Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haematemesis, Oral pain, Plicated tongue
Clinical narrative: deep fissures in her tongue; sensitivity in her tongue; sensitive pallet; spitting blood; This is a spontaneous report from a contactable consumer. A 73-year-old female patient received first dose of BNT162b2 (COMIRNATY, Lot number: unknown), via unknown route of administration, administered at arm left on 31Jan2021 (at the age of 73 years old) as unknown, single for COVID-19 immunisation. The patient medical history included She gets rashes from medications. She doesn't take the medications anymore. Keflex gave her oral thrush. Biaxin gave her a rash. With Sulfa she might of had muscle aches. Morphine made her nauseated. She won't take it again. She doesn't have NDC, lot, and expiry to provide for Keflex, Biaxin, Sulfa, or Morphine. The patient concomitant medications included Nexium, Gabapentin, and Premarin for years. She has not started anything new. The patient did not receive any other vaccines within four weeks prior to the vaccination. AE(s) following prior vaccinations: She go the Shingrix injection a couple of years ago. With the first one she had a sore arm. After the second one she got nauseated, chills, muscle pains. It was a lot of the things that they said could happen. She didn't think she was sick with something else. The next day she started to feel better. She just felt unwell the day after. She doesn't have NDC, lot, and expiry to provide for Shingrix. It was given in the drug store. On 03Feb2021 at 18:00 the patient experienced spitting blood. On unknown date the patient experienced, deep fissures in her tongue, sensitivity in her tongue, sensitive pallet. Additional Context: This is her second call. After waiting an hour on her first call it disconnected her. She has waited an hour again to speak to someone. The reason she is calling is because she was encouraged by her doctor to call. She was planning to call before she saw her doctor. Reporting an unusual side effect that might be related to the vaccine. Caller saw her doctor on Friday, and she said it could be related. She got the Pfizer vaccine and is getting the second one on 21Feb2021. They didn't get her the vaccine card yet. She just knows it was Pfizer BioNTech COVID vaccine. She doesn't have lot, NDC, and expiry. She lives in a retirement community and is getting the card after the second dose. The unusual side effects she experienced are deep fissures in her tongue, sensitivity in her tongue, and sensitive pallet. She had a reddish sensitive pallet. She was spitting blood for 4 hours before she realized she had fissures in the tongue. She couldn't contribute it to anything except she had the vaccination. She noticed it 3 nights after the vaccine. The fissures could have been developing, but she didn't examine it until it started bleeding. Her tongue is examined frequently during the year by her dentist and her doctor. She got the vaccine on 31Jan2021. The symptoms could have started between 31Jan2021 and when she noticed the bleeding on Wednesday, 03Feb2021. It was before six or so when she got the injection, and she was spitting blood about 6PM on 03Feb2021. The bleeding lasted for 4 hours and she was about to go to ER, but the bleeding stopped. She hasn't bled again. The fissures are not cleared. The entire tongue had groves they were deep. There are still fissures there. Her pallet is still sensitive, but it is not bleeding. It is red and the doctor said to use a Q-tip to apply hydrogen peroxide. That was all she suggested. Some days the fissures seem more irritated. Her dentist looks at her tongue closely twice a year. She saw the dentist in December and saw her primary care doctor in January. Indication: because she is a senior. She lives in independent living, but she is in a retirement community that has a nursing home and assisted living. It is a senior community and (Pharmacy name) came and administered. Investigations: she had labs scheduled from her wellness visit. Nothing new ordered for this. Her doctor checked her blood and didn't see anything in her blood. All labs were good. She would say her tongue was slightly swollen. It wasn't preventing her from breathing, but the swelling was from the fissures. The patient visited physician office on 12Feb2021.The The patient underwent lab tests and procedures which included blood tests on unknown date. The outcome of the events spitting blood was recovered on unknown date while deep fissures in her tongue, sensitivity in her tongue, sensitive pallet was unknown.  Information about lot and batch number was requested.  Follow-up (11May2021): Follow-up attempts completed. No further information expected.