Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Arthralgia, Fatigue, Injection site pain, Lymphadenopathy, Nausea
Clinical narrative: This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 57 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 11Mar2021 (Lot number: EN6199) at the age of 57 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Subacute Discoid Lupus" (unspecified if ongoing), notes: It is lupus of the skin, not systemic. , Diagnosed at least ten years ago. . There were no concomitant medications. Vaccination history included: Measles vaccine (When 4-5 years old, she received the Measles vaccine. After vaccination, she contracted Measles), for immunisation, reaction(s): "contracted Measles". The following information was reported: CUTANEOUS LUPUS ERYTHEMATOSUS (medically significant) with onset Mar2021, outcome "unknown", described as "lupus; It is lupus of the skin, not systemic"; FATIGUE (non-serious) with onset Mar2021, outcome "recovered", described as "Tiredness"; NAUSEA (non-serious) with onset Mar2021, outcome "recovered", described as "Nausea"; LYMPHADENITIS (non-serious) with onset Mar2021, outcome "recovered", described as "Inflamed lymph nodes on left side of body"; ARTHRALGIA (non-serious), outcome "unknown", described as "hurt form her shoulder to her elbow"; SWELLING (non-serious), outcome "unknown", described as "The shoulder, where it was given on the left side, it swelled all the way up into her neck". The events "lupus; it is lupus of the skin, not systemic", "tiredness", "nausea", "inflamed lymph nodes on left side of body", "hurt form her shoulder to her elbow" and "the shoulder, where it was given on the left side, it swelled all the way up into her neck" were evaluated at the physician office visit. Therapeutic measures were taken as a result of cutaneous lupus erythematosus, fatigue, lymphadenitis, arthralgia, swelling. Clinical course: The patient previously had subacute discoid lupus. It was lupus of the skin, not systemic, diagnosed at least ten years ago. The patient thought the COVID-19 Vaccine triggered her lupus. The patient experienced tiredness, and nausea feeling. The shoulder, where it was given on the left side, it swelled all the way up into her neck. All of her lymph nodes on that side of the body were inflamed. It hurt from her shoulder to her elbow. Vaccine was given on left arm. The patient experienced tiredness, and nausea feeling on Mar2021. The shoulder, where it was given on the left side, it swelled all the way up into her neck. All of her lymph nodes on that side of the body were inflamed. It hurt from her shoulder to her elbow. Vaccine was given on left arm. The patient had the second dose COVID-19 vaccine given on 01Apr2021 (lot: ER8733) injected to left arm. She went right back in and got a second dose COVID-19 Vaccine. It got her again, but not as bad. Then she had the booster dose on 03Dec2021 (lot: FF2590). All three doses manufactured by Pfizer. Tiredness and Nausea began within 4-5 hours of getting first dose. Inflamed lymph nodes on left side of body on Mar2021 began in the evening when she went to bed. Would say began within 8 hours of the first dose. Swelling went all the way up into her neck. Hurt from her shoulder to her elbow. Almost went to the hospital. Thought something was wrong with her. Treatment was as given as pain medicine. AEs required a visit to Physician Office. No follow-up attempts are possible. No further information is expected.