Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Ear pain, Ear swelling, Erythema, Pain in extremity, Paraesthesia
Clinical narrative: Right arm achy/a little achy/only his arm was achy/arm only hurt when he was lying on it; Right ear ache and bumps around ear lobe/ear started hurting/earache/behind his ear started hurting. Going online and believes irritation could be from the masks worn for COVID-19.; Back of his ear was red and swollen/around left ear lobe it is bump and red; Back of his ear was red and swollen/around left ear lobe it is bump and red; Back of his ear was red and swollen/around left ear lobe it is bump and red; Tingling to his ear; lesions are at the top of his ear near his hairline; This is a spontaneous report received from a contactable consumer (patient). An 82-year-old male patient received the first shot of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL1283, expiry date: unknown), via an unspecified route of administration on the right arm, on 25Jan2021 11:10, at single dose, for COVID-19 immunization/Want to live, at the hospital. Medical history included being allergic to cats; had triple bypass and valve, had allergies his whole life and had shrunk. Concomitant medications included unspecified allergy pills which the patient takes all year round. The patient previously took amoxicillin and reported that he was immune to it and it did not work; reported that he has taken azithromycin before when he goes to the dentist he has to take azithromycin. On 25Jan2021, the patient took his first COVID-19 vaccine shot. On the same day, the patient was a little achy. He took Tylenol every 5 hours afterwards and iced it and then had had no problem. He woke up the next morning (26Jan2021) perfectly fine. The patient clarified that only his arm was achy, his right arm was achy, and it only hurt when he was lying on it. But then on Wednesday night or Thursday morning (Jan2021), the patient had tingling to his ear and the back of his ear was red and swollen. He reported that "behind his ear started hurting". He also had right earache and bumps around ear lobe. He reported he had little bumps or lesions which were at the top of his ear near his hairline. The patient went to his pharmacist to get their opinion and was given Aquaphor ointment for pain relief, but he reported that it made the area behind his ear worse, so he went back to using the antibiotic ointment and stated that "the cold pack helped the most". The patient reported had doctor's appointment on 01Feb2021 at 12 and the doctor gave him azithromycin tablets, 6 tablets. He also reported that he has an unopened box of Azithromycin tablets USP which he has not taken and will not without doctor's permission. He went online and believes this irritation behind the ear could be from the masks worn for COVID-19 and stated that the KN-95 masks were kind of tight. He stated he now has the thing on the back of his neck to help with the mask. The patient also reported that he doesn't have fever or temperature and he has no cold. The patient was scheduled to receive his second shot two weeks from the time of the report and wanted to know if he can take antibiotics and then get the second shot. The patient recovered from pain in arm on 26Jan2021; and has not recovered from the remaining events.; Sender's Comments: Event ear pain represents an intercurrent medical condition and unrelated to BNT162B2 .