Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia
Clinical narrative: After 4 or 5 she wound up in the hospital with an infected finger and was in the hospital for 3 days; Her finger was swelling and they admitted her and kept her there for 3 days.; has a strange inflammation under her lower lip; fever; had chills; she started to feel tremendous pain in her hand; She kept feeling like she was coming down with flu; Her lips got extremely chapped very early in the winter; She got sick with 102 fever and felt horrible for an entire week; She got sick with 102 fever and felt horrible for an entire week.; 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 75-year-old female patient received BNT162b2 (BNT162B2), on 17Mar2021 as dose 2, single (Lot number: ER2613) and on 06Nov2021 as dose 3 (booster), single (Lot number: FH8028) for covid-19 immunisation. The patient's relevant medical history included: "acid reflux" (unspecified if ongoing). Concomitant medication(s) included: LOSARTAN. Past drug history included: Crestor, reaction(s): "itching on her back". Vaccination history included: BNT162b2 (DOSE 1, SINGLE, LOT: EN6202 , NDC, EXP: Unknown), administration date: 24Feb2021, when the patient was 73-year-old, for COVID-19 immunization. The following information was reported: LOCALISED INFECTION (hospitalization), outcome "unknown", described as "After 4 or 5 she wound up in the hospital with an infected finger and was in the hospital for 3 days"; PERIPHERAL SWELLING (hospitalization), outcome "unknown", described as "Her finger was swelling and they admitted her and kept her there for 3 days."; LIP SWELLING (non-serious), outcome "unknown", described as "has a strange inflammation under her lower lip"; PYREXIA (non-serious), outcome "unknown", described as "fever"; CHILLS (non-serious), outcome "unknown", described as "had chills"; PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "she started to feel tremendous pain in her hand"; INFLUENZA LIKE ILLNESS (non-serious), outcome "unknown", described as "She kept feeling like she was coming down with flu"; CHAPPED LIPS (non-serious), outcome "unknown", described as "Her lips got extremely chapped very early in the winter"; ILLNESS (non-serious), outcome "unknown", described as "She got sick with 102 fever and felt horrible for an entire week"; FEELING ABNORMAL (non-serious), outcome "unknown", described as "She got sick with 102 fever and felt horrible for an entire week.". The patient was hospitalized for localised infection (start date: 21Mar2021, hospitalization duration: 3 day(s)); for peripheral swelling (start date: Mar2021, hospitalization duration: 3 day(s)). The events "after 4 or 5 she wound up in the hospital with an infected finger and was in the hospital for 3 days" and "has a strange inflammation under her lower lip" required emergency room visit. The patient underwent the following laboratory tests and procedures: Body temperature: 102; Colonoscopy: Unknown Result. Therapeutic measures were taken as a result of localised infection, peripheral swelling.  Clinical course: Caller mentioned she was about to travel by driving, along with one person who had covid 2 weeks ago. Caller reported that the companion (female) got infected even though she had been previously vaccinated against covid, not knowing if the vaccine was Pfizer or Moderna. Caller also mentioned that her partner died of Covid in Apr, not stating if Vaccinated. Caller also mentioned to have scheduled her second Booster dose for the Friday, but that she is afraid that this causes a positive result in covid Test for her travel; possible missed dose identified post call documentation.  The caller has a strange inflammation under her lower lip and has been having this for 7 months after getting the vaccine. She said that it doesn't hurt and that it not cancer. She also has another concern, stating she wants to try to have information for her trip. When she tried to provide information for her vaccine status, it was not going through to the website. The caller provided the numbers with letters on her card and states that Comirnaty is not written on the cars. Those numbers were provided as EN6202, ER2613 and FAH028. When clarifying with the caller, the details provided by the transferring agent, the caller states that she has been connected four different times and states that the inflammation was not her first priority.  Caller states there are 2 different things. She has been dealing with the inflammation under the lip nor, for at least 6 or 7 months. No doctor seems to know what it was and they haven't done a biopsy on it. The inflammation under the lip was after the second vaccine. She states that she is trying to eliminate different things.  