Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dry eye, Eye pain, Facial pain, Interchange of vaccine products, Irritability
Clinical narrative: eye was stingy; swollen eyelids; her cheek is sore; pain; Blurred vision; my upper tooth is swollen and it is very irritated; right eye seems okay just feel little bit dry/eye was stingy and dry afterwards; my upper tooth is swollen; she pulled the needle out of the vial, the quite a bit of vaccine squirted directly into her left eye; Interchange of vaccine products; This is a spontaneous report received from a contactable reporter(s) (Pharmacist) from medical information team. The reporter is the patient.  A 48-year-old female patient received bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 02Nov2023 as dose 1, 0.3 ml single (Batch/Lot number: unknown) at the age of 48 years for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Moderna vaccine (DOSE 1, SINGLE), administration date: 2020, for COVID-19 immunization; Moderna vaccine (DOSE 2, SINGLE), administration date: 2020, for COVID-19 immunization. The following information was reported: INTERCHANGE OF VACCINE PRODUCTS (non-serious) with onset 02Nov2023, outcome "not recovered"; OCCUPATIONAL EXPOSURE TO PRODUCT (non-serious) with onset 02Nov2023, outcome "unknown", described as "she pulled the needle out of the vial, the quite a bit of vaccine squirted directly into her left eye"; EYE PAIN (non-serious), outcome "not recovered", described as "eye was stingy"; SWELLING OF EYELID (non-serious), outcome "not recovered", described as "swollen eyelids"; FACIAL PAIN (non-serious), outcome "not recovered", described as "her cheek is sore"; PAIN (non-serious), outcome "unknown"; VISION BLURRED (non-serious), outcome "not recovered", described as "Blurred vision"; IRRITABILITY (non-serious), outcome "unknown", described as "my upper tooth is swollen and it is very irritated"; DRY EYE (non-serious), outcome "not recovered", described as "right eye seems okay just feel little bit dry/eye was stingy and dry afterwards"; TOOTH DISORDER (non-serious), outcome "unknown", described as "my upper tooth is swollen". The events "eye was stingy", "swollen eyelids", "blurred vision", "right eye seems okay just feel little bit dry/eye was stingy and dry afterwards" and "she pulled the needle out of the vial, the quite a bit of vaccine squirted directly into her left eye" required physician office visit. Therapeutic measures were taken as a result of eye pain, swelling of eyelid, facial pain, vision blurred, dry eye.  Additional Information: The caller reported that "a week ago thursday", she was withdrawing a dosed from a vial of comirnaty, and when she pulled the needle out of the vial, the quite a bit of vaccine squirted directly into her left eyed and onto her faced and a little bit described as a dropped, in the right eyed. The caller stated she was administering the vaccine to 5 patients in a row and this happened when withdrawing the dosed for the 5th patient, and pharmacist stated because it was such a small amount, you never added air to it. The caller thought the vial may had been faulty, thinking it must had been pressurized beforehand for this to happened. Caller stated her eyed was stingy and dried afterwards. She flushed her eyes and used eyed wash afterwards. Caller went to her eyed doctor and was told to used rewetting dropped every two hours, which she did for days, but her condition did not improved. Caller stated despite continual flushing with watered and rewetting, her eyes had not gotten any better and were getting progressively worse. Caller reports having blurred vision, swollen eyelids right down to her cheek, and her cheek was sore and irritated. Caller stated she spoke with her eyed doctor again, who prescribed an antibiotic and steroid, which she had used for two days but there was still no improvement, and it was waking her up with pain. Caller stated she was on vacation now and very worried about her eyes being worse. Patient reported her upper tooth was swollen and it was very irritated. The two of the vaccine and there was air in the vial and i did not put the air in it, there was just already air in that because it was only 0. 3 ml. It went right into her left eyed a one little dropped, most of it went into her left eyed because she was just holding the vial with her left handed because she was right handed. One little dropped got into her right eyed, her right eyed seems okay just felt little bit dried that was all she could felt. It was mainly in her left eyed and on her faced. Eye doctor suggested to used the rewetting (refresh preservative free) dropped for every two hours and let her knew if it got better or worse, which i got worse. Then she ordered her a steroid with an antibiotic ointment because it was getting worse and she started that yesterday. She had the moderna vaccine when she got immunized not pfizer and it was the first 2 series that was in 2020. She never got more of the pfizer vaccine or vaccine for covid.  The information on the batch/lot number for bnt162b2 omi xbb.1.5 has been requested and will be submitted if and when received.