Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Feeling abnormal, Injection site pain, Lymphadenopathy, Myalgia
Clinical narrative: feeling kind of bad; low grade fever; chills; muscle aches; Arm is still sore at the injection site. It's sore to touch and can tell it's still sore with movement.; swollen lymph nodes; spontaneous report from a contactable nurse. This 47-year-old nurse reported for self that she received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) intramuscularly at right arm at single dose for COVID-19 immunisation on 18Dec2020. Relevant history included  gestational diabetes history; Her daughter was 14 years old and she had never had diabetes. No signs of diabetes after birth of daughter. The patient was not a smoker/former smoker. The patient had tested positive with COVID antibodies probably in Apr2020, both she and her husband and both wound up getting symptomatic with COVID symptoms about the 14Mar2020. They were unable to get tested and just kind of figured they had it. Her husband also had pneumonia. They both recovered in Apr and decided to get the antibody test done and it was positive for the antibodies and they had also given blood since then and that was also positive for antibodies. The patient considered wondering with this being the first vaccine dose was considered as a good immune response. Relevant concomitant drug was unknown.  The patient reported having the Pfizer-BioNTech COVID-19 Vaccine 685 on Fri and was having some symptoms. Got it about 12:45 Fri (18Dec2020) and around 11PM that evening she was feeling kind of bad, low grade fever, chills, and muscle aches. This was only the first vaccine she had. The symptoms ended up lasting up to 24 hours and the fever went away the next morning, but she still had chills. Only thing she had was the swollen lymph nodes at right axillary, the same side of the site of the injection.  The patient mentioned she didn't feel very good Sat, but at the reporting time she could work today. The patient clarified that her husband did not have the Pfizer-BioNTech COVID19 Vaccine 685 vaccine. And she did not test positive for COVID and didn't have the actual testing done because they didn't have the test available it was only for if someone were hospitalized.  The patient's arm was still sore at the injection site. It's sore to touch and could tell it's still sore with movement.  There was no pre-existing diseases worsened during the SARS-CoV2 infection. The patient was not treated with immunomodulating or immunosuppressing medications or received any other vaccines around the time of COVID-19 vaccination. The patient did not have a positive test for SARS-CoV2. The patient did not display clinical signs at rest indicative of severe systemic illness. The patient did not taking any medications routinely prior to the event being reported.  The outcome of event feeling kind of bad, low grade fever and muscle aches was resolved, the outcome of events swollen lymph nodes, chills and sore at the injection site was not resolved. The events were assessed as non-serious. The patient stated she had been positive with Covid in Mar, which may have caused her to be more symptomatic with the vaccine, but was unsure if that was the case. She also heard a lot of people had the first dose, never exposed to Covid, and had no symptoms after receiving the vaccine. The patient asked if she should still take the second dose even though she has been positive with Covid before.   Information on the lot/batch number has been requested.