Sex: F
Vaccine: COVID19
Symptoms: Ophthalmic migraine, Photopsia, Vision blurred, Visual impairment
Clinical narrative: blinding light in my eyes; There was flashing of lights. It was just very bizarre; ocular migraine; thinking there was something cloudy in her eye; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team for a Pfizer sponsored program (159558). The reporter is the patient.  A 72 year-old female patient received bnt162b2 (BNT162B2), administered in arm right, administration date 27Feb2021 10:09 (Lot number: EN6202) as dose 1, single for covid-19 immunisation. Relevant medical history included: "Diabetes" (unspecified if ongoing); "Hypertension" (ongoing), notes: The last time it was 126/68. She was diagnosed 3 years ago. Concomitant medication(s) included: METFORMIN taken for diabetes mellitus; GLIPIZIDE taken for diabetes mellitus, start date: Oct2020; LOSARTAN taken for blood pressure measurement. Vaccination history included: Flu vaccine, administration date: 11Sep2020; Shingles, administration date: Dec2011; Dtap booster, administration date: Dec2011. The following information was reported: VISUAL IMPAIRMENT (non-serious), outcome "unknown", described as "blinding light in my eyes"; PHOTOPSIA (non-serious), outcome "unknown", described as "There was flashing of lights. It was just very bizarre"; OPHTHALMIC MIGRAINE (non-serious), outcome "unknown", described as "ocular migraine"; VISION BLURRED (non-serious), outcome "unknown", described as "thinking there was something cloudy in her eye". The events "blinding light in my eyes", "there was flashing of lights. it was just very bizarre", "ocular migraine" and "thinking there was something cloudy in her eye" were evaluated at the emergency room visit. No follow-up attempts are possible. No further information is expected.  Additional information: I had my first dose on Saturday 27Feb21 and was fine until Monday afternoon. I had bizarre reaction with her eyes. I never had a headache, just a bright white blinding light in my eyes. The ophthalmologist said I had an ocular migraine. She received the first dose of the vaccine on Saturday morning. Saturday and Sunday until sometime on Monday she felt absolutely fine. She had no issue whatsoever. Then something strange happened with her eyes. She wasn't sure what was going on. To make a long story short, she saw her ophthalmologist yesterday morning. He checked everything out and did different test. She was a diabetic and was worried about that. She didn't know if she had a stroke in her eye or something with macular. She wasn't sure if she had a bleed. He examined her eyes thoroughly. She just had an annual checkup in December, and everything was good. He checked her again yesterday and did some test in addition to the exam. He couldn't find anything. Based on her description, he thought she had an ocular migraine. She didn't have a headache before or after this happened. She rarely gets headaches. Maybe she had a migraine when her oldest daughter was two years old because she remembers vomiting with a headache. Her daughter was 45 years old now. He thought she had an ocular migraine. He wanted to know if there had been changes in medication. His diagnosis was ocular migraine. He said that some patients get a headache before the episode and others get it after and some don't get a headache at all. She had no headache. He said to let him know if or when it happens again. She walks everyday 3.5 to 4 miles usually. They have had crappy weather with the snow. She didn't walk Saturday because that was the day she got the vaccine and she wanted to take it easy for 2 days. She didn't walk on Tuesday or Wednesday. She wasn't over energetic with walking. Caller clarified that she has no history of headaches. She can't remember the last time she had a headache. She didn't even have Tylenol in the home. When the pandemic started last year, they said to keep Tylenol in the house, and she didn't have any. She got some and has never had to open it. She was lucky not to have headaches. The episode with her eyes hasn't happened again since Monday afternoon. The ophthalmologist said that some patients that have ocular migraines may get a headache before the episode or after the episode happens. Some patients never have a headache. Call clarified what she experienced with her eyes. the was flashing of lights. It was just very bizarre. Naturally she thought bad stuff at first. It was this brilliant very white lightning. It was almost like someone from heaven was reaching out to her. Like an aura of light. She blinked her eyes thinking there was something cloudy in her eye. She didn't want to rub them. It lasted about two minutes. The doctor said that was about right and sometimes it was a shorter amount of time. It seemed to be both eyes. She checked her eyes with one eye closed and one eye open. She could read. There was no reduction in vision. The episode with her eyes was around 1:30 PM. She was sitting. She had puttered around the kitchen in the morning. she was sitting in the Lazy Boy and had turned on the tv. She wanted to take it easy for Sunday and Monday after the vaccine. She did no walking and was planning on walking on Tuesday afternoon. Then yesterday she got in with the doctor for an emergency visit. She was going to walk this afternoon. She was a speed walker, but she was going to take it slow and easy today.