Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Tasted a bitter, strange taste in her mouth; Several hives on her lips and tongue; Tongue started to feel thick; Her face, it was very red and felt it was a little swollen; Her face, it was very red and felt it was a little swollen; This is a spontaneous report from a contactable consumer or other non hcp. A 72-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection, Batch/Lot Number: EP7534), via an unspecified route of administration, administered in arm left on 19Mar2021 14:30 (age at vaccination: 72 years) as SINGLE DOSE for COVID-19 immunization. Medical history included ongoing asthma probably 20 years ago, ongoing hypersensitivity since birth, she does take allergy shots too every 4-5 weeks. Concomitant medications included montelukast (MONTELUKAST) taken at 10mg 1x/day for asthma from an unspecified start date and ongoing; cetirizine hydrochloride (ZYRTEC ALLERGY) taken at 10mg 1x/day for hypersensitivity from an unspecified start date and ongoing; enviomycin (TUM-N) and betacarotene, bioflavonoids nos, biotin, calcium ascorbate, calcium pantothenate, calcium phosphate, choline bitartrate, chromic chloride, colecalciferol, copper sulfate, cyanocobalamin, folic acid, hesperidin, inositol, iron amino acid chelate, lycopene, lysine hydrochloride, magnesium oxide, manganese sulfate, molybdenum trioxide, nicotinamide, phytomenadione, potassium iodide, potassium sulfate, pyridoxine hydrochloride, retinol acetate, riboflavin, selenomethionine, silicon dioxide, colloidal, sodium borate decahydrate, thiamine mononitrate, tocopheryl acid succinate, ubidecarenone, zinc oxide (MULTIVITAMIN & MINERAL) both (TUM-N , MULTIVITAMINS & Mineral) taken for an unspecified indication from an unspecified start date and ongoing. The patient did not receive any other vaccine prior to COVID-19 Vaccine.  Caller stated she had mild allergic reaction to the first vaccine and wanted to know if the second dose of the vaccine was same or stronger than the first dose. On 19Mar2021, caller stated her reaction was, she had allergies, her reaction was first almost immediately after, she tasted a bitter, strange taste in her mouth, then she got several hives on her lips. Caller stated her tongue started to feel thick, she could breathe, she had no problem in breathing. Caller stated she did have problems with hives, then she pulled her mask aside for her husband to see her face and it was very red, felt it was a little swollen. Caller states she took two Benadryl, stayed there about an hour as they observed her, came home, and took two Benadryl and everything went away in half an hour. Caller states she talked to the allergist today and was being advised not to get the second vaccine. Caller stated the taste stopped the next morning. Caller states it was gone except the bitterness as soon as she took the Benadryl. Caller states they made her sit there an hour, it took half an hour to get home and in two hours everything was gone except the bitterness. Confirmed bitterness stopped on 20Mar2021. caller wanted to know if she takes the Benadryl before the second would that interfere with the efficacy of the vaccine. The patient underwent laboratory investigations included antibodies were tested and got a level of 1.64 (unit not provided) in 2021. The outcome of the events several hives on her lips and tongue, tongue started to feel thick, her face, it was very red and felt it was a little swollen her face it was very red and felt it was a little swollen reported as recovered on 19Mar2021, tasted a bitter, strange taste in her mouth recovered on 20Mar2021.   No follow up attempts are needed. No further information is expected.