Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Oropharyngeal discomfort, Pain in extremity, Peripheral swelling, Rhinorrhoea
Clinical narrative: I had swelling in arm; had swelling in arm; it was hard and hurting; runny nose; I am about to have a cold; My throat also became heavy; This is a spontaneous case received from a contactable consumer, the patient. A 64year old female patient received the first dose of BNT162B2 (Pfizer-Biontech COVID-19 Vaccine, solution for injection, lot number: EN6198) on 02Mar2021 as a single dose for COVID-19 immunization. It was unknown if any other products taken together with vaccine. On 22Mar2021 at 18:30:53 UTC, patient had sinus allergy and postnasal drip. It was reported that the second dose was scheduled on 23Mar2021. After the vaccine, patient's allergy symptoms came back even worse 3 days later. The allergies were mainly postnasal drip, and it was continuing. It was a runny nose with mucous that was like salty water that went behind throat, so patient had to spit out. It was dripping in the back of the throat (not out of the nose), her nose was wet but not stuffy patient could still breathe, her throat also became heavy, she was about to have a cold. The patient got some garlic with lemon tea, soup with cayenne pepper and ginger tea and throat heaviness went away. The patient had sinus allergies before the vaccine, but it was going on a little bit less due to the pandemic since she was working from home, while patient was at home, patient was outside less, so less symptoms also, on the third day after the vaccination, patient had swelling in arm; it was hard and hurting but after massaging the area, it went away after 1 day. Patient delayed ENT doctor visit due to COVID but did not have an appointment with ENT doctor on this coming friday, 26Mar2021. The flu vaccine did not go with patient; patient was so sick after her last one so had not gotten a flu vaccine for last 5 years. Patient was transferred from Safety (cold transfer) since patient was calling for adverse reaction to vaccine. It was reported if patient could get the second dose tomorrow if patient developed sinus allergy symptoms after the Pfizer-BioNTech COVID-19 vaccine. If patient did not take the second dose, any side effects. Were the symptoms worse with second dose. Response: Discussed per Pfizer-BioNTech COVID-19 Vaccine EUA PI (LAB-1457-6.0, Revised: 25 February 2021) contraindications (those allergic to product or ingredients) and Adverse Reactions sections, including Tables sharing incidence of dose 1 versus dose 2 for select events; individual results vary. Also discussed per attached CONS documents (risks; use with medical conditions) and attached VR noting risks/benefits assessment and referred to HCP for further discussion/guidance, based on medical history. Outcome of the events "I had swelling in arm, it was hard and hurting and My throat also became heavy" recovered, patient also received treatment for them. Outcome of the events runny nose and I am about to have a cold was unknown. It was also reported that it was unknown if patient received treatment for them. No PQC was present.  Follow-up attempts are needed. Further Information has been requested.