Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Malaise, Peripheral swelling, Piloerection, Respiratory tract congestion
Clinical narrative: heart rate rapid; vision blurry; threw up; congestion in upper chest; She has not been feeling too good; could hardly talk; coughed a little; her feet swelled up; Her arm was killing her when she got up that Thursday morning after. She couldn't lift it right after; the left and right sides of her tongue started swelling and eventually the entire tongue; bitter taste in mouth; dizziness; goosebumps in  her armpits; sweating; Fuzzy; Headache; arm pits sweating; lip swelling and they blew up; This is a spontaneous report from a contactable consumer (patient). A 59-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot number: FC3181, Expiration date: not reported) via an unspecified route of administration in left arm on 18Aug2021 as dose 1, single for COVID-19 immunization. The patient medical history included allergic to opioids from 2003, surgery on 08apr2021, goiter, allergic to rice, bees, itching, prickly rash. The patient previously took Ambien and Gabapentin and had an allergy to Ibuprofen and Tylenol. Concomitant medications included Synthroid, Cytomel taken for goiter, Omeprazole taken for acid, Zoloft taken for muscle twitches, Lorazepam taken when she can't sleep, Metronidazole gel taken as allergic to face masks. Prior Vaccinations (within 4 weeks) was none. Family Medical History Relevant to AE(s) was none. When She had her appendix out they had stapled her and she had adhesions. They did a metal test, a Milza test. She tried to get those records. The test showed Molivern and nickel. She can't remember what else. She had a food allergy test and is allergic to rice. She had a cough for over a year that nothing would clear up. Her PCP, (Name withheld) said to get an allergy test. She is also allergic to insulation and bees. With the insulation, she got a prickly rash and she does not mess with insulation anymore. On 18Aug2021, patient experienced Swelling of tongue, Taste bitter, Dizziness, Goose bumps, Sweating, Fuzzy, Headache, Sweating increased armpits, Lip swelling, Heart rate high, Blurry vision, Vomiting, Respiratory tract congestion, Feeling unwell, Speech disorder, Cough, Swelling of feet, Arm discomfort. Patient stated she had a reaction within the first 5 to 6 minutes, with the sides of her tongue swelling and a bitter taste and dizziness. It was at (Pharmacy name withheld). They told her to have a seat because she had allergies. 30 minutes later, she got goosebumps on her arm and her arm pits started sweating so bad that she had to go wash her hands. She was told by (Pharmacy name withheld), to start Benadryl 4 times a day, which she has done. If she misses anything she still gets swelling in her tongue and her lips are swelling and her veins blew up. She went urgent care in (town name withheld), (state name withheld) for a Covid test because her throat was red. She had a test for Covid which was negative and they went ahead and prescribed her with steroids. They were having a shortage of steroids but she did have it filled which was the right thing to do. She needed to take them. She had 6 of those, the pills, then starting with 5 pills today at 2PM and titrating down. She is still taking the Benadryl and her vision is blurry. She does not take a lot of medication. She has not been feeling too good and could hardly talk. She had some congestion in her upper chest. Only coughed a little. It seems like the steroid is clearing everything, along with the Benadryl. She got allergies and had been prescribed an Epi pen. She had it with her, it was new to her and she has never used it. Besides her tongue being swollen, and the bitter feeling, that is when the swelling continues to come back. She then threw up after she ate. Then, after that, Wednesday, 18Aug2021, her lip started swelling and the veins in her hands and feet were puffy and swollen. That night, when she was trying to sleep, her feet swelled up and her arm pits were sweaty. The sides of her tongue swelling and the bittery taste and the dizziness. Then, the goosebumps on her arms started sweating and she had to wipe her hands. She would say after 45 minutes, her body adjusted and she stopped sweating. The goosebumps went away but her tongue never stopped swelling up. It swelled up to the tip of her tongue and the bottom lip swelled up, she is waiting for it to peel and the upper lip was swollen as well. She has an allergy to Ibuprofen and Tylenol. It makes her lips swell. If she misses Benadryl, the sides of her tongue swell. Her arm was killing her when she got up that Thursday morning after. She couldn't lift it right after. She knows the first day, people that use inhalers and have trouble breathing, mentioned drinking black coffee. She started drinking coffee, which made the pain in the arm go away. It helped her tongue, but she couldn't continued with the caffeine. Aside from the Benadryl and steroids, she is on medications she takes daily. She takes Synthroid, Cytomel, Omeprazole, and Zoloft for muscle twitches. Her heart racing before and it started pretty much right away. She though it was nervousness. The heart racing occurred with the initial reaction. It wasn't really racing but, she could feel it getting more rapid. She figured it was because she was getting nervous about doing it. She had been quarantined for over a year. The Benadryl and steroids from (pharmacy name withheld) where she got the vaccination. She checked with the pharmacist each time something happened. She stuck out her tongue and went back each time before leaving. She showed them her arm with the goosebumps and that her arm pits were sweaty. She did get a headache. She felt 40 percent better after starting the Benadryl. Her headache, tongue and throat and neck glands started hurting around 4:45pm. She took 2 tablets of the Benadryl. The reactions first with the side of the tongue swelling was the vaccination, while at (pharmacy name withheld). She got something to eat and threw it up. She tried to sleep, when she realized her feet were swelling and she woke up. She started the steroids yesterday, the Prednisone, 10mg. She just took 6 pills yesterday. She will take 5 pills today but, she hasn't taken them yet. She takes it at 2pm. She will be titrating them down every day as directed, from 6 to 5, to 4 to 3 to 2 to 1. When queried start date of omeprazole She responds stating that she was taking another one and she just had an endoscopy. She does not remember the name of the other one. She had a colonoscopy and had like 20 biopsies. It was pre-cancerous. They just switched her in May2021. She does not have the bottle anymore so she does not know what she was on. It was a small square, white tablet. She took it for the same thing. They tried her on Ambien and she had seen a counselor for stress and differences in her marriage. The Ambien knocked her down and she can't take Gabapentin either she is just sensitive. She took one Gabapentin after a hand surgery. The tongue sides started swelling at 2:05pm and she got that dizzy, fuzzy feeling. The fuzzy and dizzy, she does not know if she got used to it but, it seemed like it went away during the day, that same day. She actually drove to get chicken parm. She felt like it was safe. Prior to the test, her throat was a little irritating. The outcome of event swelling of tongue, taste bitter, dizziness, goose bumps, sweating, fuzzy, headache, sweating increased armpits, lip swelling, heart rate high, blurry vision, vomiting, respiratory tract congestion, feeling unwell, speech disorder, cough, swelling of feet, arm discomfort was unknown.