Covid vaccine booster; Passed out; feel more dehydrated that I do from the beta blocker / Dehydration; I just feel hot; my heart rate periodically goes up/higher heart rate/ Fast heartbeat; I starts to sweat/has sweats/ Extreme sweating; I go very sick; my mouth gets very dry; I get very dry; I am getting even less sleep than I normally get/ lack of sleep and sleeping problems; I just feel like I can't do anything; feel more lethargic; tired like I have always am because of lack of sleep and sleeping problems; chest pressure; Nausea/extremely nauseous; I felt sleepy; light fever; got chills hot and cold; got chills hot and cold; sinus arrhythmia; hot flush; Yeast infection; Inflammation; anxiety; shortness of breath; AV Block; chest pain; The initial safety information received was reporting only non-serious events. Upon receipt of follow-up information on 24Nov2021, this case now contains serious adverse event. Information processed together.  This is a spontaneous report received from a contactable reporter (Consumer) from medical information team. The reporter is the patient.  A female patient received bnt162b2 (BNT162B2), administration date 2021 (Batch/Lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "insomnia" (unspecified if ongoing), notes: she had insomnia but has hair; "hyperthyroid" (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (Dose:1, With the 1st 2 vaccine she had mild fever, chills and ached), for COVID-19 Immunization, reaction(s): "chills", "ached", "mild fever"; Bnt162b2 (Dose:2, With the 1st 2 vaccine she had mild fever, chills and ached), for COVID-19 Immunization, reaction(s): "chills", "ached", "mild fever". The following information was reported: IMMUNISATION (medically significant) with onset 2021, outcome "unknown", described as "Covid vaccine booster"; LOSS OF CONSCIOUSNESS (medically significant) with onset 2021, outcome "unknown", described as "Passed out"; DEHYDRATION (non-serious) with onset 2021, outcome "unknown", described as "feel more dehydrated that I do from the beta blocker / Dehydration"; FEELING HOT (non-serious) with onset 2021, outcome "unknown", described as "I just feel hot"; HEART RATE INCREASED (non-serious) with onset 2021, outcome "unknown", described as "my heart rate periodically goes up/higher heart rate/ Fast heartbeat"; HYPERHIDROSIS (non-serious) with onset 2021, outcome "unknown", described as "I starts to sweat/has sweats"; ILLNESS (non-serious) with onset 2021, outcome "unknown", described as "I go very sick"; DRY MOUTH (non-serious) with onset 2021, outcome "unknown", described as "my mouth gets very dry"; DRY SKIN (non-serious) with onset 2021, outcome "unknown", described as "I get very dry"; INSOMNIA (non-serious) with onset 2021, outcome "unknown", described as "I am getting even less sleep than I normally get/ lack of sleep and sleeping problems"; DEPRESSION (non-serious) with onset 2021, outcome "unknown", described as "I just feel like I can't do anything"; LETHARGY (non-serious) with onset 2021, outcome "unknown", described as "feel more lethargic"; FATIGUE (non-serious) with onset 2021, outcome "unknown", described as "tired like I have always am because of lack of sleep and sleeping problems"; CHEST DISCOMFORT (non-serious) with onset 2021, outcome "not recovered", described as "chest pressure"; HYPERHIDROSIS (non-serious) with onset 2021, outcome "unknown", described as "Extreme sweating"; NAUSEA (non-serious) with onset 2021, outcome "unknown", described as "Nausea/extremely nauseous"; SOMNOLENCE (non-serious) with onset 2021, outcome "unknown", described as "I felt sleepy"; PYREXIA (non-serious) with onset 2021, outcome "unknown", described as "light fever"; CHILLS (non-serious), FEELING OF BODY TEMPERATURE CHANGE (non-serious) all with onset 2021, outcome "unknown" and all described as "got chills hot and cold"; SINUS ARRHYTHMIA (non-serious) with onset 2021, outcome "unknown", described as "sinus arrhythmia"; HOT FLUSH (non-serious) with onset 2021, outcome "unknown", described as "hot flush"; FUNGAL INFECTION (non-serious) with onset 2021, outcome "unknown", described as "Yeast infection"; INFLAMMATION (non-serious) with onset 2021, outcome "unknown", described as "Inflammation"; ANXIETY (non-serious) with onset 2021, outcome "unknown", described as "anxiety"; DYSPNOEA (non-serious) with onset 2021, outcome "unknown", described as "shortness of breath"; ATRIOVENTRICULAR BLOCK (non-serious) with onset 2021, outcome "unknown", described as "AV Block"; CHEST PAIN (non-serious) with onset 2021, outcome "not recovered", described as "chest pain". The events "my heart rate periodically goes up/higher heart rate/ fast heartbeat", "chest pressure" and "chest pain" were evaluated at the physician office visit and emergency room visit. The