Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain in jaw, Peripheral swelling, Pharyngeal swelling, Pruritus, Stomatitis
Clinical narrative: heart rate of 120; dehydration regardless; On arrival BP was 190/110 / alarming pressure 160/118; until anaphylaxis symptoms were stable; This is a spontaneous report from a contactable consumer (patient). A 54-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration, administered in the left arm on 06Aug2021 18:00 (Batch/Lot Number: FA7484) (at the age of 54-year-old) as dose 1, single for COVID-19 immunization. The vaccination facility type was pharmacy/drug store. The patient had no other vaccine in four weeks. The patient had no COVID prior to vaccination. The patient's medical history was not reported. Concomitant medications included colecalciferol (D3), menaquinone-7 (K2), iodine, and curcuma longa (TURMERIC); all taken for unspecified indications, start and stop dates were not reported. The patient previously took clindamycin, bupropion (WELLBUTRIN), lidocaine, and epinephrine, and experienced allergies with these drugs. The patient also had a past heart event in 2013 after lidocaine and epinephrine injection during operation. No chronic health conditions treatment at the time of vaccine and no medications prescribed. Within 5 minutes after vaccine was administered (06Aug2021 18:05) began itching over entire body. Approximately 13 -15 minutes after vaccine, the patient had difficulty swallowing and breathing. The patient took antihistamine in the store before being told by pharmacist assistant to immediately go to hospital. On arrival, BP was 190/110 was given steroids and benedryl intravenously (since has previous history of heart event with Epinephrine) until anaphylaxis symptoms were stable. Discharged and prescribed 40 MG of Prednisone and antihistamine every 24 hours. The patient returned to ER 3 days later (09Aug2021) with alarming pressure 160/118 and heart rate of 120. The patient received tests and fluids and continual concern as steroid wears off anaphylaxis symptoms continue. The patient received IV fluids 2 days later once again due to dehydration regardless of liquid intake throughout the day. Currently continually monitoring BP/ placed on blood pressure medication, continual use of prednisone 40 MG a day with an antihistamine and advised to see a cardiac specialist. The events were further reported as 5 minutes after vaccine, the patient experienced itching on hands and arms. Then 10 minutes after vaccine, the patient experienced itching all over her body. Then 30 minutes after vaccine, the patient experienced swelling throat and swallow difficulties, patient experienced high blood pressure and dehydration. The patient stated that the symptoms were not getting much better. The anaphylaxis required a visit to emergency room and physician office. The events resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Life threatening illness (immediate risk of death from the event), Disability or permanent damage.  The patient has not been tested for COVID post vaccination. Treatment for the events included IV Steroid, Antihistamine, IV Fluids, BP Meds. The outcome of the events was not recovered.