Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Joint swelling, Lip swelling, Peripheral swelling, Somnolence
Clinical narrative: losing weight a little bit at a time; Anxiety; she had swelling in her lip one time; swelling of her legs; swelling of wrists; swelling of hands; swelling of...tops of feet (after wearing shoes); she has been sleeping a lot during the day and at night, stating that she is only awake about 6 hours during the day.; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 60 year-old female patient received bnt162b2 (BNT162B2), administration date 02Nov2021 (Batch/Lot number: unknown, Expiration Date: 28Feb2022) at the age of 60 years as dose 3 (booster), 0.3 ml, single for covid-19 immunisation. Relevant medical history included: "Bipolar depression" (unspecified if ongoing). Concomitant medication(s) included: SERTRALINE HCL taken for bipolar disorder, start date: 2000 (ongoing); LAMOTRIGINE taken for bipolar disorder. Vaccination history included: Bnt162b2 (Dose No: 1, First dose: Date administered: 09Mar2021 , Lot: EN6199), administration date: 09Mar2021, when the patient was 60 years old, for Covid-19 Immunization; Bnt162b2 (Dose No: 2, Second dose: Date administered: 30Mar2021, Lot: EP6955), administration date: 30Mar2021, when the patient was 60 years old, for Covid-19 Immunization. The following information was reported: PERIPHERAL SWELLING (non-serious) with onset 05Nov2021, outcome "recovering", described as "swelling of her legs"; JOINT SWELLING (non-serious) with onset 05Nov2021, outcome "recovering", described as "swelling of wrists"; PERIPHERAL SWELLING (non-serious) with onset 05Nov2021, outcome "recovering", described as "swelling of hands"; PERIPHERAL SWELLING (non-serious) with onset 05Nov2021, outcome "recovering", described as "swelling of...tops of feet (after wearing shoes)"; SOMNOLENCE (non-serious) with onset Nov2021, outcome "not recovered", described as "she has been sleeping a lot during the day and at night, stating that she is only awake about 6 hours during the day."; WEIGHT DECREASED (non-serious), outcome "unknown", described as "losing weight a little bit at a time"; ANXIETY (non-serious), outcome "not recovered", described as "Anxiety"; LIP SWELLING (non-serious), outcome "unknown", described as "she had swelling in her lip one time". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: Reporter states that she is having side effects from the Pfizer COVID booster that include swelling of her legs, wrists, hands and tops of feet (after wearing shoes). Reporter states that she had swelling in her lip one time. Reporter states that swelling usually occurs after performing minor tasks during the day. Reporter states that she has been sleeping a lot during the day and at night, stating that she is only awake about 6 hours during the day. Reporter questions are these usual side effects of the booster dose of the vaccine? This consumer called regarding Pfizer Covid-19, specifically the booster dose which was her 3rd dose of product. She had not put 2 and 2 together. She kept trying to figure out what was wrong. 02Nov2021 she had the Pfizer booster and on 05Nov2021 unknown if started before then. she started having swelling indifferent parts of her body; it's been consistent; she has documentation started with left leg swelling; then took a while for that to go down. Then she has had different things like her right hand a little swelling; left hand about 4 times the size of it's normal size. That went down after a while. Just kind of moved around her body. right now she has her right wrist up halfway up her forearm is a little swollen,. range of motion has been limited. That started a few days ago. She had been losing weight a little bit at a time. She keeps a record of her weight. At the time of the vaccination on 02Nov2021 she weighed in at the doctor,  with her clothes on and was at 132lbs. That doctor was with her Region 8 for medication she takes for bipolar depression. She had not changed her medications for many years, she had been steady for years.  Swelling: She was very analytical about her health so she kept finding different things. Right now she was off of sugar and limiting her fruit but still having fruit and so anything she can do to try to mitigate the problem. Her forearm and wrist and past her forearm is swollen right now. She is not sure but does not think swelling has been as severe since she has been trying to regulate her diet as much as possible but it still happens, seems improved. Since Nov2021 she also she had been sleeping most of the day and night so it's just hard to get moving. If she starts to do dishes she gets swelling; it's affecting her every day activities. Anxiety: She reported her anxiety had been a bit through the roof because of being scared about the swelling. She reported this being from fear of swelling, but the first thing she thinks of when something goes wrong, her automatic go to was she had done something wrong that she needs to correct which is a long standing thing. She mentioned that she has bifocals but it is easier to read with reading glasses than look for the line in the bifocals.  The lot number for bnt162b2 was not provided and will be requested during follow up.