Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pharyngeal swelling, Respiratory arrest, SARS-CoV-2 test, Sinusitis
Clinical narrative: severe allergic reaction; arm was still running hot; on the verge of a sinus infection; arm swelling went down to her bicep on her right arm; neck swelling; running hot and cold. She would be burning up and then she would be freezing cold; Migraine headache; right shoulder blade was burning/arm burning; felt like her breathing was starting to restrict, like when she gets stung by a bee; having the sensation like she couldn't breath; Nauseous; lightheaded; burning pain; injection site was running super hot; her heart was pounding in her chest; wheezing; blood pressure was 120/80 which for her that's very high; lethargic; Sore throat; swelling had reached the base of her throat; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 52 year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), administration date 23Nov2021 13:20 (Lot number: FH8020) at the age of 52 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "allergic to milk" (unspecified if ongoing); "Mold allergy" (unspecified if ongoing); "had the same kind of breathing problem" (unspecified if ongoing), notes: when she had the antivenom and anti-swelling injections to counteract a bee string; "bee string" (unspecified if ongoing); "runny nose" (unspecified if ongoing), notes: from mold allergies; "reactiorn to the anti-swelling medicine" (unspecified if ongoing). There were no concomitant medications. The following information was reported: HYPERSENSITIVITY (medically significant), outcome "unknown", described as "severe allergic reaction"; RESPIRATORY ARREST (medically significant) with onset 23Nov2021, outcome "unknown", described as "felt like her breathing was starting to restrict, like when she gets stung by a bee"; DYSPNOEA (medically significant) with onset 23Nov2021, outcome "unknown", described as "having the sensation like she couldn't breath"; NAUSEA (non-serious) with onset 23Nov2021, outcome "unknown", described as "Nauseous"; DIZZINESS (non-serious) with onset 23Nov2021, outcome "unknown", described as "lightheaded"; PAIN (non-serious) with onset 23Nov2021, outcome "not recovered", described as "burning pain"; VACCINATION SITE WARMTH (non-serious) with onset 23Nov2021, outcome "unknown", described as "injection site was running super hot"; PALPITATIONS (non-serious) with onset 23Nov2021, outcome "unknown", described as "her heart was pounding in her chest"; WHEEZING (non-serious) with onset 23Nov2021, outcome "unknown", described as "wheezing"; BLOOD PRESSURE INCREASED (non-serious) with onset 23Nov2021, outcome "unknown", described as "blood pressure was 120/80 which for her that's very high"; LETHARGY (non-serious) with onset 23Nov2021, outcome "unknown", described as "lethargic"; PERIPHERAL SWELLING (non-serious) with onset 24Nov2021, outcome "unknown", described as "arm swelling went down to her bicep on her right arm"; SWELLING (non-serious) with onset 24Nov2021, outcome "unknown", described as "neck swelling"; PHARYNGEAL SWELLING (non-serious) with onset Nov2021, outcome "unknown", described as "swelling had reached the base of her throat"; FEELING OF BODY TEMPERATURE CHANGE (non-serious) with onset 24Nov2021, outcome "not recovered", described as "running hot and cold. She would be burning up and then she would be freezing cold"; OROPHARYNGEAL PAIN (non-serious) with onset Nov2021, outcome "unknown", described as "Sore throat"; SINUSITIS (non-serious) with onset 24Nov2021, outcome "unknown", described as "on the verge of a sinus infection"; MIGRAINE (non-serious) with onset 23Nov2021, outcome "not recovered", described as "Migraine headache"; BURNING SENSATION (non-serious) with onset 23Nov2021, outcome "unknown", described as "right shoulder blade was burning/arm burning"; FEELING HOT (non-serious), outcome "unknown", described as "arm was still running hot". The events "severe allergic reaction", "felt like her breathing was starting to restrict, like when she gets stung by a bee", "having the sensation like she couldn't breath", "arm swelling went down to her bicep on her right arm", "neck swelling" and "swelling had reached the base of her throat" were evaluated at the physician office visit. The patient underwent the following laboratory tests and procedures: blood pressure measurement: (23Nov2021) 120/80, notes: normal blood pressure in mid-90s/68; oxygen saturation: (23Nov2021) 100; sars-cov-2 test: (Nov2021) negative. Therapeutic measures were taken as a result of hypersensitivity, respiratory arrest, dyspnoea, blood pressure increased, burning sensation. The clinical course was reported as follows: the patient vaccine was administered on 23Nov2021 at about 1:20 PM in the afternoon at the (name) and within 15 minutes she felt nauseous and lightheaded to where she needed to lay down. The nurse had called back someone else and gave that person their vaccine and when the nurse came out the