Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chapped lips, Chills, Erythema, Lip exfoliation, Paraesthesia oral
Clinical narrative: lips are tingling; lips itching; lips peeled like chapped lips; lips peeled like chapped lips; dry red patch of skin from corner of mouth to cheek to chin; Fever; Chills; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 67 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 17Mar2022 (Lot number: FM0698) at the age of 67 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "Blood pressure" (unspecified if ongoing); "getting leg cramps" (unspecified if ongoing). Concomitant medication(s) included: OLMESARTAN taken for blood pressure abnormal; KLOR-CON taken for muscle spasms. Vaccination history included: Bnt162b2 (Dose 1, Lot Number: EN6199, Location: Left Upper Arm, Expiry Date: Jun2021.), administration date: 16Mar2021, when the patient was 66 years old, for Covid-19 immunization, reaction(s): "sore arm"; Bnt162b2 (Dose 2, Lot number: ER8732, Location: Right Upper Arm, Expiry Date: Jul2021), administration date: 07Apr2021, when the patient was 66 years old, for Covid-19 immunization, reaction(s): "severe anxiety"; Bnt162b2 (Dose 2, Lot number: ER8732, Location: Right Upper Arm, Expiry Date: Jul2021), administration date: 07Apr2021, when the patient was 66 years old, for Covid-19 Immunization, reaction(s): "just weird shaking that started on the inside out", "Caller states she was shaking uncontrollably even in her voice"; Flu (she gets Flu shot every year,no reactions). The following information was reported: PYREXIA (non-serious) with onset 18Mar2022 12:30, outcome "recovered" (19Mar2022), described as "Fever"; CHILLS (non-serious) with onset 18Mar2022 12:30, outcome "recovered" (19Mar2022), described as "Chills"; PARAESTHESIA ORAL (non-serious) with onset 21Mar2022 04:30, outcome "not recovered", described as "lips are tingling"; PRURITUS (non-serious) with onset 21Mar2022 04:30, outcome "not recovered", described as "lips itching"; ERYTHEMA (non-serious) with onset 21Mar2022, outcome "not recovered", described as "dry red patch of skin from corner of mouth to cheek to chin"; LIP EXFOLIATION (non-serious), CHAPPED LIPS (non-serious) all with onset 21Mar2022 04:30, outcome "recovered" (Mar2022) and all described as "lips peeled like chapped lips". The events "fever", "chills", "lips are tingling", "lips itching", "dry red patch of skin from corner of mouth to cheek to chin", "lips peeled like chapped lips" and "lips peeled like chapped lips" were evaluated at the physician office visit. Therapeutic measures were taken as a result of pyrexia, chills, paraesthesia oral, pruritus, erythema, lip exfoliation, chapped lips.  Additional information: Caller states the medication is Potassium chloride then provides the name. patient states she has been on the medication at least 5 years. Callers states they did blood test and found her Potassium low.  Caller is calling on the Pfizer COVID-19 vaccine booster. Caller states she received the COVID-19 vaccine booster last Thursday after work. She reports on Friday, she had slight fever and chills, then Saturday she was good and Sunday she was good. Caller reports Monday morning her lips were tingling, and her lips peeled like chapped lips. Caller states her lips just felt weird as she can't describe it. She states she also has a dry red patch of skin on the corner of her mouth. She states near her cheek, chin area. Caller states she thought it would go away. She reports putting Cortisone and Chapstick on her lips. She reports her lips kept tingling all week and she decided to go to the doctor. Caller states that her doctor said her reactions were an adverse reaction to the COVID-19 Vaccine booster most likely. Her doctor gave her a prescription for the tingling. Caller states she saw the Nurse Practitioner today not the doctor because she got in on a whim. Caller states she saw the practitioner, but she was sure her primary doctor would have the file. The Nurse Practitioner was the one who advised the caller to call Pfizer, Caller states she should have called after her 2nd dose of the COVID-19 vaccine because she had a reaction. Caller reports having severe anxiety and just weird shaking that started on the inside out. Caller states she was shaking uncontrollably even in her voice. Caller clarifies the shaking was non controllable for 7 days. Caller states her doctor put her on anti-anxiety medication and the shaking just stopped just as quick as it started. Caller clarifies the shaking stopped after 7 days of non-function. Caller confirms her lips are no longer peeling but still tingle. Caller reports the tingling as a weird tingling feeling that is hard to explain and her lips also itch which started the same time as the tingling. Caller confirms the dry, red patch of skin is from the corner of her mouth. She clarifies the patch is a big circle  from her cheek to her chin and is very noticeable. Caller states her husband came home and asked what she did to herself. Caller confirms only treatment for these symptoms are Cortisone, Chapstick and the prescription her doctor provided to her. Caller states she woke up Monday morning 21Mar2022 at 4:30am and didn't notice the patch until later in the day around lunch time. Caller states the patch could've been there that morning, Caller states she was giving the symptoms time to go away and she got scared because the weekend is coming up. No Prior Vaccinations (within 4 weeks), no other vaccinations within four weeks prior to the first administration date of the suspect vaccine(s), Caller states she gets the Flu shot every year with no reactions. She states no reactions after the COVID-19 vaccine 1st dose aside from a sore arm which she expects to be normal.  No follow-up attempts are possible. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202200482547 Same patient, product, different dose and event.;US-PFIZER INC-202200482850 Same patient, different product and event.;US-PFIZER INC-202200489045 Same patient, product, different dose and event.