Age: 71.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Nail bed infection, Onychomadesis, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: She would like to know if this could have been from the vaccine being expired or the needle being bad; thumb was hurting so bad; had a red line going down her arm from the injection site to her thumbnail; She touched her thumbnail and the nail came off and her thumb was filled with puss; She touched her thumbnail and the nail came off and her thumb was filled with puss; it smelt like she was dying and she had never smelt something so bad; the injection site began to ooze pus; chest pain lasted 5 hours from the injection; short of breath; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.   A 71 year-old female patient received bnt162b2 (BNT162B2), administration date 31Mar2022 (Batch/Lot number: unknown) at the age of 71 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "Diabetes" (not ongoing); "Angina pectoris" (unspecified if ongoing); "tooth removed" (unspecified if ongoing). The patient took concomitant medications. Vaccination history included: Bnt162b2 (Dose 1), for Covid-19 immunization, reaction(s): "with no issues"; Bnt162b2 (Dose 2), for COVID-19 immunization, reaction(s): "with no issues"; Polio vaccine, for Immunization. The following information was reported: CHEST PAIN (medically significant) with onset 31Mar2022, outcome "recovered", described as "chest pain lasted 5 hours from the injection"; DYSPNOEA (medically significant) with onset 31Mar2022, outcome "unknown", described as "short of breath"; PRODUCT COMPLAINT (non-serious), outcome "unknown", described as "She would like to know if this could have been from the vaccine being expired or the needle being bad"; VACCINATION SITE PUSTULE (non-serious) with onset 01Apr2022, outcome "unknown", described as "the injection site began to ooze pus"; PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "thumb was hurting so bad"; ERYTHEMA (non-serious), outcome "unknown", described as "had a red line going down her arm from the injection site to her thumbnail"; ONYCHOLYSIS (non-serious), PARONYCHIA (non-serious), outcome "unknown" and all described as "She touched her thumbnail and the nail came off and her thumb was filled with puss"; SKIN ODOUR ABNORMAL (non-serious), outcome "unknown", described as "it smelt like she was dying and she had never smelt something so bad". Therapeutic measures were taken as a result of vaccination site pustule, onycholysis, paronychia. At the time of booster dose administration the patient reported she became short of breath and blew it off as angina. She stated she had dealt with angina for 15 years on and off and knows when to go to the hospital. The pharmacist wanted to call an ambulance but she declined. She went home and her neighbor was home in case she needed someone. She stated that the chest pain lasted 5 hours from the injection. The next day (01Apr2022) the injection site began to ooze pus. She stated that she had had many shots and vaccines (give examples of polio vaccine and DMAR) and never had a injection site ooze pus before. She relays that she used to be diabetic but was no longer a diabetic. Stated that because of her years as a diabetic she knows how to clean wounds and mentioned packing wounds and knows that they have to heal from the inside out. She stated that she cleaned the injection site with rubbing alcohol and saline before taking some antibiotics, amoxicillin, that she had on hand because she was having a tooth removed. Took Tylenol for pain. She goes on to explain that she was wearing a sweatshirt later on and when she took off the sweatshirt because her thumb was hurting so bad, she had a red line going down her arm from the injection site to her thumbnail. She touched her thumbnail and the nail came off and her thumb was filled with puss. She stated that it smelt like she was dying and she had never smelt something so bad. She also relays that the injection site was right on top of her shoulder. She cleaned her thumb wound in the same manner as the injection site, with alcohol, saline and antibiotics. The patient did not seem interested in seeking healthcare when referring her multiple times. She would like to know if this could have been from the vaccine being expired or the needle being bad.  The lot number for bnt162b2 was not provided and will be requested during follow up.