Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Vomiting
Clinical narrative: As Medical Lead I had previously consulted Dr.  on this patient 4/27/2021 due to patient called  Public Health with concerns regarding receiving COVID-19 vaccine. Patient had suffered a shingles outbreak 3/27/2021 and wanted to know if she should follow through with receiving COVID vaccination on her scheduled appointment date 4/30/2021. Patient reported at that time that her shingles had ?mostly cleared up?. This Medical Lead RN informed patient that I had seen no data contraindicating receipt of Pfizer-BioNTech COVID-19 Vaccine by this patient, but due to her concerns I would consult our Health Department Physician. After review of medical history as described by this patient with Dr.  and review of data and guidelines from CDC website and Pfizer website  patient was informed by myself that there is no  contraindication to receiving the Pfizer-BioNTech COVID-19 Vaccine after a shingles outbreak. Patient reported she had completed acyclovir and prednisone treatments for shingles and that she had not had shingles prior to her 3/27/21 outbreak.  On 5/20/2021 pt called  Public Health with concerns about perceived possible side effects. As Medical Lead I again returned the call and spoke with  pt. Patient reports she is currently experiencing ?calf pain in both legs and in her right leg the pain goes all the way up to her hip?. Patient reports that immediately after receiving Pfizer injection 4/30/2021 (while in observation) she ?felt electric shocks on my lower legs that started on the bottom of my feet? and also stated ?I didn?t tell anybody? (at the vaccination site). This Medical Lead RN informed patient that the purpose of the Observation Station at vaccination site is for patients to report any side effects or adverse reactions  immediately following vaccination. This Medical Lead RN went on to inform patient that these signs and symptoms which she was just now reporting are not side effects that have been reported with the Pfizer-BioNTech COVID-19 Vaccine and that she should follow up with her primary care physician. Patient stated she has been to Urgent Care twice and seen a Dermatologist regarding her symptoms. I disclosed to this patient that I am not a physician, but I am interested in discussing her concerns so that I may assist her within my scope of practice.    Patient went on to report she suffered vomiting, diarrhea, and elevated temperature within approximately 48 hours of vaccination and resolved shortly thereafter.  This Medical Lead RN informed patient that vomiting, diarrhea, and elevated temperature are indeed documented and known side effects which have been reported with the Pfizer-BioNTech COVID-19 Vaccine.   Patient went on to report ?Everything got worse after the vaccination. Now I have bumps below my earlobes and near my hair line on both sides. The largest and most painful is along my jawline?. Patient reports that prior to vaccination, her shingles were ?mostly cleared up? and she ?went ahead and got the vaccination?. Patient reports she went to Urgent Care due to ?left shoulder pain that went all the way to my heart? and complaints of persistent shingles. During that Urgent Care visit Patient states she received a second prescription for acyclovir (treatment nearly complete) and ?cream?. Patient states she was seen by a dermatologist who prescribed Prednisolone but ?nobody tested the fluid? (from shingles blisters).