Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Blood test, Breast mass, Circumstance or information capable of leading to medication error, Fatigue
Clinical narrative: arm feels like it is going to sleep at times; huge welt starting on her right breast; Headache; her right breast started itching; inflammation of lymph nodes; right armpit feels like about half the size of tennis ball sticking out; feels tight like it is cutting something off; pressure; fatigued; down and out, no ambition at all, tired;; injection shot higher than where she gets any other injections like the flu shot; pain where shot was administered; radiating pain going from right shoulder to neck to ear/sticking out right side of neck and shoulder ear area fills the palm of left hand; trouble sleeping because of pain in armpit area; This is a spontaneous report from a contactable HCP and consumer (patient herself). A 59-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number: EW0162, expiry date: unknown) via unspecified route of administration, in right arm on 09Apr2021 09:00 (age at vaccination: 59-years) as dose 1, single for covid-19 immunisation. Medical history included allergic to Vioxx, allergic to Celebrex, cold urticaria, hypoglycemia, Covid-19 from an unspecified date and unknown if ongoing. Past drug included Nexium for acid reflux and Escitalopram for hot flushes. Concomitant medications were not reported. Caller stated when she pulled her band aid off of the injection site, she noticed that the site was higher than what she normally gets her other immunizations like her flu shot. She also noticed injection site pain, but stated that she does always get this pain with any other immunization like the flu shot or shingles shot. No further information provided for flu shot or shingles shot. Later that night, on 09Apr2021 about 2200 or 2300, while laying in bed she had radiating pain going from shoulder up to her neck all the way to her ear on her right side. It seemed like it was building up. She only got about 2 hours of sleep that night and she still had trouble sleeping because of the armpit pain that feels like pressure or something is getting cut off in her right arm. She did get some relief by laying on the other side and putting a pillow between her right arm and her body. Patient also stated it feels like her arm is going to sleep at times. The next day, Saturday 10Apr2021, the pain was gone but the swelling had started. It was that morning on 10Apr2021, she was experiencing inflammation of lymph nodes. There was swelling in her right armpit feels like about half the size of tennis ball and on the right side, sticking out in between neck shoulder and ear and it fills in her palm of her left hand. The pain in her arm where the shot was administered has improved, but if she presses on the spot she can feel it, but if she doesn't press on it, it doesn't bother her. Patient stated that she had been taking Tylenol for these events. She stated this was first shot and gets second one in three weeks and was wondering if she should reschedule it or even get it at all and if so should she get it in the other arm? Caller also asked how long will it take for swelling to go down and should she take something else in addition or instead of the Tylenol that may help more. Patient was sitting home yesterday and noticed her right breast started itching on 12Apr2021. When it really started itching more, she lifted up her shirt and noticed a huge welt starting on her right breast. States that it grew from about 3 and a half by 2 and grew larger. It was very concerning. Does not want any allergic reactions. Last night it grew to 3 and a half by 4, was long and oval. She then finally took an allergy pill. Took one of these and it helped the itching. Welt on right breast was so big, can't even put her arm down on side, it was so uncomfortable, where the lymphadenopathy was. Today, it looked the same. It was not very red and was smooth. It feels lumpy to the touch. It was more pink than red. Itching started around 3:00pm. Was outside and didn't notice right away. Had vaccine Friday morning 9:00 am. It was 78 hours later that this occurred. Is a little less itchy because she took an allergy pill. Treatment was taken with generic allergy pill, took one time, was a once a day medication. Last night took acetaminophen, one 500mg pill. This was the first dose. Worried about the second one. Personally does not want to break out worse. She didn't want to get Covid again. She was still working on taste and smell. Is not back 100 percent. She had COVID in October and her symptoms were not that bad just congestion and she did lose taste and smell about a week later and still to this day was affected everything smells and tastes burnt; didn't want to get it again. Around May2020 she weaned herself off of Nexium for acid reflux and escitalopram for hot flashes. Other than a sleeping pill every now and then, she took no prescription medications. She does some over the counter supplements like take vitamin C, vitamin D, and Airborne. Patient underwent lab tests which included bloodwork which showed her glucose going up a notch, almost a prediabetic on an unspecified date. There was no 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) and no additional vaccines administered on same date of the Pfizer Suspect. No other vaccines was administered to patient in four weeks. There was no visit to physicians office or emergency room due to the adverse events. The outcome of event was not recovered for inflammation of lymph nodes, armpit pain, sleep difficult, feeling abnormal, recovering for vaccination site pain, pruritus breast, breast lump recovered for pain on 10Apr2021, fatigue on 11Apr2021, and rest it was unknown.   No follow-up attempts are needed. No further information is expected.