Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angina pectoris, Condition aggravated, Systemic lupus erythematosus
Clinical narrative: Epstein Barrs flare up /swelling of her lymph glands/signs were lymph gland swelling, ear pain, and throat was sore; a flare of lupus/on the right side of the heart, sharp pain after the vaccine that is indicative of lupus; liver pain; 101 fever /Typical 103 fever; increased fatigue; soreness in arm; This is a spontaneous report initially from a contactable consumer (the patient), and then from the same contactable consumer via a Pfizer sponsored program . A 55-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EW0164) via an unspecified route of administration on 22Apr2021 09:00 at age of 55-year-old at single dose for COVID-19 immunisation. Medical history included autoimmune issues, allergies, ended up on disability related to her lupus and autoimmune issues, chronic sinusitis, lupus, mixed connective tissue disease, autoimmune chronic sensitivities to drugs and food, immunocompromised. The patient's concomitant medications were not reported. The patient had previously taken the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EW0150) on 01Apr2021 10:00AM at age of 55-year-old for COVID-19 Immunization, she didn't have any negative effects either reporting that she actually had an improvement in her health after taking the vaccine, she noticed her allergies and her immune system had calmed down the same day (after taking the vaccine she "felt great" reporting that her allergies and immune issues appear to have improved), she got the first shot at 10 AM in the morning. She noticed that evening, she normally had chronic sinusitis. Basically, she had lupus and mixed connective tissue disease and psoriatic arthritis and autoimmune chronic sensitivities to drugs and food. She had fatigue and mental fog all the time. She clarifies at 9 that evening that the first dose was given she could breath and she didn't have allergy problems, she didn't feel fatigue, she slept soundly which was unusual for her. she usually was in a lot of pain and she noticed for the next 9 days all of her hypersensitivity and allergies were gone, she felt good, she had energy it was like she took and magical allergy pill that knocked everything out, she could breath, it further reported "after she received her Pfizer COVID 19 vaccine, her immune/autoimmune disorder improved or cleared up, her allergies cleared up and she wanted to report that. She confirmed her allergies and her immune system calmed down following receiving the vaccine". The patient previously took Flu shot in 1993 and experienced 107.5 fever, worse flu, immune system totally crashed, the patient also previously took hep B vaccine. She was immunocompromised and she had no response with the first dose but she was very surprised on the response she had from the second dose. She has lupus as her autoimmune disorder and she can't take any lupus medications because her liver rejects them. The COVID vaccines flared her lupus a bit. On top of the normal side effects she also had a flare of lupus and her genetic Epstein Barrs but she was so happy to get the COVID vaccine that she didn't care because if she developed side effects that were bad then she told her doctor that she would just go to the hospital. The patient stated everything she experienced was after the second dose but it was not near as bad as when she had a flu shot in 1993. At this time, she worked with the county and got out of research and went for a title of clinical crisis forensic addiction expert in a jail for mental illnesses and substance abusers. She was trained in academies and she went into the clinic and got out of research. In 1993 her job made her have the hep B vaccine and on the third month of the hep B vaccine the county nurse kept arguing about the caller receiving the flu shot and she told the nurse that she will get the flu because she has a poor immune system and the nurse said no she wouldn't and the caller got sick of being bothered so she got it and that night she had a 107.5 fever and had the worse flu that she has ever had for 2 weeks and her immune system totally crashed and she has never had a healthy day after that and she reported this already to VAERS a while back. She didn't have a concern with the Pfizer COVID vaccine because it is an mRNA vaccine and she wasn't concerned with having another fever like she had with the flu shot, she was told not to get a flu shot ever again. Currently she was disabled and retired. The second shot she had a reaction to the side effects. Her lupus flared and she has genetic Epstein-barre virus and she had a flare up of that as well. She had typical side effects from COVID second vaccination as well. She did not have the positive reaction on the second one, she clarifies she did not have the calming down and the improving of her allergies and autoimmune issues with the second dose. She got the second dose on 22Apr2021. She had the typical 103 fever, she got the second dose at 9 am in the morning and at 10 that night she started having 101 fever and it was 103 the next day, the fever lingered 72 hours. She had increased fatigue and soreness in arm, she can partially say that is due to how the nurse gave the injection. This woman gave it to her like her arm was a piece of wood and she pinched her arm up before she gave it. The fever improved after 72 hours yet with her normal immune problems, with her lupus and the Epstein-barre flare up she will have mini low grade fevers that go up and down and that lasted for about a little over a week. She noticed swelling of her lymph glands around the 3rd and 4th day and that lingered and is also an indication of an Epstein-barre virus flare up. Fatigue: Started 22Apr2021 by that night and was alleviated about day 8. Soreness in the arm: Started the same day 22Apr2021 and lasted about 4 days. She had recovered it lingered about 8 days but as of currently it had recovered completely. Her Epstein-barre virus flare up signs were lymph gland swelling, ear pain, and throat was sore. She noticed those 72 hours after. She was recovered currently, she increased her natural remedies, no further information provided. She did not know if this is vaccine related or not but 48 hours after the second dose she had liver pain, which is a typical thing with the Epstein-barre virus, she confirmed she noticed that 48 hours taking the dose and she started taking a sublingual liver detox to clear that up. Then she had at 48 hours -72 hours after the vaccine, on the right side of the heart, sharp pain after the vaccine that is indicative of lupus. She confirmed that all of these were things she experienced at time prior to receive the vaccination but she did not have a flare when she got the vaccine, she had typical side effects then boom she got into a lupus flare and an Epstein-barre virus flare which was genetic disorder so is lupus, they are sisters. She was a part of a lupus study based out of state. She was surprised by the positive effect after the first shot and wished it would have lasted longer. She wanted to tell her research friends that she wants a nano particle COVID vaccination to knock all of that stuff out. The outcome of event "soreness in arm" was recovered in 2021. The outcome of other events was unknown.  No follow-up attempts are needed. No further information is expected.