which flu vaccine was given. The patient got the Pfizer COVID-19 vaccine booster dose, because it was needed; she had health conditions and a lot of health problems. The patient stated that she had severe headaches that Friday night when her shot was given, on 08Oct2021. She said on Saturday, 09Oct2021, her headache was better, she was very tired and especially weak in her legs. She said on Sunday, 10Oct2021, she felt fine, and then Monday, 11Oct2021, she definitely didn't. She said that from that time on, it progressed until when she got to Friday, 15Oct2021, and she had to go to the emergency room (ER) because the pain was so bad. She said her headache was severe, but the thing that was really bad was the burning pain in her arm that was sometimes in her chest and up the back of her head that made her felt like her body was on fire. She said she was still having that problem. She said that one other thing that was so bad was with whatever was going on, it made her very emotional, she had an overwhelming sense of fear come over her, and would uncontrollably cry on an unspecified date in Oct2021. She said that on the Saturday (16Oct2021) after her first ER visit, she felt really good and thought that it's over. She said on Sunday, 17Oct2021, she couldn't move, she couldn't get out of bed or function. She said one other thing was early in the week, her appetite left her completely; she would put food in her mouth and then she didn't want it. She said on this past Monday, on 18Oct2021, she was feeling lethargic too, and it actually frightened her, she couldnt get out of bed, and her body burned so bad that it frightened her. She clarified that when she came home the second time she went to the ER, they had kept her in ER overnight for observation and because she was having trouble. She clarified this was this past Monday, on the 18Oct2021 that she went to the ER and she came home on the 19Oct2021. For the increased blood pressure, it all happened when she was at a doctor's appointment for an unrelated thing, which was a problem with her elbow. She said they checked her blood pressure and it was 161/84 on an unspecified date in 2021, which she had never had her blood pressure that high. She said it remained in the 140s on the top, and was in the mid to upper 80s for the bottom. She said sometimes this would break and it would come back down, and she would also feel a little relief from the other problems. She said that in the ER, they said her blood pressure was not high enough to treat. Therapeutic measures were taken as a result of all the events. For the treatment, the patient stated that the first time she went to the emergency room on that Friday, they gave her a prescription for Gabapentin, but before she got home, she felt better and never took the Gabapentin. She said they gave her Gabapentin and an anxiety medication, and it did work, it did help, though she didn't like to have to take them. The patient said she did start taking the Gabapentin, because she was desperate. She said they gave her 300 mg capsules, and she was supposed to take two at night since she came home from the ER. The patient said that Gabapentin indication depends on who she talks to. She said some people at the ER said they didn't think it was the vaccine and some thought it was from getting the flu vaccine and booster together. The patient said her family doctor thought it was because she did flu and booster together, and said that probably it wasn't a good idea, but by now she should be better. She said she didn't think they knew what to do. She said they did a bunch blood work on an unspecified date in Oct2021, and there was nothing wrong with her other than her body was on fire. She said they gave her the Gabapentin and anxiety medication to try to help. The patient clarified that the anxiety medication was lorazepam 1 mg. She said that on the night she came home, she took a whole pill, and then that Tuesday night or last night, she took a quarter of it because she kept getting woke up in the middle of the night having episodes feeling like her body was on fire on an unspecified date in Oct2021. She clarified that last night, she was fine when she went to bed, then at 1:00 AM, she woke up burning like crazy on the upper part of her body, so she took a quarter of the anxiety pill. She said she had gone to bed after she took only 300 mg of Gabapentin, not the full 600 mg, so she took another one when she woke up and that did help. The patient said after she took the Gabapentin and the quarter pill of the anxiety medication, she was able to go back to sleep. The patient said she didn't know if the Gabapentin was doing anything or if her problems were getting better, though she was still having waves of burning and high blood pressure, at least her mental clarity was better and she felt like herself again. The patient was prescribed to take Gabapentin 600 mg at bedtime by mouth nightly and lorazepam for anxiety, 1 mg tablet by mouth as needed. When she had went to the ER on Monday, the first thing they gave her was Benadryl and Valium, which did nothing. The patient further said that it was so bizarre, she went to the ER on Monday, because she was in such pain that she told people that she wished she could die, which was not normal for her, and she had lots of health problems and had been through worse things before and never felt that way before. The patient didn't remember what her thyroid labs (unknown results) were when they were run, she got those done whenever anything weird was going on. The patient was hospitalized for "muscle spasms, so bad that her body burn/ burning pain in her arm that was sometimes in her chest and up the back of her head that made her felt like her body was on fire/ body burned so bad" from 18Oct2021 to 19Oct2021. The events resulted in emergency room visit. The patient was recovering from the changes in her mental clarity, the outcome of the events "feeling lethargic, anxiety, getting woke up in the middle of the night, uncontrollably cry, weak in her legs" was unknown, and the patient was not recovered from the rest of the events at the time of the report.