Age: 44.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anal pruritus, Anxiety, Chest X-ray, Chest discomfort, Hypersensitivity
Clinical narrative: tightening of the chest; Anxiety; mood changed; allergic reaction; itching of the anal area; night terrors; bodily pain; This is a spontaneous report from a contactable consumer (patient) from a Pfizer- sponsored program. A 44-year-old female patient received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EW0150) at the age of 44-years-old, via an unspecified route of administration in left arm on 07Apr2021 at 09:00 at single dose for COVID-19 immunization. Medical history included ongoing parasitic infection which she had when she was 10 and she still has symptoms on occasion. She was cleared by infectious medicine. The parasite was Strongyloides. The doctors told her it was a foreign strain and they didn't know how she got it. She used to do beach combing when she lived in a different place and that might be how she got it. She was treated for it and they did a strain test recently and she didn't have enough to be treated for it. The parasites do move throughout the body and sometime goes through your lungs. She didn't know if that's what caused her breathing issues. She has ongoing chronic migraine headaches which she treats everyday or every other day with a tryptan medication. She mentioned that she has COVID from Oct2020 to Dec2020 but could not confirm; the patient thought it was a poisoning, she reported it as a potential poisoning because she got so sick so suddenly and severely. It took months to recover. She went to doctors and to the hospital for it. They couldn't really determine at the hospital, they thought it was viral but they haven't identified the strain yet. Back in Oct2020 and Dec2020, she had chest tightening, but then it did not get to chest pain as much, but some might consider it pain but it was tightening. She also had a history of pregnancy loss and post-partum depression. Concomitant medication included an unspecified tryptan medication for chronic migraine headaches. There were no additional vaccines administered on the same date as the COVID-19 vaccine. The patient previously took TORADOL injection and pyrantol pamoate (as reported) for parasitic infection/ Strongyloides which caused anal itching. On 07Apr2021, the patient experienced tightening of the chest throughout the day that progressed after receiving the vaccine, she took BENADRYL incrementally while she felt the pressure. She mentioned that it resolved but it had her anxiety high because of how the medical personnel at the place were reacting to her. She wasn't having a reaction that they could see or treat with an epinephrine, so she did not know if it was recorded as a side effect, but they did monitor her and was okay. She did have some nasty little domestic arguments because of her anxiety and how her mood changed. She stated that it was out of fear and the response of her spouse about what to do about her discomfort. She added that she also knew someone else who had an injection at the same place who experienced the same symptoms and went to a hospital for it. The patient didn't have the chest tightness immediately because the nurse there said she could take BENADRYL. She knew that it said not to take the BENADRYL before getting the vaccine because it could mask an allergic reaction, but she took it anyways because it was frightening how they respond, they weren't acknowledging she was having tightening in the chest, they just continued to say she was not having enough of an allergic reaction to treat her with this. Her husband may have had some COVID related agitation or aggravation because he also received the same vaccination. Her husband also experienced soreness around the injection sight. Chest tightening began about 45 minutes to an hour after receiving the vaccine. She decreased her physical activity, it was tightening and it was building but she took BENADRYL incrementally, half of a tablet, about every 2 hours. She did not continue taking it if she did not feel it, she continued to feel the tightening and continued to take it and it continued to resolve. Sometimes, she took a whole tablet and sometimes half and then half again, continued taking it to the maximum level she believed. She got up to 150, but she read somewhere she could take 300, but she took 150 mg. She still had tightening so at 1:30 am she called ambulance and they checked her out. She didn't have enough symptoms to be treated with epinephrine. They stated that her husband could take her to the hospital. She and her husband argued because he was worried about getting to work the next day and sleep. They went to an emergency room of a hospital for monitoring. She was still having chest tightness on occasion, but it resolved mostly. She has taken BENADRYL like once since. She slept okay last night so it is mostly resolved after going to the hospital but she still had a dose once or twice more like 6 hours apart. She would say it resolved on Thursday, 08Apr2021, around 11:00. She had a parasitic infestation at age of 10 and she still has symptoms on occasion. She was cleared by infectious medicine. She did experience anal itching again on Apr2021, after getting the vaccine. She was guessing that whenever she was given the injection it affected the parasite's comfortability in her body, and they were attempting exit if they were present. Her doctors thought that the anal itching was a mental health thing, remembering that she had it before. Her lung Xray was unremarkable on an unspecified date. On Apr2021, she has been having night terrors where she was physically being run into or walked into in other places and she hasn't been in those places, knowingly or willingly, she was only in the areas she was comfortable or familiar with, except to have that portion of night terrors to indicate otherwise and bodily pain. This was all relative, it was not directly related to the vaccine except that if you have it and you are experiencing a symptom you are panicked and upset or unable to leave where you were physically because of the symptom. The outcome of the event chest tightness was recovered on 08Apr2021 at 11:00 and unknown for all other events.