Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Immunisation, Interchange of vaccine products, Investigation, Laboratory test
Clinical narrative: her nose got bloody; sore; nose is sensitive; she received the Pfizer booster dose; she has scabs; She received Moderna for her first 2 doses.; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from the medical information team for a Pfizer-sponsored program. The reporter is the patient.  A 88-year-old female patient received bnt162b2 (COMIRNATY), administered in arm left, administration date 21Nov2021 (Lot number: FH8020, Expiration Date: 31Jan2022) at the age of 88 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "hearing problem" (unspecified if ongoing), notes: Caller came on the line and state she is 88 years old, has a hearing problem, and cannot understand when talking fast.; "She had a lumpectomy in the right breast" (unspecified if ongoing). There were no concomitant medications. Vaccination history included: Moderna (She received Moderna for her first 2 doses, Dose number: 1, Lot: 029L20A, Expiry Date: Unknown), administration date: 20Jan2021, when the patient was 87 years old, for COVID-19 immunisation; Moderna (She received Moderna for her first 2 doses, Dose number: 2, Lot: 024M20A, Expiry Date: Unknown), administration date: 20Feb2021, when the patient was 87 years old, for COVID-19 immunisation. The following information was reported: IMMUNISATION (non-serious) with onset 21Nov2021, outcome "unknown", described as "she received the Pfizer booster dose"; INTERCHANGE OF VACCINE PRODUCTS (non-serious) with onset 2021, outcome "unknown", described as "She received Moderna for her first 2 doses."; EPISTAXIS (non-serious) with onset 22Nov2021, outcome "recovering", described as "her nose got bloody"; PAIN (non-serious) with onset 22Nov2021, outcome "not recovered", described as "sore"; SENSITIVE SKIN (non-serious) with onset 22Nov2021, outcome "not recovered", described as "nose is sensitive"; SCAB (non-serious) with onset Nov2021, outcome "unknown", described as "she has scabs". Relevant laboratory tests and procedures are available in the appropriate section. Clinical course: she had a bloody nose and sensitive nose. she received the Pfizer booster dose on 21Nov2021. The next day she got a bloody nose and now it's still sensitive on the inside. When she blows her nose she gets blood on the tissue. It scabs over. She received Moderna for her first 2 doses. she has scabs around it, and it is sore. Her nose is still bothering her. She was 5ft 3in and said that she shrunk with age. She does not have dementia. She had a test in Aug2021 and had a brain test and it is good. Her body was not so well, but her brain is good. She still gets dried blood up in her nose. When she blows her nose there will be blood on the tissue. Her nose would get better. It has not been that long, but was still sensitive and did not have it before she got the booster. She has a hearing problem.. She would be sent paperwork but has not. She got the booster the next day the inside of her nose, tissue was bloody, inside of her nose it was tender inside she had already gotten two shots, in January and February and was informed she would need to get the booster. She clarified the name of the booster as the Pfizer Covid Booster. She added the first two she got was the Moderna Covid Vaccine. She stated she wants something done, her nose is still bothering her. It's sensitive inside. When she wipes her nose it's still blood on the tissue. If she does not blow her nose it then dries up and causes a scab in the nose from the blood. She was a pain in the neck. She cannot get shots in right the arm. She had a lumpectomy in her right breast so she cannot get any shots, blood pressure checks in her right arm. Everything is in the left arm. She also has a Nasal Swab she rubs so it will not get dry. She got it on 21Nov2021 and the next morning her nose was inflamed and bloody. It has been that way ever since. She figured this would get better, but it's staying the same inside the nose. Her nose was still bothering her. It's sensitive inside. When she wipes her nose it's still blood on the tissue. If she does not blow her nose it then dries up and causes a scab in the nose from the blood. She added, apparently she was allergic to it. Her nose is sore inside, it gets bloody, if she does not wipe the blood forms a scab inside. She also has a Nasal Swab she rubs so it will not get dry.  No follow-up attempts are possible. No further information is expected.