Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Discomfort, Laboratory test abnormal, Malaise, Muscular weakness
Clinical narrative: Blood test: Low; Ultrasound bladder: Low; Ultrasound kidney: Low; Urine analysis: Low; sick; head cold; dry tickle cough; aortic stenosis; anemic/kidney does not get enough blood; pressure and is terrible and taking her freedom; lost almost all of her hair; feeble on her feet; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  An 81-year-old female patient received BNT162b2 (BNT162B2), on 12Apr2022 at 11:00 as dose 4 (booster), single (Batch/Lot number: unknown) at the age of 80 years intramuscular for covid-19 immunisation. The patient's relevant medical history included: "Cholesterol abnormal" (ongoing). Concomitant medication(s) included: ATORVASTATIN taken for blood cholesterol abnormal (ongoing). Vaccination history included: BNT162b2 (DOSE 1, SINGLE, Intramuscular, Time given: Around 11 and noon), administration date: 22Mar2021, when the patient was 79-year-old, for COVID-19 Immunization, reaction(s): "COVID-19"; BNT162b2 (DOSE 2, SINGLE, Intramuscular, Time given: Around 11 and noon), administration date: 12Apr2021, when the patient was 79-year-old, for COVID-19 Immunization, reaction(s): "COVID-19"; BNT162b2 (DOSE 3 (BOOSTER), SINGLE, Intramuscular, Time given: Around 11 and noon), administration date: 22Oct2021, when the patient was 80-year-old, for COVID-19 Immunization, reaction(s): "COVID-19"; Flu shot, for Immunization. The following information was reported: ANAEMIA (medically significant) with onset 2022, outcome "not recovered", described as "anemic/kidney does not get enough blood"; MUSCULAR WEAKNESS (non-serious) with onset 2022, outcome "unknown", described as "feeble on her feet"; ALOPECIA (non-serious) with onset 2022, outcome "unknown", described as "lost almost all of her hair"; DISCOMFORT (non-serious) with onset 2022, outcome "unknown", described as "pressure and is terrible and taking her freedom"; AORTIC STENOSIS (medically significant) with onset Oct2022, outcome "not recovered"; COUGH (non-serious) with onset Oct2022, outcome "not recovered", described as "dry tickle cough"; NASOPHARYNGITIS (non-serious) with onset Oct2022, outcome "unknown", described as "head cold"; MALAISE (non-serious) with onset Oct2022, outcome "unknown", described as "sick"; LABORATORY TEST ABNORMAL (non-serious), outcome "unknown", described as "Blood test: Low; Ultrasound bladder: Low; Ultrasound kidney: Low; Urine analysis: Low". The patient underwent the following laboratory tests and procedures: Blood test: Low; Body temperature: usually 98.6; Ultrasound bladder: Low; Ultrasound kidney: Low; Urine analysis: Low. Therapeutic measures were taken as a result of aortic stenosis, anaemia, malaise, nasopharyngitis, cough. Clinical course: Patient had some questions about Paxlovid and she said she had the Covid-19 Biontech vaccines and agent said doing a lack of effect for Covid. Patient was coughing on the phone, said she had all of the vaccines. Patient said on the third day and her husband had for 5 days and 6 and currently has a low grade temperature and hers was 99.2 and nothing yesterday. Patient said was usually 98.6. When asked about HCP details, patient said computer and has more concerns and pressure and was terrible and taking her freedom. Caller said she called her heart doctor and was expecting a call back and she has an Oncologist and was very very anemic and gets hemoglobin shots every 3 weeks and kidney does not get enough blood. Patient said hemoglobin shots starts with an A, was unsure how to spell and causes kidney to provide healthy cells and her hemoglobin goes up and sure that it goes down too. Patient confirmed got Covid 3 days ago, said she had the flu shot. Patient did not really want to get the vaccines due to health issues and nobody listed to her and lost almost all of her hair and not sure if that was a side effect. Confirmed she has received 4 total Covid-19 vaccines and thought she will get another. Caller confirmed she's not taking Paxlovid yet and that's why she's calling. Treatment: Not yet just pills and said that her doctor changed her cholesterol and she has a test on the 14th and her carotid artery; she has aortic stenosis and that's what she was diagnosed with. Patient said was 167 and was not really bad and doctor wanted stronger cholesterol medication before the test. She has been taking for a month or so. Patient was a little feeble on her feet. She felt sick like a head cold and they gave her azithromycin and she was able to get mucus up and said was a dry tickle cough and helped; she's drinking hot tea with lemon. They say its all dry. The medication is atorvastatin. NDC, Lot, and expiration are unknown. Patient said not concerning medication. She had a kidney and bladder ultrasound and had a urinalyses and blood work and she heard her report; the nurse called yesterday and her numbers were low.   The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.