Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Nausea, Pain in jaw, Sjogren's syndrome
Clinical narrative: she is still stiff; Super dried her out; felt light headed; dry in her mouth and throat; dry lips; so dry in her mouth and throat; dry joints; her jaw really bad/jaw pain; feeling very weak/she has no energy; she is feeling ill/ did not feel good/feels sick; very tired; did not sleep good; Joint pain; Cough; has a funny taste in her mouth; has sjogrens disease and some of the symptoms feel like the disease. does the vaccine exacerbate sjogrens disease/sxs; has sjogrens disease and some of the symptoms feel like the disease. does the vaccine exacerbate sjogrens disease/sxs; Nausea; her stomach feels like she needs to eat something/her stomach is upset and turning; This is a spontaneous report from a contactable consumer (patient).  A 73-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EN6202; Expiration Date: 30Jun2021) , via an unspecified route of administration, administered in Left arm on 03Mar2021 09:00 (at the age of 73 year old) as dose 1, single for COVID-19 immunisation.  Medical history included ongoing Sjogren's syndrome and dry eyes from the Sjogren's, oral surgery due to Sjogren's on 01Feb2021, cyst removed from her lower jaw about a month ago, and nerve block from an unknown date. Concomitant medications included ongoing aspirin [acetylsalicylic acid], hydroxychloroquine and Salagen for sjogren's syndrome, atorvastatin for high cholesterol increased,  levetiracetam (KEPPRA) for petit mal epilepsy, levothyroxine sodium (SYNTHROID) for thyroid from 1961, where half of her thyroid was removed after her pregnancy, omeprazole (PRILOSEC) for gastrooesophageal reflux disease, losartan and metoprolol succinate for high blood pressure, ciclosporin (RESTASIS) for dry eye from the Sjogren's. Patient was on pain medication, steroids, and antibiotics. Patient has no family history relevant to adverse event. The patient has no previous history of immunisation. Prior vaccination, patient did not receive other vaccines within 4 weeks. On 03Mar2021, after receiving the first dose of vaccine, at late in the day, patient had nausea, her stomach was felt like she needs to eat something, but her stomach was upset and turning.  It was reported that she did not eat much on the previous day, she only had tea and toast and jello. On 04Mar2021, at 02:00, she woke up as she was super dried out, which was, worser than Sjogren's. While she woke up, she did not felt good and was very tired. She felt light headed when she got up to go to the bathroom, as like getting off an airplane. She thought she was getting a sore throat, but actually it was because of dryness in throat, lips, and mouth, and it was beyond her Sjogren's. It got a little bit better since she is drinking. Also reported as she felt joints dry and her jaws were hurting/in pain , the jaw pain was really amplified since she received the vaccine. She was feeling ill, weak and was very tired, also had no energy. She could not sleep good, because she felt so dry and jaw hurting. She thinks that the vaccine has accelerated her Sjogren's  or even made her dryness worse. Patient reported that she was also having joint pain. She said that she could not take any antihistamines because of the Sjogren's. She has a humidifier in her room. she has cough because of the humidifier. She said that sometimes she would cough in the morning. On 04Mar2021, around 5-6am, patient started to have a funny taste in her mouth, like taking aspirin, without enough water and it starts to melt in mouth. She left her Sjogren's doctor on 01Mar2021. She has not seen her new doctor yet.   She said that she just feels sick. She was attributing it to the Sjogren's, but it may just be from the vaccine also.  At the time of report, still her throat is raw and jaw hurts really bad, but not like it was during the night. She said that she is still stiff. Patient enquired that whether the vaccine exacerbate sjogrens disease, as she felt symptoms which feel like the disease. She said that she thinks  all this has more to do with her Sjogren's and medications that she is taking. She did take all of her medications for Sjogren's and her symptoms are not as bad. At the time of report, the broth she is eating is not burning her throat. She said that she thinks her symptoms have improved since she took her medication. If she missed her doses she might have trouble chewing or swallowing. No relevant lab tests were done. The outcome of the events gastric disorder, insomnia, Lightheadedness, athropathy, asthenia, musculoskeletal stiffness was unknown and of Skin dry, arthralgia, Dry throat, Dry lips, Dry mouth, Jaw pain, Sjogren's disease, Condition aggravated, joint pain, cough was recovering and of all other events was not recovered.  No follow-up attempts are possible. No further information is expected.