Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Muscle twitching, Pain in extremity, Pain in jaw, Peripheral swelling, Swelling face
Clinical narrative: quiver in her lip on the left side; soreness and swelling in my arm; Her right upper arm is swollen after getting her second COVID-19 Vaccine shot; her said her right upper arm is sore & swollen & feels like someone had fist bumped her; The right side of her face became swollen later in the day on 22Feb2021/Puffiness face; right sided facial edema going under her ear, where she reports a knot the size of a penny was noted; lobe and patient couldn't open her mouth without feeling pain; face was sore where the swelling is; if she tries to open her mouth, her mouth doesn't open as wide as it should. Her face has a TMJ like feeling; This is spontaneous report from a contactable consumer (patient). A 73-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number: EL3247; expiration date: 31May2021) via an unknown route of administration in right arm on 22Feb2021 (Monday afternoon) between 15:30-16:00 (at the age of 73-year-old) as single dose for COVID-19 immunization at Hospital. Medical history of the patient included kidney stones from Nov2019, nosebleed in Jan2021. She said she woke up at 5:00 to go to the bathroom. She said when she stood up from the side of her bed, her nose wouldn't stop bleeding. She stated she doesn't remember exactly when she had gone to the Emergency Room for her nose bleed in Jan2021. No further details provided. Concomitant medications included Potassium Citrate started in Dec2020 taken for Kidney stones. Patient did not receive any Prior Vaccinations (within 4 weeks) of covid vaccine. Patient previously received Shingle vaccine in 2020 and received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number: EN5318; expiration date: 31May2021) Intramuscular in right arm on 01Feb2021 as single dose for COVID-19 immunization. On 22Feb2021, later at night patient developed soreness and swelling in arm where she received the vaccine. She had swelling on the right side of face that she noticed later in the day on Monday and experienced right sided facial edema going under her ear, where she reports a knot the size of a penny was noted. The swelling was under eye to the cheek to right ear lobe and patient couldn't open her mouth without feeling pain. Patient have heard that some people have developed bells palsy after getting the vaccine. Patient spoke with her doctor and the doctor told to visit ER. The right side of her face was sore where the swelling is & if she tries to open her mouth, her mouth doesn't open as wide as it should. Her face has a TMJ like feeling. She clarified her right upper arm was sore and swollen and feels like someone had fist bumped her. On an unspecified date, not often but at times caller notices a quiver in her lip on the left side. She clarified she received the COVID-19 Vaccine in her right arm, and the swelling and soreness started on Monday night (22Feb2021). She said her right arm has improved, and her right arm now feels like it would if she were to get a regular flu shot in it. She said prior to today, her arm soreness felt like it was 5 times that of a flu shot. She said her right arm soreness and swelling didn't concern her. Reportedly, the right side of her face became swollen later in the day on Monday (22Feb2021). She clarified that the swelling started under her right eye and continued down her right cheek. She said the swelling continued from her right cheek to under the front of her right earlobe (where an earring would hang). She said the right side of her face was sore where the swelling was. She said if she tries to open her mouth, her mouth doesn't open as wide as it should. She said it is like a TMJ feeling. She said if she puts her finger in front of her right ear, and then opens her mouth, she can feel something. She said the right sided facial swelling and soreness has improved a little bit, but the right side of her face continues to be puffy with some swelling on 24Feb2021. She said she heard some people have a problem with Bells Palsy after getting the COVID-19 Vaccine. She said she called her doctor, and he told her to go the Emergency Room. She said she called the facility that administered both doses of the COVID-19 Vaccine to her, and the facility told her to go to the Emergency Room. She said it appeared that nobody wanted to get involved with helping her, so she figured she would call Pfizer. She said she was wondering if Pfizer had some type of treatment for her to try. She said the Emergency Room is very busy and she would probably have to wait 2-6 hours to get in to see a doctor, and she didn't want to wait around with a bunch of people who haven't been vaccinated for the COVID-19 Virus. Reported she has only had a mammogram in the last couple of weeks, and no other testing. Caller was advised by HCP to be seen in the ER. She was prescribed Prednisone for 3 days at ER but was advised by nurse with HCP to hold off on taking. Caller has been taking Tylenol. Edema has improved, continues to have a little facial puffiness. Outcome of the event quiver in her lip on the left side was unknown and for all other events was resolving.   No follow-up attempts are possible. No further information is expected.