Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Ear congestion, Influenza, Investigation, Oropharyngeal blistering
Clinical narrative: Blisters in throat; Horrible hacking cough; Phlegm; Fluid in the back of the throat; Real sore throat; Fluid behind ears; This is a spontaneous report from a Pfizer-sponsored program from a contactable consumer (patient). A 66-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), first dose via an unspecified route of administration in the right arm on 07Jul2021 at about 12:30pm or 1:00pm (Batch/Lot Number: FA7484, at the age of 66-years old at vaccination) as a single dose for COVID-19 immunisation at a pharmacy/drug Store. Medical history included insomnia, allergy, penicillin allergy (she had a reaction with penicillin a few years ago and experienced a rash and her body shook all over and was chilled and she probably went into anaphylactic shock), headache (she takes Tylenol and sometimes Ibuprofen), hormone replacement therapy (for at least 8 years) and stomach/abdominal discomfort. Concomitant medications included generic montelukast 10mg every day taken for allergy/hypersensitivity from an unspecified start date (couple of years) and ongoing; omeprazole 20mg each day taken for stomach/abdominal discomfort from an unspecified start date (on and off for 3, 4 or 5 years) and ongoing; zinc 50mg, every morning taken for an unspecified indication from an unspecified start date and ongoing; progesterone 10mg every day taken for hormone replacement therapy from an unspecified start date and ongoing; estrogen/testosterone 150mg in the bottle with Testosterone 150mg, liquid, every day taken for hormone replacement therapy, start and stop date were not reported; calcium citrate every day, taken for an unspecified indication from an unspecified start date and ongoing; ascorbic acid, betacarotene, biotin, calcium carbonate, calcium pantothenate, calcium phosphate dihydrate, chromic chloride, colecalciferol, copper sulfate, cyanocobalamin, dl-alpha tocopheryl acetate, ferrous fumarate, folic acid, lycopene, magnesium oxide heavy, manganese sulfate monohydrate, nicotinamide, phytomenadione, potassium iodide, pyridoxine hydrochloride, retinol acetate, riboflavin, sodium selenate, thiamine mononitrate, xantofyl, zinc oxide (CENTRUM FOR WOMEN) every day, taken for an unspecified indication from an unspecified start date and ongoing; diphenhydramine hydrochloride (BENADRYL) 25mg tablet, takes half every night before bed, taken for insomnia from an unspecified start date and ongoing; ibuprofen taken for headache, start and stop date were not reported. Past drug history included a reaction to penicillin a few years ago (she stated that she probably went into anaphylactic shock. She did not go to the hospital but she did have a severe reaction. She took some Benadryl. Her body shook all over and was chilled. She stated that she should have gone to the hospital). There were no other vaccinations taken (within 4 weeks) prior to the COVID vaccination. She took the first dose of the BNT162B2 vaccine on 07Jul2021. On an unspecified date in 2021, the patient experienced blisters in throat, horrible hacking cough, fluid in the back of the throat, real sore throat, phlegm/ productive cough and fluid behind ears. Clinical course: The cough started a month later (it did not start directly after, it was 3 or 4 weeks after the Covid-19 vaccine). She assumed it had nothing to do with the vaccine. She started having a cough and fluid in the back of her throat. She finished the Zithromax Pack last week. She went to the doctor and they checked her for Covid, flu and strep which were all negative. They diagnosed her with fluid behind her ears and blisters in her throat. She had a real sore throat, but was not saying that it was due to the shot. That was several weeks after.  She had a horrible hacking cough which almost choked her to death and took her breath for several days but she was getting better. She spit up phlegm which was white, with no color or tinge. She still has a little bit of the cough and has some phlegm that is all clear. She no longer has fluid in the back of her throat. She no longer has fluid when she coughs. Her throat was still sore. She was not coughing now. The hacking coughing was gone. She later clarified that the Zithromax was prescribed for the coughing and sore throat. They also gave her some other kind of shot, that was not a steroid (she does not know what kind of shot it was).  The patient did not require Emergency Room or Physician Office visit. The patient underwent lab tests and procedures in 2021 which included influenza: negative, lab tests: unknown, SARS-CoV-2 test: negative, streptococcus test: negative and weight: 113-114 lbs. The outcome of fluid in the back of her throat was recovered on an unspecified date in 2021. The outcome of hacking cough and phlegm was recovering. The outcome of sore throat was not recovered. The outcome of blisters in throat and fluid behind ears was unknown.