Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Insomnia, Lip swelling, Mouth swelling, Paraesthesia
Clinical narrative: His blood pressure was 200 over something/ his blood pressure was too high/ hypertension; anxiety; facial swelling/ facial swelling mouth and eye stuck open; swollen lips; swollen lips, mouth; couldn't sleep; Bell's Palsy; excursionizing headache; tingling in his head; This is a spontaneous report from a contactable consumer (patient) via the non-clinical study Pfizer program.   A 62 year old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 2 on 28Apr2021 09:30 (Batch/Lot Number: ER8734; Expiration Date: Jul2021), via an unspecified route of administration (at the age of 61 years old) for COVID-19 immunization.  Medical history included diabetic for 11 years. Stopped drinking to prepare for a Hep C eradication three years ago. He doesn't like to take anything that will hurt his liver. States 325mg of acetaminophen for each tablet is too much. Concomitant medication(s) included lisinopril (LISINOPRIL), 20mg once daily by mouth taken to protect the kidneys; insulin aspart (NOVOLOG), 20 units at breakfast and lunch daily by injection for diabetes mellitus; insulin glargine (BASAGLAR), 35 unit by injection at night for diabetes mellitus; all with start and stop date reported from an unspecified start date and ongoing.  The patient previously received dose 1 of BNT162b2 on 07Apr2021 09:00 (Batch/Lot Number: ER8734; Expiration Date: Jul2021) for COVID-19 immunization. On 25Jul2021 he started expiring tingling in his head which lead into an excruciating headache and when he got up (26Jul2021) he saw he had facial swelling, swollen lips,  mouth and eyes were stuck open. On 27Jul2021 he was diagnosed with Bell's Palsy. He further described that for two days he had tingling of the head that changed into a headache. This was over the weekend on the 25Jul2021 and 26Jul2021; he had an excruciating headache. He took ibuprofen PM and thought he might be have facial swelling from the PM part, the diphenhydramine, and he couldn't sleep. He also added that the PM part (diphenhydramine) makes him feel groggy. When he woke up and went to the bathroom he saw that his lip was swollen and face wasn't working right. When he brushed his teeth he couldn't spit right. He didn't get much relief from ibuprofen. He went to three emergency rooms and one clinic. On 27Jul2021 he went to the emergency room  and they prescribed prednisone 6 tablets the first day tapering down, and valacyclovir. One doctor prescribed him prescribed anti-anxiety medication that really helped, him but he didn't know what he was going through and he finally actually got some rest. Lorazepam 1mg as needed for anxiety was the antianxiety medication that helped him. Now (as of 13Aug2021), his headache was not as bad as it was when he had to put a compress on his head; but he just ran out of ibuprofen. He also had a prescription for oxycodone with acetaminophen, 14 count and he just finished them too. He was given gabapentin for the nerve pain and that helped a lot. Also states he just finished tapering off of prednisone. He was also prescribed amlodipine because his blood pressure was too high. He was taking one amlodipine by mouth daily for two weeks, then was to be reassessed for his hypertension. He was already prescribed lisinopril to protect his kidneys. He didn't know it was also for hypertension.  Then he wanted to get a B12 shot, so he called his healthcare organization and they directed him to a drug store who suggested he go to an urgent care to get a doctor prescribe it. He went to an urgent care; he thinks the prednisone had been driving up his blood sugar; it was 173 that morning. The urgent care took his blood sugar right after eating lunch and it was 400. Then they wanted to send him somewhere else down the street. Adds his blood pressure was 189 over something and they wouldn't treat. He feels that the HMSA, the organization that he gets his healthcare through, is not addressing his pain. Later then, he was unsure of the date, but after that he went to the emergency room in excruciating headache pain, relentless and cracking open. He got there at 1600PM. His blood pressure was 200 over something; they finally gave him morphine at 1700PM; and then DILAUDID that finally relieved the headache pain after two hours. They prescribed amlodipine which was sent to the wrong pharmacy and he finally got it at his Withheld two days later; they also prescribed oxycodone with acetaminophen, but that didn't knock the pain out. The next morning he felt he had so much acetaminophen in him he couldn't take anymore of that medication; he was staggering around his property; and so he called the ambulance because his head was double killing him. They took him to the emergency room; he thinks it was on Tuesday morning; and they gave him DILAUDID again which helped. That is where the doctor prescribed the lorazepam. The patient has an upcoming appointment on Tuesday with a new provider. The outcome of the excruciating headache and couldn't sleep (onset 25Jul2021) was recovering. The outcome of facial swelling mouth and eye stuck open (onset 26Jul2021) was not recovered. The outcome of the tingling of the head (onset 25Jul2021) was recovered in Jul2021. The outcome of the remaining events was unknown.