Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site swelling, Lymphadenopathy, Nausea, Pain, Pyrexia
Clinical narrative: chills; fever; Headache; nausea; I also felt achy all over; I also felt achy all over, and myarm that received the injection swelledand turned red.; lymph node; I also felt achy all over, and myarm that received the injection swelledand turned red.; I still have sometenderness in the arm and underarmarea as of today; I still have sometenderness in the arm and underarmarea as of today; This is a spontaneous report from a contactable consumer, the patient. A 44-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EP7534) via an unspecified route of administration in the left arm on 17Mar2021 at 10:00 (at the age of 44-years-old) as a single dose for COVID-19 immunisation. Medical history included chronic migraine, Hashimoto's and obesity. The patient did not have allergies to medications, food, or other products. Concomitant medication included erenumab (AIMOVIG), topiramate (MANUFACTURER UNKNOWN), levonorgestrel (LILETTA) for an unknown indication and from an unknown date. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6198) via an unspecified route of administration in the left arm on 24Feb2021 at 10:15 (at the age of 44-years-old) as a single dose for COVID-19 immunisation. The patient did not receive any other vaccine within four weeks prior to the vaccination. On 18Mar2021, the patient experienced chills, fever, headache, nausea, ache, swelling arm, swollen lymph nodes, erythema, pain in arm, and armpit pain. It was reported that on the same day at 12 am (the following day of the second dose), the patient was awoken with chills and elevated temperature. She could not rest the remainder of the morning, but was able to sleep later that day, for most of it. The chills subsided the same day, but she continued to have a fever, and headache and nausea. The fever, headache and nausea continued all day. The patient also felt achy all over, and her arm that received the vaccination swelled and turned red. She had swelling in the area to her underarm/lymph node. The second day was markedly improved, as she no longer had the headache or nausea, but was still achy and feverish. Her arm was still swollen and red as well. By the end of the second day, the only lingering issues were her arm and underarm. She still had some tenderness in the arm and underarm area till the time of reporting, but the redness and major swelling dissipated by the sixth day after the vaccination (22Mar2021). The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The patient did not receive treatment for the reported events. The clinical outcomes of the events chills, fever, headache, nausea, ache, and swelling arm were recovered on 18Mar2021; while that of the events swollen lymph nodes, and erythema were recovered on 22Mar2021. The clinical outcomes of the events pain in arm, and armpit pain were not recovered till the time of this report.  No follow-up attempts are needed. No further information is expected.