patient must have looked pretty dang bad because the nurse took the patient straight back to tend to her. By that time her right shoulder blade was burning, it was a burning pain at the top of her shoulder blade and it went all around. The injection site was running super hot and her heart was pounding in her chest. To her it felt like her breathing was starting to restrict, like when she gets stung by a bee. In the past when she had the antivenom and anti-swelling injections to counteract a bee string she had the same kind of breathing problem. The nurse checked her pulse ox and the nurse was surprised that it was still at 100, which means that her airway wasn't closing but she was still having the sensation like she couldn't breath and like it was cut off. The patient felt like she was wheezing. She was laying down and the nurse took her blood pressure. Normally the caller has a low blood pressure and it was 120/80 which is probably the biggest reason why she appeared to have major problems because for her that's very high. Her normal blood pressure in mid-90s/68. She had ice applied to her forehead and the nurse monitored her vitals and helped get her breathing to calm down and the nurse continued to monitor her pulse ox. The patient didn't know how long she was in the back with the nurse until the nurse felt that she was stable enough to move back to the lobby where she had to wait until 3:20 in the afternoon before she was feeling well enough to drive herself home. The nurse was still nervous sending the caller home at that point because the patient had ice on her arm for 2 hours and it was still burning up. Later that night she became very lethargic and she went to bed at 9:00 PM, her arm was still on fire, she still had the burning pain, her breathing was still similar to other allergic reactions that she has had in the past. She woke up at 9:00 AM the next day and the arm swelling went down to her bicep on her right arm and to her neck. At some point during that day or maybe the next day the swelling had reached the base of her throat where her shoulder attaches to her neck. By Monday, when she went to see her chiropractor, acupuncturist and her massage therapist they all said that they couldn't believe the amount of swelling that she had. Her arm was still running hot and by that point she was running hot and cold. She would be burning up and then she would be freezing cold. It has been all day from 24Nov2021 and it is still happening, it is just not as frequent. She had a sore throat. She normally has a runny nose from mold allergies but that has gone from being clear and runny to white and sticky and she is on the verge of a sinus infection. She had a migraine headache after receiving the vaccine, that is getting better now but up until a couple of days ago it was constant. She had the sore throat to the point that they thought that she actually had COVID and she had to go in for a COVID swab, it came back negative. She went to her primary care provider on 01Dec2021 because normally 7 days after something like this her body is able to start fighting it and her body couldn't deal with it so she had to get medical help. On Monday her acupuncturist had to treat her lungs to open them up to get her breathing stabilized from the injection. She also had to have other herbal supplements added to her regimen to help her liver and spleen process whatever Pfizer put into this thing. She has been allergic to milk and they identified it as an allergy to the protein in milk. Her primary care doctor said that she had an immediate reaction to something that Pfizer has in the drug and her prolonged situation is because she is allergic to the protein in the vaccine. Based on the injectables that she had with her first bee string she literally walked out of the emergency room looking like the Michelin man in 1981 from all of the stuff that they were trying to do to counteract her bee sting. This agent may not believe her but she will not take an EpiPen because of her reaction to the anti-swelling medicine. If she were stuck with an EpiPen it may kill her because it's a lot stronger than the anti-swelling medication is. She can't have Benadryl, amitriptyline, flexeril, the muscle relaxer stuff and she can't have an anti- something for when you have an upset stomach. Like when they would make you take Prilosec. She also can't have Tylenol. Patient stated another medication that was provided too fast for this agent to capture and when this agent attempted to get patient to repeat the medications she refused to do so and said basically she just can't have any prescription drugs. They all make her sick and make her sick in this way. She knew that these symptoms that she was having are definitely an allergic reaction. The problem is that she didn't know which ingredient is causing her side effects and her allergist will keep clearing her to have the vaccine because she didn't know which one specifically that she is allergic to.