Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dysphonia, Immunisation, Urticaria
Clinical narrative: Dry Cough; Hoarse voice; hives/hives around mid body into arm pits; booster; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 66 year-old male patient received bnt162b2 (BNT162B2), administered in arm right, administration date 10Oct2021 13:00 (Lot number: FF8839) at the age of 66 years as dose 3 (booster), single for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. Vaccination history included: Bnt162b2 (Dose 1, Batch/Lot number: CL3248, Route of Administration: Intramuscular, Location of injection: Arm Right, Vaccine Administration Time: 15:00), administration date: 22Jan2021, when the patient was 65 years old, for Covid-19 Immunisation; Bnt162b2 (Dose 2, Batch/Lot number: CL9264, Location of injection: Arm Right, Vaccine Administration Time: 14:00, Route of Administration: Intramuscular), administration date: 11Feb2021, when the patient was 65 years old, for Covid-19 Immunisation, reaction(s): "had a fish (tilapia) taco and had a severe allergic reaction", "Hives", "Swollen fingers", "numbing lips", "tingling tongue", "numb of tongue". The following information was reported: IMMUNISATION (non-serious) with onset 10Oct2021 13:00, outcome "unknown", described as "booster"; URTICARIA (non-serious) with onset 11Oct2021, outcome "recovering", described as "hives/hives around mid body into arm pits"; COUGH (non-serious), outcome "unknown", described as "Dry Cough"; DYSPHONIA (non-serious), outcome "unknown", described as "Hoarse voice". Therapeutic measures were taken as a result of urticaria.  Additional information: Facility type vaccine was Public Health Clinic/ Veterans Administration facility. No other vaccine in four weeks. No covid prior vaccination. Covid was not tested post vaccination. No known allergies before the vaccine. The patient was not taking any medications prior to the event being reported. The patient did not receive any recent vaccine for any other conditions prior to the event being reported. The patient did not receive any recent vaccine for SARS-CoV2 other than Pfizer-BioNTech COVID-19 Vaccine prior to the event being reported. The patient did not receive any other vaccines around the time of Pfizer-BioNTech COVID-19 Vaccine vaccination. Prior vaccination, relevant tests, and specific relevant tests for thromboembolic events with thrombocytopenia reported as none. Patient had never had any allergic reaction before he had the vaccine. After the second shot patient had a fish (tilapia) taco and had a severe allergic reaction, hives, swollen fingers, numbing lips and tingling tongue. Took Benadryl and went to an emergency clinic and was given a shot of Benadryl and steroid. After booster patient had a severe case of hives after eating shellfish, clams, and scallops. The hives have continued even without eating fish. Wondering if alcohol could also be causing the reactions. In Feb strong factor to tilapia fish, had body hives, swollen legs, and fingers, numb of tongue. After booster, recovering hives outbreak with shellfish, wine, pasta. Time course of the anaphylactic reaction stated as 1 hr after eating tow. AE resulted in none of the seriousness criteria. The patient required medical intervention with Antihistamine plus prednisone. The patient was not seen in the Emergency Department. The patient was not hospitalized. The patient was not admitted to an Intensive Care. Organ involvement for dry cough, hoarse voice, other was stated as yes and dermatological/mucosal with generalized urticaria (hives) stated as yes, hives around mid-body into arm pits. Organ involvement for all the other organs stated as no. Outcome following the potential anaphylactic reaction stated as not recovered and Hives was still persisting but to a lesser extent.   No follow-up attempts are possible. No further information is expected.