Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Eye pruritus, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral
Clinical narrative: itching; This ingredient started a physiological reaction where she started coughing; Mouth swelled; tongue swelled; roof of mouth was swelling and numb; roof of mouth was swelling and numb; Tingling; This is a spontaneous report from a contactable consumer A 31-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported and expiry date: unknown, at the age of 31 years), dose 1 via an unspecified route of administration on 17Jan2021 as 1st dose, single dose for Covid19 immunization. The patient's medical history included ongoing asthma Verbatim: Asthma, ongoing hypersensitivity Verbatim: Allergies, dust allergy (Allergies to  dust, dandruff, coach roaches). Concomitant medications included ephedrine hydrochloride (ASTHMA [EPHEDRINE HYDROCHLORIDE]) and clarithromycin (CLARITIN [CLARITHROMYCIN]). The patient experienced mouth swelled, tongue swelled, roof of mouth was swelling and numb and tingling on 17Jan2021, this ingredient started a physiological reaction where she started coughing on 01Feb2021 and itching on an unspecified date. The reporter's daughter was a teacher. She received her first vaccine, and the minute the dose went in, she had a reaction. The medical team observed her, and she had to wait 45 minutes. She stayed with the other teacher she went to get the vaccine with until the next morning. They told her daughter, if she got worse go to the hospital. She did not got worse. The next day when she got home she called the doctor. The doctor heard her symptoms, and put her on prednisone. He also said she should have an allergy consult. She went for the consult this past Monday,01Feb2021. Her second shot is due this coming Sunday 07Feb2021. They wanted to test the ingredients of the Pfizer vaccine to see what she is allergic to. The first two she did okay with. Then on the 3rd one he injected into her, it started to swell and welt a little. All the sudden she started to cough as well. She hadn't coughed before the test. This ingredient started a physiological reaction where she started coughing. Caller doesn't know what ingredient it was. The doctor send her home with an epipen. Then for 48 hours later, yesterday , her whole body felt like she could scratch her eyes out. She was scratching all over her body and itching. It has been going on since the test Monday, and last night got worse. Yesterday, she said she felt terrible. That she was so itchy she could take an knife and scratch herself. She did her nebulizer treatment last night. The doctor also told her to double her Claritin. So she took two Claritin and a Benadryl last night. This morning she said some of the itching. It is where the area marked M from the test is. Her eyes are itching. Some of the symptoms have gotten better. The welts where the M is she could still scratch with a knife. The area with the M on it was super big inflamed and caused another welt to appear beside it. The itch and discomfort caused her to take a nebulizer last night. She called the allergist yesterday and they were closed. She got the emergency number and called him. He told her to double up on Claritin last night. So she took 2 Claritin/ She also took one Benadryl. Her daughter felt her mouth and tongue swelling immediately, and it lasted two to three days after the vaccine administration. She didn't feel better the second day. It took 2-3 days to get better. After that, she had stopped her allergy pills. She was on Claritin, but the doctor asked her to stop because of the test. Five days before the test, she had on 01Feb2021, she had stopped Claritin. She had stopped the Claritin since 27Jan2021. She was perfectly fine until they administered the lengthy allergy test. She first started coughing. That was at 2 o'clock in the afternoon. She thinks she got flu shot, but thinks that was 4 weeks before the COVID vaccine. She thinks she got it early on. Growth hormones as a child because her bone age was advanced compared to biologically. At that time she was on Low dose of dexamethasone , prednisone, and monthly Lupron shots. She has not had those since she was 12. Allergies to dust, dandruff, coach roaches. Arizona has lots of pollen, and she was constantly having sinus infections. This year has been much better because of teaching online. The patient underwent lab tests and procedures which included allergy test: positive on 01Feb2021, weight: 128-129 lbs on 01Feb2021.The outcome of mouth swelled, tongue swelled, roof of mouth was swelling and numb and tingling was recovered on unspecified date and outcome of rest other events was unknown.  Follow-up (16Apr2021): This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected.