Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Pain in extremity, Photophobia, Pruritus, Rash
Clinical narrative: This morning she reports having an a feeling like a hair caught in her throat or how your throat feels when you need to cough up phlegm; This morning she reports having an a feeling like a hair caught in her throat or how your throat feels when you need to cough up phlegm/feeling in back of throat like a hair is stuck in the back of it; Sore arm; Nauseous; light sensitivity; super tired; eyes were itchy, on and off.; she didn't feel good; she felt itchy all over and it would come and go from one part of her body to the next/eyes were itchy, on and off. Then, she would get an itch in her ear, then her leg, then her head and face; she noticed a non-itchy rash on her forearm on the same arm as the injection was given and reports it comes and goes.; her anxiety just gets worse; This is a spontaneous report from a contactable consumer (patient). A 34-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: EW0168, and Expiration date: Unknown), via an unspecified route of administration, administered in left arm on 10May2021 10:00 (at the age of 34-year-old) as dose 1, single for COVID-19 immunization. The patient medical history included ongoing anxiety (she was diagnosed with anxiety maybe 8-10 years ago), allergic to alcohol beverages (ongoing, she did she test it on a shot of Tequila and did end up getting very bad symptoms), intolerant to the sulfites (her doctor thinks she is intolerant to the sulfites), sensitive skin, and smoking cigarettes for 20 years. She did not have a history of catching pneumonia or anything. The patient previously received tetanus shot years back. There were no concomitant medications. No investigation assessment was done. No history of all previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines administered on same date of the Pfizer suspect. No prior vaccinations (within 4 weeks). It was reported that, the patient, who had a history of sensitive skin, received her first injection of the Pfizer COVID-19 vaccine at 10:00 on 10May2021. She felt fine afterwards and stayed 30 minutes for monitoring before going home. After getting home, she felt itchy all over and it would come and go from one part of her body to the next. She further described as her head would itch and then it would move to the arm later. She stated that she had no rash at that time. On 10May2021, around 09:00 PM, "she noticed a non-itchy rash on her forearm on the same arm as the injection was given and reports it comes and goes". She said the rash was further down, like on her forearm, it was not itchy, it would just come and go. On 10May2021, the patient felt super tired, maybe an after receiving the vaccine. Right when she got the vaccine, she felt a little nauseous. The nausea when it first happened went away when she turned her car on and caught a little air. She had a lot of symptoms. She added the symptoms she was mentioning are the "scary ones" that were making her freak out, however she knew the tiredness was normal. She did have light sensitivity, which she did not know if that was a symptom. However, she noticed when she got out of her car (it was super sunny out), it was like she could not even open her eyes. She clarified she was able to open her eyes, but the sunlight was so much brighter than it normally was. She went out to eat around 02:00 PM and after she finished eating, she felt super nauseous, but she did not know if she ate too much. All she wanted to do was to close her eyes because she was so tired, and she didn't feel good. She was so tired. She got home at 04:00 PM and fell asleep at 05:30 PM, she woke back up around 10:00 PM. She took a very long nap. Normally, if she took even like a 2 hour nap during the day, it was still hard to fall asleep that night, but she ended up falling back asleep at like 11:00 PM on 10May2021 night. She was only awake for like an hour after taking her nap before she went back to sleep and then she woke up at 07:00 AM the next morning. She did not really pay attention to her arm throughout the day like when she went out to lunch and stuff because the itchiness was not happening too much. However, she noticed the rash when she woke up from her nap at 10:00 PM on 10May2021. The rash went away 20 minutes after- she went to go look again to see if the rash was worse and the rash disappeared. The patient sated on 10May2021, she had sore arm. She explained the arm soreness did not happen right way after the vaccine, it started between 04:00 and 05:00 PM. On 10May2021, her eyes were itchy, on and off. Then, she would get an itch in her ear, then her leg, then her head and face. She states it was so annoying and it was throughout the whole night. The patient stated she did not want to take a Claritin because she did not want to stay up all night. When she woke up in morning, the rash came back again on 11May2021, so she did take a Claritin, so the itchiness was kind of calming down a little bit and the rash just went away. She had a little bit of itching but was not as bad as it was on 10May2021 (last night). On 11May2021, "this morning she reports having an a feeling like a hair caught in her throat or how your throat feels when you need to cough up phlegm/feeling in back of throat like a hair is stuck in the back of it". She described it as the feeling you get when you need to clear your throat because it had mucus in it. The patient stated that the thing that was freaking her out was the feeling in the back of her throat. Since she left her house this morning around 07:30 until the time of reporting, she did not see the rash on her arm. She tried to look around her whole body but she did not see anything. She does see something on her stomach, but she did not know if that was just her freaking out. She explained she did have sensitive skin and "sometimes when she sprays perfume it goes through her shirt, and her stomach will get a little red". The patient said, definitely the rash on her arm was from the vaccine because she never got anything on her arm. The patient explained she felt a little tired. However, she did not know if it was from the vaccine or if it was just an every day tiredness. She was usually never that tired. The last time she felt that tired was when she was pregnant. That tiredness was not normal for her. She confirmed the tiredness was still ongoing but it had improved. The nausea was still ongoing and persisting. She did not know if it was because she was thinking so much about this, but she was not feeling to well. She was super anxious. She compared the itchiness to when like "when one little bug is on you for a second, and then for the whole day your body is itching and freaking out, thinking there is a bug on you". However, the feeling in her throat was concerning her. She was thinking to herself "oh my gosh, am I going to die?" That was all that was going through her head. She did not know if it was her anxiety kicking in, but she was starting to feel super nauseas. The patient added, "it sucks living with anxiety, freaking out over any little health condition, she hates it". She stated on an unknown date in 2021, her anxiety just gets worse. No relevant tests were performed. The patient was scared to take second vaccine. The patient was asking if it was normal to have non itchy rash looking thing on the arm that she got the injection which was the left arm like you know where the forearm was like the bottom part of your arm. The patient was scheduled second vaccination dose on 31May2021. The outcome of events pruritus, rash, pain in extremity, nausea, and fatigue was reported as not resolved. The outcome of events productive cough, oropharyngeal discomfort, photophobia, eye pruritus, malaise, and anxiety was unknown.  No follow-up attempts are needed. No further information is expected.