Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dehydration, Fatigue, Feeling cold, Ocular hyperaemia
Clinical narrative: she had very blood shot eyes. Both of them were very red; Chills, freezing, shivering; Very, very, dehydrated; Chills/Chills, freezing, shivering; Low grade fever; little bit of body ache; Tired; This is a spontaneous report from a contactable consumer (patient). A 65-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot # EP7533) via unknown route of administration received on the upper left arm on 01Apr2021 9: 20 AM (age at vaccination: 65 years) as dose 2, single dose for COVID-19 immunization. Medical history included high blood pressure and cholesterol; both ongoing from an unknown date. The concomitant medications included unspecified high blood pressure pills and unknown cholesterol medication from an unknown date and ongoing and had no reactions. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot # EN6199) received on upper left arm on 11Mar2021, at 9:45 AM, in the upper left arm as a single dose for COVID-19 immunization; and flu shot for past 2 years and has had no reactions. Patient reported that, "I had gotten the Pfizer vaccine, the second shot on April 1. I had a little bit of a reaction to it, the first night I had severe chills, low grade fever, little bit of body aches and tired that lasted a day. By the next day on Friday afternoon I felt better. Then that same night on 02Apr2021, she had very blood shot eyes. Both of them were very red. No itching or burning like an eye infections. She followed up with her eye doctor on Monday on 05Apr2021 who stated she had inflammation from the vaccine. They prescribed an eye lubricant as needed and they also prescribed her eye drops to take for 5 days. She stated she has taken the eye drops all week. Tomorrow is her last day for the eye drops. There has not been a change, maybe a slight change with her eyes. She stated her blood shot eyes are ongoing. She planned to follow up with her eye doctor on 13Apr2021. It was also reported that she got her shot around 9:20 AM on 01Apr2021. By 9:30 PM or 10 PM at night she was freezing shivering like she could not believe. During night she felt she had low grade fever, but did not get up to take her temperature. She was also very very dehydrated. She stated she is not a big water drinker but she had her husband keep bringing her glasses of water after water after water to keep hydrated. By the next day 3:00 PM her symptoms were gone except her very red eyes. She is still using her drops. She has one more day of them. She uses them 4 times a day. Patient received treatment for eyes with Tobramycin-Dexameth Ophth Susp, NDC # 61314-647-05, Expiry Jul2022, 1 drop, for both eyes, 4 times a day, for 5 days for her very red now blood shot eyes. She has taken this medication for 05Apr2021-08Apr2021, and tomorrow will be the 5th day. She also was given sample boxes and has used an eye lubricant named Systame, Lot # 1073U, Expiry Mar2021, # on bottom states 9017639-0619, as needed, for dry eyes. patient stated she used the lubricant for the first 2 days and once yesterday but she does not feel dryness in her eyes so she is not using it unless she has to. The outcome of the events ocular hyperaemia was not resolved, and the outcome of other events was resolved on 02Apr2021.  No follow-up attempts are needed. No further information is expected.