Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cluster headache, Eye pain, Migraine
Clinical narrative: cluster headache; having stabbing pain in the left eye; headache/ migraine; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 39 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 19Mar2021 12:40 (Lot number: ER2613) at the age of 39 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Moderate to Severe Crohn's" (ongoing); "Cervicogenic Migraines", start date: Feb2021 (ongoing); "Vertigo", start date: Feb2021 (ongoing); "TMJ" (ongoing). Concomitant medication(s) included: MIRENA (ongoing); PHENTERMINE HCL taken for weight decreased, start date: 02Aug2021; ALLEGRA 12 HOUR taken for hypersensitivity (ongoing); PSEUDOEPHEDRINE (ongoing); WELLBUTRIN, start date: Jun2021 (ongoing); STELARA (ongoing). The following information was reported: CLUSTER HEADACHE (non-serious) with onset Mar2021, outcome "not recovered", described as "cluster headache"; EYE PAIN (non-serious) with onset Mar2021, outcome "not recovered", described as "having stabbing pain in the left eye"; MIGRAINE (non-serious) with onset Mar2021, outcome "not recovered", described as "headache/ migraine". The events "cluster headache", "having stabbing pain in the left eye" and "headache/ migraine" were evaluated at the physician office visit.  Additional information: Caller stated she received 3 doses of the Pfizer covid vaccine; first dose was on 19Mar, second dose 09Apr and third dose 17Aug of 2021. Caller stated since mid-march stabbing pain through her left eye; feeling a lot of pressure in left eye: She can still see, is in pain, there's pressure by her left eye, she's not having migraine level pain, she can function, she doesn't need to go lay down in a dark room or take migraine medicine. She states she had it in Mar2021, had it again in Apr2021, she has had it on and off through Jun2021 and usually it was preceded or post ceded by a major headache incident. She will have vertigo, additional symptoms that are going with a migraine, inability to concentrate, double vision, halos, sensitivity to light and sound, usually when she is stressed. Vertigo has happened a couple times when she has been driving, but she hasn't had an instance of that in a couple months. She states his is the first time she had it without the other symptoms there. Confirms it's about the same, has persisted on and off. Confirms it is ongoing, beginning in Mar2021. She states it would just happen, she would get an intense pain for a while, it would go away, usually in conjunction with other things she's described, but this time its just pressure, not like a sinus pressure where she touches her face and it hurts. she has allergies. Caller stated that its always the left eye not like other symptoms. Caller states she is just having a really weird, she doesn't know if its a reaction or what. She has had it before in the Spring after she had her first 2 doses of the Pfizer vaccine and she had her third one 3 weeks ago today and she's having a stabbing pain through her left eye and feeling a lot of pressure, other than that she's not having any symptoms of a sinus infection, cold, and once in a blue moon she will sneeze. Caller states she takes Stelara, that's how she qualifies for a third dose because of her Crohn's because she's considered immunocompromised. She states she doesn't know if this is something she should contact her regular GP about or if its something more severe but it's odd, it doesn't happen regularly and her eye is where she wears contacts and glasses, and the only thing she's ever had a issue with, once in a while if she wears her contacts for a while it will be dry. She has had crohn's for over 12 years now. If she has any aversion to talking to medical professionals, she really has the wrong disease, she has no choice to deal with them and talking about anything with colours or certain consistencies. Pfizer Covid 19 Vaccine: Indication: She states it was a precautionary measure due to her own pre-existing conditions and to be better equipped to fight off if she were to ever be exposed to the virus through any method and because there's really no reason not to for her, if she wants to be safe for people around her. She has people around her in her life that have more serious pre-existing conditions than she does, like her parents and her doctor didn't see any reason why she couldn't, she asked both her primary care and gastroenterologist. She states normally she gets symptoms when she is stressed or under intense pressure. The symptoms are usually combined with vertigo or cluster headaches, she hasn't had any symptoms over the last two weeks where she has had no severe headaches, no severe vertigo, where she would be in a situation where she could tie it to something else, that would have been her first thought. She confirms her first two doses were with clinic, her last dose was with a (Name withheld). She has contacted her doctor through (Withheld) and had a follow-up appt with her neurologist, she thought it was stress related, it seemed to happen after she's had a very busy year, she got a puppy, got engaged, got a house, is renovating the house, moved in when the contractor was doing renovations, the contractor took additional time and didn't do a good job so now they have to re-do stuff, but recently she hasn't felt as stressed as before, she knows what to expect. Patient did not take any other vaccinations within 4 weeks prior to the first administration date of the suspect vaccine(s). Patient took Remicade, she had the first two infusions and didn't go for the third. Her fingers swelled, she had the inability to squeeze a water bottle, her tongue felt bigger, she took Benadryl, that seemed to alleviate her symptoms a little bit, the second time she had Benadryl intravenously before the infusion but afterwards she developed bronchitis afterwards.  Follow-up attempts are completed. No further information is expected.