Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Migraine, Pain, Photophobia
Clinical narrative: Pain in the face (left part); body aches; something was stabbing in her armpit; pressure in her temples; gets migraines occasionally and it is mimicking this; Excruciating toothache left side/ massive tooth ache; Had a bad headache / massive headache; Swollen lymph nodes/swollen lymph node in left arm; Eyes sensitive to light; swollen lymph nodes that is really painful; Left hand feel numb; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 55 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 20Mar2021 11:00 (Lot number: EN6207) at the age of 55 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "Cancer Survivor" (unspecified if ongoing); "radical hysterectomy" (unspecified if ongoing), notes: Lymph nodes were not taken out; Year 6 on that; "gets migraines occasionally" (unspecified if ongoing); "big headache" (unspecified if ongoing), notes: usually cuts a Tylenol in half and take for it; "3 slipped discs in her back" (unspecified if ongoing), notes: pre-medicates with ibuprofen for long days; "pain" (unspecified if ongoing). Concomitant medication(s) included: IBUPROFEN taken for pain. Vaccination history included: Bnt162b2 (Dose 1, Lot number: EN6202, Anatomical location: left arm), administration date: 27Feb2021, for COVID-19 immunization, reaction(s): "arm was sore". The following information was reported: LYMPHADENOPATHY (non-serious) with onset 21Mar2021 03:00, outcome "recovering", described as "Swollen lymph nodes/swollen lymph node in left arm"; LYMPH NODE PAIN (non-serious) with onset 21Mar2021, outcome "recovering", described as "swollen lymph nodes that is really painful"; HYPOAESTHESIA (non-serious) with onset 21Mar2021, outcome "not recovered", described as "Left hand feel numb"; FACIAL PAIN (non-serious), outcome "not recovered", described as "Pain in the face (left part)"; TOOTHACHE (non-serious) with onset 22Mar2021 03:00, outcome "recovering", described as "Excruciating toothache left side/ massive tooth ache"; HEADACHE (non-serious) with onset 21Mar2021 03:00, outcome "recovering", described as "Had a bad headache / massive headache"; PAIN (non-serious), outcome "not recovered", described as "body aches"; AXILLARY PAIN (non-serious), outcome "not recovered", described as "something was stabbing in her armpit"; HEAD DISCOMFORT (non-serious), outcome "not recovered", described as "pressure in her temples"; PHOTOPHOBIA (non-serious) with onset 21Mar2021 03:00, outcome "recovering", described as "Eyes sensitive to light"; MIGRAINE (non-serious), outcome "not recovered", described as "gets migraines occasionally and it is mimicking this". Additional information: clinical course: On 21Mar2021 (reported as 3 days ago), the patient experienced swollen lymph nodes that was really painful, making her left hand feel numb. On 22Mar2021, the patient experienced pain in the face (left part) and excruciating toothache left side. She had a bad headache but it already subsided. The patient queried if she could take Tylenol. Events were also described as follows: The patient experienced some side effects 24 hours later, and she was on day three and was still experiencing it. In the patient's arm, the lymph node, she has never experienced swelling and pain and throbbing like that especially when she lays down, her hand was going numb. It was reported that the pain subsided a little bit but it was worse at night. It was reported that the patient was a pro athlete, and she has her mammogram scheduled and did not know if she should go. The patient has never had swollen lymph nodes and wanted to know what to expect and if she cannot take anything for it. The caller patient also experienced a massive headache and body aches; has not had a fever and no abnormal chills. The patient has not taken anything because what she has read said it was contradicted; she was told no ibuprofen and Tylenol. The patient was querying if it was safe for her to perform physical activity. Last night on the same side of the patient's face, she had the most massive tooth ache, it was like the lymph node in her face was affected. It was reported that the patient usually does not get vaccines so her body was not really used to this. The swollen lymph nodes were in the same arm as the vaccine. Thirty hours after the vaccine, the lymph node swelling started. It was reported that the patient drank unbelievable amounts of water the day after she received her vaccine. It felt like something was stabbing in her armpit. The patient experienced headaches feel like pressure in her temples, her eyes were sensitive to light. The caller gets migraines occasionally and it is mimicking this. It was reported that the symptoms seem to pop up at about 3:00 am, they flare up at night. It was reported that if the caller has a big headache she usually cuts a Tylenol in half and took it. The caller has 3 slipped discs in her back so she usually pre-medicates with ibuprofen for long days. The caller did not take anything the day before the vaccine. The patient had no history of all previous immunization with the Pfizer vaccine considered as suspect and no additional vaccines administered on same date of the Pfizer suspect. The patient had no family medical history relevant to adverse events.  No follow-up attempts are possible. No further information is expected.