Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation, Pharyngeal swelling, Throat tightness, Urine analysis, Wheezing
Clinical narrative: Throat closing; Shortness of breath; Swollen throat; Dizziness/ Lightheaded; Wheezing; Allergic reaction; had a combination of allergies specially to PEG in the vaccine; This is spontaneous report received from a contactable consumer (patient's mother). A 22-year-old female patient received 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, LOT number: EW0151, expiration date unknown) via an unspecified route of administration at left upper arm on 04Apr2021 07:30 AM (reported as 06:30 or 07:30, probably 07:30) at age of 22-year-old at single dose for COVID-19 immunization. Medical history included postural orthostatic tachycardia syndrome (POTS) from Jan2021 and gastro stuff. Patient was previously diagnosed with tachycardia, but this was a misdiagnosis. She had a cardiac implant, but they couldn't figure out what was wrong, so her daughter saw a new cardio, and she has been good. Patient was previously had a reaction to Miralax. Concomitant medications included metoprolol tartrate which was taken for several years for POTS, lorazepam (ATIVAN) for panic attacks (started taking 2-3 years ago, maybe 1.5 years ago, when she went off to college, caller clarified it was 2 years ago), escitalopram oxalate (LEXAPRO) for panic disorder and anxiety (started about two years ago and was off for about a month). There was no additional vaccines administered on same date of the Pfizer Suspect. There was no prior vaccinations (within 4 weeks). Caller stated the patient had a reaction to the first shot of Pfizer COVID-19 vaccine. She had a severe reaction. Patient had a combination of allergies specially to PEG in the vaccine. Patient spent the entire day in urgent care. She had a swollen throat and dizziness right after receiving the vaccine (04Apr2021). She was wheezing and lightheaded. Patient was given an ep-pen and Benadryl. It took a while to bring it down. Patient had Pfizer's COVID 19 vaccine on 04APR2021, and had an immediate allergic reaction including throat closing, wheezing, shortness of breath, dizziness, with the first shot, so caller needed to call to report it, caller's cousin is a pharmacist, and said to call. Patient was not taken to the hospital, caller ended up taking the patient to urgent care, they had talked patient out of it, and the doctor was livid, patient's doctor was working at the site that morning. Caller stated she is a busy worker, and today is the first day she is getting to this, and getting things squared away. She knew her daughter has a 60-day window to decide if she was going to get the second, and she wanted to get it, but the reaction was horrible, it was in her daughter's best interest, they were talking at the hospital, and caller needed to talk to someone to figure it out. Patient's doctor didn't know. Caller's cousin is a pharmacist and talked to them and said, because caller stated her daughter had had a reaction to Miralax, too and her cousin said that has PEG, which her cousin said was what Moderna and Pfizer have, so caller didn't know. Her daughter ended up going to urgent care, stayed there, and was calmer, her vitals settled after the Epi Pen, and caller understood it is the protocol with Epi Pen, that she has to be monitored medically, so patient was monitored at Urgent Care until 1PM, and her daughter was like, it wore her out, so that was the response. Her daughter has recovered completely, but it took a few days, to go back to herself, patient has a cardiac condition, POTS, and gastro stuff, and caller was trying to get her medical stuff squared away, and this definitely didn't help. Caller stated they would be trying to wean her daughter off Metoprolol. caller stated it's Ivabradine, but her daughter has not started it yet, since it has side effects with vision, so her daughter was waiting to go to the eye doctor to take that, so she was taking Metoprolol. Lexapro was stopped trying to get ready for this heart medicine, so they were waiting to figure out all this, before they start that. No further details provided. Caller read from paperwork, which said allergic reaction NOS, drug reaction allergic. Then there was cardio stuff, then it said Cardiac monitoring, oximetry, CBC with automated differential; Hcg beta qualitative urine, IV saline lock. When asked for results, caller said she saw results, but that must be where it's connected with another hospital. Stated she can fax the results. It was reported that patient had a follow up at doctor's office for the events. Event throat closing was reported as serious as medically significant. Onset date of the events was 04Apr2021. Outcome of the events was recovered.  Report 1 of 2. Caller was provided with phone number and hours of operation prior to cold transfer onto the line, due to a high call volume, to wait for the next available agent.  No follow-up attempts are needed. No further information is expected.