Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Paraesthesia oral, SARS-CoV-2 test, Skin tightness, Tongue disorder
Clinical narrative: she had COVID and also had COVID like symptoms after receiving the first dose.; tingling sensation on the mouth/ sensation of tingling around her lips; skin very tight/ face very very tight/face got very tight around her nose, cheeks, and under her eyes; first half of her tongue started feeling thick; This is a spontaneous report from a contactable consumer (patient) via Pfizer sponsored program. A 56-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EL9261), dose 1 via an unspecified route of administration on 27Jan2021 as single dose for COVID-19 immunisation. Medical history included COVID-19 (in fall) and allergic to Penicillin (a very long time ago as child and she got a fat upper lip from it). There were no concomitant medications. She had her first dose 27Jan which was 90 days after she had COVID. On 27Jan2021, 30 minutes after the vaccine, the patient experienced she had COVID and also had COVID like symptoms after receiving the first dose, tingling sensation on the mouth/ sensation of tingling around her lips, skin very tight/ face very very tight/face got very tight around her nose, cheeks, and under her eyes and first half of her tongue started feeling thick. The physical assistant examined her and said it didn't not look swollen. She asked her doctor about this and she was given 50 mg of Benadryl at the vaccine site, approximately 1 hour say after the shot or either 1 hour after her symptoms but it was approximately during that time period. She was wondering if she can take the second dose. The patient did not used any other product. The episode lasted about 3 hours she would say. She is not one to have a lot of allergies. She is in good health. She does not have any issues or diabetes or any type of medical condition. She says it has recovered completely. The patient asked whether to take this vaccine every year and wanted to know if she absolutely needs to take the second shot for full protection. According to her she had COVID and also had COVID like symptoms after receiving the first dose. Would she have developed enough antibodies to protect herself that the first dose would be considered like a second shot. She heard people generally have COVID like symptoms after receiving the second shot. She is just trying to understand if she need to take a second dose or one dose is enough. She has been reading what the CDC guidelines are about, but she is looking into it further to see what Pfizer's guide lines are on whether or not she should still get the second vaccine. The patient's husband mentioned Benadryl was given as precaution and believe the physical assistant was a student and didn't have much medical knowledge. The patient underwent lab tests and procedures which included sars-cov-2 test: COVID in fall. The outcome of COVID and also had COVID like symptoms after receiving the first dose was unknown. The outcome of tingling sensation on the mouth/ sensation of tingling around her lips, skin very tight/ face very very tight/face got very tight around her nose, cheeks, and under her eyes and first half of her tongue started feeling thick was recovered.  Follow-up attempts are completed. No further information is expected.