Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: Thursday, June 24, 2021 1:30 p.m. - I was given the shot of Pfizer, Dose 1. 1:35 p.m. approx. - Surge of dizziness. I had to wait about an hour before I could walk out. 3 p.m. - Face swelling, eyelid swelling, flushing hot/burning. 4 p.m. - Tongue swelling, throat starting to swell. I called Dr.'s office. His nurse told me to take Benadryl, and if that didn't stop the allergic reaction, I should call 911. I took Benadryl, one tab, 25mg. The Benadryl caused the reactions to subside a little, but still present. As soon as the Benadryl wore off, I had to take another pill. 9:15 p.m. - Benadryl Thursday, June 24, 2021 (continued): Throughout what follows below, I waited until I felt my face started swelling/puffin/hot before I took a Benadryl. As soon as my face felt like it was swelling, I took Benadryl, and 15 minutes after taking Benadryl, my face swelling and tongue swelling subsided but did not go away completely. No fever, except where noted.  Friday, June 25, 2021: Face swelling and tongue swelling all day, Took Benadryl at 3 p.m. and 10 p.m.  Saturday, June 26, 2021 Face swelling and tongue swelling all day. Took Benadryl at 2 p.m. and 8 p.m.  Sunday, June 27, 2021 Face swelling and tongue swelling all day. Took Benadryl at 1:20 p.m. and 8:15 p.m.  Monday, June 28, 2021 10 a.m. Severe dizziness worse, like I was going to faint, nausea, lower GI intestinal cramping, felt like my BP was dropping, face swelling, tongue swelling. Too dizzy to stand in shower. Took Benadryl 1:45 p.m. and 7:30 p.m.  Tuesday, June 29, 2021 10 a.m. Still dizzy, too dizzy to stand up in shower. Face swelling and tongue swelling. Took Benadryl and 12:30 p.m. and 7:05 p.m.  Wednesday, June 30, 2021 Face and tongue swelling. Throat swelling, again. Took Benadryl at 12:30 p.m. and 7:45 p.m. After taking Benadryl, the swelling subsided slightly.  Thursday, July 1, 2021 9:30 a.m. Face, tongue, throat swelling, felt like nasal passages closing up. I took Tylenol at 9:30 a.m. I called Dr.'s office to report my continued allergic reactions. I was asked to come in for an appointment the next day. Dr.'s nurse said to me on the phone, "No Dose #2." I took Benadryl at 11:30 a.m. and 6:30 p.m.  Friday, July 2, 2021 Feeling face swelling, tongue swelling, dizziness, nasal congestion, all above reactions worse. Not sleeping. I took Tylenol at 1 a.m. I took Benadryl at 11 a.m. My appointment with Dr.'s office was with CRNP. She affirmed my tongue swelling. She prescribed methylprednisolone 4 mg DOS and said that would be stronger than Benadryl to knock out the reactions. I took Benadryl at 7:40 p.m. After reading the "Information About" list on the steroid package, I decided not to take the methylprednisolone because 1) I already have bleeding issues; 2) I know Benadryl is working to some small degree in keeping the allergic reactions down; 3) I never know how my body will react to a new drug; 4) the information list states "Use of some vaccines with this drug may either raise the chance of infection or make the vaccine not work as well." 5) Given my history, there are just too many warnings, especially for people over 65, that made me really upset about even trying the steroid. I did not take it.  Saturday, July 3, 2021 Face swelling, tongue swelling, throat swelling I took Benadryl at 11:40 a.m. and 5:40 p.m. I took Tylenol at 10:40 p.m.  Sunday, July 4, 2021 Face swelling, tongue swelling, throat swelling I took Tylenol at 12 noon. I took Benadryl at 1:20 p.m. and 8:40 p.m.  Monday, July 5, 2021 Face swelling I took Tylenol at 9:15 a.m. I took Benadryl at 10:45 a.m. and 8:10 p.m.  Tuesday, July 6, 2021 Dizziness, face swelling, eyelids swelling, chest tightness I took Tylenol 9:30 a.m. I took Benadryl 11 a.m. and 9 p.m. I took Tylenol 10:45 p,m,  Wednesday, July 7, 2021 At 4 a.m., I was awakened by pain in my upper left arm, the site of the injection, which I had not had prior to this time. I took Tylenol at 10:30 a.m. I took Benadryl at 2:40 p.m. and 9 p.m.  Thursday, July 8, 2021 Face swelling. I took Tylenol at 10 a.m. I took Benadryl at 12:15 p.m. and 8 p.m. I took Tylenol at 11 p.m.  Friday, July 9, 2021 Face swelling, chest tightness. I took Tylenol at 9 a.m. I took Benadryl at 12:15 p.m. and 9:05 p.m.  