Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Palpitations, Paraesthesia oral, Product preparation issue, SARS-CoV-2 antibody test
Clinical narrative: This is a spontaneous report received from a contactable reporter(s) (Other HCP) from medical information team for a Pfizer sponsored program. The reporter is the patient. A 31 year-old female patient received bnt162b2 (COMIRNATY), administered in arm right, administration date 03Dec2021 (Lot number: 330268D, Expiration Date: Feb2022) at the age of 31 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Urinary tract infection" (unspecified if ongoing). The patient's concomitant medications were not reported. The patient had not received any other vaccine within 4 weeks prior to the COVID-19 vaccine. The following information was reported: CHEST PAIN (medically significant) with onset 03Dec2021, outcome "recovered", described as "chest pain."; HEART RATE INCREASED (non-serious) with onset 03Dec2021, outcome "not recovered", described as "heart was racing/elevated heart rate"; OVERDOSE (non-serious), PRODUCT PREPARATION ERROR (non-serious) all with onset 03Dec2021, outcome "unknown" and all described as "received undiluted Pfizer COVID-19 vaccine as  first dose, equivalent to 6 doses"; CHEST DISCOMFORT (non-serious) with onset 2021, outcome "not recovered", described as "I feel a little low in my chest"; PARAESTHESIA ORAL (non-serious) with onset 2021, outcome "not recovered", described as "Within my upper lip has been tingling"; INFLUENZA LIKE ILLNESS (non-serious) with onset 03Dec2021, outcome "not recovered", described as "flu-like symptoms-headache, body ache, feverish, sore arm, tired"; ANXIETY (non-serious) with onset 2021, outcome "not recovered", described as "I am anxious about it and I am upset". The events "chest pain.", "heart was racing/elevated heart rate" and "flu-like symptoms-headache, body ache, feverish, sore arm, tired" were evaluated at the emergency room visit. The patient underwent the following laboratory tests and procedures: blood test: (unspecified date) elevated; computerised tomogram: (unspecified date) clear; (unspecified date) clear; heart rate: (unspecified date) elevated; (06Dec2021) elevated on and off, notes: her heart rate is elevated on and off and she can feel it; urine analysis: (unspecified date) positive for bacteria. Therapeutic measures were taken as a result of chest pain, heart rate increased, influenza like illness. The patient/nurse reported tingling started probably around 10 o'clock in the morning of 03Dec2021. Nurse stated, "I mean within my upper lip has been tingling and I feel a little low in my chest. I am anxious about it and I am upset. It is still tingling." No treatment was provided for the tingling. Evening of the overdose on 03Dec2021, she started having flu like symptoms - headache, body ache, feverish, sore arm. Then her heart was racing and she had chest pain. She went to the ER and they did some lab work and gave fluids and paracetamol (TYLENOL) for the fever. She was on a heart monitor for elevated heart rate for about 5 hours. Lab work came back elevated, CAT scan of lungs and heart and was all clear. D-dimer lab test was elevated, which is why they did the CAT scan to rule out stroke. Today, 06Dec2021, her heart rate is elevated on and off and she can feel it. No chest pain today, but she does still have a headache, is tired, and arm is still sore. She took today off of work because she is not 100% physically, and still feeling very emotional and upset about the overdose.; Sender's Comments: between the reported  events chest pain, Heart rate increased , over dose, chest discomfort, product preparation error, paraesthesia oral, anxiety, influenza like illness  and the suspect drug BNT162B2 cannot be excluded.