Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Diplopia, Eye disorder, Eye swelling, Investigation
Clinical narrative: Her eyes still swell up at the top and the bottom/Underneath the eye is bunched up because that is where fluid is accumulating; It effected the right eye more than the left. It is ongoing/it effected the muscle in the eye and caused her eye brows to drop; double vision; blurred vision; It has gotten worse actually/Some days it is worse than others; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 58-year-old female patient received BNT162b2 (BNT162B2), on 02Jan2022 as dose 3 (booster), single (Lot number: FJ1614) at the age of 56 years, in arm for covid-19 immunisation. The patient's relevant medical history included: "covid", start date: 21Jan2021 (unspecified if ongoing), notes: prior to getting first dose of Covid vaccine. There were no concomitant medications. Vaccination history included: BNT162b2 (DOSE 1, SINGLE; Lot number: EW01S8, Given in arm, but unsure which arm. She assumes it was probably her right arm), administration date: 19Apr2021, when the patient was 55-year-old, for COVID-19 Immunization, reaction(s): "effect on vision", "she woke up and it looked like someone punched her in both eyes."; BNT162b2 (DOSE 2, SINGLE; Lot number: EW0164, Given in arm, but sure which arm. She thinks they switched arms from first dose), administration date: 11May2021, when the patient was 55-year-old, for COVID-19 Immunization, reaction(s): "Some days it is worse than others.", "It effected the right eye more than the left. It is ongoing". The following information was reported: EYE SWELLING (medically significant), outcome "not recovered", described as "Her eyes still swell up at the top and the bottom/Underneath the eye is bunched up because that is where fluid is accumulating"; EYE DISORDER (medically significant), outcome "not recovered", described as "It effected the right eye more than the left. It is ongoing/it effected the muscle in the eye and caused her eye brows to drop"; DIPLOPIA (non-serious), outcome "not recovered", described as "double vision"; VISION BLURRED (non-serious), outcome "not recovered", described as "blurred vision"; CONDITION AGGRAVATED (non-serious), outcome "not recovered", described as "It has gotten worse actually/Some days it is worse than others". The events "her eyes still swell up at the top and the bottom/underneath the eye is bunched up because that is where fluid is accumulating", "it effected the right eye more than the left. it is ongoing/it effected the muscle in the eye and caused her eye brows to drop", "double vision", "blurred vision" and "it has gotten worse actually/some days it is worse than others" required physician office visit. The patient underwent the following laboratory tests and procedures: Test: but it was not., notes: Investigation: had labs through neurologist to check for Myasthenia Gravias. Myasthenia Gravias effects the eyes and they thought that was what she had, but it was not; Visual field tests: Unknown results, notes: After she healed up they rechecked vision and did visual field test and they taped her eyelid up and repeated test and took pictures; Unknown results, notes: After she healed up they rechecked vision and did visual field test and they taped her eyelid up and repeated test and took pictures. Therapeutic measures were taken as a result of eye swelling, eye disorder, diplopia, vision blurred.  Clinical course: the third morning after the first Covid vaccine was when she woke up and it looked like someone punched her in both eyes. It effected the right eye more than the left. It is ongoing. She has double vision and blurred vision. It has gotten worse actually. Now she is on drops for eyes and salve at night time. Her eyes still swell up at the top and the bottom. Some days it is worse than others. Had Blepharoplasty and the bottom is Festoon. Blepharoplasty is like raising the eyebrow because it effected the muscle in the eye and caused her eye brows to drop. The surgeon has had to equal those out and raise those up where they are symmetrical. The right one the eye lid still comes down to where her eye lashes are. Underneath the eye is bunched up because that is where fluid is accumulating and stretching the skin and building up fluid and pushing it up towards the bottom of the eye. It was the right eye that had Blepharoplasty. Caller clarified Blepharoplasty is the surgery she had and he had to cut some skin off. She had to give that eye time to heal up. After she healed up they rechecked vision and did visual field test and they taped her eyelid up and repeated test and took pictures. Sent pictures to insurance company and the insurance company has approved the surgery. The insurance said they would cover the surgery for the bottom of eyes. The surgery coordinator is saying the code is cosmetic, but it is medical. The surgery coordinator wants her to pay up front and it is 5000 to fix the bottom. The insurance is saying they would cover it. The surgery coordinator said she has to pay up front because they have had insurance companies say they will pay and then they won't. Caller doesn't have the money. Caller has called insurance 3 times. They have combined the code and the surgery coordinator has dropped the last code and they won't do the bottom because caller can't pay for it. Blepharoplasty is just raising the eye brow and that has been done on right eye. They will be doing it again and touching up the right eye and will be cutting more off left to make them symmetrical. Surgeon said he would do the bottom because it is Festoon. Caller has pictures before Covid vaccine and took pictures afterwards. She went to optometrist, Dr. (name-withheld), who contacted the neurologist because they did measurements of eye and had labs done to rule things out right after the first Covid vaccine. Had to do all that because they were not sure if caller could take the second vaccine because they were not sure what was going on. The neurologist thought it would be ok for caller to have second one. Blepharoplasty raising the eye brow on the right eye was done in either Dec2021 or Apr2022. Caller is not sure and could confirm dates at another time. The first surgery was raising eyebrow on right eye because it was worse and cutting off skin between eye brow and eye lid. They didn't want to cut too much off. Then they wanted to give her time to heal and let swelling go down. Her vision symptoms were getting worse and she went to eye doctor and he had prescribed drops and salve as well. Gave her another visual field test on right and left eye and said she had Festoon at the bottom. The surgeon is going back in to cut more skin off top of right eye and cutting more off left because they have not been able to do the left one yet. He is supposed to cut a small line where you put your eye liner on both eyes and pull skin up and cut that skin off. Will have to replace the fat pad. Caller doesn't know because the insurance company said that part had been dropped off about the bottom part of the eye because she can't come up with # dollars. She will have all of this done on Friday, 01Sep2023. She had labs through neurologist to check for Myasthenia Gravias. Myasthenia Gravias effects the eyes and they thought that was what she had, but it was not. She would have gotten first dose of Covid vaccine sooner, but she got Covid. She didn't have a cough and had low grade fever. It didn't hit her like most people. She was fine the first day with that. After that she was lethargic. Never had a cough or shortness of breath. Caller clarified she had Covid on 21Jan2021 prior to getting first dose of Covid vaccine. Caller wants to clarify the date of her surgery. She went to see Dr. (name-withheld) on 16Sep2022. That is when they finally sent her to a specialist. She had been to medical doctor and eye doctor so she had to go to specialist. Dr. (name-withheld) is at (institution name-withheld) at the (institution name-withheld). She had seen an eye doctor at (name-withheld) before that because it took a little while to get in to see the surgeon. Clarified 12Dec2022 is the date of the first surgery not Dec2021 or Apr2022 as she had previously stated. 12Dec2022 was when she had Blepharoplasty raising the eye brow on the right eye and they cut the skin off.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202300288490 same reporter/patient/drug, different doses/AE;