Age: 69.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Interchange of vaccine products, Investigation, SARS-CoV-2 test, Vaccination failure
Clinical narrative: Swollen lips; Tingling sensation; mouth still puffy; Had chills again; heart A fib; pressure was 151 over something; Flu like symptoms; her heart starts palpitating; This is a spontaneous report received from contactable reporter (Consumer or other non HCP). The reporter is the patient.  A 71-year-old female patient received BNT162b2 (COMIRNATY), on 09Feb2021 as dose 2, single (Lot number: EM9810) at the age of 69 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "sensitive to drugs" (unspecified if ongoing); "cholesterol" (unspecified if ongoing), notes: her cholesterol medication they have her on. The patient took concomitant medications. Past drug history included: Benadryl, reaction(s): "allergic to Benadryl". Vaccination history included: Comirnaty (Lot: EL3247, Anatomical Location: right arm), administration date: 09Jan2021, when the patient was 69-year-old, for COVID-19 immunization, reaction(s): "had awful chills", "flu like headache", "flu like headache". The following information was reported: CHILLS (non-serious) with onset 09Feb2021, outcome "recovered", described as "Had chills again"; LIP SWELLING (non-serious) with onset 10Feb2021, outcome "recovered", described as "Swollen lips"; PARAESTHESIA (non-serious) with onset 10Feb2021, outcome "recovered", described as "Tingling sensation"; FACE OEDEMA (non-serious) with onset 10Feb2021, outcome "recovered", described as "mouth still puffy"; INFLUENZA LIKE ILLNESS (non-serious) with onset Feb2021, outcome "recovered", described as "Flu like symptoms"; ATRIAL FIBRILLATION (medically significant) with onset Feb2021, outcome "recovered", described as "heart A fib"; PALPITATIONS (non-serious) with onset Feb2021, outcome "recovered", described as "her heart starts palpitating"; BLOOD PRESSURE SYSTOLIC INCREASED (non-serious) with onset Feb2021, outcome "recovered", described as "pressure was 151 over something". The events "heart a fib", "swollen lips", "tingling sensation", "flu like symptoms", "her heart starts palpitating", "had chills again", "mouth still puffy" and "pressure was 151 over something" required physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: Blood pressure measurement: 151, notes: her pressure was 151 over something; Neurological examination: unknown results. Therapeutic measures were taken as a result of atrial fibrillation. Clinical course: The patient had a reaction to the second vaccine in Feb2021. Mentioned swollen lips and tingling sensation and also that she had flu symptoms for 3 days. She had to switch to Moderna vaccines for the boosters because of this. Calling to make sure she can take Paxlovid because of previous reactions with vaccines. States that Moderna was less invasive and less problematic. She is sensitive to drugs. Has had Covid twice. Beginning of January she was very sick. Had the 2 main vaccines of Pfizer and like 4 boosters of Moderna, the last on 23May2023. She went away for 8 days and felt bad Sunday. Yesterday found out she has Covid again. Doesn't get this. Wears double mask in the city and was the only one in the place. Also has heart A fib problem. She talked to her cardiologist when medication came in they told her to take half of the Eliquis prescribed and her cholesterol medication they have her on. The patient also reported that after receiving Pfizer Covid vaccine #2 on 09Feb2021, she had chills again but next day woke up with swollen lips and tingling sensation, she ignored it thought dry lips didn't think related to vaccine. By 3:30 felt uncomfortable still, mouth still puffy. She called insurance and told her within hour of time together you need to be seen by someone. She asked why? Was told she needs medication. Was seen in urgent care and her pressure was 151 over something and they did neurological and didn't know what to do. She is allergic to Benadryl, her heart starts palpitating. PA said may have had allergic reaction to Pfizer. She didn't think that. Was told if her throat begins to close up go to ER. She didn't have to do that, she was fine. Knew there were future boosters and talked about Moderna. Much better. Had some flu like headache for 4 days but survived it.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202300250650 same patient, different vaccine dose/AE;US-PFIZER INC-202300250670 same patient, different vaccine dose/AE;