Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Cough, Fatigue, Lacrimation increased
Clinical narrative: coughing; scratchy sore throat; scratchy sore throat/painful in her throat and chest; stuffed up and congested; Runny eyes; painful in her throat and chest; when she touches the injection site, it is warm feeling and is still painful; when she touches the injection site, it is warm feeling and is still painful; extreme tiredness; Chills; This is a spontaneous report from a contactable consumer (patient). A 60-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, lot number: EN6207, Expiry date: unknown) (age at the time of vaccination was 60 years) via intramuscular, on 18Mar2021 at 12:15 as DOSE 1, SINGLE for COVID-19 immunisation. The patient's medical history included type 2 diabetes, low immune system, asthma, allergies, covid around the middle of Dec2019 to the middle of Mar2020, patient lost 80 pounds, depression, migraine, arthritis, low thyroid and hiatal hernia, brother had triple heart bypass surgery in 2019. Concomitant medications included Elavil (amitriptyline hydrochloride) tablet 30 mg, 1x/day [10 mg by mouth, tablets, 3 at bedtime] for depression, Hydroxychloroquine 200 mg, 1 in the morning 1 in the evening, by mouth, tablet for arthritis, Zanaflex at a dosage of 4 mg, one in the morning, by mouth, Synthroid 88 mcg one in the morning by mouth for low thyroid, Celexa at a dosage of 40 mg one in the evening, Protonix at a dosage of 40 mg one in the morning and one in the evening by mouth for hiatal hernia, Keppra at a dosage of one in the morning, one in the evening with dinner by mouth, Potassium chloride at a dosage of 20meq ER one in the morning by mouth, Myrbetriq at a dosage of 25 mg one at bedtime by mouth, Singulair at a dosage of 10 mg one at bedtime by mouth, Petadolex at a dosage of 50 mg one in the morning and two at dinner time by mouth, Metformin ER at a dosage of 500mg one in the morning by mouth, Nature's way black cohosh at a dosage of two with dinner by mouth as vitamin supplement, Probiotic at a dosage of two at lunchtime by mouth, Osteo bi-flex at a dosage of one in the morning, and one at bedtime. No dosage written on the paper, Calcium with vitamin d3 at a dosage of 600mg, takes one in the morning and one at dinner, by mouth, Iron at a dosage of 27 mg one at dinner time, Frova at a dosage of 2.5mg every two hours for diarrhea. The patient did not take any other vaccine in four weeks prior COVID -19 vaccine. She was diagnosed with COVID prior vaccination and not tested with COVID post vaccination. On 19Mar2021 at around 09:00 AM, the patient coughs hard, so that it was painful in her throat it comes and goes and when it does come. The patient had scratchy sore throat and chills. The patient was coughing hard, so that it was painful in her throat and chest. It remained for three months that she was so sick with the coughing except this time. The patient does not have the diarrhea or throwing up. The patient had injection site, it was warm feeling and was still painful to the touch. The patient felt tired last night. The patient was not coughing or having a sore throat and congested. The patient was having runny eyes that started this morning. Stuffed up and congested/congestion started this morning. The patient's brother got the first vaccine and never got sick but his wife. The patient does not know the symptoms of his brother's wife. The outcome of the events was not resolved.   No follow-up attempts are possible. Information about lot/batch number cannot be obtained.