Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature, Chills, Eyelid ptosis, Fatigue, Headache
Clinical narrative: Chills; fever of 99.6; Fever sore; tired; nauseuousness; both side of face is swollen; her eyes are puffy; eyes kind of droopy; arm sore; Headache; This is a spontaneous report from a contactable consumer (patient). A 72-years-old female patient received second dose of bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine), at the age of 72-years-old, via an unspecified route of administration, administered in Arm Left on 14Apr2021 14:00 (Lot Number: ER8732; Expiration Date: 31Jul2021) as single dose for covid-19 immunisation. Medical history included ongoing High cholesterol had this for years and years, it runs in the family. Years ago she had a reaction to something, to Sulfa, leg cramps. Heart disease runs in the family, she has been on a lot of statins that didn't work because they gave her too much leg cramps, she stopped and went back on it again. She says her brothers, mother, father all had heart problems, her brothers had a heart attack, it runs in the family. Concomitant medications included rosuvastatin taken for blood cholesterol, it is a form of Crestor. She has been taking this for about 3 years, she has had different doses, and 5mg, one a day and ongoing; acetylsalicylic acid (BABY ASPIRIN) taken to keep the blood because the cholesterol, sometimes she forgets to take it some days but she says to just put every day and that she has been taking it for about 4 years at 81 mg once a day and ongoing; ubidecarenone (Q10) taken for an unspecified indication, she has been taking this for 2 years but she does not always take it every day. She says to put down that she takes it every day. She says she takes it 3-4 times a week at 200 mg ongoing. To help with the Rosuvastatin because so it does not cause leg cramps. Patient previous received first dose of bnt162b2, at the age of 72-years-old, administered in Arm Left on 24MAR2021 at 12:15 pm (Lot Number: ER8737; Expiration Date: 31Jul2021) for covid-19 immunisation. She got the flu shot in October. No prior Vaccinations (within 4 weeks). No Additional Vaccines Administered on Same Date of the Pfizer Suspect. She denies being sick at the time of vaccination. The patient experienced headache on 14Apr2021 with outcome of not recovered, fever sore on 15Apr2021 with outcome of unknown, tired on 15Apr2021 with outcome of not recovered, arm sore on 14Apr2021 with outcome of not recovered, nauseuousness on 15Apr2021 with outcome of unknown, both side of face is swollen on 15Apr2021 with outcome of not recovered, her eyes are puffy on 15Apr2021 with outcome of not recovered, eyes kind of droopy on 15Apr2021 with outcome of not recovered, chills on an unspecified date with outcome of unknown, fever of 99.6 on an unspecified date with outcome of unknown. The patient received her second dose of vaccine and says she has the normal side effects and also says both sides of her face is swollen, her eyes are puffy and her eyes are kind of droopy. She had the normal side effects, whatever is on the fact sheet, headache, fever of 99.6, she is tired , her arm is sore, nauseousness. She says the fact sheet lists all of those. After being referred to her doctor for all medial advice, the caller says she is just going to take a Benadryl. She reiterates she has a headache, nausea, fever, chills, her eye lids are droopy, her face was swollen like a reaction she would usually take Benadryl. She says years ago she had a reaction to something, to Sulfa, she thinks. She says the fever has been the same all morning like 99.6, it hasn't really gone up. She took her temp about 3 hours ago. She clarifies she does not know if the fever is ongoing she has only had it for 3 hour. Her arm was pretty sore yesterday. She is not sure about nauseousness, she had it a couple hours this morning. She got up this morning about 3 hours ago around 7:10. She confirms it is unknown if the nauseousness is ongoing. Both side of the face are swollen has been about 3 hours. She is going to take a Benadryl as treatment. It is unknown if the droopiness of the eyes and the puffy eyes has stayed the same. She clarifies they have not gotten any better or any worse. No AE(s) require a visit to Emergency Room or Physician Office. She says it is only 10 o'clock, she doesn't want to go to hospital.  No follow-up attempts are needed; information about lot/batch number cannot be obtained.