event "sinus arrhythmia" was evaluated at the physician office visit. The patient underwent the following laboratory tests and procedures: blood pressure measurement: low at 100/72; blood test: normal; blood thyroid stimulating hormone: rising; body temperature: 97.8; light fever; cardiac stress test: unknown results; electrocardiogram: sinus arrhythmia, notes: NO; heart rate: 99 in bp cuff; higher; x-ray: normal. Therapeutic measures were taken as a result of heart rate increased, sinus arrhythmia, and included beta blocker. Clinical course: Consumer stated, well she was not thinking to get anywhere she took the booster and she regretted taking it when she did and she went through similar side effect that she had, when she first took it and then it subsided but unfortunately she took it when she took the fresh pack of birth control that she hadn't taken in a while, it was a full strength of birth control because the pharmacy sent her sun damaged birth control and she was stupid and dumb and put trash in her body. And the same week she got the booster she started the birth control and she had been feeling really sick obviously when, in her early 40s but she didn't believe she was going to menopause but usually when you didn't have enough estrogen in your body was when you are going to be sick but she was feeling sick when she was taking full strength of the birth control (Unspecified birth control pills). So that was strange and it didn't make sense and she didn't know what was going on with her body ever since she got the shot. She had been feeling, she mean actually she felt better after certain day and then Friday after she took it on Tuesday she had a really bad side effect, she was hot and cold, hot and cold, and then she had a really bad blood effect. She took it on Tuesday and then on Friday she was sweating profusely and then ever since then she just keep sweating every day and sweating and then the sweating stopped and then she just started, after the sweating stopped she was just hot. And her heart rate keep going up and it keep waking her up, my heart rate was pounding out of my chest and it was hurting her chest and so, she didn't know if it was the birth control that was causing it but everybody was like oh no usually when you didn't have enough estrogen that was when your body was going to go crazy and have these symptoms, not when you starts putting the estrogen back into your body. She didn't take too much not being one for 2 month (as reported). But unfortunately, she took your dose right when she started the fresh pack after 2 month she didn't have the vaccine. So, she got your shot the same time when she resumed taking my birth control and ever since she took it she felt more dehydrated that she did from the beta blocker (Unspecified medications) that she took for anxiety not for low blood pressure and she felt every day she felt hot throughout the day even though her body temperature was normal she was feeling hot, but then her heart rate periodically goes up when she started to sweat, and she went very sick and her mouth got very dry, she got very dry. And no matter who she call, if she went to hospital, if she went there to find out what was going on. She hops this wasn't a permanent side effect, she was hoping it was the birth control not the vaccine because she did so well with it the first time and it was many months before she took it again, so was just stuck in a bad place she was just miserable and she couldn't get better. No one can tell me what to do, she didn't take her birth control for 1 day which she guessed was not enough to get it out of her system, if the birth control was causing this but that will be strange for the birth control to cause hot flush, and a higher heart rate and thats usually signs of not getting enough estrogen, so was just totally lost and confused, she didn't know what to do. When confirmed the name of the vaccine as Pfizer COVID booster shot, consumer stated, yes unfortunately she took it at wrong time. Consumer stated, she went to pharmacy that she got the shot at would have given her you guys number to call during the week because she had been miserable for so long. It was been 2 weeks. Consumer stated, she understand but she wish she would have been given this number when she called earlier in the week and then she could have called them when she got off from phone with you, at the time of this report she had to wait for Monday and she had to still be in this condition where she was getting even less sleep than she normally got and she just felt sick and she just felt hot and she just felt like she couldn't do anything and it was just that she went to sleep and if she was lucky enough to fall asleep she was waking up with her heart pounding. But