Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ophthalmological examination, Pain
Clinical narrative: hemorrhaging, blood in the eye; could not see out of right eye, gray patch in visual field, gray patch middle of eye; she woke up with a lot of pressure in her eye; felt achy; headache; The initial case was missing the following minimum criteria: adverse event. Upon receipt of follow-up information on 08Feb2021, this case now contains all required information to be considered valid.  This is a spontaneous report received from a contactable consumer (the patient). A 79-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EN9581), via an unspecified route of administration in the left shoulder/arm on 06Feb2021 16:30 (at the age of 79-years-old) as a single dose for COVID-19 immunization. Medical history included: lupus antibodies-stated it had something to do with blood clotting, osteoporosis, osteoarthritis, fibromyalgia-causes pain with the body, all ongoing; stomach (as reported indication of omeprazole), pain, blood pressure, cholesterol, and macular degeneration- stated this was a condition that one would start to go blind. Normally, she would have trouble with her left eye. She would have to get injections in her left eye due to hemorrhaging. With regards to other conditions, the patient stated she had "old people stuff". The patient's concomitant medications included: acetylsalicylic acid (BABY ASPIRIN), omeprazole for stomach, tramadol hydrochloride for pain. The patient stated she was on blood pressure and cholesterol medication, no additional details provided. The patient did not receive any other vaccine within 4 weeks prior to the vaccine. The patient received the flu vaccine a couple of months ago for flu vaccination on an unspecified date, no adverse events. On 06Jan2021, the patient felt achy and had a headache. On 07Jan2021, the patient experienced: hemorrhaging, blood in the eye; could not see out of right eye, gray patch in visual field, gray patch middle of eye around 7:00 or 8:00; she woke up with a lot of pressure in her eye. The clinical course was as follows: The morning of getting the vaccine she took omeprazole 40 mg. She also added she just had the drops (unspecified) placed in her eyes as well. The night before she took tramadol 50 mg. The day she got the vaccine, she felt achy and had a headache the same day she got the shot (06Jan2021). At the time of vaccination, she had no issues with the right eye. It was not bothering her. She got the vaccine on Saturday (06Feb2021) and then Sunday (07Feb2021), she woke up with a lot of pressure in her eye. On Sunday (07Feb2021), she could not see out of her right it. She stated with macular degeneration one has a gray patch in the middle of their visual field and when looking at it, it was like having a gray cloud in there. Can only see a little of what was around it. She called her doctor and then went to see the retina specialist this morning. When she went to the office, the doctor told her she was having hemorrhaging, blood in the eye. She had to have an injection in her right eyeball. She stated she was not sure if this was connected to getting the COVID-19 vaccine. She spoke with her doctor, and they said since this occurrence of event and getting the vaccine was so close together, she should report these details. The outcome of not being able to see out of right eye, gray patch in visual field: she stated she just got the injection in her eyeball. She stated it would take a while for the blood to go away. The blood will stay in her eye until whatever medicine they placed there absorbed it or whatever else it was supposed to do. She reiterated she cannot see out of right eye. With macular degeneration there was a gray patch like in her eye whenever there was a hemorrhage, it was a sign going blinder faster. She was scheduled to get the next shot in three weeks. The patient saw the Retina Specialist and he did a test to see how much she could see, how much it affected the eye. She had the same issue with her left eye, but she has been getting shots in her left eye. The issue and concern came about because it came about so quickly with the right eye. The right eye she had so much pressure and she did not have pressure the last time. The clinical outcome of hemorrhaging, blood in the eye was not recovered. The outcome of other events was unknown.