Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dizziness, Fatigue, Headache
Clinical narrative: fatigue/exhausted completely; a bad headache; dizziness, the room kept spinning; did not feel like eating at all and nothing like she was nauseated or anything, it was just no hunger; This is a spontaneous report received from a Nurse from medical information team.  An 84-year-old female patient received BNT162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), in Nov2023 as dose 1, single (Batch/Lot number: unknown) intramuscular, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Rheumatoid arthritis" (ongoing); "Depression" (ongoing); "Hearing problem" (ongoing). Concomitant medication(s) included: SERTRALINE taken for depression. The patient also took other concomitant therapy. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE), for COVID-19 Immunisation; Bnt162b2 (DOSE 2, SINGLE), for COVID-19 Immunisation; Bnt162b2 (DOSE 3 (BOOSTER), SINGLE), for COVID-19 Immunisation; Bnt162b2 (DOSE 4 (BOOSTER), SINGLE), for COVID-19 Immunisation; Flu vaccine, for Immunisation. The following information was reported: HEADACHE (non-serious) with onset 2023, outcome "recovering", described as "a bad headache"; DECREASED APPETITE (non-serious) with onset 2023, outcome "recovered", described as "did not feel like eating at all and nothing like she was nauseated or anything, it was just no hunger"; DIZZINESS (non-serious) with onset 2023, outcome "unknown", described as "dizziness, the room kept spinning"; FATIGUE (non-serious) with onset 2023, outcome "recovering", described as "fatigue/exhausted completely". Therapeutic measures were not taken as a result of fatigue, headache, dizziness, decreased appetite.  Additional information: The patient reported the side effects from her last Booster shot for Pfizer. After receiving the Pfizer Covid vaccine booster, she was having some side effects including fatigue, a bad headache, and dizziness and she wanted to know whether she should still take another booster dose. The patient was afraid to take another booster dose. She stated her last dose of the Pfizer Covid vaccine was about a month and a half ago, November probably. She got the 2023-2024 formula. She has 3 to 4 other doses of the Pfizer Covid vaccine when it first came out and has been updated each time without any problem. When she had a problem with this one it really threw her. She stated she is a bit hard of hearing and asked the caller to speak slowly. The reporter asked if she was eligible to take another booster dose. It was explained that the 2023-2024 formula is recommended as a single dose at this time. Upon follow up on 22Jna2024, patient reported the side effects from her last Booster shot for Pfizer for the Covid shot (Clarified as COVID-19 Booster Vaccine) and afterwards the side effects were, she means they straight for about like a month. The patient was actually getting better but it was like horrible headache, and it was kind of like all of the usual side effects only it was huge. Bad headache for few days and fatigue last maybe for almost a month. The patient was just exhausted completely and dizziness, the room kept spinning and she already had four Pfizer shots before that. The other ones she had no problems. Patient stated that, the worst part of it was that it was like not just a couple of days, it was couple of weeks up to a month, lots about the time it was another thing which a good deal. The patient had no problem, her appetite is fine they kept her bad, but it has been over a month. The patient stated she mean she just did not feel like eating at all and nothing like she was nauseated or anything, it was just no hunger. The fatigue has finally left her. She used to walk a mile a day and she had to quit that for two three weeks going out for walking and she is starting to walk again and do like she did before, but she just thought it was important to report it. The patient was afraid to get the next booster shot because she does not know if that was going to happen again or what. The patient was a Registered Nurse (retired now). Causality reported as "Yes." Other medical condition and concomitant medications: patient stated, she does not have hypertension, diabetes. She was taking other medications. She has Rheumatoid Arthritis, so she was taking medication for that, but it was the same medication she takes it all along. She was taking Sertraline for depression. It was pretty much small doses. She was just taking that only if she needs to take. She said her mind was going to blank, she takes one for, she cannot think of them all right now and then reported she take four medicines. When asked about laboratory test, she stated she have not had any blood work done. She probably has it, maybe like two months ago. She thinks it is a blood work but was not sure. It was reported that patient do not remember the date. She did not pay attention to it because thinking for long it is just going to last so, she keep getting better every day and the fatigue has been less and less so, she was doing that right now, walking again but she can't remember the exact date. Patient said she did not take anything as treatment for the events. Patient received Flu shot when she went to the doctor's office that was 2 months ago and stated she got like a month before she got the COVID Vaccine. She said she do not know anything about it like lot or expiry. She tried he was going to give a COVID Shot, he said no she get that at the pharmacy, we just give you Flu shot today so, she said okay. She knows there was no reaction nothing, it was just got the shot, went home and continue with her work as it was so there was no problems. The patient stated she was afraid to get another booster when the time comes. She was afraid that the same thing will happen to her, and it really shit her up. She said she was not talking about her other symptoms, in the beginning it knock her back she had to be in bed and was just overcome. She mean it was right talk or anything else or it was just headache but a really bad headache, right at her neck it was like a headache like she never had before. She asked what do if she get another COVID Shot or should she not get one anymore. She also asked if may be they could give a half dose rather than the whole dose, that just had such a reaction or she was not sure what she could do. Her question was if she should get another shot or not.  The information on the batch/lot number for BNT162b2 omi xbb.1.5 will be requested and submitted if and when received.