Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Fatigue, Headache, Memory impairment, Saliva analysis
Clinical narrative: Vertigo; Headache; Tinnitus loud; Extreme fatigue; Hand tremor/hand tremor bilaterally; Slight disorientation; Memory problems; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 65 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 20Sep2021 (Lot number: ew0177) at the age of 65 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "inflammatory disorder" (unspecified if ongoing), notes: inflammatory disorder; "Addison's disease" (unspecified if ongoing). Concomitant medication(s) included: CELEBREX; MYCOPHENOLATE; HYOSCYAMINE; BUPROPION. Past drug history included: Penicllin, reaction(s): "Rash", notes: Known Allergy: Penicillin-Rash. The following information was reported: VERTIGO (non-serious) with onset 21Sep2021, outcome "recovered with sequelae", described as "Vertigo"; HEADACHE (non-serious) with onset 21Sep2021, outcome "recovered with sequelae", described as "Headache"; TINNITUS (non-serious) with onset 21Sep2021, outcome "not recovered", described as "Tinnitus loud"; FATIGUE (non-serious) with onset 21Sep2021, outcome "recovered with sequelae", described as "Extreme fatigue"; TREMOR (non-serious) with onset 21Sep2021, outcome "recovered" (Sep2021), described as "Hand tremor/hand tremor bilaterally"; DISORIENTATION (non-serious) with onset 21Sep2021, outcome "recovered with sequelae", described as "Slight disorientation"; MEMORY IMPAIRMENT (non-serious) with onset 21Sep2021, outcome "recovered with sequelae", described as "Memory problems". The events "vertigo", "headache", "tinnitus loud", "extreme fatigue", "hand tremor/hand tremor bilaterally", "slight disorientation" and "memory problems" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of vertigo, headache, tinnitus, fatigue, tremor, disorientation, memory impairment.  Additional information: 2nd day after first shot all except tinnitus diminished. Hand tremor bilaterally resolved after 4 or 5 days. Have had tinnitus for decades, but now it is louder and a pure tone at 1Khz is now present constant. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Other medications the patient received within 2 weeks of vaccination included Celebrex, mycophenolate, hyoscyamine and Bupropion. Adverse event required a visit to doctor or other healthcare professional office/clinic visit. Prior to vaccination, the patient was not diagnosed with COVID-19; Since the vaccination, the patient had been tested for COVID-19. The patient did not receive any treatment for the event. No Prolonged Hospitalization was reported. After second shot (18Oct2021), the above symptoms came back (19Oct2021) but were milder. After 2nd shot, did not get disoriented nor had memory problems, but fatigue was nasty / didn't go into work again. The patient also received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot: ew0168, Expiry date: unknown), via an unspecified route of administration, administered in Left Arm on 18Oct2021 at 15:45 as dose 2, single for covid-19 immunisation.   No follow-up attempts are possible. No further information is expected.