Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pharyngeal erythema, Pharyngeal swelling, SARS-CoV-2 test positive, Vaccination site pain
Clinical narrative: She felt a burning sensation whenever the covid vaccine went in; muscle pain all over, her muscles felt achy; Tiredness; could not eat; pressure in her ear is from swelling; pressure in her ear is from swelling; throat tightness; could not sleep that night; muscle tightness started in the shoulder/shoulder muscle got tight/tightness went to the back of her neck, then to the front of her neck; hurting so bad; Under her chin, on both sides, there are swollen lumps; This is a spontaneous report from a contactable consumer (patient). A 63-year-old female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration, administered in left arm on 27Mar2021 at 13:00 (Batch/Lot Number: ER8734; NDC & Expiry date: unknown) (at the age of 63 years old) as 1st dose, single for COVID-19 immunization. Patient took Pfizer COVID vaccine because of her job. She works with the public at a public library. History of all previous immunization with the Pfizer vaccine and additional vaccines administered on same date of the Pfizer suspect were reported as none. Medical history included acid reflux for years, colitis, bad sinus issues for several years and COVID-19 diagnosed on 04Jan2021. Part of her sinus issues, is that her sinuses block up and stuff drips down the back of her throat. Whenever she had COVID in Jan2021, the main thing that bothered her was a terrible sore throat. Whenever she had COVID, she went to an urgent care and the doctor told her that her throat was swollen bad. She kept spitting phlegm out in the toilet, and the doctor told her if it got any worse, she may need to go to the hospital, if her throat is starting to swell closed. The urgent care doctor prescribed her a steroid, and she took that for a week. She has a bad right shoulder; it aches all of the time. She does not like going to the doctor, so she has not had it checked out. She has frozen shoulder in both of her shoulders. She clarified that she had shoulder issues before receiving the first dose of the COVID vaccine. She constantly has neck pain. It is normal for her to have aches in the back of her neck. The pain from her shoulders goes into her neck. Patient reported that there was this thing that runs in her family. She has never been tested for it. It is a disease. Her mom and dad do not think that she has it. She thinks that is called Marie Toothe disease. Concomitant medications included fluticasone propionate (FLONASE) for bad sinus issues, famotidine for 2 years for acid reflux, and has been taking mesalazine (LIALDA) for years for colitis. She takes Flonase pretty much daily in the summer. She stopped taking during the winter. She started taking it again a couple of months ago. She started back taking it whenever things started blooming. Patient reported that she got hives from a flu shot. Flu shot name, NDC, lot number and expiration date were unknown. Hives after a flu shot happened five years ago, she has not gotten a flu shot since. On an unspecified date, the patient called to report reactions. She was concerned about getting her second dose of the COVID vaccine. Patient's weight was between 110 and 120 pounds. She was diagnosed with COVID on 04Jan2021. Because of COVID, she lost weight, she got down to 110 pounds. Now she is putting weight back on and getting back to her regular size of 120 pounds. She lost a bunch of weight whenever she was sick with COVID. She has been trying to call the CDC but has not been able to get through to speak to anyone. She received the first dose of the COVID vaccine in her left arm, because her left arm is normally better. She received the first dose of the COVID vaccine at 1:00PM. They made her sit around and wait for 30 minutes because she has had flu shot reactions before. She waited the 30 minutes and felt okay. Then she noticed at dinner time, about four or five hours after the first dose of the COVID vaccine that she was feeling muscle pain all over, her muscles felt achy. After she got the first dose of the COVID vaccine, she felt like COVID was coming back into throat. At supper time, she could not eat because of throat tightness. She had to eat soup and could not take one of her big pills: Began probably about four to five hours after receiving the first dose of the COVID vaccine. Her throat has been doing this weird thing where it feels better, and then feels tight again. It is back and forth. Right now, it is better. This Saturday, she was supposed to get her second dose of the COVID vaccine. She is worried that her throat will swell up worse. She is asking if she should get the second dose of the COVID vaccine. About one week before receiving the first dose of the COVID vaccine, her throat was sore and bothering her. She went to urgent care on 22Mar2021. She had COVID in Jan2021, her throat has gone back and forth like this. At urgent care, they did a COVID test on her and it was negative. They also did strep test on her and it was negative. The doctor looked at her throat and said he did not see anything. The doctor did not really want to look in her throat. The doctor was worried she may have COVID, so he only took a quick look. She felt like muscle tightness started in the shoulder when she received the first dose of the COVID vaccine. Her shoulder muscle got tight, then the tightness went to the back of her neck, then to the front of her neck. She also had pressure in her ear on that same side; she clarified that pressure was behind her ear. She thinks the pressure in her ear was from swelling. Shoulder tightness, back of neck tightness, front of neck tightness, and pressure behind her ear all happened at the same time. She was hurting so bad. The tightness and pressure come and goes. She is starting to wonder if wearing a mask is causing this. She wears two cloth masks at work. She does not like wearing medical grade face masks because she feels like she cannot breathe. After work, she will come home, and her throat will be a little sore. She was asking if there are lymph nodes in her throat. Under her chin, on both sides, there are swollen lumps. The left side was worse. She put ice on it, and it felt better. Began on 27Mar2021, she could not sleep that night which was weird because it comes and goes. Whenever it comes and goes, it was probably not as bad as the day that she received the first dose of the COVID vaccine. It still hurts. She was asking if this is an immune inflammatory response. She was supposed to get her second dose of the COVID vaccine this Saturday. She is freaking out about it. Everyone has told her that the second dose of the COVID vaccine is worse than the first dose. She was asking if they can give her the second dose of the COVID vaccine in her thigh instead. She is worried that if she gets the second dose of the COVID vaccine in her thigh, that she will not be able to walk after. The adverse events did not require a visit to the Emergency Room/Physician Office. She is thinking about going to see a doctor. The night that she received the first dose of the COVID vaccine, she thought to herself that if she got any worse, she would go to the emergency room. She was close to going to the emergency room. There were no prior vaccinations (within 4 weeks). The outcome of the event burning sensation was recovered, muscle pain was recovering, tiredness was not recovered, while for the other events was unknown.  No follow-up attempts are needed. No further information is expected.