Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Paraesthesia, Pruritus
Clinical narrative: ache on her right side where her liver; pins and needles at the tip of her tongue that then spread to the right side of her upper lip; metallic taste; She felt run down, tired, and not great; She felt run down, tired, and not great; She felt run down/not feel good; achy and run down for a day or two; also had a sore left arm; Itchy; allergic reaction; her inner part of eye was itchy; her inner part of eye was itchy and thought it was a little puffy; little unsteady on her feet; This is a spontaneous report received from a contactable nurse reported for herself. A 64-years-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) intramuscular, administered in Arm Left on 16Apr2021 10:40 (Lot Number: EW0162) as single dose for covid-19 immunisation. History of all previous immunization with the Pfizer vaccine considered as suspect were none. Additional Vaccines administered on same date of the Pfizer suspect were none. Medical history included allergic to sulfa, seasonal allergies, drug induced liver injury due to antibiotics she took last fall from Oct2020 and ongoing. Her liver enzymes through the roof with her AST and ALT being over 300 and 600 but are slowly improving. She is being followed by a hepatologist. Follow-up was on 04May2021. They are checking her for autoimmune hepatitis and will be checking her for autoimmune disease. Her enzymes have much improved since then and she has blood work for next week. Family Medical History included mother had a shellfish allergy that would make her puff up around her eyes. The patient's concomitant medications were not reported. The patient previously took sulfamethoxazole/trimethoprim (BACTRIM) for urinary tract infection (UTI) and experienced allergy (rash), spironolactone (ALDACTONE) and experienced allergy (rash) when she was in her 30's and 40's. The patient received the first dose of the Pfizer COVID 19 vaccine this past Friday 16Apr2021 10: 40 AM. She waited the 15 minutes and was fine and drove home. She felt a little unsteady on her feet after she got the shot when walking to her car but did drive an hours home. About 3 hours later, at approximately 13: 40, she said that the tip of her tongue had strong pins and needles, but not the whole tongue. A few seconds after that, spread to the right side of her upper lip started to feel the pins and needles. She said that she looked in the mirror but did not see any swelling. After that, she felt that her whole mouth had a strong metallic taste lasted about 30 minutes or so. Everything did subside. She felt run down, tired, and not great for the next few days and heard other people have felt like that after COVID shots. The patient had sore left arm, also achy/achiness and run down for a day or 2 after the vaccine from 16Apr2021. The whole evening and progressed into the next 2 days she did not feel good. Did not feel good or do anything on Saturday and into Sunday evening. She is concerned because it involved her tongue. Her doctor said that ideally, she should get the second dose in a hospital. A pharmacist told her it could have been an allergic reaction and they told her to take an epi pen with her the next time. The doctor said that she would order one for her to take with her to her next vaccine appointment. She felt itching from 16Apr2021 next couple of days every once in a while. On 16Apr2021 around 5-6pm, she thought her inner part of eye was itchy and thought it was a little puffy. She does not know if it was her imagination or if she was starting to feel something, or if it was related to her liver condition. Her left arm was really sore that evening or the next day after receiving the vaccine, but she was not alarmed about that. The 2 days after the vaccine she had a small ache on her right side where her liver is. Caller said, is her liver working harder after the vaccine, she does not know, but it went away. No AEs require a visit to emergency room or physician office. She spoke to her doctor over the phone. If the event got worse, she would have gone to the ER. If she felt her throat was closing or anything she would have gone to the hospital or called 911. she did not call her doctor until Monday since it did not progress. The events tip of her tongue had pins and needles, upper right hand side of her lip started to feel the pins and needles, whole mouth had a strong metallic taste, achy and run down for a day or two, itchy were reported as not serious and related to COVID-19 Vaccine. The patient will be getting the second dose at a large vaccination site. Her doctor wants her to get the second dose in a hospital setting but she isn't certain that will be possible. She said that she is scheduled to go back in 3 weeks to get her second dose. She said she wants to get her next dose within the 6 weeks' time period. Outcome of the events pins and needles, metallic taste as recovered on 16Apr2021, of the event tired, not great, felt run down/not feel good, achy was recovered on 19Apr2021, of the event sore left arm, Itchy was recovered on 18Apr2021, of the other events was unknown.  No follow-up attempts are needed. No further information is expected.