Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Limb discomfort, Nail bed bleeding, Nail discolouration, Nausea
Clinical narrative: She says her hand is still kind of funny, it is not all swollen anymore but it is funny a little bit.; one finger is still swollen a little bit but not like it was.; Her stomach is still kind of queasy; sick to her stomach, like with a soured stomach; sick to her stomach, like with a soured stomach; started having bad chest pain; left hand, the same hand of the arm she had the shot in, swelled up 1 time it''s size; on her nail beds the half moons were blood red; on her nail beds the half moons were blood red; eyes were swollen shut that night/ evening; was so weak and she has never been that weak; running a fever, 101 fever; had a very bad headache; This is a spontaneous report received from a contactable reporter (Consumer or other non HCP). The reporter is the patient.  A 56 year-old female patient received bnt162b2 (COMIRNATY), administered in arm left, administration date 22Nov2021 04:00 (Lot number: FG3527) at the age of 56 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "heart disease", start date: 2016 (ongoing), notes: Verbatim: heart disease; "heart attack" (unspecified if ongoing); "three stents placed in her heart" (unspecified if ongoing). There were no concomitant medications. The following information was reported: NAUSEA (non-serious), DYSPEPSIA (non-serious) all with onset 22Nov2021 06:00, outcome "recovering" and all described as "sick to her stomach, like with a soured stomach"; CHEST PAIN (non-serious) with onset 22Nov2021, outcome "recovered" (23Nov2021), described as "started having bad chest pain"; PERIPHERAL SWELLING (non-serious) with onset 22Nov2021, outcome "recovering", described as "left hand, the same hand of the arm she had the shot in, swelled up 1 time it''s size"; NAIL BED BLEEDING (non-serious), NAIL DISCOLOURATION (non-serious) all with onset 22Nov2021, outcome "recovering" and all described as "on her nail beds the half moons were blood red"; EYE SWELLING (non-serious) with onset 22Nov2021, outcome "recovered", described as "eyes were swollen shut that night/ evening"; ASTHENIA (non-serious) with onset 22Nov2021, outcome "recovered", described as "was so weak and she has never been that weak"; PYREXIA (non-serious) with onset 22Nov2021, outcome "recovered" (24Nov2021), described as "running a fever, 101 fever"; HEADACHE (non-serious) with onset 22Nov2021, outcome "recovered" (24Nov2021), described as "had a very bad headache"; LIMB DISCOMFORT (non-serious), outcome "unknown", described as "She says her hand is still kind of funny, it is not all swollen anymore but it is funny a little bit."; PERIPHERAL SWELLING (non-serious), outcome "unknown", described as "one finger is still swollen a little bit but not like it was."; NAUSEA (non-serious), outcome "unknown", described as "Her stomach is still kind of queasy". The events "sick to her stomach, like with a soured stomach", "sick to her stomach, like with a soured stomach", "started having bad chest pain", "left hand, the same hand of the arm she had the shot in, swelled up 1 time it''s size", "on her nail beds the half moons were blood red", "on her nail beds the half moons were blood red", "eyes were swollen shut that night/ evening", "was so weak and she has never been that weak", "running a fever, 101 fever" and "had a very bad headache" were evaluated at the physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of peripheral swelling.  Additional information: The report was not related to a study or programme. The reporter says that she was calling because her doctor said to call and report her adverse events or her symptoms to this place. Product clarified to be the Pfizer COVID shot, she had her 1st dose on 22Nov2021. Reporter Details: Reporter type, she was not the listed HCP options, but she was an STNA. Declined mailing address and email. Primary Healthcare Professional Info: Declined. Her doctor said that she was also going to send this information in. Event Details: She had her COVID vaccine around 4:00 on Monday 22Nov2021 and by 6:00 she was sick to her stomach, like with a soured stomach, she had started having bad chest pain- she has heart disease so she doesn't know if that has something to do with it- then her left hand, the same hand of the arm she had the shot in, swelled up 1 time it's size, and on her nail beds the half moons were blood red. She confirms that these all began on 22Nov2021 and when inquired if these were all ongoing originally she says no. She adds that her eyes were swollen shut that night/ evening and she can't really remember what else she had. She was running a fever, 101 fever, and she had a very bad headache. These also began 22Nov2021. Within about 2 hours of her having the COVID vaccine things went crazy at about a quarter till 7:00. She was so weak and she has never been that weak. She says her hand is still kind of funny, it is not all swollen anymore but it is funny a little bit. It is not swollen like it was, one finger is still swollen a little bit but not like it was. Confirmed it has improved. She had a headache for probably 2 days, there were 2 days where she just laid on the couch because she was so weak. Confirmed that her headache ended 24Nov2021. The chest pain took until the next day, 23Nov2021, she was a little afraid she didn't know if she should go or not go to the hospital for it. Her stomach is still kind of queasy, but nothing sour like before, confirmed to be improved. The other stuff settled as well but it took a couple of days. For her nail beds being blood red, she says that just her ring finger on that hand is still really red but the others are good and back to white, confirmed it had improved. She says her fevers went away probably within two days as well, on 24Nov2021. Suspect Product: Probed for NDC, lot number and expiry date and caller does not see the NDC or expiry date on the COVID vaccination record card. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available): This was the caller's 1st dose of the Pfizer COVID vaccine No additional vaccines administered on same date of the pfizer suspect: none, Adverse Event (AE) Details: Provide the time of onset of AE(s): Please see adverse event formal fields and Additional Information Did any AE(s) require a visit to: Emergency Room No, Physician Office Yes, she had to go to doctor, and she was put on antibiotics for her hand and was told to take Theraflu for not feeling good with her head and she was told to take Tylenol and stuff. Prior Vaccinations (within 4 weeks) If applicable, list any other vaccinations within four weeks prior to the first administration date of the suspect vaccine(s): None AE(s) following prior vaccinations: None Family Medical History Relevant to AE(s): None Relevant Tests: None  No follow-up attempts are possible. No further information is expected.