the pharmacy that she called right now gave her you guys information but she wish they, the other pharmacy would have given it to her because then she would have called you earlier then she would have been able to get transferred to medical info, at the time if this report she had to wait and it was not fun, it was very hard on me. She had been hard on her body and the time of this report she rushed to get this when she should have she should have been more patience and she should have been herself, felt more lethargic and tired like she had always was because of lack of sleep and sleeping problems. And now she was suffering with pill and she might, if this was something that's going to be permanent for rest her life she was going to like, this was like misery my beta blocker she took at 3 o'clock and then nearly by 7 in morning my heart was pounding out of her chest. And birth control was usually when you didn't have estrogen in your body you get the effects not when you are putting that. You seemed very noticeable and she appreciated that and she was sorry she was very overwhelmed and nobody will see her nobody will talk to me, nobody will see me, everybody was like just wait it out like how much longer to wait it out. If she didn't take the birth control yesterday and she know one day is probably not enough to take it out of her body, it was birth control, it will take more days to take it out of her system but she was just overwhelmed she never expected it to happen she was just really sad at the time of this report. She was sorry she was really exhausted. Consumer stated, she had sleep issue but at the time of this report she had even more sleep issue and sweat issues and this and that. Consumer stated, she had to start all over again, okay alright she appreciated your patience letting her to get this out, she just really wish she waited, she really wish she was afraid she wouldn't be able to get it and she was living with 2 geriatric people and she was afraid she wouldn't be able to get it, she possible just ran, she should have sit in shower and relax but she didn't and now she was suffering consequences of not listening and taking sun damage birth control for 2 months. At the time of this report she didn't know, everybody was like it could be Pfizer, it could be birth control or combination of two, she just want to felt better, she just want to felt normal even her normal was so horrible and she barely, she didn't get enough sleep and she felt sick on her beta blockers, at least her normal was lot better that was normal as now. Fast heartbeat, chest pressure. Extreme sweating. Dehydration. Nausea. I did perfectly well with the first two. Stress levels too high. Due to tampering of vaccine. Spoke with health care professional (HCP). Concerned. It wasn't immediate. Got it on a Tuesday. Tuesday night. She felt sleepy. She had insomnia. A fresh pack of birth control. Been off the birth control for quite a while, two months at the time of this report. She believe she had anal retentive. She was close to eight months to her previous vaccine. Two days approved. First two at the health department. Pharmacies were so busy. Her upcoming birthday. Fill this out. Medical conditions. She just gave her the paper. Broke the honor code signed something they were immunocompromised. Technician somehow tampered. Extra Pfizer vaccine in bottom. Maybe she just had a bad reaction. She really wish she had went. Sweating profusely. Yeast infection so much. Bedridden, Heart beat out of her chest. Her gut told me not to take counter. Sinus arrhythmias. She waited it out so long. She didn't want to go into an ER during covid. She was considered obese. She did not want to get sick. Sister genetically similar to me. Clinical pharmacist. She had inflammation. She had shortness of breath, chest pain. Experiencing that. She didn't experience with the first two shots. She got it on the 21st it was approved two days later. Few days after her booster. Heart rate in the 90s. She was sweating so bad. Got it on a Tuesday, Friday. Passed out, woke up. Burning up. 24th onset. 08Oct2021, anxiety. Low dose of beta blockers. 