It was after she had her second inoculation last year. After 4 or 5 days, she wound up in the hospital with an infected finger and was in the hospital for 3 days. She had to have emergency surgery and had a really bad reaction to that second inoculation. That was around Feb2021. She was in the hospital in Mar2021 because of her fingers. When she was in the hospital, they tried to find out what kind of organism it was and they never found out. It happened five days after the shot. She was dealing now, with the inflammation under her lower lip. It was like a 2 inch puffiness and she has been to 2 dermatologists, an ear nose and throat guy and an oral surgeon. Nobody knew what the heck it was. They said it was not an infection and that it was not cancer. They were going to do a biopsy but the caller states she was going on a trip in 2 weeks. Caller states that the main reason she called, was that tourism says not to have any shots within 2 weeks or it will create an issue. She started to pull back on that. She has no idea if it was a vaccine related condition. Even the doctor didn't know enough about it to know. The second reason she called, which was the main reason she called is, that she trying to go and is trying to upload everything into their site. There was an issue when she tried to enter the inoculation information. She states that she had 3 and everything was Pfizer. She had the first 2 Pfizer shots and one booster. She didn't get a third booster because it would create issues with Tourism.  Clarified that the caller was wanting to make sure the vaccines she received match the vaccines required to enter.  She has been to 4 doctors and she was 75 years old. She never had this inflammation below her lower lip line before. The other thing, that could be unrelated is Crestor. She has been off Crestor now, for 6 weeks. The itching stopped, there was itching on her back that stopped when she got off Crestor but the inflammation still existed. She has been off the Crestor for 6 weeks and that should be enough time to out of her body. The only other thing she takes was Losartan but, she has been on that forever. NDC, LOT, EXP of Crestor: Unknown. Caller pulls up the site she was previously referring to and provides the name that appears in the drop down window as Pfizer BioNTech Comirnaty and then states Tinameran and BNT162b2.  Caller states she wound up in the hospital and had emergency surgery for an infected finger. She states that her partner died at this time. She states she had a 102 fever from the vaccine that went away. She had the fever for 2 days and felt awful. Then, started having an intense reaction the second vaccine. She had terrible chills and it literally took 2 days for her to get warm. She states that it makes her wonder if this was related to the vaccine. She knows that both of these things are unrelated. After about 5 or 6 days, she started to feel better but still had this feeling every once in a while and had chills. 2 days after that, she went swimming and hit her hand on the pool. She always hits her hand on the pool, she has been doing laps for 45 years. Almost 2 weeks, or about 10 days later, she started to feel tremendous pain in her hand and wound up in the emergency room 2 times with an infected finger, pain and it had almost tripled in size. The second time she went to the hospital, they immediately admitted her. They said they hadn't seen anything like this in a while. Her finger was swelling and they admitted her and kept her there for 3 days. They were giving her intravenous and high level pain meds. They did emergency surgery on her hand. She had been hitting her hand a million times and is a swimmer. The finger got so infected. She said this is the sequence that happened. She got sick with 102 fever and felt horrible for an entire week. She kept feeling like she was going to come down with the flu but, she didn't. She went back to working out and went swimming. She went swimming 2 days after and maybe it is a coincidence. Clarified that this incidence of the fever occurred prior to the emergency surgery. Clarified that the caller was admitted to the hospital some time in Mar2021. She states her partner died 04Apr2021 from a sad illness. They were together 40 years and it was pretty horrible. She states that she had the surgery 23Mar2021 at (hospital name withheld). She guesses she was admitted around 21Mar2021. She states that she went to the emergency room 2 times in 24 hours. When clarifying that the caller was in the hospital for 3 days, as previously states, she states that the total time she was in the hospital was about 2 and a half days. She asked the doctor if this was related to the vaccine and they didn't know because it was so new and they knew so little about this.  Inflammation under lower lip: Caller states it was a bout 7 or 8 months ago. She states she saw a dermatologist for the first time around Apr2021 or Jun2021. It was about 2 inches of inflammation under the lower lip. The inflammation makes the lower lip look thin and it is puffing out. It has stayed about the same and has not gotten any better. Regarding treatment they tried Cortisone cream. Her lips got extremely chapped very early in the winter. Nobody seems to know what this was. If she puts lip gloss on over it because you can see the puffiness directly under the lip line. They tested her for Celiac and to see if she had an autoimmune thing. She does not have Celiac and she states that they just tested her again. She is going to the dermatologist who said that sometimes, digestive issues can cause inflammation issues. She states she will see an oral surgeon. Her gastro guy told her she does not have Celiac and or Colon issues, they did a colonoscopy.   No follow-up attempts are possible. No further information is expected.