Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Headache, Immunisation, Myalgia, Pruritus
Clinical narrative: Headache; Joint and muscle pain; Joint and muscle pain; very very very weak; Fatigue; Confusion; Received my booster shot this past Friday 12Nov; Disorientated; I didn't have the fever, Friday night and to Saturday it was one on one but it's gone now; I am still walking very slowly; I had like extreme itching with the second and with all the shots, I had like within the first few hours/ intense itching; scratching like crazy; This is a spontaneous report received from a contactable consumer. The reporter is the patient.  A 55-year-old female patient received bnt162b2 (BNT162B2), intramuscular, administered in arm left, administration date 12Nov2021 14:32 (Batch/Lot number: unknown) at the age of 55 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "Sleep apnea", notes: if she is taking something for sleep apnea: Stated, CPAP machine, its a machine, its not a pill. Concomitant medications included: ZYRTEC ALLERGY taken for hypersensitivity; DOXYLAMINE SUCCINATE taken for sleep disorder. Vaccination history included: Bnt162b2 (DOSE 1), for COVID-19 immunization, reaction(s): "had like extreme itching with the second and with all the shots, I had like within the first few hours", "I had like within the first few hours and was just scratching like crazy"; Bnt162b2 (DOSE 2), for COVID-19 immunization, reaction(s): "When I took the second shot it took me about four almost five days to feel better", "had like extreme itching with the second and with all the shots", "I had like within the first few hours and was just scratching like crazy". The following information was reported: IMMUNISATION (non-serious) with onset 12Nov2021, outcome "unknown", described as "Received my booster shot this past Friday 12Nov"; DISORIENTATION (non-serious) with onset Nov2021, outcome "unknown", described as "Disorientated"; HEADACHE (non-serious) with onset 12Nov2021, outcome "not recovered", described as "Headache"; ARTHRALGIA (non-serious), MYALGIA (non-serious) all with onset 12Nov2021, outcome "not recovered" and all described as "Joint and muscle pain"; ASTHENIA (non-serious) with onset 12Nov2021, outcome "not recovered", described as "very very very weak"; FATIGUE (non-serious) with onset 12Nov2021, outcome "not recovered", described as "Fatigue"; CONFUSIONAL STATE (non-serious) with onset 12Nov2021, outcome "not recovered", described as "Confusion"; PYREXIA (non-serious) with onset Nov2021, outcome "recovered" (Nov2021), described as "I didn't have the fever, Friday night and to Saturday it was one on one but it's gone now"; GAIT DISTURBANCE (non-serious) with onset Nov2021, outcome "not recovered", described as "I am still walking very slowly"; PRURITUS (non-serious) with onset Nov2021, outcome "unknown", described as "I had like extreme itching with the second and with all the shots, I had like within the first few hours/ intense itching"; SCRATCH (non-serious) with onset Nov2021, outcome "unknown", described as "scratching like crazy". Therapeutic measures were taken as a result of confusional state, pyrexia.  Additional information: Additional Information for Concomitant Products Doxylamine succinate: Consumer stated, "25 mg. I just take it when I need it, use it 50 percent of the time one tablet, you know I take it maybe you know four days out of the week and its just one tablet, tats all." Concern: Consumer stated, "Alright I just want to check on the duration of symptoms. I received my booster shot this past Friday 12Nov, no sorry the 15 no the 12, I am disoriented, this past Friday, I had just about everything was it Headache, joint and muscle pain, very very very weak, fatigue, confusion as you can still see, I mean here. You know that was three days ago, I didn't go to work today I work in preschool so I figured that probably not a smart thing to do, I am still walking very slowly. Just wondering you know how long this will be? I didn't have the fever, Friday night and to Saturday it was one on one but it's gone now, ya but it was one time and it went down I took some Tylenol (Treatment)." Consumer further stated, "I just want, you know should I practice a few more days I feel a little better than I did Saturday but I know when I took the second shot it took me about four almost five days to feel better and should I expect same with the third shot." "Also I had like extreme itching with the second and with all the shots, I had like within the first few hours and was just scratching like crazy. Oh gosh I don't know anaphylactic or what it was just intense itching just intense." When confirmed if is due to booster shot: Consumer stated "Yes with all of them that started first and everything else came after the very first effect was itching, okay I am ready for the number." Facility type: Medical Center Hospital. Other medical conditions: Consumer stated, Its my weight(Further clarifications unknown) I don't, I have sleep apnea that's pretty much. I don't have diabetes, no high blood pressure none of that, No no I said I don't. No the only thing I have is sleep apnea. "When probed if she is taking something for sleep apnea: Consumer stated, "CPAP machine, its a machine, its not a pill. I don't use it every night,  honestly sometimes it's just uncomfortable."  Other medications: Consumer stated, "Just Zyrtec for allergies, over the counter medicines for sleep, I will give you the name just hold on, I don't take it every night I just take it, its an over the counter. This is the over the counter one is the Doxylamine Succinate it's 25 milligrams, I just take it when I need it, use it 50 percent of the time one tablet, you know I take it maybe you know four days out of the week and its just one tablet, thats all." Lab test: Consumer stated, "Recently would be early in the summer around lab work was before my physical sometime in august pre august." When confirmed it was not recent: Consumer stated, "No, because I do it once my physical was due in august that's when I do all my lab (further clarifications unknown hence lab test left unchecked)." Treatment: Consumer stated, "Just Tylenol, plenty of water, bed rest."  The lot number for bnt162b2 was not provided and will be requested during follow up.