Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood immunoglobulin G, Blood immunoglobulin M, Cardiac stress test, Drug ineffective, Fibrin D dimer increased
Clinical narrative: The D-dimer part of the blood work came back as 0.44; runny nose; lost his taste; lost his smell; coughing stuff up; coughing up phlegm; sneezing; This is a spontaneous report received from a contactable consumer (reporting himself). A 64-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EN6207, Expiry 31Jul2021), via an unspecified route of administration in left arm on 17Mar2021 at 11:30 (age at the time of vaccination was 64-years-old) as a single dose for COVID-19 immunization. The patient's medical history included COPD treated by CPAP (continuous positive airway pressure), high blood pressure, cancerous tumors removed from bladder, atrial fibrillation. The patient's history of all previous immunization with the Pfizer vaccine considered as suspect was none. The patient had no additional administered vaccines on same date with the Pfizer vaccine. The patient did not required any visit to emergency room or physician office. The patient had no loss of taste and smell within 4 weeks of prior vaccinations. The patient had no adverse events following prior vaccinations. The patient had no predisposing factors. No culture test was performed. The patient's concomitant medications included Eliquis (apixaban) taken for cardiac disorder from Feb2021 to an unspecified stop date; lisinopril and metoprolol tartrate for an unspecified indication. The patient called about the COVID-19 vaccine. The patient had his first COVID-19 vaccine on 17Mar2021. The patient had no issues with the first vaccine. About 2 weeks after the first dose received maybe around 01Apr2021, the patient started sneezing, having some phlegm, and coughing stuff up. The patient used a CPAP (continuous positive airway pressure) machine at night. Around 09Apr2021, the patient lost his taste and smell. The patient was scheduled for his second COVID-19 vaccine on 10Apr2021 but thought his symptoms were worse than the patient originally thought. The patient went to his doctor on 09Apr2021. The patient's doctor did the nasal swab for the COVID-19 virus. The patient never had a fever or chills. The patient's doctor gave him some erythromycin. The patient also did some blood tests. The patient's COVID-19 virus test came back negative. On the results of his blood tests on the first page, the first thing it says are that the patient's COVID-19 results were negative. The patient's doctor told him that the patient's body showed no response to the COVID-19 vaccine. The patient did not see that this blood test was testing for antibodies. Later in blood test paperwork the patient saw that it said antibodies not detected, does not preclude acute Sars-Cov-2 infection. The patient's paperwork said IgG and IgM were negative. The patient provided the following in a historical context. On an unspecified date in Feb2021, prior to receiving his first dose of the COVID-19 vaccine the patient had some heart problems. The patient gone into atrial fibrillation. The doctor prescribed Eliquis and put him on a heart monitor. The patient took a nuclear stress test and that was ok and now the patient was wearing a heart monitor. The patient's reading from his blood test results. The patient's D-dimer result was 0.44. In the reference range it said anything less than 0.50 was a normal range. But the patient was taking Eliquis and his doctor told him his D-dimer should be zero. The patient's doctor told him his D dimer was elevated. The patient's doctor believed the first COVID-19 vaccine has something to do with his D-dimer result. The caller reports that the patient heard about the Johnson and Johnson vaccine and blood clots but he had not heard anything about Pfizer having problems with blood clots or anything of that nature. The patient now has his second COVID-19 vaccine scheduled for next day on 23Apr2021. The patient's follow up visit with his doctor was on 17Apr2021. The patient's doctor advised him to wait until mid May2021 and start all over with the COVID-19 vaccines but this time his doctor wants him to get the Moderna COVID-19 vaccine. The patient was not sure why his doctor was wanting him to stay away from Pfizer. Was there an indication that the patient was not aware of that the Pfizer COVID-19 vaccine would cause his D dimer to be elevated at 0.44. The patient was aware and there may be other factors that cause his D dimer to be elevated. The patient just wants to see if he can get his second COVID-19 vaccine. The patient just wants to get the vaccine and get on with his life. The patient would not get the vaccine if there was a known reason not to get it. The outcome of the events was unknown.  No follow-up attempts are needed; information about lot/batch number cannot be obtained.