Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lip swelling, Penile erythema, Penile swelling, Pruritus, Skin exfoliation
Clinical narrative: allergic to something in the shot./systemic histamine reaction; swollen lips; lips were flaking, skin flaking; lips were flaking, skin flaking; massive facial angioedema/complete relapse of allergy/angioedema; fatigue; penis redness/penis was also "sheet red" and swollen; penis was also "sheet red" and swollen; itching; very very red face; This is a spontaneous report from a contactable consumer (patient). A 50-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at the age of 50-year-old, dose 1 via an unspecified route of administration, administered in right arm on 25Mar2021 19:00 (Lot Number: ER8730; Expiration Date: 31Jul2021) as 1st dose, single for COVID-19 immunisation. Medical history included known allergies to spring pollen, oak birch, and ash. Concomitant medications included cetirizine hydrochloride (ZYRTEC) and levocetirizine dihydrochloride (XYZAL) taken as allergy medication. On 25Mar2021, the patient got the shot, waited 15 minutes, no problems. On 26Mar2021, woke up to a very very red face. On 27Mar2021, massive facial angioedema, fatigue, itching, notable penis redness, his penis was also "sheet red" and swollen. The patient started 4mg prednisolone on 27Mar2021, kept facial swelling and allergies at bay, mostly, but a very close rate to not keeping up. On 02Apr2021, swelling subsided and mostly was getting back to "normal", however lips were flaking, skin flaking. On 04Apr2021-week of, things got better, very swollen lips but everything reasonably in check. On 12Apr2021, the face re-firing red at approx 1pm, slept until 6pm, and complete relapse of allergy/angioedema. Trip to Emergency room (ER), given shot of Kenelog in the arm, released. On 13Apr2021, no improvement, steroids ended 6 days after the patient started taking them, 2nd trip to ER with epinephrine shot, no improvement; blood taken, white blood cell count normal. On 14Apr2021, allergist appointment and he was told that he was allergic to something in the shot triggers pollen allergies, rosacea, etc. 50mg prednisone 5 days, 40mg 5 days, etc. He states that it was a systemic histamine reaction. On 26Apr2021 starts up again, mild, contact me. The patient doesn't know what to do with the second vaccine in general and he had called and they say no on him getting number 2. He was terrified of vaccines now because of his reaction. He also says that he was not hospitalized but he went to the emergency room twice. The patient would like to know if there have been any reports of those who had a similar reaction to this getting the second dose of the vaccine and how they reacted. He states that he has been told that he should not get the second dose but wonders if he were to get another COVID-19 vaccine other than Pfizer, if he would have the same reaction. The event allergic to something in the shot/systemic histamine reaction resulted to doctor or other healthcare professional office/clinic visit. The event massive facial angioedema/ complete relapse of allergy/angioedema resulted to emergency room/department or urgent care. The patient was treated with steroids for the events. The outcome of the event massive facial angioedema/complete relapse of allergy/angioedema was not recovered while for the rest of the events was recovering.