Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Inappropriate schedule of product administration, Menstrual disorder, Nasal pruritus, Panic attack
Clinical narrative: 10 day early onset menstrual cycle; skin reaction on her left arm, top of her hands and upper arm right by her elbow a weird itchy rash; skin irritation about 12 hours after administration; second dose was administered 14 days instead of the 21 days from the first dose; headache; sneezy; itchy nose with no mucus/no runny nose; sweating; weird sinus pressure that leads to increased light sensitivity; weird sinus pressure that leads to increased light sensitivity; feeling of itchiness in the back of the throat that goes away; fever of 100.5; broke a cold sweat in the middle of the night; skin irritation; panic attack; got her period 8 to 10 days early; her period is flowing heavy and chunky; felt lost; skin reaction on her left arm, top of her hands and upper arm right by her elbow; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 37 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 27Sep2021 13:00 (Lot number: 301258A) at the age of 37 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "RA", start date: 2009 (ongoing), notes: Stopped methotrexate in 2012; Relevant tests: None. There were no concomitant medications. Vaccination history included: Bnt162b2 (Dose: 1st, lot number FE3592, Time: 01:00, anatomical site of injection: upper left arm), administration date: 13Sep2021, when the patient was 37 years old, for Covid-19 immunization, reaction(s): "headache", "sneezy", "itchy nose with no mucus", "sweating", "weird sinus pressure that leads to increased light sensitivity", "weird sinus pressure that leads to increased light sensitivity", "feeling of itchiness in the back of the throat that goes away", "a fever of 100.5", "cold sweat". The following information was reported: INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (non-serious) with onset 27Sep2021, outcome "unknown", described as "second dose was administered 14 days instead of the 21 days from the first dose"; HEADACHE (non-serious) with onset Sep2021, outcome "unknown", described as "headache"; SNEEZING (non-serious) with onset Sep2021, outcome "unknown", described as "sneezy"; NASAL PRURITUS (non-serious) with onset Sep2021, outcome "unknown", described as "itchy nose with no mucus/no runny nose"; HYPERHIDROSIS (non-serious) with onset Sep2021, outcome "unknown", described as "sweating"; PARANASAL SINUS DISCOMFORT (non-serious), PHOTOPHOBIA (non-serious) all with onset Sep2021, outcome "unknown" and all described as "weird sinus pressure that leads to increased light sensitivity"; THROAT IRRITATION (non-serious) with onset Sep2021, outcome "unknown", described as "feeling of itchiness in the back of the throat that goes away"; PYREXIA (non-serious) with onset Sep2021, outcome "unknown", described as "fever of 100.5"; COLD SWEAT (non-serious) with onset Sep2021, outcome "unknown", described as "broke a cold sweat in the middle of the night"; SKIN IRRITATION (non-serious) with onset Sep2021, outcome "unknown", described as "skin irritation"; PANIC ATTACK (non-serious) with onset Sep2021, outcome "unknown", described as "panic attack"; MENSTRUAL DISORDER (non-serious) with onset Sep2021, outcome "unknown", described as "got her period 8 to 10 days early"; HEAVY MENSTRUAL BLEEDING (non-serious) with onset Sep2021, outcome "unknown", described as "her period is flowing heavy and chunky"; RASH PRURITIC (non-serious) with onset 27Sep2021, outcome "recovered" (27Sep2021), described as "skin reaction on her left arm, top of her hands and upper arm right by her elbow a weird itchy rash"; FEELING ABNORMAL (non-serious) with onset Sep2021, outcome "unknown", described as "felt lost"; MENSTRUAL DISORDER (non-serious) with onset 28Sep2021 15:00, outcome "recovered" (2021), described as "10 day early onset menstrual cycle"; SKIN REACTION (non-serious) with onset Sep2021, outcome "unknown", described as "skin reaction on her left arm, top of her hands and upper arm right by her elbow"; SKIN IRRITATION (non-serious) with onset 27Sep2021, outcome "unknown", described as "skin irritation about 12 hours after administration ". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of menstrual disorder.  