Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Bell's palsy, Erythema, Fatigue, Infection
Clinical narrative: anaphylaxis; very tired; infection; lump that was very itchy on his elbow; bottom lip was really swollen; bumps on his back and they were really itchy; the muscle became painful for the itchiness.; thing on his ankle looked like a ring, looked like ring worm; Rashes; on the right side of his face, he lost all muscle control and urgent care thought it was Bell's palsy/facial paralysis/facial issues; redness and itching and a little bit of swelling behind his right ear; redness and itching and a little bit of swelling behind his right ear/itchy spots/foot and ankle being very itchy/ intense itching on his foot; redness and itching and a little bit of swelling behind his right ear; This is a spontaneous report from contactable consumers (patient and patient's mother) and from a contactable healthcare professional (physical therapist, patient's father) via medical information team.  A 29-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose via an unspecified route of administration on 20Mar2021 (lot number and expiration date were not reported) as single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. The patient got his first dose of the vaccine on 20Mar2021. He was very tired at first, on Sunday (21Mar2021) at night he noticed redness and itching and a little bit of swelling behind his right ear. He saw a dermatologist on Tuesday (unspecified date) and gave him clindamycin but they think it may be an infection of some kind. That same night, he had a lump that was very itchy on his elbow and the next morning it was flat and completely gone. The next day on the right side of his face, he lost all muscle control and urgent care thought it was Bell's palsy and had him go to the ER. By the time he got to the ER the symptoms resolved enough that they weren't concerned. A few days after, he woke up and his bottom lip was really swollen and that has never happened before. He took BENADRYL and that resolved. The patient got bumps on his back and they were really itchy, which resolved overnight. A couple days after, he got a patch on his palm and has been getting itchy spots on him that clear up. Last night (07Apr2021), he noticed his foot and ankle being very itchy and the muscle became painful for the itchiness. It subsided overnight and then woke up with intense itching on his foot. The thing on his ankle looked like a ring, looked like ring worm. The patient wanted to know if there was an increased chance of fungal infection. The patient wanted to know if these were normal reactions and what should he do. The patient's father was concerned about his son's (patient) reaction and was concerned with anaphylaxis after 48 hours and wanted to know if that could happen. The father added that the patient had rashes and facial paralysis. The patient saw his primary care provider who told the patient to go to an allergist. It has been 3 weeks since the patient's injection but the father was worried and does not know if the patient was in the clear of anaphylaxis. The father stated that the facial issues were 3 days after the vaccine (23Mar2021). The father wanted to know if the patient was in danger now from this one and was wondering if the patient should take the second vaccine. The patient's allergist said no until they decide if the patient was allergic to something within the vaccine. The events were considered non-serious by the reporters. The patient recovered from Bell's palsy on 23Mar2021; recovered from "bottom lip was really swollen" and "bumps on his back and they were really itchy" on unspecified dates. The outcome of the remaining events was unknown.  Information on the lot/batch number has been requested.