Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Blood pressure abnormal, Contusion, Full blood count, Haematocrit
Clinical narrative: insane bleeding; bruising down to her breast/bruised from her chin to her breast; Miserable headache/ splitting headache; Fever; Sore throat; bad about not checking her blood pressure and thinks the headache could be related to her blood pressure; The Hemoglobin and Hematocrit were on the higher side; The Hemoglobin and Hematocrit were on the higher side; hard blood not dissolved on the right side of her face; swelling in her neck; This is a spontaneous report from a contactable nurse (patient). A 61-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in arm right on 14Jun2021 14:15 (Lot Number: EW0179) as DOSE 2, SINGLE for COVID-19 immunization. Medical history included melanoma with 100 plus stitches and gallbladder surgery. Her uncle years ago when she was 12 years old, did have ITP and it was not hereditary. There were no concomitant medications. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EW0179), dose 1 on 24May2021 at 14:15 (at the age of 61 years), in the arm right for Covid-19 immunization and it was fine. The patient was not diagnosed with COVID-19 prior to vaccination. The patient had the second dose last 14Jun2021 and experienced miserable headache/ splitting headache, fever, and sore throat. The splitting headache and sore throat were persistent. The headache was reported as medically significant. She mentioned that she has been bad about not checking her blood pressure and thinks the headache could be related to her blood pressure, stating there is a vein sticking out on her forehead (Jun2021). In Jun2021, she stated that her hemoglobin and hematocrit were on the higher side. One was 16 but she doesn't remember which one. On 29Jun2021, two weeks after the vaccine, the patient underwent blepharoplasty, which is a cosmetic surgery, on the upper, lower and both sides and during the surgery, she had insane bleeding. States that the bleeding was terrible; they aspirated 100cc of blood. It was a day surgery and she was discharged but because of this, she had to go back to her surgeon everyday to have the blood aspirated from her face. She was also bruising down to her breast, bruised from her chin to her breast on 29Jun2021. Finally the bleeding improved after three weeks, but the doctor talked about going back to surgery to place drains as there is still some hard blood not dissolved on the right side of her face and has swelling in her neck that looks like ITP (Idiopathic thrombocytopenic purpura) but the doctor said she didn't have it (in 2021). The patient underwent lab tests in Jun2021 which included PTT, CBC, PT, all fine while hematocrit and hemoglobin were on the higher side. With regards to causality the patient states all of her events were related to the Pfizer COVID 19 vaccine, she can't think of anything else. Outcome of insane bleeding was recovering; fever recovered on 14Jun2021; headache and sore throat were not recovered; while the other events was unknown.; Sender's Comments: based on the available information the causal relationship between the adverse events splitting headache, fever, and sore throat, thrombosis , haematocrit increased ,blood pressure abnormal .haemoglobin increased ,contusion ,Bleeding ( haemorrhage )and the suspect vaccine comirnaty cannot be completely ruled out