Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy to vaccine, Laboratory test, Periorbital swelling
Clinical narrative: puffiness in her eye/eyes puff/both eyes had puffed up/One eye is still puffed up like a balloon/Severe puffiness in the eyes; her eyes puff when she has exposure to other allergens like pollen/allergic reactions; This is a spontaneous report received from a Consumer or other non HCP from medical information team.  A 79-year-old female patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 04Nov2024 at 15:00 as dose 1, single (Batch/Lot number: unknown) at the age of 79 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "surg operation" (unspecified if ongoing), notes: it is surg operation that I had that is it; "eyes puff when she has exposure to other allergens like pollen" (unspecified if ongoing); "allergic reaction" (unspecified if ongoing), notes: from another unspecified Pfizer medicine. The patient's concomitant medications were not reported. Vaccination history included: moderna COVID-19 vaccine (DOSE 6), administration date: 29Sep2023, when the patient was 78-year-old, for COVID-19 immunization; BNT162b2;BNT162b2 omi ba.4-5 (DOSE 5), administration date: 30Jul2023, when the patient was 78-year-old, for COVID-19 immunization; moderna COVID-19 vaccine (DOSE 4; unknown lot, expiry: 30Jul2023), administration date: 28Sep2022, when the patient was 77-year-old, for COVID-19 immunization; Moderna covid-19 vaccine (DOSE 3), for COVID-19 immunization; Moderna covid-19 vaccine (DOSE 2), for COVID-19 immunization; Moderna covid-19 vaccine (DOSE 1), for COVID-19 immunization. The following information was reported: ALLERGY TO VACCINE (medically significant) with onset 05Nov2024, outcome "not recovered", described as "her eyes puff when she has exposure to other allergens like pollen/allergic reactions"; PERIORBITAL SWELLING (medically significant) with onset 05Nov2024, outcome "not recovered", described as "puffiness in her eye/eyes puff/both eyes had puffed up/One eye is still puffed up like a balloon/Severe puffiness in the eyes". The patient underwent the following laboratory tests and procedures: Lab test: (2024) Unknown results, notes: prior to surgery, that were a couple of months before. Therapeutic measures were taken as a result of periorbital swelling, allergy to vaccine.  Clinical course: The patient was calling about the Pfizer Covid Vaccine booster shot that she took on 04Nov2024 and that was her 7th booster shot. She started with the Moderna Covid vaccines and had all Moderna vaccines. This most recent was the Pfizer Covid vaccine. Yesterday evening she had some puffiness in her eyes, and she wanted to know if that is caused by the Pfizer Covid vaccine. There was nothing else she did that could have caused this. Her eyes puff when she has exposure to other allergens like pollen. She has been in the house the whole time from when the vaccine occurred to when the symptoms appeared. She did nothing else that would have caused this. It was not immediately after the vaccine; it was 30 hours later (her vaccine was 3pm and the reaction was around 9:30-10pm the following day). Within 10 minutes of noticing her eyes, both eyes had puffed up. One eye is still puffed up like a balloon. She took an antihistamine which helped a tiny bit yesterday, but she took another one this morning and the second one did not do much. One of the two eyes is still puffy to about 80% of what it was, and the other one is only 10% still puffy. She also took Benadryl the other day. She stated she took another Pfizer medicine ages ago that caused her an allergic reaction in her throat that was severe, and she couldn't breath and a week later she started the medication and she went on it for a long time. She cannot remember the name of the medication; it was so long ago. The patient looked at the website and checked them online for all the side effects and the severe allergic reactions and do not see eye puffiness at all. The patient wanted to know if puffy eyes had been reported. Patient see conjunctivitis for the eyes that is redness as well, and do not have redness in her eyes. It is just severe allergic reaction to something. The patient is trying to figure out if it is caused whether by the vaccine and should avoid it next time. The patient did not report it to any doctor because it is an eye puffiness so, she thought anti histamines may help. It probably did help.   The information on the batch/lot number for BNT162b2 omicron (kp.2) will be requested and submitted if and when received.