Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Eye disorder, Eye irritation, Ocular hyperaemia, Rhinorrhoea
Clinical narrative: Bell's palsy; eyes pretty red; runny nose: second dose; eyes started bothering her, the right eye: second dose; her eye had a little burning sensation and was irritated; This is a spontaneous report from a contactable consumer (patient). A 57-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 14Apr2021 11:30 (Batch/Lot Number: EW0151) as single dose for covid-19 immunization. The patient's medical history included she was a breast cancer survivor, its been 10 years, all she had was radiation and she also had Tamoxifen for 5 years, had a colonoscopy a couple of months, she had seasonal allergies, adverse event following prior vaccinations: when she was young, she would get vaccines and would always get a light fever and her arm would swell and turn red. The patient's concomitant medication was not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received the first dose of BNT162B2 (lot number: ER8733) in left arm on 24Mar2021 10:45 for covid-19 immunization and experienced fainted for just a few seconds, heart rate was very fast and headache, wasn't feeling well and lost consciousness. The patient experienced bell's palsy on 01May2021, eyes started bothering her, the right eye, her eye had a little burning sensation and was irritated on 29Apr2021, on the 30Apr2021 eye was pretty red, runny nose on 30Apr2021. The clinical course as following: This past Wednesday was two weeks and then Thursday, her eyes started bothering her, the right eye. She thought it was seasonal allergies, because she has those, that kept bothering her and and she had a very runny nose. Saturday she woke up she felt like her face was kind of numb. She called the nurse and they told her she should go to the emergency room. She was diagnosed with bells palsy and so they gave her treatment and they explained to her what it was all about. She had been working out in the yard and she came in and her eye had a little burning sensation and was irritated. She thought it was because she was outside. She also had a runny nose. She says again, she thought it was seasonal allergies because she has that. Felt weird around her mouth, felt kind of numb: second dose: This past Saturday, she woke up and stated she felt weird around her mouth, it felt kind of numb, it was hard for her to drink, she couldn't smile correctly, her smile was lopsided, one side was droopy. Caller states this began 01May2021.  She went to the emergency room that same day and they diagnosed her with bells palsy. She was discharged from the emergency room because this time the lady doctor gave her the procedure with a stroke. The doctor could tell that it was not a stroke because of the eye, the doctor did something with her finger, they say can you see my finger, can you touch your nose. The doctor told her what she had is bells palsy and prescribed some medication.  The eye is worse, but she doesn't have a runny nose anymore.  With her eye, she can raise the left one, but the right one not as much. They gave her a patch for the right eye. She has to wear it in the evening, because it doesn't close anymore. She has to wear it to sleep with and during the day she has to wear glasses and if she goes outside, she has to wear sunglasses. Her eye is not really irritated, just kind of stiff, it does not really do much, she did some exercises to try to stimulate the muscles. The eye is just there, it doesn't really blink, it is beginning to blink a little bit but when she tries to close both eyes, she can close the left but it's like she can't completely close the right, she has no control of that part of the face, it's numb. She clarifies her eye started on Thursday 29 Apr because it was the first day she was outside. on the 30 Apr it was pretty red but she kept working. On Saturday morning she worked and she had a runny nose then too. Caller states they gave her some medicine at the emergency room. That night, she took Acyclovir and after she took the first one, she didn't have a runny nose anymore. Her eye is a different kind of bother now, it doesn't burn, its just there. They told her to get artificial tears and put the patch on. When asked if her eye is improved, persisted or worsened, she says the eye is not burning anymore, it's just kind of stiff. Bell's palsy: Caller states it's ongoing, when she smiles its the same. Caller states it's lopsided and when she raises her eyebrows, she can raise the left one, but the right one only goes up a little bit, but not as much. Caller states it's persisting, it's not getting worse, not getting better. Caller states she just started the medicine yesterday. Acyclovir: It was 400mg 5 times a day by mouth, one tablet for 10 days. Methylprednisolone:  the other thing they prescribed me was Methylprednisolone. She tried taking both the Acyclovir and the Methylprednisolone yesterday, but she had a really bad stomach ache and couldn't eat anymore. She had no appetite and her doctor, she told him she couldn't take both it is too much, so he just said she should continue the Acyclovir so she is not going to take the Methylprednisolone. The Methylprednisolone is a 4mg dose pack, 6 day thing. Yesterday she was supposed to take two before breakfast, 1 after lunch, 1 after supper and 2 before bedtime. She couldn't take all of that, it was too much. Today would have been different, it tapers off. The emergency room visit on 01May2021, they didn't do any testing, she just had observation. the doctor did this thing with her finger where she could see her finger and she pushed back and held onto the doctor's hands and showed her strength.  she raised her eyes, closed her eyes, smiled, but no other testing was done. she had her second emergency room visit on 01May2021. Therapeutic measures were taken as a result of bell's palsy included Acyclovir and Methylprednisolone, for events of 'eyes started bothering her, the right eye', 'her eye had a little burning sensation and was irritated', and 'eyes pretty red' included artificial tears and put the patch on, no treatment received for runny nose. The outcome of the event Bell's palsy was not recovered, the outcome of the event runny nose was recovered on 01May2021, the outcome of the other events was recovered on an unknown date.