Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal sensation in eye, Feeling abnormal, Lymph node pain, Lymphadenopathy, Mydriasis
Clinical narrative: Within the next 24 hours I experienced swollen lymph nodes in my neck and under my arms; Within the next 24 hours I experienced tender lymph nodes in my neck and under my arms; Within 15 minutes of receiving the vaccine my eyes felt not normal.; Throat tingled; My eyes were very sensitive to light, more so than normal even wearing sunglasses; My eyes appeared to be fully dilated; I "felt off " for the next 10 days; This is a spontaneous report from a contactable consumer, the patient. A 72-year-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EL9269) via an unspecified route of administration in the left arm on 22Feb2021 at 09:30 (at the age of 72-years-old) as a single dose for COVID-19 immunisation. Medical history included hypertension and known allergy to penicillin and intravenous iodine lab dye. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included hydrochlorothiazide, telmisartan (MANUFACTURER UNKNOWN), montelukast (MANUFACTURER UNKNOWN), ezetimibe (MANUFACTURER UNKNOWN) and dapagliflozin propanediol monohydrate (FARXIGA); all for unknown indication from an unknown date and unknown if ongoing. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 22Feb2021 at 09:45; within 15 minutes of receiving the vaccine, the patient eyes felt not normal and throat tingled, but did not progress to anything approaching serious reaction. The patient waited for another 15 to 20 minutes and returned home. On the same day, her eyes were sensitive to light more so than normal even wearing sunglasses. Shortly after, the patient's granddaughter noticed that the patients' eyes appeared to be fully dilated. They remained fully dilated when the patient went to bed at 22:30. On 24Feb2021 at 06:30, she checked her eyes and they were no longer dilated. On 24Feb2021, the patient experienced swollen and tender lymph nodes in neck and under arms. The patient felt "off" for the next 10 days. The patient saw primary care physician on 10Mar2021 and she advised not to take the second vaccine dose which was scheduled for in 16Mar2021. The physician was most concerned that the dilation of eyes was a neurological reaction and given the other symptoms, a second dose could prove more adverse. The events resulted in doctor or other healthcare professional office/clinic visit. No therapeutic measures were taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event eyes appeared to be fully dilated was resolved on 23Feb2021, event felt off for the next 10 days was resolved on an unknown date in Mar2021 and the events eyes felt not normal, throat tingled, eyes were very sensitive to light more so than normal even wearing sunglasses and swollen and tender lymph nodes in neck and under arms  were resolved on an unknown date in 2021.  No follow-up attempts are needed. No further information is expected.