Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Pain, Pharyngeal swelling, Pyrexia
Clinical narrative: Low grade fever; Achy all over; throat started swelling; had an allergic reaction after the first dose; This is a spontaneous report from contactable consumers (including the patient) and from a Pfizer-sponsored program COVAX US Support.  A 41-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 02Feb2021 11:20 (Lot Number: EL9264) as single dose (at the age of 41-years-old) for COVID-19 immunisation. Medical history included rheumatoid arthritis from 2005 and ongoing. Concomitant medication included certolizumab pegol (CIMZIA) taken for rheumatoid arthritis from an unspecified start date and ongoing. The patient experienced throat started swelling on 02Feb2021 11:50, low grade fever on 03Feb2021, achy all over on 03Feb2021, had an allergic reaction after the first dose on 2021. The time of onset of events: Throat swelling -within 1 hour after getting vaccine (as reported), Low grade fever and achy all over - 03Feb2021. Therapeutic measures were taken as a result of throat started swelling. Reported as: the patient received the 1st dose of the Pfizer covid vaccine 02Feb2021, 30 minutes later when she got home, her throat started swelling. The location had her wait 20 minutes before she left. She went home, and about 25-30 minutes later, her throat started swelling. She went to urgent care where she received Benadryl, peptides, etc. States that she went to an urgent care at 12:15pm, and they prescribed her Benadryl, steroids, and Pepcid, which she started that day and took for 5 days. By Friday she noticed significant improvement. States that she spoke with the supervising nurse at the facility where she got her vaccine and the nurse still recommended that she get her 2nd dose. She has rheumatoid arthritis, so she also asked her Rheumatologist, who also said to still get the 2nd dose. But her primary care physician was hesitant about her getting it, so she said they could start her on Pepcid ahead of time and give her an EpiPen to bring with her. States that she went to get her 2nd dose today, and when she put yes on the form that she had a reaction to the first dose and that she had an EpiPen with her, they had an anesthesiologist and a doctor consult on whether or not she should get it. They both said that they wouldn't give her the vaccine because Pfizer has found out in the last week that people are reacting to the polypropylene glycol in the vaccine. They told her to call and ask what Pfizer recommended, and said that if she did receive the 2nd dose, that they recommended that she got it in an urgent care or ER setting. She also had a low grade fever, and was achy all over, which only lasted a few days. States that she felt completely back to normal by Sunday. Patient had an allergic reaction after the first dose. Her second dose should be today however, they put her on hold and asked to call our number to ask what is the next step. Will she be able to get the second dose or not. The people at the facility assumed that she might be allergic to propylene glycol since it was the most common ingredient people were allergic to from the Pfizer COVID-19 vaccine. The outcome of the events Allergic reaction was unknown while for the rest of the event was recovered on 07Feb2021.  No follow-up attempts are possible. No further information is expected.