Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: International normalised ratio, Laboratory test, Prothrombin time, White blood cell count
Clinical narrative: Patient only had faint faint bruising at her eye.; Patient's right eye became swollen; Looked like she had a black eye; She looked in the mirror and saw that her eye was a mess; This is a spontaneous report from a contactable nurse. This nurse reported for a 80-year-old female patient that an 80-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Batch/Lot number, NDC number, expiry date; unknown), Reason for no lot number: of Pfizer covid vaccine: Other: Reporter does not have patient's patient record card. Is Pfizer covid vaccine a Pfizer product; Unspecified, Pfizer covid vaccine manufacturer; Unspecified, dose 2 via an intramuscular route of administration on 20Apr2021 (at the age of 80-years-old) as 2nd single dose for COVID-19 immunization (because of patient's family). Vaccination facility type was clinic. Patient's medical and concomitant medication (Prior Vaccinations (within 4 weeks): None) history were not reported. Family history was reported as none.  Laboratory tests included CBC, INR, PT, WBC and unspecified labs done on an unspecified date with results as normal. Historical vaccine included first dose of BNT162B2, lot number, expiry date; unknown), time of vaccination, anatomical location of the vaccine administered; not provided on an unspecified date for covid-19 immunization. Reporter stated that when patient got her first dose of the Pfizer Covid 19 vaccine within 24 hr while brushing her teeth she started spitting out blood from end of Mar2021 to an unspecified date (not serious). Consulted her dentist and as per consumer "no abscess, so no cause or no reason for the bleeding. The bleeding also stopped." After her second dose, her right eye were swollen that made it look like a black eye. Asked consumer if patient has bleeding disorder to taking anticoagulant. She said no. Asking if we have any other reports just like this. Response: Told the consumer we don't have reports just like these and will be escalating her request. She wants to be contacted via email. Reporter is a Nurse Practitioner. Reporter is calling about the Pfizer covid vaccine. Reporter is calling on behalf of a patient who she seen today. Patient had an adverse reaction to the vaccine. Patient did not realize that she had a reaction to the covid vaccine. After the first dose of the covid vaccine, patient went home and within 24 hours, she was brushing her teeth and was spitting out a lot of blood. Patient went to the dentist and got a dental exam, the dentist said everything looked normal. The bleeding stopped, and the patient was fine. The patient waited three to four weeks between the first dose of the covid vaccine, and the second dose of the covid vaccine. After the second dose of the covid vaccine, patient's right eye became swollen, and looked like she had a black eye. This kind of happened so soon after patient received the second dose of the covid vaccine. Patient went to the emergency room, a eye doctor, and a hematologist. Everything ruled out negative. Everyone is thinking that this was a reaction to the covid vaccine. Reporter is wondering if anyone else has been having these symptoms. Reporter gave consent to contact patient directly if Pfizer has any follow up questions. Reporters first visit with patient was over the phone on 07May2021. Reporter saw patient today in person. Reporter thinks that patient received the first dose of the covid vaccine four weeks prior to the second dose of the covid vaccine. Confirmed this began after the first dose of the covid vaccine and reporter does know exact dates. Patient received the second dose of the covid vaccine on 20Apr2021. Patient woke up at 4:00 AM to go to the bathroom. Whenever patient went to the bathroom, she looked in the mirror and saw that her eye was a mess. Patient had no headache, or anything. After the second dose of the covid vaccine, patient had to go to the emergency room. Patient went to the emergency room on 21Apr2021. Patient showed reporter a picture of her eye. Reporter stated that it was quite swollen and black, and looked like patient got punched in the eye. Today, at patient office visit, patient only had faint faint bruising at her eye. Seriousness criteria: Not provided. Indication: Because of patient's family. Patient's adult children wanted her to get it so they could come and visit her. Causality: Reporter ruled out a lot of stuff. Patient went to see an oncologist. Reporter is still waiting to get access to those files. Reporter is going to call oncologist's office today. Reporter knows that they checked patient's PT and INR, and both were normal. Patient's WBC was normal. Patient's CBC was normal. The oncologist hematologist also ordered some labs, and they were all normal. Verbatim event relatedness to pfizer-biontech covid-19 vaccine was reported as related. The outcome of events eye swelling and eye contusion was recovering and for others was unknown.   Information on the lot/batch number has been requested.