Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood pressure measurement, Blood test, Ear pain, Electrocardiogram
Clinical narrative: Occipital neuralgia; neck pain and Inflammation of front of neck; Soreness of upper back on right side; neck pain and Inflammation of front of neck; Tender right ear; Headache; This is a spontaneous report from a contactable consumer (patient). A 36-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, lot number: EN6207, Expiry date: unknown) (age at the time of vaccination was 36 years) via intramuscular route, administered in arm left on 14Mar2021 13:15 DOSE NUMBER UNKNOWN, SINGLE DOSE for COVID 19 immunization. The patient's medical history included slightly elevated blood pressure on Jul2020, heart health, familial risk factor of high blood pressure, historical vaccine included MMR for immunization on an unknown date in 2018. She may have had slightly elevated blood pressure due to stress last year, but she exercises regularly and is a pretty healthy person. She does not typically get a flu shot because she has been so healthy. She really has not has a lot of vaccines put in her body, so that was why they were wondering if this was a bad reaction to this one. The patient's medical History (including any illness at time of vaccination) was none. Concomitant medications included Amlodipine, lisinopril, B12 (cyanocobalamin) at a dosage of 1000 ug once a day from 2019, Fish oil at a dosage of 1290 mg twice a day orally for heart health, Juice plus vitamin twice daily orally from 2019, calcium magnesium blend 1000mg/500mg, 2 per day, by mouth. The patient did not take any other vaccine in four weeks prior COVID -19 vaccine. She was not diagnosed with COVID prior vaccination and not tested with COVID post vaccination. She did not take any other vaccine in four weeks prior COVID -19 vaccine. In Jul on an unspecified year, the patient had vitality check for an insurance discount, the patient's blood pressure increased during blood draw. Maybe it was slightly elevated before. The physician suggested to stop taking all supplements until her blood pressure leveled out and to start vegan diet.  Caller says she thinks she may have had an adverse reaction to the Pfizer vaccine. She received the shot on Sunday at 1:15 and by 3:00 she had a headache on the right side of her head. She took ibuprofen for that and it seemed to help, but then Monday the headache returned and lasted all day. She started to get severe pain at a specific point near her right ear, and it was exceptionally tender. She waited to see what was happening, then Tuesday it was even more severe, she started to have neck pain and inflammation in front of the neck. She began to take Tylenol because her sister in law suggested she switch but that did not help. Wednesday at the end of her workday she went to the doctor and her blood pressure was 170/120. She had a stressful work week prior to getting the shot. With the mask this year she hasn't been staying as hydrated. She is a teacher, so at work it has been really stressful this year. She said her blood pressure may have been slightly elevated prior to receiving the shot, she doesn't know. It had been so long since her last physical she did not know. She was treated for occipital neuralgia that might be a possible side effect she experienced in addition to the huge spike in blood pressure. She did not know if someone else might have an increase in blood pressure because this was relatively new, so someone else may have experienced the same thing. Again of note, her blood pressure could have been high prior to the shot. She has been under a lot of stress, but that 90 percent of America right now. She received the shot at 1:15 and the headache started about 3:15. She said it was ongoing. The doctor said it was probably a result of the blood pressure and occipital neuralgia she is experiencing. The headache is getting a little better as her blood pressure is going down. The doctor put her on blood pressure lowering medication to bring it down, and as it was going down it was improving slightly but the headache was still persistent. Near her right ear, that's the occipital neuralgia, it was like a spot on the back right kind of where the neck and the base of the skull is, there was a spot that is so tender if you press on it. The inflammation on the front of her neck started on Wednesday, that's when everything was happening. The headache, the spot on the back of her head, and the inflammation in the neck. She started having soreness of the upper back on the right side. The inflammation of the neck has slowed down some after she saw the doctor and he put her on Gabapentin which was a nerve pain medication. She thinks it would have been yesterday it started to calm down a little bit. The entire right side was inflamed so it's not entirely better. On her Gabapentin she sees an Rx number, she says it is in an amber colored pharmacy bottle. It says standard white capsule, 100mg, there is a 5 digit number but she does not think that was a lot number. She does not see an NDC, lot, or expiration date on the pharmacy vial. He also put her on blood pressure medication, Amlodipine, and that did not help. He went one step forward and added Lisinopril. It was still elevated, last time she checked it was 128/103. That blood pressure number after increasing the dosage of the blood pressure medication and taking her blood pressure every hour on the hour. It was a slow process to bring it back down. Her Amlodipine and Lisinopril are also in amber colored pharmacy bottles. She does not have NDC, lot, or expiration to provide from the label. She did have to go for additional lab work. EKG, bloodwork, and urine sample. All of those came back normal. She doesn't have those results, her doctor certainly would. The outcome of the events headache, occipital neuralgia, tender right ear, neck pain and Inflammation of front of neck was not resolved and unknown for other events.  No follow up attempts are possible. No further information was expected.