Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthropod bite, Erythema, Fatigue, Feeling abnormal, Herpes zoster
Clinical narrative: Shingles; Fever; Slept for 18 hours; Was a little sick with both vaccines; Tired and exhausted; Entire arm hurt so much; Didn't feel well; she has just gained 100 pounds and was normally about 160 pounds.; it was flu-like symptoms; This is a spontaneous report from a contactable consumer (patient). A 46-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EW0217, Expiration date: Unknown) via an unspecified route, administered in Left Arm on 07Jun2021 at 10:00 (46-year-old at vaccination) as a dose 2, single for COVID-19 immunization. The patient's medical history included ongoing thyroiditis, ongoing bipolar depression, ongoing anxiety, ongoing ulcer, ongoing hiatal hernia, ongoing jitteriness, ongoing hand shaking, ongoing nausea, ongoing back pain, ongoing vitamin d decreased and threw back out (back pain). The patient's family history relevant was reported as none. The patient's past medications included Flu shot which made patient sick for 24 hours, Benadryl which caused allergic reaction. The patient's concomitant medication(s) included ongoing levothyroxine 0.125 mg taken for thyroiditis probably from 2009 or 2010, ongoing levonorgestrel (MIRENA) taken for birth control and regulate her menstrual from 3 years ago, her first one was about 2010 or 20211, dextroamphetamine hydrochloride 100 mg daily, taken for bipolar depression from 2003 and ongoing, bupropion hydrochloride (WELLBUTRIN) 600 mg taken for bipolar disorder from 2003 and ongoing; ongoing pantoprazole 80 mg taken for ulcer, hiatal hernia probably from 2016, took 80mg for 7 or 8 months. Before that she took 40mg, ongoing clonazepam 1-3 mg per day taken for anxiety bipolar depression and sleep from about 20 years, ongoing Lamotrigine 400 mg taken for bipolar depression, switched to 400mg about 4 months ago.  300mg before that.  Been on it for about 20 years, taken as off-label use drug, ongoing oxcarbazepine 600 mg taken for bipolar depression been on it for about 20 years. About 3 or 4 months ago, it dropped from 900mg to 600mg, propranolol 80 mg, 3 per day as needed taken for Jitteriness from about   ago and ongoing, she said there had never been a period when she has been on it consistently, her hand was shaking, metoclopramide (MECLOPRAM) 10mg, 1 or 2 tablets taken for nausea from 2000 and ongoing; ongoing oxycodone 7.5mg -325mg , 1 every 6 hours taken for threw her back out (back pain), Oxycodone: Has Acetaminophen in it.  It was first prescribed about 1 1/2 years ago, taken as needed for back every 6 hour, tizanidine 6 mg capsule once or twice per day, taken for back injury from about 25 years ongoing now, ongoing (MULTIVITAMINS [VITAMINS NOS]) took as healthy nutrients, colecalciferol (VITAMIN D3) 50mcg, 2000 IU taken for vitamin D low and tiredness from 7 or 8 year and ongoing folic acid taken to help her regulate menstrual cycle from 20 or 25 years and Benadryl or Tylenol taken for fever within 2 weeks of her covid vaccine shots. No additional vaccines administered on same date of the Pfizer suspect and was not on any other vaccine Prior Vaccinations (within 4 weeks). The patient was not related to any study or programme. The patient was a really healthy person, at least she was before COVID. She worked out. She used to weigh 160 pounds. She had a good BMI and weight before. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EW0177) via an unspecified route, administered in upper Left Arm on 15May2021 at 15:00 or 15:30 (46-year-old at vaccination) as a Dose 2, single for COVID-19 immunization. The patient was sick, tired and had fever after first dose of vaccination. The patient stated that she had no idea if this was really her vaccine or not. They said that if anything weird happened, she should report it because the data was being tracked. On 07Jun2021, she was a little sick with both vaccines, fever for 24 hours and slept for about 18 hours. Her fever broke. She slept and was tired for a day and then she was fine. She said that it was a little bit better. She was taking pain medicine less, maybe every 8 hours during the day. She was taking it every 6 hours at night. She stated that it hurt so much. The patient stated that it was the second part where it got weird. She got the second dose of the injection. People kept telling her they reacted within 12 hours. The patient said that she was down in 3 hours. She had fever and was exhausted. She said this was not shocking for her. Her body tended to do that. She ran a fever of 101. She got it on Monday. She tried to work on Monday. About 2 hours after her shot, her boss kicked her off of her computer and she was sleeping. She was running fever then. On Monday, Tuesday and Wednesday, she did not go to work. Her fever was 101 to 101 plus. Thursday she woke up and felt a little better. Her fever dropped to the higher 99's and lower 100's. It did not go higher than 100.2. The patient said that she took Tylenol and it went down for the most part. She was exhausted and didn't feel well. She said still was not feeling well. It was a different kind of not feeling well. After her shot, it was flu-like symptoms. It was different now that she was having pain. She dragged herself to her desk and worked Thursday and Friday. She functioned on Saturday. She slept during the weekend but she was functioning. Saturday her fever broke completely. On 12Jun2021 (Sunday) she woke up with what she thought was 3 bug bites on her arm. The patient stated that she flipped out. She thought it was 3 bug bites. Her entire arm hurt so much. The patient described it as it felt like a little person was under the skin poking her with needles. The patient stated that she sucked it up until Wednesday morning because she tended to do stuff like that. Then she started running a fever again. It started about 99.2 and jumped to 99.8. The bites were still there and she didn't feel well. She stated that her fever was still in the 99's. She normally ran low at 97.2 or 97.4. It was definitely better. It was down in the 99's. The patient stated that he doctor on 16Jun2021 took one look at what the patient thought was bug bites and she said she had shingles. She was put on antibiotic and pain medicine. On Wednesday afternoon she was exhausted and didn't feel well. She took a 2-hour nap. She was busy at work and forced herself to keep working. The patient reported that she was on day 3 of the antibiotic. It definitely still hurts if she doesn't take the pain medicine. She was still running a fever under 101 but over 100. The patient was still working because she doesn't have a choice. She stated that she has just gained 100 pounds and was normally about 160 pounds. Her body was not use to this, she doesn't know if that was flipping her body out or not, it was flipping her out though. The patient consulted her primary HCP to know if there was a possible connection with the shingles and vaccine. But HCP didn't really tell her about it. She was totally shocked. She thought she could only have shingles if she didn't have the chicken pox as a kid. wanted to know if shingles was an unusual or common side effect. She stated that bumps from the shingles started 12Jun2021 or 13Jun2021. She thought she had banged her arm on something when she was working on her apartment. She still had the bumps. They were getting slightly bigger, and she still had pain. They were a little redder around the edges. She stated that the little dude under the skin was still poking. She said the pain medicine was working. She barely had pain with the pain killers. She stated that she got the second dose 07Jun2021. She was supposed to get it on 06Jun2021, but she had to push it off a day. She did not have any tests for the shingles. She said that both the doctor and a nurse practitioner looked and diagnosed her with shingles. The patient received antibiotics and pain medication as treatment medication for Shingles. The patient had not visited emergency room. She visited physician office for 3 bus bites on her arm, shingles. On an unknown date, the patient underwent lab test and procedure which included Body temperature: 101 to 101 plus, 99-100, 99.2-99.8, and 101 (units unspecified). The outcome of the events fever, Slept for 18 hours, tired and exhausted was recovering and the outcome of other events was unknown.