Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain in extremity, Vaccination site erythema
Clinical narrative: eyes really burning and watering, she almost could not see; eyes really burning and watering, she almost could not see; she almost could not see for a few minutes; Tiredness; excruciating pain in all 10 fingers, just to the area that connects to the hand, nothing in her palm or hand; red mark about the size of a quarter at injection site; couldn't move her fingers; This is a spontaneous report from a contactable Nurse. A 79-year-old female patient received first dose of BNT162B2 (Formulation: Solution for injection; Batch/Lot Number: EW0150; Expiration Date: 31Jul2021), dose 1 intramuscular, administered in Arm Left upper on 24May2021 11:30 AM (at the age of 79-year-old), as 1st dose, 0.3 ML single dose, for COVID-19 immunization. Medical history included first pulmonary embolism in 2007; second in 2017 Went to hospital 23Jan2017, left hospital 5 days later. Patient has allergy to aspirin from Dec1982 to ongoing. (Patient Had headache, took Aspirin in 20 minutes had severe reaction-like never seen. Did not go to hospital, never felt throat closing off, coughing, trouble breathing. Skin felt on fire inside and out, took everything off, ice cold shower, skin beet red felt on fire all over, skin looked like elephant skin, wavy; Neighbor nurse gave her liquid Benadryl she drank. Within 15 minutes everything started to clear up, never been near Aspirin again). Patient has allergy to Advil from 1985 To Ongoing. (Had Severe reaction. Did not go to hospital, never felt throat closing off, coughing or trouble breathing. Couple years later had new job picked up fever from little kids coming in. Took Advil had reaction started the same way as with Aspirin, but she had Benadryl at home and able to catch it in time. Never taken again). Patient has allergic to other things, has environmental allergies. She kept Benadryl in her purse. Patient had Gall bladder surgery from 1985 to Unspecified date. (When had gall bladder taken out, they gave her Percodan and Percocet in hospital, had reaction of rash so they had to take her off Percodan and Percocet and give her Benadryl). Patient had Titanium filter in place from 24Jan2017 to ongoing. On 23Jan2017, patient was hospitalized because she could not breathe with pulmonary embolism, they put titanium filter in place probably after midnight so on 24Jan2017. Patient had lumbar stenosis with pinched nerve from 49 years of being a nurse. A few years ago, she had 2 procedures where they would inject long-acting unknown product, she guesses Cortisone but did not know the name of the product she guesses Cortisone but does not know the name of the product. On her right hand the numbness was still there. Patient underwent EMG test and a couple weeks later he told her he thought she has carpel tunnel. The concomitant medications include Eliquis taken for pulmonary embolisms (2.5 mg, 2x/day) from unspecified date of Jan2017 to ongoing. Synthroid taken for thyroid problem from unspecified date to unspecified date. Eliquis has to be a pretty powerful drug; don't know about Pfizer Covid Vaccines, wondered if something interacted because excruciating pain in all 10 fingers, just to the area that connects to the hand, nothing in her palm or hand and couldn't move her fingers took a little over 4 days after Pfizer Covid Vaccine for onset. The patient previously took (years ago) hepatitis vaccine, shingles vaccine, pneumonia vaccine, no reactions to those; she was very cautious did not leave the office too soon after vaccines. She never got flu shot; when she was first in nurses training, she had a reaction to the flu vaccine in like 1960 and was in the emergency room. This retired Registered Nurse was the patient who called regarding her first dose of Pfizer Covid Vaccine. She reported tiredness; eyes really burning and watering, she almost could not see; excruciating pain in all 10 fingers, just to the area that connects to the hand, nothing in her palm or hand; She couldn't move her fingers. She also mentioned red mark about the size of a quarter at injection site. She reported she had absolutely no symptoms, nothing after the Pfizer Covid Vaccine other than tiredness, feeling kind of tired, that's about it. On27May2021 in the afternoon she had onset of her eyes really burning and watering, she almost could not see for a few minutes. She washed her eyes out, and the burning and watering went away after she washed them. She had no make-up on, no eye make-up on for a few days at that time. Otherwise, everything was ok. She went to bed last night and during the night she woke up with excruciating pain in all 10 fingers, just to the area that connects to the hand, nothing in her palm or hand. She couldn't move her fingers for maybe a minute or two. Eventually she was able to move her fingers a little, then more and more and the event stopped, she kind of went back to normal and fell asleep. A couple of hours later she had the same event reoccur, just down to the hand, all 10 fingers, couldn't move them for a few minutes and then after that she could, they seemed to be ok, and she fell asleep again. Whether event started 27May2021 or 28May2021 is unknown, unknown onset times. She has been fined all day. She has written checks out, made meals, coffee, washed and dressed herself, had no other problems. At her age it was hard to tell when the tiredness started regarding time of onset. Thinks in the evening of 24May2021 she felt onset, tired and the next day on 25May2021 she had a couple episodes where her arms felt really heavy just for a short time maybe 30 seconds and then the episodes went away and she just felt tired. 26May2021 she noticed she was not as tired, and yesterday and today improved, feeling pretty good. Seriousness of all the events was not specified by reporter. The outcome of the events eyes really burning and watering, she almost could not see for a few minutes was recovered on 27May2021. Time of onset: late morning, probably about 11:00-11:30 really burned, then eyes started to really, really water. She was familiar with her house so she held onto furniture to get to the bathroom and as soon as she rinsed her eyes out event never happened again. Her eyes are not bothering her.The outcome of excruciating pain in all 10 fingers, just to the area that connects to the hand, nothing in her palm or hand and couldn't move her fingers was resolved on an unspecified date in 2021. The outcome of the event tiredness and red mark about the size of a quarter at injection site was recovering.  Follow up attempts are completed. No further information is expected.; Sender's Comments: Based on close temporal association the causal association between the reported event she almost could not see for a few minutes with the usage of the vaccine BNT162B2 cannot be excluded. The contributory effect of the patient's medical history and concomitant medications also need to be considered. The case will be reassessed should the additional information is available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.