Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Oral mucosal blistering, Oral pruritus, Pain in extremity, Pyrexia, Tremor
Clinical narrative: gums are sore and hurt; can hardly eat anything or hard foods; arm was sore; roof of his mouth and his gums hurt and had a burning sensation; got massive blisters all over his mouth inside and out, it was red and irritated bubbles on the roof of his mouth and blisters on his top and bottom lip.; mouth started itching and weirdness; fever 103-104; woke up shaking really bad; felt hot; This is a spontaneous report from a contactable consumer. This consumer reported  that the 51-year-old male patient received first dose of bnt162b2 (BNT162B2, Pfizer Covid Vaccine, quantity 0.3 and RX7546, NDC number of Covid Vaccine: 59267-1000-01), via an unspecified route of administration, administered in Arm Right on 09Apr2021 15:30 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. Medical history included dry age-related macular degeneration from an unknown date and unknown if ongoing, he had appendicitis as a kid and has never smoked and doesn't drink and he goes to the gym and he put on weight after his carpal tunnel surgery. States he body builds all his life and after the surgery he went 3-4 years and stopped working out. States he gained 70-80 pounds and he is back at the gym getting in better shape as he had gotten thicker. The patient's concomitant medications were not reported. The patient experienced arm was sore on an unspecified date with outcome of unknown, fever 103-104 on 10Apr2021 with outcome of recovered on 11Apr2021, got massive blisters all over his mouth inside and out, it was red and irritated bubbles on the roof of his mouth and blisters on his top and bottom lip on 11Apr2021 with outcome of unknown, gums are sore and hurt on an unspecified date with outcome of unknown, can hardly eat anything or hard foods on an unspecified date with outcome of unknown, woke up shaking really bad on 10Apr2021 with outcome of unknown, felt hot on 10Apr2021 with outcome of unknown , mouth started itching and weirdness on 11Apr2021 with outcome of unknown, roof of his mouth and his gums hurt and had a burning sensation on an unspecified date with outcome of unknown.   The clinical course was reported as follows: Caller states he has a question, he had the shot on 9Apr2021 and didn't have problems, his arm was sore and that was a little worse Saturday and Sunday. States Friday into Saturday he got a fever 103-104 all day and it broke Sunday afternoon. States then he got massive blisters all over his mouth inside and out, it was red and irritated bubbles on the roof of his mouth and blisters on his top and bottom lip. States his gums are sore and hurt and he can hardly eat anything or hard foods. Caller is asking is this something normal that happens. Caller provides that he has gotten blisters with high fevers before but nothing like this before. Caller states he is scheduled for the 2nd dose 7May2021 and is wondering if he should take the 2nd part and if he will get a high fever. Caller relays he is prone to fevers since he was a kid. States at 4am into Saturday morning he woke up shaking really bad, his girlfriend took his temperature in his ear and said he had no fever it was 99 but he was shaking. States about an hour later he felt hot and had a fever 103-104, the highest was 104. States he was taking Extra Strength Tylenol and switched off with Ibuprofen until Sunday. States he took Ibuprofen last at 10pm Saturday into Sunday and the fever didn't come back Sunday. States his mouth started itching and weirdness and he figured he would get a blister, didn't get 1 it was the side, top lip, half the bottom lip, inside his mouth, around the edge of his mustache, and was feeling raw on top of his mouth and his gums started to hurt on 11Apr2021. States this is bad, he didn't get blisters really before and now it's a bunch everywhere and he doesn't know if it's from the 104 fever or if it is a combination of the vaccine and the fever he doesn't know. Caller relays that his doctor gave him cream for the inside of his mouth and has stuff for the outside of his mouth, states by Monday it was all over. States he got the cream yesterday, 14Arp2021 for inside his mouth. Provides that it is Triamcinolone 0.1% instructions say don't rub in, take cotton and slowly tap inside mouth where bubbles are. Caller states it creates a paste and doesn't hurt as bad to put something inside his mouth. Caller relays he also got Abreva for the blisters on the outside of his mouth. Caller relays they are getting better and are drying up and falling off. States when he brushes his teeth his says oh my God because the inside is sore so he brushes slow and rinses slow. States the Abreva works really well and the blisters are falling off slowly and he has raw spots on his lips that need to seal up because the skin comes off with the blisters and it's a little raw and he has to be careful with things like citrus. States he had a turkey wrap he had to throw out he couldn't eat it and had tried and his mouth was killing him, the roof of his mouth and his gums hurt and had a burning sensation. Caller relays that the outside of his mouth is getting better faster than the inside because that stays wet and is taking a little longer. Caller states he had coronavirus last Sep2020 and had a fever for 3 weeks straight and got maybe 1-2 blisters, not like now. States he had it for a month and a half. Caller states to prevent from catching it again, it was horrible and he has heard if it comes back it can be worse and kill you. States he had a heavy cough and lost 22 pound when he had it. Caller states he had appendicitis as a kid and has never smoked and doesn't drink and he goes to the gym and he put on weight after his carpal tunnel surgery. States he body builds all his life and after the surgery he went 3-4 years and stopped working out. States he gained 70-80 pounds and he is back at the gym getting in better shape as he had gotten thicker. Caller states he didn't see his healthcare provider, he was able to call in and explain what was happening and she prescribed the medication and how to apply it. History of all previous immunization with the Pfizer vaccine considered as suspect: 1st dose. No additional Vaccines Administered on Same Date of the Pfizer Suspect. No AE(s) require a visit to Emergency Room or  Physician Office. Prior Vaccinations (within 4 weeks was none. AE(s) following prior vaccinations was none. Relevant Tests was none. Caller states he wants the other dose and he may be feeling better when it comes time but he is scared about taking it and maybe he should take half of it.    No follow-up attempts are needed; information about lot/batch number cannot be obtained.