Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Headache, Microangiopathy, Ocular hyperaemia, Pain in extremity
Clinical narrative: had blood vessels and small veins near his left eyebrow that were becoming prominent and itchy like a burning feeling; had blood vessels and small veins near his left eyebrow that were becoming prominent and itchy like a burning feeling; had blood vessels and small veins near his left eyebrow that were becoming prominent and itchy like a burning feeling; puffiness of the vessels near his left eyebrow; black streak that came into his left eye and his vision became orangey/ it looked like blood in his view and he ended up with hundreds of little dots floating around his eyesight; black streak that came into his left eye and his vision became orangey/ it looked like blood in his view and he ended up with hundreds of little dots floating around his eyesight; bleeding behind the retina of the eye/ did not know if it was a retinal hemorrhage or a hemorrhage behind his eye; arm was sore/ arm soreness; headache; This is a spontaneous report from a contactable consumer (patient himself) via medical information team. A 64-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration on 16Oct2021 at the age of 64 years old (Batch/Lot number and Expiration date were unknown) as dose 3 (booster), single for COVID-19 immunization. The vaccination facility type was reported as VA facility; the vaccine was administered at the military facility. Relevant medical history included ongoing autoimmune disease: vasculitis, diagnosed maybe in 2005 or 2006 and issues with his vision from an unknown date and unknown if ongoing. Family medical history relevant to adverse events (AEs) were not provided. There were no concomitant medications. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), administered on 09Jan2021 (also reported as mid Jan2021) at the age of 63 years old (Batch/Lot number and Expiration date were unknown) as dose 1, single for COVID-19 immunization and experienced unusual inflammation in the mouth (throat and gums) and then administered on 30Jan2021 at the age of 64 years old (Batch/Lot number and Expiration date were unknown) as dose 2, single for COVID-19 immunization. The patient had no prior vaccinations within four (4) weeks prior to the first administration date of the suspect vaccine. The patient wanted to know if arm was sore and discus bleed or macular hemorrhage had been reported post vaccination. He would like to know if anyone had reported specifically, bleeding behind the retina, discus bleeding. The patient did an online search and found existing reports of macular hemorrhage post vaccination. The patient was informed that such incidents had not been found as post vaccination side effects and might not have the list of all the possible potential side effects associated with the vaccine and was recommended to contact his healthcare provider (HCP) for any treatment recommendations. The patient further stated he was calling about the Pfizer Covid booster vaccine and stated he had a situation that might be related to the booster he received on Saturday afternoon, 16Oct2021. On 16Oct2021, his arm was sore and he was pretty sure that it was standard. He stated very shortly after he had his vaccine on 16Oct2021, he developed a headache and the next day on Sunday, 17Oct2021, the headache was stronger and he noticed he had blood vessels and small veins near his left eyebrow that were becoming prominent and itchy like a burning feeling; he stated he had puffiness of the vessels near his left eyebrow and around noon on Sunday, he had a black streak that came into his left eye and his vision became orangey and it looked like blood in his view and he ended up with hundreds of little dots floating around his eyesight. He stated he had to go to the hospital and they gave him a shot in the eye. The patient stated he did not know if it was a retinal hemorrhage or a hemorrhage behind his eye, but he also had autoimmune symptoms and illness and wondered if there were similar reports of people with autoimmune issues that had encountered this same thing or if anyone had encountered it. The patient clarified he did not stay overnight in the hospital, but it was an outpatient hospital visit. He stated he had the Pfizer booster vaccine administered on 16Oct2021 and his symptoms of headache began within the hour after the booster and his arm soreness began later that night on the same date of 16Oct2021; he stated his headache was still there and was a little stronger than when it began and his arm soreness was just about back to normal, but was very slight. The patient stated he went to the outpatient hospital visit on Monday, 18Oct2021. The AEs did not require a visit to the emergency room, but did require a physician office, at the VA eye clinic. The patient had no relevant tests. At the time of the report, the patient was recovering from the arm soreness; he was not recovered from headache; while the outcome of the rest of the events was unknown.  The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.