Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Obstructive airways disorder, Rash, Throat tightness, Urticaria
Clinical narrative: major allergic reaction; feeling constricted on the left side of the throat, it felt very tight/airway completely started to close constrict on the left side; couldn't breath; airway completely started to close constrict; arm was completely filled with hives that were expanding to her chest/completely broke out into hives all the way down in my arm and it's started extending all the way across my chest; it feels like it is constricting hearing; felt very light headed; got kind of light headache; don't feel very well/I don't feel very good; rash all over; heart was beating really fast; This is a spontaneous report from a contactable consumer (patient). A 38-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: not reported), on the left arm via an unspecified route of administration, on 01Feb2021 18:10 (6:10 pm) at single dose for COVID-19 immunisation. Medical history included diagnosed with COVID-19 on 02Jan2021. There were no concomitant medications. The patient received the first dose on 01Feb2021 at 6:10 pm on the left shoulder, a minute after she felt very light headed, got kind of light headache, the technician told her to wait in the waiting room for 15 minutes, he said you will be okay. She was asked by a lady next to her if she was okay to which she replied, "I don't feel very well, I don't feel very good" and she went in and got the front person and ask who got the doctor, the doctor looked at me and he reported she need to follow me to back, I completely broke out into hives all the way down in my arm and it's started extending all the way across my chest, her arm was completely filled with hives that were expanding to her chest. They gave her Bendaryl and that didn't help. She started feeling constricted on the left side of the throat, it felt very tight, she couldn't breath, "all of sudden like my airway completely started to close constrict on the left side and it feels like it is constricting hearing I pointed to my last and then next thing I know the right side started constricting and they had to do me epinephrine and called 911, in the ambulance ride I could not breath like epi helped the little bit". They took her to the ER where she stayed 3.5 hours, they gave her strong steroids and her heart was beating really fast. One of the workers in the ER told her: "I've never seen a true allergic reaction to the vaccine". The patient  added that "I just wanted to you guys to know because I don't know I am scared to get the second vaccination and the ER doctor said this is the first case of the true allergic reaction that he has seen". The patient was diagnosed with COVID-19 on 02Jan2021 and asked if it is okay to get the vaccination, primary doctor said "oh yes you are fine, you haven't had any symptoms you are fine, so I got it." My husband fought for his life with COVID and I just don't ever want to get it again COVID because I saw what my husband went through but I am also scared if we get the vaccination again. The patient reported to still have a rash all over. The doctor last night gave the patient epinephrine to have on hand just in case and he put the patient on Prednisone 50 mg that patient start tonight, 02Feb2021 about 09:30 he said, so I don't have any, so I am not taking any medications and albuterol. The patient is not in any medications. They did blood work last night on 02Feb2021 and the blood work was good and normal on the CBC panel. The patient is going to see her allergist hopefully to see like she don't know if they can identify what she is allergic to. The outcome of the event rash was not recovered while for the rest of the events was unknown.  Information about lot/batch number has been requested.