Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Breast discomfort, Dysphagia, Lymphadenitis, Nervousness, Peripheral swelling
Clinical narrative: Problem swallowing; Attack to her lymph nodes; arm was swollen, the one that she received the vaccine in; Nervous; Respirations were fast; Pounding in her left breast; This is a spontaneous report from a contactable consumer (Patient) reported for herself. A 75-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6206, NDC number and expiry date was unknown) via an unspecified route of administration, in left arm on 03Mar2021 at 13:00 (at the age of 75-year-old) as 1 ST DOSE, SINGLE for COVID-19 immunization at workplace hospital. The patient medical history included dry eye which was diagnosed for 2 years. She had dry eyes, they just gave her doxycycline which was new medication she has to taken for 20 days. There were no concomitant medications reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 03Mar2021 the patient had experienced pounding in her left breast. On 03Mar2021 19:00 experienced nervous and respirations were fast, on 03Mar2021 23:00 arm was swollen, the one that she received the vaccine in. On 04Mar2021 attack to her lymph nodes, problem swallowing on an unspecified date. It was reported that the patient received the PFIZER COVID vaccine, she wanted to report her event. The patient received the vaccine, then at 17:00 there was no reaction. At 19:00 the patient felt like she was nervous, like her respirations were fast, pounding constantly inside of her left breast for maybe 2 hours. At 23:00 when the patient went to shower she was unable to put her arms up. When she got out her arm was swollen, the one that she received the vaccine in. The patient felt like she was having a problem swallowing when she laid down for bed. The next day around at 6:30 the side that the injection was swollen up to her elbow and she noticed the swelling was up to her neck just in that part. The patient called her primary care provider and at 4:30 she got an appointment to see her doctor. When the patient went to the doctor appointment, the swelling was going down in the up to the elbow. The patient doctor said there was an attack to her lymph nodes, she was told to take Tylenol every 6 hours and today was day 7, and there was still swelling and some pain. The patient's doctor told the patient that she still need to have the second shot. What would be the reaction from the second dose. The patients doctor said the caller would be sick for maybe 2 days after the second dose of the vaccine. The patient arm was still swollen and she still had pain, what should she do. The patient doctor said to take a Tylenol but the caller is allergic to so many medications she was afraid to take it. The patient asked if we have MODERNA'S number so she could call them for her friend. Reporter reported that the patient stated she was a certified medical assistant. The patient prefers to be contacted via phone. When the patient got the vaccine at 13:00 she felt great, then at 19:00 when she was cooking , she felt short of breath, she did her respiration exercises, she was relaxing. The problem was on the left breast it was like a pounding constantly. This only happened for a few hours. There was a pain when the patient tried to put her arms up. The next morning it was around 10:30 the swelling in her left arm was up to the patient elbow, it was tight up to her ears, on the left side of her face. It was very hard and very swollen, even on her neck. That was when she called the doctor, who then diagnosed her with the attack on the lymph nodes, the doctor checked under her arm and there was a pain when she pressed.  The patient had swallowing problems at 2:00, she was nervous, she drank some water, they said to drink a lot of water and she went to bed. The patient was scheduled for second dose on 24Mar2021. The patient never took Tylenol, she did not have pain that was killing her, just swelling. There was not any relevant test performed. No adverse event prior to the vaccination. The patient visit to physician office but not emergency room. The patient received the treatment for the attack to her lymph nodes. The outcome of events was unknown.  No follow-up attempts are possible; No further information is expected