Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: Left cheek red; Painful scalp above left ear/top of head; Back of neck pain (pain 4); Intermittent pain above left ear; Back of head (pain 10, 2 sec); Tender scalp above left ear; Malaise; 99.3 fever; Woke from severe headache (H/A) pain 10; Achy; Dizzy; Hurt to move; Hot/chills; Hot/chills; This is a spontaneous report from a contactable consumer, the patient. A 62-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8730) via an unspecified route of administration in the arm left on 24Mar2021 at 13:15 (at the age of 62-year-old) as a single dose for COVID-19 immunisation. Medical history included former Smoker, Cholesterol 233, blepharitis and hay fever. Concomitant medications included calcium, colecalciferol (CALCIUM D), phytosterols nos (MANUFACTURER UNKNOWN), folic acid (FOLATE), beta vulgaris extract, cynara cardunculus extract, leonurus cardiaca extract, silybum marianum, taraxacum officinale extract (MILK THISTLE) and ascorbic acid (VITAMIN C) for unknown indications and from an unknown date. The patient previously received vicodin (MANUFACTURER UNKNOWN) for unknown indication on an unknown date and experienced drug allergy. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 01April2021 at 04:00, the patient woke up from severe headache (H/A) pain 10, achy, dizzy, hurt to move, hot/chills. On 02April2021, the patient experienced H/A, malaise, 99.3 fever and COVID test negative. On 03April2021, patient had 98.9 fever, H/A pain 6 and achy. 04April2021, the patient had H/A pain 9.5, back of neck (pain 4), fever 99.9, intermittent pain above left ear, back of head (pain 10, 2 seconds), tender scalp above left ear and achy. On 05April2021, patient had H/A pain 6, intermittent pain above left ear (pain 10, 2 seconds), only left cheek red, intermittent sharp pain above left ear, painful scalp above left ear/top of head, COVID test negative, blood work (no sign of infection), Computed Tomography (CT) scan without contrast (normal, no sign of bleed). On 06April2021, the patient had H/A pain 7, painful scalp; 98.5 temp, intermittent pain above left ear (pain 9, 2 seconds). On 07April2021, the patient had 98.2 temperature, H/A pain 6, intermittent sharp pain over left ear (pain 8, 1 second), painful scalp top of head. On 8April2021 patient had only left cheek red, H/A pain 3; sharp intermittent pain over left ear (pain 6, 2 seconds). On 09April2021, the patient had pain 2, temperature 98.6. The events resulted in doctor or other healthcare professional office/clinic visit. Therapeutic measures were taken as a result of events and included treatment with acetaminophen (TYLENOL), ibuprofen (MANUFACTURER UNKNOWN) and aspirin 81mg (MANUFACTURER UNKNOWN). On 02Apr2021, the patient underwent pharyngeal COVID-19 test and the result was negative. On 05Apr2021, the patient underwent Nasal Swab COVID-19 test and the result was negative. The clinical outcome of the events headache, pain, dizzy, pain upon movement, feeling hot, chills, malaise, fever, neck pain, pain in ear, head pain, scalp tenderness, skin red, and scalp pain were recovering, at the time of this report,   No follow-up attempts are needed. No further information is expected.