11Oct2021 she couldn't take it anymore. Sinus arrhythmia. Wanted to be admitted. Eventually, discharged her. Appointment with cardiologist. Had two past, stress test. Three visits. She didn't even know if it was her heartbeat that was causing. She put her hand on her heartbeat and she know what it feels like. Buzzing. Tachy even though it wasn't tachy. Comes out of your chest. Now that time had passed she was slowly getting back to normal. She did have AV Block. Prescribed dose. Short episode of three beats. Lower dose, sensitive to meds. Symptoms she had Friday morning. Fresh pack of birth control. Got off birth control. Not premenopausal, she knew that for sue. Investigate that pharmacy. Two or three more forms. Makes you wonder. Boom on Friday she was in a dark place. Persisted finally. It affected her. More than dose. She was not immune-compromised; she broke the rules. Follow up with the cardiologist. she went to the OB, told her everything under the moon you can think up. Not premenopausal after bloodwork. Ovulation stage. It was a horrible period. She wasn't hot and sweaty. Refreshing. She didn't think she had ever passed out. It was just odd. Wait two weeks. It was honestly COVID. Being sick and miserable. She didn't really have a support system unfortunately. Got it back in Sep21. Other people come with weird symptoms. After a few months they get better. More Pfizer. She waited from 24Sep2021 till 11Oct2021 to go to the ER. She did question her cardiologist about it she did say she felt that the blood work and the x-ray she didn't see it as inflammation. She wanted to feel better. Still experiencing chest pain and pressure. She was afraid to get vaccine. She was afraid to get MODERNA. Caller (patient) was not sure what happened to her, something did and has been to many doctor visits since thinking that she was going into early menopause and she went to OB checked out and she was not in early menopause. Stated she had sweats and higher heart rate and whatever that was eliminated. Stated the vaccine was the only other thing. Stated she had been to so many doctor offices and still had to see neurologist and others. Stated she was getting better and she had a suspicion something was done at the pharmacy. With the 1st 2 vaccine she had mild fever, chills and ached and that stopped, and everything was fine in early Jan2021, no issue or problems. Stated she had soreness with whole cycle opposed to the last week and she started taking Beta blockers too and thought that so she stopped the birth control that gave soreness, every day she took Advil and she stopped it as well and doesn't think that was related to that may have been body getting older and OB said lot of people come in with messed up cycles. Had been to cardiology multiple times and has follow up in a few months. Her heart rate went up 1.5 years before and didn't get it addressed because of Covid and started beta blockers for higher heart rate due to stress. She got heart palpitations and sweats, heart rate 99 in blood pressure (BP) cuff and lower when not paying attention so started small dose beta blocker for some relief and did help. Caller stated she had a lot of stress and anxiety and with her 1st 2 doses in Jan2021 she had side effects for 2 days and they went away, just stopped and was fine and everything was great. Stated she was considered obese and had no other underlying issues, hyperthyroid was stress induced but that disappeared with beta blocker, her hair was still thin but magically cured and she thought it was wrong and inaccurate and she didn't have insurance at the time. She got insurance and was put on T4 drugs subclinical TSH high and T3 T4 low but in range. States on LEVOXYL and hair grew back and skin is normal after 1 month and 3 months her hair is thicker and back and then told to stop taking as too high of a dose and she had insomnia but has hair, she tries to go back and forth, she was still under 10 and has thinner hair. Stated the bloodwork TSH lower than stress induced hyperthyroid and total T4 really high and has never happened before. Stated she has been tested 2 times since she started the beta blocker and the vaccine and doesn't think that would change her thyroid it would be the beta blocker. Stated they gave her the beta blocker for hyper to slow it down so she didn't have too much thyroid. Stated she wishes she had naturally done a decrease for her heartrate because she was sick, weak, foggy and feels dumb and stupid. Stated they switched her beta blocker and she had less side effects but it didn't block her anxiety as well, that stress lowers immunity and the reason she wanted the vaccine was to go out to dinner and she was close to her 8-month vaccine mark. On 21Sep2021 she went to (withheld) 2 days before it was approved and signed papers saying she was immunocompromised and wasn't and knows that was wrong and they gave her an intrusive questionnaire and she didn't have to divulge information about her health and the tech said she didn't have to sign or fill out, she could tell she wasn't happy about her getting the vaccine and she isn't immunocompromised but she wanted to feel safe before her birthday. She said she was keeping the paperwork and put it in her purse, she was not required to complete it and got a lot of backlash for it and told the tech they had been giving shots a long time. She overheard them talking at the window