Saturday, July 10, 2021 Face swelling. I took Benadryl at 12:45 p.m. I took Tylenol at 7:45 a.m. I took Benadryl at 9:50 p.m.  July 11, 2021 Face swelling, chest tightness I took Tylenol at 6:40 a.m. I took Benadryl at 5:40 p.m. and 10:40 p.m.  Monday, July 12, 2021 Face swelling, dizziness I took Tylenol at 9:30 a.m. I took Benadryl at 11:45 a.m. and 6 p.m.  Tuesday, July 13, 2021 I woke up at 4:15 a.m. with severe pressure around my eyes, bad headache, feeling hot surge all over. I took a Tylenol at 4:15 a.m. I took Benadryl at 3 p.m. and 9 p.m.  Wednesday, July 14, 2021 Feeling chest tightness, face swelling, left lymph node feels swollen by left ear, hot surge all over. My temp. up 2 degrees from my normal. Mo normal is 97.6. Temp. was up to 99. I took Tylenol 12:49 p.m. I took Benadryl 3:30 p.m. and 9:45 p.m.  Thursday, July 15, 2021 Face swelling. I took a Tylenol at 8 a.m. I took Benadryl at 11:50 a.m. I took Tylenol at 4 p.m. I took Benadryl at 7:15 p.m.  Friday, July 16, 2021 Face and tongue swelling. I took Benadryl at 10:30 a.m. I took Tylenol at 11:40 a.m. and 4 p.m. I took Benadryl at 6:20 p.m.  Saturday, July 17, 2021 Face swelling, chest tightness, shortness of breath, nauseous I debated awhile trying to decide if I should call 911 or not. After taking Tylenol and Benadryl, I felt better. I did not call 911. I took Tylenol at 9:30 a.m. I took Benadryl at 11:30 a.m. I took Tylenol at 5:05 p.m. I took Benadryl at 6:15 p.m. I took Tylenol at 11:24 p.m.  Sunday, July 18, 2021 Face swelling, chest tightness, shortness of breath, muscle and joint achiness I debated again if I should call 911 or not. After taking Tylenol and Benadryl, I felt better, and I did not call 911. I took Tylenol at 8:30 a.m. I took Benadryl at 11:30 a.m., 4 p.m., and 9:50 p.m. I took Tylenol at 11:20 p.m.  Monday, July 19, 2021 Face swelling/flushing hot. I took Benadryl at 10 a.m. I took Tylenol at 11:40 a.m. I took Benadryl at 8:30 p.m. I took Tylenol at 9:15 p.m.  Tuesday, July 20, 2021 Face swelling I took Benadryl at 11:30 a.m. I took Tylenol at 1 p.m. I took Benadryl at 4:30 p.m. I took Tylenol at 10:30 p.m.  Wednesday, July 21, 2021 Face swelling, chest tightness, nauseous I took Benadryl at 10:50 a.m. I took Tylenol at 1 p.m. I took Benadryl at 3:40 p.m. I took Tylenol at 6:20 p.m.  Thursday, July 22, 2021 Face swelling, irregular heartbeat. I took Benadryl at 11 a.m. I took Tylenol at 2 p.m. I took Benadryl at 6:15 p.m.  Friday, July 23. 2021 Face flushing hot I took Tylenol at 9:30 a.m. I took Benadryl at 11 a.m. and 5:30 p.m. I took Tylenol at 11:20 p.m.  Saturday, July 24, 2021 From this date to August 9, 2021, I continued Tylenol and Benadryl, which helped the face swelling subside but not disappear completely. I generally took each 2x a day, as needed, whenever my face started swelling up. The face swelling started feeling less intense.  Monday, August 9, 2021 I had a 1 p.m. "wellness" appointment with Dr. I told him I was still feeling face puffiness from the vaccine, and that the Tylenol and Benadryl helped tamp down the reactions. I told him it felt like the reactions were not as intense as they were previously. I told him I did not take the methylprednisolone because of the reasons I listed above, and because of my history of allergic reactions to so many meds. I asked him if it was okay to stay on Tylenol and Benadryl. He said, "Yes." I also had blood work done, not related to my allergic reactions to the vaccine.  I continued to take Benadryl and Tylenol until August 15th. After taking Benadryl on August 15th at 6:30 p.m. (my second Benadryl of the day), I noticed that 15 minutes after taking it, I started having rapid heartbeat. It also felt like my BP was dropping. I realized that could be a side effect of taking Benadryl for a long period of time. So, I tapered it down, and took my last Benadryl on August 18, 2021.  Since August 18, 2021, I have continued to stay in 1-2 Tylenol a day. The face flushing has subsided considerably. The tongue swelling stopped.  As of today, September 30, 2021, I feel like I'm still getting occasional face flushing/hot when exercising or overheated, but otherwise, I feel almost like I did before the vaccine.