Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Throat tightness, Tracheitis
Clinical narrative: Made him hyperallergic to things that he was a little allergic to; Tracheitis; Throat tightening with difficulty breathing; Throat tightening with difficulty breathing; Swelling in the neck area; Fatigue; Dry cough; This is a spontaneous report from a contactable consumer (patient himself). A 40-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: Unknown, Expiration date: Unknown), via an unspecified route of administration in Left arm on 16Apr2021 at 12:50 as dose 1, single (at the age of 40-years-old) for COVID-19 immunization. The patient did not receive any other vaccine within 4 weeks prior to the COVID-19 vaccine. The patient had no history of all previous immunization with the Pfizer vaccine considered as suspect. The vaccine was administered in College. The patient's medical history included ongoing asthma diagnosed 30 years ago and Shelfish allergy from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. On 16Apr2021, the patient experienced swelling in the neck area, fatigue, dry cough and throat tightening with difficulty breathing. On 19Apr2021, the patient experienced tracheitis. The patient made him hyperallergic to things that he was a little allergic to on an unspecified date. It was reported that he had an adverse reaction on the first shot 3 weeks ago. He states that after the first shot he got swelling in the neck area initially then difficulty breathing began hours after the injection. He stated that maybe 3, 4 or 5 hours after the vaccine but was not sure of the exact number of hours. He stated that he had been to Physician office visit. He stated steam in the shower or vocalization and that those start inflammation of his throat again. Reporter stated that his doctor diagnosed him with tracheitis. He stated that he took the vaccine on Friday at 12:50 pm and saw the doctor on Monday at 10:15 am where he was diagnosed with acute tracheitis. He stated that he had been to an allergist and an ENT doctor a few days ago. He said that he had a flare up yesterday and has progressively gotten less severe and triggered less inflammation in throat and difficulty breathing. Reporter stated he had been coughing to get throat open. Reporter stated that he has not been cognizant of it since that time. He states that he doesn't mean that the swelling hadn't happened, but he was more focused on the inside the throat. He said that a half an hour to an hour later his throat started to tighten. He stated that he got triggered by certain stimuli, steam and vocalization, and rubbing the area. He stated he could reproduce the issue if he rubbed the area. He stated that the frequency had decreased, and in that case, it had improved. He stated that when it does occur it felt pretty similar to the initial time. He had fatigue first then probably a half an hour to an hour later the swelling started. He believed the fatigue had gone away, but not 100 percent sure. He stated that there were times he had felt fatigue and was not 100 percent of the cause. He stated that if he did felt fatigue, he assumed it because of the tracheitis. He stated that the coughing is parallel with the throat tightening. When he wanted to open his airway or pass way the coughing seems to occur. He stated he got relief or a more open passage way and the coughing reflex or coughing bouts are less. When he got the tightness of the throat or the inflammation, he sort of goes into coughing. It was reported that the symptoms lasted 25 days after the shot and made him hyperallergic to things that he was a little allergic to and he is getting throat tightening with those things. The outcome of the events swelling in the neck area, dry cough, tracheitis and throat tightening with difficulty breathing was not recovered. The outcome of the event fatigue and made him hyperallergic to things that he was a little allergic to was unknown.   No follow-up attempts are needed; information about lot/batch number cannot be obtained.