and the pharmacist said I know she signed the papers and you have to give it and she was still having issues with her giving the vaccine. All those red flags, she didn't feel like she should be getting the vaccine, a gut feeling she should change her mind and cancel and didn't and wishes she had. She went into the room and looked at the vaccine and she knows it's supposed to be off white and it looked different and may have been her nervousness and feeling like it's not right. It was administered at 6:30pm and she went home like the 1st time and had a light fever and was a little sleepy this time and didn't mind, she slept a 3-hour nap, she was grateful for that she doesn't sleep that long. She got chills hot and cold not as bad and Wed felt crappy. Thursday the fever was done and she felt perfectly normal like the 1st time and she thought she was back to where she should. Something happened Friday morning, she woke up and was in a pool of sweat not similar to the vaccine and was drenched in sweat, she was still kind of asleep but aware and was like fighting it and her head was left and right and she passed out and woke up and doesn't know what time she woke up at noon. Still having that sweat all over and her heart rate wasn't being controlled like it had been since Jan2021 and the same dose for several months, it's the 2nd beta blocker Atenolol 37.5mg, before that it was half as she wanted to take as little as possible. Medication affects her different, less works so why take more she gets less side effects and her doctor gave her permission, he prescribed 50 mg once a day and said she could take half. Information provided by caller is discrepant. She had an echo when she went to a sleep pulmonologist and he sked why she is on beta blocker and she said for stress and heart palpitations and sweats at night but they were not the same after the booster. She would wake up from those sweats and would go back to normal and be fine, no hot sensation or like she was on fire. Everyone said it was hot flashes, premenopause and they couldn't do anything about hot flashes. Something happened and pulmonology did an echo before it all happened and it was perfect, nothing showing at all on that or EKG. She doesn't sleep a lot with stress with her crazy family. She got the vaccine Tuesday and Wed and Thursday was fine and Friday was burning up and heart rates went in the 90's and wondered why since she takes a beta blocker and had no control of her heart rate all of a sudden. Caller called her pharmacy and asked if anyone else had a weird reaction from the same vial and was told no one had a reaction, she did for some reason and it was the entire day her body temperature was 97.8 but she felt completely hot and she couldn't cool down, she was extremely nauseous and has a fan on her and she didn't think to take 50 she was on 37.5. Her heart rate was in the 90's when she wakes up and thank goodness she was on a beta blocker or it would be way over what it is. She was sweating and nauseous and had Promethazine to take as needed with anxiety and IBS and she was taking more often that she would have like, it caused dehydration and she was drinking fluids like crazy non stop to stay hydrated. Was told it lasts 2 weeks in the system and to give it 2 weeks and she was miserable with mental breakdowns, crying hysterically miserable about why her heart rate keeps going up. Everyday it's like clockwork then down to the 80's but still feels sick and don't know why. She couldn't take it anymore and took 50 mg and felt better and didn't wake up as bad and her heart rate went down for 2 glorious days then next day right back up, it's not anxiety she knows what that feels like this was heartrate just going up no reason and don't know why. It has gotten better it's hard to control it, she has to avoid stress, doesn't drink a lot of caffeine, she stopped that, reduced sugar intake, hasn't lost weight with reduced food intake as she lost her appetite. Each day she is sweating so much it's hard to get mobile or move or anything, she felt immobilized. She saw her primary and was tired and couldn't communicate that she took 50mg and he ran out of the room so quick so she went to the ER something was wrong. They did EKG and blood and didn't examine her physically but it's in the paperwork with wrong symptoms and it was her 1st dose. Had an EKG that had sinus arrhythmia. She was stupid to go to the ER that day, she took more than 50 that day and it didn't work in a span of 6 hours she took 50 at night and took 2 quarter doses for total of 75mg and went to the ER and it's cold there so that helped and she was laying down and tired and out of it. She had a slight arrhythmia, not a big deal she was told. She was admitted and they kept coming and saying