Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Immunisation, Interchange of vaccine products, Nasal discomfort, Nasal dryness
Clinical narrative: she got her first 2 shots of the Covid vaccine and they were both Moderna, then she went 2 weeks ago to get the booster at CVS and got the Pfizer; she got her first 2 shots of the Covid vaccine and they were both Moderna, then she went 2 weeks ago to get the booster at CVS and got the Pfizer; she got her first 2 shots of the Covid vaccine and they were both Moderna, then she went 2 weeks ago to get the booster at CVS and got the Pfizer; Nose got all dry; Nose started bleeding inside/ Inside of her nose is bleeding into the tissues and she is getting scabs; Scabs in her nose/ Inside of her nose is bleeding into the tissues and she is getting scabs; her nose is still bothering her; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  An 88 year-old female patient received bnt162b2 (BNT162B2), administration date 21Nov2021 (Lot number: FH8020) at the age of 88 years as dose 3 (booster), single for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Moderna covid-19 vaccine (First Dose, She had no problems with the first 2 doses of the vaccine from Moderna), administration date: 20Jan2021, for COVID-19 Immunization, reaction(s): "She had no problems with the first 2 doses of the vaccine from Moderna"; Moderna covid-19 vaccine (Second dose, She had no problems with the first 2 doses of the vaccine from Moderna), administration date: 20Feb2021, for COVID-19 Immunization, reaction(s): "She had no problems with the first 2 doses of the vaccine from Moderna". The following information was reported: OFF LABEL USE (non-serious), INTERCHANGE OF VACCINE PRODUCTS (non-serious), IMMUNISATION (non-serious) all with onset 21Nov2021, outcome "unknown" and all described as "she got her first 2 shots of the Covid vaccine and they were both Moderna, then she went 2 weeks ago to get the booster at CVS and got the Pfizer"; NASAL DRYNESS (non-serious) with onset 21Nov2021, outcome "not recovered", described as "Nose got all dry"; EPISTAXIS (non-serious) with onset 21Nov2021, outcome "not recovered", described as "Nose started bleeding inside/ Inside of her nose is bleeding into the tissues and she is getting scabs"; SCAB (non-serious) with onset 21Nov2021, outcome "not recovered", described as "Scabs in her nose/ Inside of her nose is bleeding into the tissues and she is getting scabs"; NASAL DISCOMFORT (non-serious) with onset 21Nov2021, outcome "not recovered", described as "her nose is still bothering her". The events "nose got all dry", "nose started bleeding inside/ inside of her nose is bleeding into the tissues and she is getting scabs", "scabs in her nose/ inside of her nose is bleeding into the tissues and she is getting scabs" and "her nose is still bothering her" were evaluated at the physician office visit. Therapeutic measures were not taken as a result of nasal dryness, epistaxis, scab, nasal discomfort.  Additional information: This consumer was the patient who got the Pfizer Booster Shot. She had 2 Moderna Shots in January and February then was told she could get the Booster Shot which was the Pfizer Booster Shot. Then immediately her nose got all dry; nose started bleeding inside. It did not run out her nose, made her nose bleed in her nose and it was still doing it. In her nose that blood will scab over and then she had scabs in her nose. This was ever since she got the Pfizer Booster Shot at least 2 weeks ago. She wanted something done about this because her nose was still bothering her. Her nose got dry then it got bloody. Immediately, the inside of her nose started bleeding, not with blood running out of her nose, but just bleeding in the tissues so she was getting scabs which she picks off. Stated that her nose was still dry inside and she still gets scabs. She had no idea why this was happening; she just knew that she got the Pfizer booster, and her nose was still bothering her.   Follow-up attempts are completed. No further information is expected.