Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Erythema, Peripheral swelling, Urticaria
Clinical narrative: anaphylactic reaction; This is a spontaneous report from a contactable consumer reporting for herself. A 32-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number EL9262/expiration date: not provided), via an unspecified route of administration, on 01Feb2021 at 19:00 (at the age of 32 years old) as a single dose in the left arm for COVID-19 IMMUNIZATION. Relevant medical history included potential autoimmune disorder (not yet diagnosed), allergies, Von Willebrand's disease, bleeding disorder, family history (her mom) of amyotrophic lateral sclerosis (ALS), family history (her dad) of multiple sclerosis, and family history (her dad) of rheumatoid arthritis. Adverse events following prior vaccinations were reported as none, not even arm soreness with tetanus. The patient did not have any concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 01Feb2021 at 19:05, the patient experienced anaphylactic reaction: her hands became red and swollen and hot to touch; bright pink red rash that started on her chest, arms, face, and neck; rash had spread to her back; her face was red and swollen on her cheeks and the bridge of her nose and slightly on her forehead; hives on her forearms not many but she had some hives; her face was still a little flushed and pink at the time she left and may have been still slightly swollen; and her throat was slightly swollen. The clinical course was as follows: The patient received the vaccination on 01Feb2021 at 19:00. Then at 19:05 she was sitting in the observation area, for dose 1, her hands became red and swollen and hot to touch. She showed it to one of nurses and within the next 3-5 minutes she had a bright pink red rash that started on her chest, arms, face, and neck and the EMTs had her go to the area they had set up and the rash had spread to her back. They had her remove her mask and her face was red and swollen on her cheeks and the bridge of her nose and slightly on her forehead. They had her drink liquid diphenhydramine (BENADRYL). She had hives on her forearms not many but she had some hives and that was after liquid diphenhydramine so they gave her epinephrine in her right arm around 19:30 and transported her to the hospital via ambulance. She still had swelling and redness to her face and hands and then it would be gone, it was really bizarre it was like it would flare up and come down and flare up again like waves. At the ER they kept her in observation until like 1AM. When she left her face was still a little flushed and pink at the time she left and may have been still slightly swollen but not red and alarming like when it first happened. Also, her throat was slightly swollen. There was also a snow storm that day so it was not ideal, it went away but she still had a little bit of pink and her face was still a little swollen. She got home around 1:30 or 2AM and by the morning of the 02Feb2021 everything was gone. She had no more symptoms. After this experience she will be seeing an allergist and an immunologist. The outcome of the event anaphylactic reaction was recovered completely on 02Feb2021.