Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypersomnia, Malaise, Ocular hyperaemia, Pain in extremity
Clinical narrative: no energy; taste change; arm is hurting; She started off with the chills; slept a lot; itchy horrible and reddened/ eyes were very red; headache; allergy in both eyes around the corners with inflammation; allergy in both eyes around the corners with inflammation; Very itchy around the eyes; not feeling good; fever of 104; This is a spontaneous report from a contactable consumer (patient). A 65-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation:Solution for injection, Batch/Lot Number: EP7534), via an unspecified route of administration, administered in Arm Left on 30Mar2021 (at the age of 65-year-old) as dose 2, single for covid-19 immunisation. Medical history included Allergic to penicillin (since around 1995, she had been diagnosed with this. Caller added she did not know if this had something to do with the vaccine), Nodules in throat (Diagnosed early last year, she has to get biopsied, but has not done that yet), Diverticulitis (caller had three episodes three different times, one way back in May2010 that was the first time, then Apr2016 and the 3rd time was Sep2019), Osteoporosis (Diagnosed when she was at 35). Concomitant medication(s) included raloxifene hydrochloride (EVISTA) taken for osteoporosis, start and stop date were not reported. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE,  Formulation: Solution for injection, Batch/Lot Number: EN6199), via an unspecified route of administration, administered in Arm Left on 09Mar2021 (at the age of 65-year-old) as dose 1, single for covid-19 immunisation and experienced low-grade fever. The caller was asked regarding previous interactions with other vaccines, and she stated in 2012 the flu vaccine really hurt pain in her arm, it had not been like the other times. She has been vaccinated several times before, and it lasted another week. Caller does not have information of the flu vaccine. The caller was asked if any vaccinations were received the same day of or within 4 weeks prior to the suspect vaccination and stated no. Caller takes some vitamins and added that these were gummies, Vitamin C. She did not know any information; they were not that strong. She thinks it was Vitamin C, Vitamin B12, and black elderberry. She had been on elderberry maybe from 3 months, vitamin C probably a year, Vitamin b12 a year. The patient stated that she got a fever of 104 the same night as she got the vaccine on Tuesday (30Mar2021). Today (01Apr2021) she developed a headache and like an allergy in both eyes around the corners with inflammation. Very itchy around the eyes and the inflammation extended to the under-eye area. The caller had a high fever of 104, so she had the vaccine at around 3 o clock and the fever manifested around 10 o clock on 30Mar2021. Caller took one Tylenol because she was told not to take anything really. She took Tylenol at 8 am the next day (31Mar2021), and fever went down by 1 degree to 103. Then, she took Tylenol every 6 hours spaced out and was still not feeling well. Today (01Apr2021) her fever was at 100. Caller was in bed resting, and suddenly felt like a prick in both eyes. She added that it was like an allergy, so when she went to look, they were itchy horrible and reddened and a little bit inflamed at corner of both eyes. The caller added many years ago she had an allergy during allergy season. Also, her arm was hurting a little bit more than it did before. Caller asked if it was normal to have this delayed reaction. She thought fever would have subsided after a day and allergic reaction in her eyes and headaches that are starting now versus what she expected for the first day. Caller added that the eyes and headache was today (01Apr2021), and that the fever was 104 the night she got the vaccine. She did not know what to do, she was literally wiped out and stayed in bed doing basic things. Headaches was throbbing on both sides. For allergies in eyes, caller stated she was not really expecting because she was not exposed to pollen or anything and that happened today, not the day of the vaccine. At 11:30 she felt this prick in both eyes, first the left then the right and she knew this, and it started scratching there on the left eye. A couple minutes later, she had to use the bathroom and looked in the mirror, the corners of her eyes were very red, and little by little got inflamed. She added it was just her eyes but a couple hours later the area under her eyes as well, closer to the nose than the ears. She still has the feeling like dryness. She added it was still itchy and she could tell that there was like foreign matter in there. She needed to find some drops but did not have the energy to look for them. She equated no energy with the onset of the fever. It did not gradually go up, at one point she realized she had the fever, it was already 104. She started off with the chills, and that took her to sleep and by the time she awakened it was because she was really cold and not feeling good at all, so she decided to take temperature. Caller also added she wanted to know if taste change happens. Caller stated there was a change in flavour. She could tell if she eats what it is. Coffee tasted the same, but it is a sour taste. She added this may have to do with the fever. This started after her high fever, and she slept a lot. The night after the vaccine, the same night, she slept and slept and slept and took her temperature and was not feeling good, she drank some fluids, and slept till 8 and took Tylenol. Caller took her Evista for her bones for treatment for osteoporosis, and regular vitamins but she did not take yesterday. Caller added she has not had anything to eat since 1:30 so she does not know if the taste change was still there. The patient underwent lab tests and procedures which included body temperature: 104 on 30Mar2021, body temperature: 103 on 31Mar2021, body temperature: 100 on 01Apr2021. The outcome of events fever and headache was not recovered while the outcome of the other events  was unknown.  No follow-up attempts are possible. No further information is expected.