Additional information: Prior vaccinations: None. Prior Vaccinations (within 4 weeks): None. When probing medical history and concomitant medications she reports at one time doctor's were testing her for arthritis or rheumatoid arthritis. She was taking medication at that time which was about 10 years ago. She decided to try a more preventative, natural treatment instead. She was never diagnosed with arthritis or rheumatoid arthritis but she definitely has some inflammation or maybe an autoimmune disorder. She reported she weighs between 175 and 180lbs. Patient received second Pfizer Covid 19 vaccine 14 days after the first vaccine. The caller stated she does not even know if this will count as fully inoculated. Anatomical site of injection: Upper left arm. Cycle started 24-26 hrs after 2nd shot on 27Sep resulting in 10 day early start. Cycle lasted 16 days. AE(s) didnot require a visit to Emergency Room and physician office. Advised caller that people are considered as fully vaccinated 2 weeks after their second dose in a 2-dose series. The adverse events that she experienced on the first dose was similar with what she experienced on the second dose. The only difference was that on the second dose, she experienced skin irritation about 12 hours after administration and her menstrual period was 8-1 days early. Overall, she described was as feeling sick without actually being sick and that the AEs she experience comes in a wave (repeating side effects that comes and goes). Caller also stated that most of her AEs had recovered except for the headache. Patient's period started about 36 to 40 hours after receiving the second dose. She did had a panic attack over receiving the second dose at 14 days. When probing medical history and concomitant medications she reports at one time doctor's were testing her for arthritis or rheumatoid arthritis. She was taking medication at that time which was about 10 years ago. She decided to try a more preventative, natural treatment instead. She was never diagnosed with arthritis or rheumatoid arthritis but she definitely has some inflammation or maybe an autoimmune disorder. She also had a skin reaction on her left arm, top of her hands and upper arm right by her elbow. She had a weird itchy rash. The weird itchy rash went away 3 hours after she got the second Covid 19 vaccine. At this point it was been over 72 hours since she had the second dose and she survived. There was no way the pharmacy should have been able to administer the second dose to her. She felt so lost and had no one to help her other than her mom. Her mom got her the help. She wanted to know if there were any signs to look out for. She did survive getting the second dose 14 days after the first dose but she did get her period early. She cannot even imagine, might be it was a woman's response to get her period. After everything she cannot even imagine if she had been pregnant and starting her period. What if it caused a lost baby. The caller did not lose a baby, she uses the above information as an example over how scared she was. After everything was all said and done she does not even know if this will count as fully inoculated. She was all alone with her kids during this time and it was scary and her mom was in withheld. She stated what does the pharmacist know, what does anyone know. She received her first Covid 19 vaccine on 13Sep2021 and the withheld Pharmacy accidentally gave her the second Covid 19 vaccine at 14 days. She doesn't know if anyone knew that that had happened to her, if Pfizer knew. She wants to report her experience. She was 72 hours past the time she received the second Covid 19 vaccine. She stated her mom is a nurse and her mom forced her to get the Covid 19 vaccine. She was surprised that no one realized she got the second dose at 14 days and no one reached out to her asking her if she survived. There was no information out there like if this happens here was what to do. She knows it was accidental. The weird itchy rash went away 3 hours after she got the second Covid 19 vaccine. At this point it was been over 72 hours since she had the second dose and she survived. She had a panic attack because she had to go through this turmoil and misinformation and there was no failsafe. There was no way the pharmacy should have been able to administer the second dose to her. She felt so lost and had no one to help her other than her mom. Her mom got her the help. She wanted to know if there were any signs to look out for. She did survive getting the second dose 14 days after the first dose but she did get her period early. She cannot even imagine, might be it was a woman's response to get her period. After everything she cannot even imagine if she had been pregnant and starting her period. What if it caused a lost baby. The caller did not lose a baby, she uses the above information as an example over how scared she was. After everything was all said and done she does not even know if this will count as fully inoculated. She was all alone with her kids during this time and it was scary and her mom was in another town. She stated what does the pharmacist know, what does anyone know.   Follow-up attempts are completed. No further information is expected.