Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Chest discomfort, Dyspnoea, Injection site pain, Rhinorrhoea
Clinical narrative: when he pushes on the injection site, he does feel a little pain; feel a little tightness in his breathing/ tightness/shortness of breath; on his finger (pulse ox) showing he had 95% oxygen uptake, looked like 91% and then it went up to 93%; feel a little bit of heat on his forehead; nose dripping/nose was running; seems like it isn't working; This is a spontaneous report from a contactable consumer (patient). A 70-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) lot number: EL1283, via an unspecified route of administration on 13Jan2021 09:55 at a single dose on the Upper Left Arm, probably on muscle near the top for COVID-19 immunization. Medical history included shellfish allergy, asthma, hay fever, reaction/allergy to oleander plant (rash on his legs) and had surgery on his hip. There were no concomitant medications. The caller received Pfizer's COVID-19 vaccine early yesterday morning, 13Jan2021 and his second dose has been scheduled for more than 3 weeks. He also mentioned that his vaccine "seems like it isn't working". The patient stated it doesn't look like he had much of a response. All of his neighbor's arms are so sore and 'blah blah' and they have other side effects. He feels like everybody else had a much bigger reaction. He read there was a whole bunch of people that was given the COVID-19 vaccine with a short needle and all of their vaccinations had to be re-done. He really didn't feel nothing when he was being injection. He explained that when he pushes on the injection site, he does feel a little pain on 14Jan2021. However, he was heavily muscled in that area, and also based on his recent surgery on his hip and other experiences, he noticed on the surgeons files on his case, it says he has a high tolerance for pain which he believes to be true. He believes he may have been injected with a short needle. He was just wondering what size of needle is supposed to be used for the Pfizer vaccine and asked how he can find out what needle was used on him.  He doesn't know if this was an intramuscular injection, but he assumes they were trying to get into the muscle. The patient stated he does have allergies, particularly to shellfish, but they haven't been really acting up a lot or that much. He told them about his allergies when he was receiving the COVID-19 vaccine, and they kept him for half an hour after receiving it on 13Jan2021. He did feel a little tightness in his breathing. He does have a little bit of asthma and he does have hay fever and all of that stuff. They put the little thing on his finger (pulse ox) showing he had 95% oxygen uptake, which is little low for him. The next time that checked it first looked like 91% and then it went up to 93%, but the way one holds their finger has something to do with that. He waited a few more minutes and assumed it was probably just allergies. He felt how it feels when he gets into pollen. He took a couple of puffs of his inhaler (Pro air HFA (albuterol sulfate) and the tightness very quickly went back to normal. The last reading when they put the pulse ox on his finger was 96.5. It should be 98 but at that point he talked to them and was feeling much better. He also mentioned he did feel a little bit of heat on his forehead last night (13Jan2021), he might have noticed it. However, the breathing stuff (Tightness/shortness of breath) started again. He used his inhaler again which would have been about 9 hours later, and he also took a Claritin as well. He doesn't normally take Claritin but he does take it every day up north and the last few weeks he did have his Condo wide open. The patient confirmed the tightness/shortness of breath wasn't immediately after receiving the COVID-19 vaccine, it was about 15-20 minutes after. The feeling felt no different than when he starts having a reaction to cigar smoke or something like that. The tightness/ shortness of breath improved immediately after using his inhaler. He used the inhaler which cleared up the tightness instantly as it always does but his nose was running kind of like when one has the flu. He clarifies he noticed late afternoon/evening; his nose was dripping. The dripping went on for 2-3 hours. He knew the inhaler wouldn't necessarily stop the dripping, so he figured he better take a Claritin. He stated not too longer after taking the Claritin, maybe 15-20 minutes afterwards when the Claritin started taking effect, the dripping stopped, and it hasn't been back since. He believes he took one Claritin a day before. The outcome of the event nose dripping was recovered, tightness/shortness of breath and 'on his finger (pulse ox) showing he had 95% oxygen uptake, looked like 91% and then it went up to 93%' was recovering, 'when he pushes on the injection site, he does feel a little pain' was not recovered while for other events was unknown.