do you see normal heart rate and yes she because she took 75mg of the blocker of it wouldn't be normal. Now it has stopped but she had a weird beat and it wasn't a hand on the chest feeling laying there it was like static over her heart buzzing and buzzing and she can't read, watch TV or anything the heart rate is so annoying and tried elevating on pillows. She hasn't had that sensation in a long time. It was very annoying and didn't feel normal. ER asked her if she wanted to be admitted and she had lost 5 pounds from sweating and she took too long to decide she would have gotten more attention is she had and seen if she had something going on like inflammation with higher heartrate which is common with the vaccine. She found out her sister had it for a day with the 2 vaccines she had inflammation of her heart and it went away after a day, she is a pharmacist specializing in cardiology. Caller went home and suffered with her heart rate back up and felt like complete crap again. Saw a cardiologist and was exhausted miserable nauseous at this point and got a Holter and sent it back and showed AV block, it was a short 3 heartbeats but why on a low dose of beta blocker and she was still buzzing and sweating and in hell every day the same. They want stress tests and was told that more people are aware of their heartbeats but this is something different and they would like her to reduce her beta blocker dose. She discontinued her birth control and her 1st natural period in over 10 years. She has to go back to 37.5mg beta blocker, her heart beat was starting to get lower and go back to where it was and has to stay calm and avoid stress as much as possible and is getting less and less of the off heartbeat From 24Sep2021 at onset into mid Oct2021 starting slowly slowly getting back to normal, she is going back to a lower dose and not going up as much as she expected it to, she is still not able to sleep 1-2 hours a night her body would not let her with the irritating heartrate, hot, mental breakdowns and nighttime she starts crying and is miserable, she still doesn't feel like herself .Had Holter and stress test done same week and is exhausted and still tired and has chest pain, more or a pressure and things are looking up. The beta blocker only works 5-6 hours and heart rate goes up and she can't sleep. She still doesn't feel like herself 100%, cardiology gave all clear, AV block is gone and she stays on lower dose and blood work showing normal all of a sudden after 6 years of her thyroid TSH rising. They had switched to lower estrogen birth control that she stated the same week as the Pfizer vaccine and she stopped it. Caller would like pharmacy looked into, that technician was crazy why she was anal retentive, other people have lied for their 1st shot or about immunocompromised and went to several different pharmacies. She talked to her pharmacist and was on a dose of Vitamin D and had crystals in her urine. Her TSH is back to where it was and low blood pressure and high heartrate. Caller wanted to report that she thinks the pharmacy did something to her injection for the tech to be so anal retentive and there is always extra in the vial and someone said she probably sprinkled more in her injection and it was too much in there. She was probably thinking, bitch you are lying about being immunocompromised and it won't hurt you if you are taking autoimmune drugs it won't matter. Everything had to be a process of elimination. She felt like she tampered with her injection for her to have this reaction after, she really felt she did something, something was off her gut said not to with how she was acting and talking to her and about her but she can't prove it or do anything. She really had 100% no issue with the vaccine. She had a little bit of chest pain, more pressure and irritating heart beat that would be sign of inflammation, myocarditis that to her personally is what she feels she had. She wishes she had gone to ER earlier and not suffered, she is foggy and doesn't feel like herself. She couldn't take beta blockers before stress test and was normal, she was told her blood pressure was really low at 100/72 and heart rate way too high. ER blood work was normal and x-ray normal. She took a double dose and couldn't sleep more than an hour a night and she blames the thyroid medication. Clarified she got the Pfizer Covid vaccine doses and booster. When it comes time for the next one is she going to risk it and get sick again and is she eve going to feel herself again. Maybe she got inflammation that is lasting a really long time.  The lot number for bnt162b2 was not provided and will be requested during follow up.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202101313532 same reporter/pt/drug, different dose/event