Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Heart rate, Heart rate increased, Hypertension, Investigation
Clinical narrative: changes in his breathing which caller described as air hunger; pain in the thoracic area; increased heart rate; bad swelling on the left side of his neck that was also to the lymph node area/diagnosed with lymphoedema of the head and neck; blood pressure was "borderline" and still elevated at 183/109/his blood pressure was at 152/100 and 178/104; pain in the back.; abdominal pain; This is a spontaneous report from a contactable consumer (patient).  A 60-year-old (also at the age at time of vaccination) male patient received bnt162b2 (COMIRNATY), via an unspecified route of administration administered in Arm Left on 27Sep2021 19:00 (Batch/Lot Number: 301308A) as DOSE 3 (BOOSTER), SINGLE for COVID-19 immunization at the Pharmacy.  The patient medical history was not reported.  There were no concomitant medications. The patient received the first dose of bnt162b2 (PFIZER BIONTECH COVID-19 VACCINE) on 28Jan2021 (Lot Number: EN5318) at the age of 59-years-old for COVID-19 immunization. Then, received the 2nd dose on 25Feb2021 (Lot Number:  EN6198) at the age of 60-years-old for COVID-19 immunization. It was reported that the patient had fever, chills, and rapid heartbeat for a number of hours after the 2nd dose. Then, received the 3rd dose (booster) on 27Sep2021 19:00. The patient had no prior vaccinations (within 4 weeks). A little after 8 PM on 27Sep2021, he had very bad swelling on the left side of his neck that was also to the lymph node area. Once he got the emergency room (ER) he was informed he had swelling on the right as well. He then also realized and found out he had rapid high heart rate and blood pressure was high. He does not know how high the heart rate was in the Emergency Room, but his blood pressure was 183/109 (unit measure and normal range not provided). Other labs in the ER were normal.  Due to the extreme swelling he was diagnosed with lymphoedema of the head and neck. The swelling has gotten better. He talked with the doctor at the ER yesterday and told to give this one more week and then will decide where to go from there. On the 02Oct2021 and 03Oct2021, he noticed some changes in his breathing which he described as air hunger with pain in the thoracic area. It was not like this before the booster. Out of concern, he called his primary care doctor on 06Oct2021 and was prescribed with prednisone pack to take for six days as treatment. He then followed up with his primary care doctor on 08Oct2021, and his blood pressure was borderline and still elevated. He got his bloodwork (pending results) done on 13Oct2021 (yesterday) after talking to the medical director of the ER. Last night (13Oct2021) his blood pressure was at 152/100 and 178/104; his heart rate was 81. Normally when he checks it, its 63-70 when using the pulse oximeter. He was waiting for results from a comprehensive metabolic panel and Sed Reactive Protein. The patient also mentioned that he experienced abdominal pain as well and pain in the back. It was mentioned that the swelling has not gone down completely and that the symptoms continue to emerge over time and blood pressure high was still ongoing (not recovered). Outcome of the other events were unknown.  No follow up attempts are needed. No further information is expected.